Adrenergic Drugs Quiz
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Questions and Answers

Which aspect of adrenergic drugs is emphasized in the context of observed cardiovascular effects?

  • Endogenous sympathetic neurotransmitters
  • Therapeutic uses
  • Pharmacologic effects
  • Reflex homeostatic adjustments (correct)
  • What is the main emphasis when describing the adverse effects of adrenergic drugs?

  • Describing therapeutic uses
  • Explaining the mechanism of action
  • Understanding the adverse effects (correct)
  • Discussing drug interactions
  • Which drug is used for the treatment of urge incontinence due to overactive bladder?

  • Ritodrine
  • Isoxsuprine
  • Isoproterenol
  • Mirabegron (correct)
  • Which drug is a selective ß2 agonist used as a tocolytic agent to suppress premature labor?

    <p>Terbutaline</p> Signup and view all the answers

    Which drug is classified as a nasal decongestant among the adrenergic drugs?

    <p>Ephedrine</p> Signup and view all the answers

    Which drug is a cardiac stimulant and also serves as a bronchodilator among the adrenergic drugs?

    <p>Isoproterenol</p> Signup and view all the answers

    Which receptors does epinephrine act on to produce various cardiovascular effects?

    <p>α1, α2, ß1, and ß2</p> Signup and view all the answers

    What occurs during Dale's vasomotor reversal?

    <p>Unmasking of ß2 receptors due to α1 receptor blockage</p> Signup and view all the answers

    What are the predominant effects of epinephrine at low concentrations?

    <p>Predominantly ß1 and ß2 effects</p> Signup and view all the answers

    What are the metabolic effects of epinephrine?

    <p>Hyperglycemia and smooth muscle relaxation</p> Signup and view all the answers

    What is the therapeutic use of epinephrine?

    <p>Treating bronchospasm and anaphylactic shock</p> Signup and view all the answers

    Which enzyme rapidly inactivates catecholamines like epinephrine and norepinephrine?

    <p>MAO &amp; COMT</p> Signup and view all the answers

    What type of adrenergic drugs are rapidly inactivated by MAO & COMT?

    <p>Catecholamines</p> Signup and view all the answers

    Which receptors are unmasked during Dale's vasomotor reversal?

    <p>ß2 receptors</p> Signup and view all the answers

    What causes vasoconstriction at high doses of epinephrine?

    <p>α1 effects</p> Signup and view all the answers

    What is the onset and duration of action of orally inactive epinephrine?

    <p>Rapid onset but brief duration of action</p> Signup and view all the answers

    What are the cardiovascular effects of epinephrine at low doses?

    <p>Vasodilatation</p> Signup and view all the answers

    Which drug is used in open-angle glaucoma to decrease intraocular tension?

    <p>Clonidine</p> Signup and view all the answers

    Which drug is a non-catecholamine sympathomimetic that is used as a CNS stimulant in the treatment of ADHD and narcolepsy?

    <p>Amphetamine</p> Signup and view all the answers

    Which drug is a false neurotransmitter that reduces central adrenergic tone and is used as an antihypertensive drug?

    <p>Methyldopa</p> Signup and view all the answers

    Which drug is a local anesthetic and CNS stimulant that blocks the uptake of NE in adrenergic neurons?

    <p>Cocaine</p> Signup and view all the answers

    Which drug is a mixed-acting sympathomimetic used for bronchodilation and nasal congestion?

    <p>Ephedrine</p> Signup and view all the answers

    Which drug is an α2-selective agonist used for hypertension with adverse effects including sedation, bradycardia, sexual dysfunction, rebound hypertension, xerostomia, and constipation?

    <p>Clonidine</p> Signup and view all the answers

    Which drug releases stored catecholamines from nerve terminals and is found in fermented foods but is not clinically used?

    <p>Tyramine</p> Signup and view all the answers

    Which drug increases the release of monoamines in the CNS and peripherally, with prominent CNS stimulatory action?

