Cholinergic Transmission and Parasympathomimetics

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30 Questions

What is the effect of low doses of atropine on the heart rate?

Bradycardia

What is the name of the device used to administer scopolamine for motion sickness?

Transderm Scop

What is the Italian phrase for 'beautiful lady' that is associated with atropine?

Belladona

What is the effect of atropine on the eye in patients with glaucoma?

Increases intraocular pressure

What is the therapeutic application of atropine in emergency situations?

Management of emergency bradycardia

What is the primary effect of scopolamine on the central nervous system?

Anticholinergic effects

What is the primary limitation of using Acetylcholine as a therapeutic agent?

It is rapidly broken down by enzymes in the synaptic cleft

Which of the following is a characteristic of indirectly acting cholinergic agonists?

They inhibit the breakdown of Acetylcholine by enzymes

What is the primary mechanism of action of Pilocarpine?

Binding directly to muscarinic acetylcholine receptors

Which of the following is a nicotinic acetylcholine receptor antagonist?

Edrophonium

What is the primary difference between directly and indirectly acting cholinergic agonists?

Their mechanism of action on cholinergic neurons

What is the therapeutic use of Neostigmine?

Treating myasthenia gravis

What is the primary mechanism of action of circulating antibodies in myasthenia gravis?

Blocking acetylcholine receptors at the postsynaptic neuromuscular junction

What is the purpose of administering edrophonium chloride in the diagnosis of myasthenia gravis?

To increase the levels of acetylcholine at the neuromuscular junction

What is the primary therapeutic application of scopolamine?

Treatment of motion sickness

What is the primary action of cholinesterase inhibitors in the treatment of myasthenia gravis?

Directly improving muscle function

What is the primary mechanism of action of parasympatholytics?

Blocking the actions of acetylcholine at the muscarinic receptors

What is the primary nursing implication related to the use of parasympatholytic drugs?

Monitoring for anticholinergic side effects

What is the therapeutic application of Pilocarpine?

Lowering of IOP in chronic simple glaucoma

What is the reason why acetylcholine is therapeutically of no importance?

It has a multiplicity of actions

Which drug is used to treat conditions associated with increased muscle tone?

Botulinum toxin

What is the mechanism of action of Botulinum toxin?

Inhibition of ACh release

What is the primary effect of pilocarpine on the eye when applied topically?

Miosis and contraction of the ciliary body

Which drug is used to relieve abdominal pain in colics?

Buscopan

What is the primary use of neostigmine in medical therapy?

To treat myasthenia gravis

What is the therapeutic application of Scopolamine?

Motion sickness and relieve spasms and colics

What is the primary adverse effect of pilocarpine hydrochloride 1% ophthalmic solution?

Spasm of accommodation

What is the term for the 'grave muscle weakness' disease that is treated with neostigmine?

Myasthenia gravis

What is the mechanism of action of Neostigmine?

Enzymatic inactivation of AChE

What is the primary effect of acetylcholine on the heart rate?

Decrease

Test your knowledge of cholinergic transmission and parasympathomimetics, including the classification of directly and indirectly acting cholinergic agonists, their actions, and therapeutic uses. Learn about Acetylcholine, Pilocarpine, and Neostigmine, and their roles in the parasympathetic nervous system.

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