Cholinergic Agents and Acetylcholine Esterase Inhibitors
39 Questions
0 Views

Cholinergic Agents and Acetylcholine Esterase Inhibitors

Created by
@FavoriteNavy

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following drugs is considered a pseudo irreversible non-competitive inhibitor of acetylcholinesterase?

  • Neostigmine
  • Distigmine
  • Rivastigmine (correct)
  • Pyridostigmine
  • Pyridostigmine is more effective than neostigmine in terms of duration of action.

    False

    Which of the following best describes cholinergic agents?

  • They stimulate adrenergic receptors.
  • They inhibit dopamine receptors.
  • They exclusively act on nicotinic receptors.
  • They produce effects similar to those of acetylcholine. (correct)
  • What is the role of acetylcholine esterase inhibitors?

    <p>To inhibit the breakdown of acetylcholine.</p> Signup and view all the answers

    Cholinomimetics are agents that stimulate cholinergic receptors directly.

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

    What is the half-life (T1/2) of Rivastigmine?

    <p>About 2 hours</p> Signup and view all the answers

    ________ is an irreversible choline esterase inhibitor that forms a covalent bond with serine amino acid of acetylcholine.

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

    What is the primary use of Distigmine?

    <p>Treatment of voiding dysfunction</p> Signup and view all the answers

    Cholinergic agents can be classified into two types: cholinomimetics and _____ inhibitors.

    <p>acetylcholine esterase</p> Signup and view all the answers

    Match the following medications to their type of action:

    <p>Pyridostigmine = Competitive reversible inhibitor Rivastigmine = Pseudo irreversible non-competitive inhibitor Malathion = Irreversible inhibitor Distigmine = Competitive reversible inhibitor</p> Signup and view all the answers

    Match the agents to their respective effects:

    <p>Muscarine = Muscarinic effect at postganglionic nerve endings Nicotine = Nicotinic effect at autonomic ganglia Pilocarpine = Direct stimulation of cholinergic receptors</p> Signup and view all the answers

    What is the mechanism of action for irreversible choline esterase inhibitors?

    <p>They form a covalent bond with serine amino acid of acetylcholine.</p> Signup and view all the answers

    What type of effect does nicotine primarily produce?

    <p>Nicotinic effect</p> Signup and view all the answers

    Name two types of cholinergic receptors.

    <p>Muscarinic and Nicotinic</p> Signup and view all the answers

    Acetylcholine and __________ are involved in the inhibitory interaction with Rivastigmine.

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

    The muscarinic effect occurs at neuromuscular junctions.

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

    Which of the following is an example of an organophosphorus compound used as a chemical weapon?

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

    Malathion is primarily used as a chemical weapon.

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

    Atropine is the first anticholinergic agent to be identified.

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

    The antidote for organophosphate toxicity is _____ such as Pralidoxime.

    <p>cholinesterase reactivator</p> Signup and view all the answers

    Match the following organophosphorus compounds with their uses:

    <p>Parathion = Insecticide Sarin = Chemical weapon Malathion = Insecticide Pralidoxime = Antidote for toxicity</p> Signup and view all the answers

    What mechanism do organophosphorus compounds use to affect the nervous system?

    <p>Phosphorylate acetylcholine esterase</p> Signup and view all the answers

    The antidote for organophosphate toxicity must be used after a significant delay to be effective.

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

    What happens to acetylcholine esterase when it binds with organophosphate compounds?

    <p>It becomes inactive.</p> Signup and view all the answers

    What is the primary role of anticholinergic agents?

    <p>Block acetylcholine at muscarinic receptors</p> Signup and view all the answers

    What is the main target of organophosphorus compounds in the body?

    <p>Acetylcholine esterase</p> Signup and view all the answers

    Name one of the earliest known sources of anticholinergic agents.

    <p>Atropa Belladonna</p> Signup and view all the answers

    The structural requirement for antimuscarinic drugs includes a quaternary or at least ______ nitrogen.

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

    Which of the following is NOT an anticholinergic agent?

    <p>Pralidoxime chloride</p> Signup and view all the answers

    For maximal antagonist activity, R1 and R2 in antimuscarinic drugs should be two ring systems.

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

    For optimal function, R3 in antimuscarinic drugs should be ______ or CH2OH.

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

    What is the primary use of Tolterodine?

    <p>Symptomatic treatment of overactive bladder</p> Signup and view all the answers

    Tolterodine is a muscarinic agonist that causes contraction of bladder muscles.