    <p>Amphetamine</p> Signup and view all the answers

    Which drug is a spasmolytic for spinal cord spasticity?

    <p>Tizanidine</p> Signup and view all the answers

    Which drug is used for bronchodilation and suppressing the release of inflammatory mediators in the respiratory system with selective ß2 action?

    <p>Albuterol</p> Signup and view all the answers

    Which drug is an α2 agonist used for hypertension in pregnancy?

    <p>Methyldopa</p> Signup and view all the answers

    Which drug is used as a nasal decongestant?

    <p>Oxymetazoline</p> Signup and view all the answers

    Which receptor does norepinephrine activate that leads to vasoconstriction and baroreceptor reflex?

    <p>α1 and ß1</p> Signup and view all the answers

    What is the primary therapeutic use of dopamine?

    <p>Cardiogenic shock</p> Signup and view all the answers

    What is the main advantage of dobutamine over other sympathomimetic drugs?

    <p>It increases contractility without affecting heart rate</p> Signup and view all the answers

    Which drug is a selective α1 agonist and is used as a nasal decongestant?

    <p>Phenylephrine</p> Signup and view all the answers

    What is the primary effect of isoproterenol on bronchial and GI smooth muscle?

    <p>Relaxation</p> Signup and view all the answers

    What is the effect of high-dose epinephrine on blood pressure?

    <p>Reversal from hypertension to hypotension</p> Signup and view all the answers

    What is the mechanism of action of dipivefrin?

    <p>It is a prodrug of epinephrine</p> Signup and view all the answers

    Which condition is a contraindication for the use of epinephrine?

    <p>Angina pectoris</p> Signup and view all the answers

    What is the primary adverse effect of epinephrine?

    <p>Palpitation</p> Signup and view all the answers

    What is the primary effect of norepinephrine on mean blood pressure?

    <p>Increase</p> Signup and view all the answers

    What is the primary effect of epinephrine on intraocular tension?

    <p>Decrease</p> Signup and view all the answers

    What is the primary effect of isoproterenol on systolic blood pressure?

    <p>Increase</p> Signup and view all the answers

    Study Notes

    Adrenergic Drugs and Their Therapeutic Uses

    • Clonidine is an α2-selective agonist used for hypertension, with multiple mechanisms of action including inhibition of sympathetic vasomotor centers.
    • Clonidine's adverse effects include sedation, bradycardia, sexual dysfunction, rebound hypertension, xerostomia, and constipation.
    • Apraclonidine is used in open-angle glaucoma to decrease intraocular tension by reducing the production of aqueous humor.
    • Other α2 agonists include guanfacine, guanabenz, methyldopa (used for hypertension in pregnancy), and tizanidine (a spasmolytic for spinal cord spasticity).
    • Topical sympathomimetics like naphazoline, oxymetazoline, and xylometazoline are used as nasal decongestants.
    • Amphetamine is a non-catecholamine sympathomimetic drug that increases the release of monoamines in the CNS and peripherally, with prominent CNS stimulatory action.
    • Amphetamine is used as a CNS stimulant in the treatment of ADHD and narcolepsy.
    • Tyramine releases stored catecholamines from nerve terminals and is found in fermented foods, but is not clinically used.
    • Methyldopa is a false neurotransmitter that reduces central adrenergic tone, similar to clonidine, and is used as an antihypertensive drug.
    • Cocaine is a local anesthetic and CNS stimulant that blocks the uptake of NE in adrenergic neurons.
    • Ephedrine and pseudoephedrine are mixed-acting sympathomimetics used for bronchodilation and nasal congestion.
    • Drugs with selective ß2 action like albuterol and salmeterol are used for bronchodilation and suppressing the release of inflammatory mediators in the respiratory system.

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    Adrenergics Lecture Notes PDF

    Description

    Test your knowledge of adrenergic drugs and their therapeutic uses with this quiz. Explore the mechanisms of action, adverse effects, and clinical applications of α2-selective agonists, sympathomimetics, CNS stimulants, and bronchodilators.

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