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

    What is the maximum effect time for Tropicamide when used as eye drops?

    <p>20 to 25 minutes</p> Signup and view all the answers

    Ganglionic blockers are agents that block the action of __________ at autonomic ganglia.

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

    Match the following drugs with their primary usage:

    <p>Tolterodine = Overactive bladder treatment Tropicamide = Mydriasis (pupil dilation) Nicotine = Ganglionic stimulation Ganglionic blockers = Block acetylcholine at ganglia</p> Signup and view all the answers

    Which type of ganglionic blockers induce initial stimulation followed by blocking action?

    <p>Depolarizing ganglionic blockers</p> Signup and view all the answers

    Non-depolarizing ganglionic blockers are selective and differentiate between sympathetic and parasympathetic ganglia.

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

    Tropicamide is an aromatic tertiary amine, partially ionized at __________ pH.

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

    Study Notes

    Cholinergic Agents and Acetylcholinesterase Inhibitors

    • Pyridostigmine has a longer duration of action compared to neostigmine.
    • Cholinergic agents are drugs that mimic or enhance the effects of acetylcholine.
    • Acetylcholine esterase inhibitors block the breakdown of acetylcholine, increasing its concentration at the synapse.
    • Cholinomimetics are agents that directly stimulate cholinergic receptors.
    • The half-life (T1/2) of Rivastigmine is 1.5 hours.
    • Distigmine is primarily used to treat myasthenia gravis.
    • Cholinergic agents can be classified into two types: cholinomimetics and acetylcholinesterase inhibitors.
    • Irreversible choline esterase inhibitors form a covalent bond with the serine amino acid of acetylcholine esterase, permanently inhibiting its activity.
    • Nicotine primarily produces a stimulatory effect.
    • There are two types of cholinergic receptors: muscarinic and nicotinic.
    • Acetylcholine and Rivastigmine are involved in the inhibitory interaction with acetylcholine esterase.
    • The muscarinic effect occurs at the autonomic nervous system, not neuromuscular junctions.
    • Sarin is an example of an organophosphorus compound used as a chemical weapon.
    • Malathion is primarily used as an insecticide, not a chemical weapon.
    • Atropine is the first identified anticholinergic agent.
    • The antidote for organophosphate toxicity is cholinesterase reactivators such as Pralidoxime.
    • Organophosphorus compounds affect the nervous system by inhibiting acetylcholinesterase.
    • Acetylcholinesterase is irreversibly inhibited when it binds with organophosphorus compounds.
    • Anticholinergic agents block the action of acetylcholine at muscarinic receptors.
    • Acetylcholinesterase is the primary target of organophosphorus compounds in the body.
    • Deadly Nightshade (Atropa belladonna) is one of the earliest known sources of anticholinergic agents.
    • The structural requirement for antimuscarinic drugs includes a quaternary or at least tertiary nitrogen.
    • Propanolol is not an anticholinergic agent.
    • For maximal antagonist activity, R1 and R2 in antimuscarinic drugs should be two ring systems.
    • For optimal function, R3 in antimuscarinic drugs should be H or CH2OH.
    • Tolterodine is primarily used to treat overactive bladder.
    • Tolterodine is a muscarinic antagonist, not an agonist.
    • The maximum effect time for Tropicamide when used as eye drops is 6-8 hours.
    • Ganglionic blockers are agents that block the action of acetylcholine at autonomic ganglia.
    • Nicotine, hexamethonium, mecamylamine are ganglionic blockers.
    • Nicotine induces initial stimulation followed by blocking action.
    • Non-depolarizing ganglionic blockers are not selective and affect both sympathetic and parasympathetic ganglia.
    • Tropicamide is an aromatic tertiary amine, partially ionized at alkaline pH.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz explores the pharmacology of cholinergic agents, focusing on their mechanisms of action such as stimulating cholinergic receptors and inhibiting acetylcholine esterase. Key drugs are also covered, including pyridostigmine and organophosphates. Test your knowledge on the effects and applications of these important agents!

    More Like This

    Cholinergic Agents &amp; Alzheimer's Disease
    3 questions
    Cholinergic Agents - Caro
    80 questions
    Cholinergic Agents Quiz
    10 questions

    Cholinergic Agents Quiz

    ComplimentaryArlington avatar
    ComplimentaryArlington
    Use Quizgecko on...
    Browser
    Browser