Cholinesterase Inhibitors Adverse Effects Quiz
36 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the central role that beta-amyloid appears to play in Alzheimer's disease?

  • Contributing to the loss of cholinergic function
  • Accumulating early in the disease process (correct)
  • Enhancing the neurotoxic effects of ERAB
  • Forming neurofibrillary tangles inside neurons

What is the prominent feature of AD that results from the disruption of the orderly arrangement of microtubules inside neurons?

  • Elevated homocysteine levels
  • Apolipoprotein E4
  • Neurofibrillary tangles (correct)
  • Neuritic plaques

What is the main role of apolipoprotein E4 in Alzheimer's disease?

  • Playing a role in cholesterol transport (correct)
  • Promoting the formation of neurofibrillary tangles
  • Contributing to the loss of cholinergic function
  • Enhancing the neurotoxic effects of beta-amyloid

What is a risk factor associated with an increased risk for Alzheimer's disease?

<p>Nicotine in cigarette smoke (A)</p> Signup and view all the answers

Which drug blocks neuronal receptors for n-methyl d-aspartate and is approved for the treatment of Alzheimer's dementia?

<p>Memantine (B)</p> Signup and view all the answers

What is the goal of Alzheimer's disease treatment?

<p>To improve memory and cognition (C)</p> Signup and view all the answers

What is a symptom experienced by patients with early-stage Alzheimer's disease?

<p>Sundowning (A)</p> Signup and view all the answers

What is the effect of cholinesterase inhibitors on mild to moderate AD?

<p>They have modest and short-lasting improvements (C)</p> Signup and view all the answers

What is the primary cause of Alzheimer's disease according to the text?

<p>Unknown underlying cause (A)</p> Signup and view all the answers

Which of the following symptoms is NOT associated with Alzheimer's disease as mentioned in the text?

<p>Enhanced vision (A)</p> Signup and view all the answers

What role does the hippocampus play in Alzheimer's disease according to the text?

<p>Critical for forming memories (B)</p> Signup and view all the answers

What is the significance of the decline in acetylcholine levels in patients with advanced Alzheimer's disease as mentioned in the text?

<p>It is a critical transmitter in the hippocampus and cerebral cortex (A)</p> Signup and view all the answers

Which part of the brain experiences neuronal degeneration early in Alzheimer's disease, leading to short-term memory failure?

<p>Hippocampus (C)</p> Signup and view all the answers

What is the estimated number of Americans affected by Alzheimer's disease according to the text?

<p>More than 5.5 million (B)</p> Signup and view all the answers

Which neurotransmitter level is significantly below normal in patients with advanced Alzheimer's disease?

<p>Acetylcholine (D)</p> Signup and view all the answers

What happens when cortical neurons degenerate in patients with Alzheimer's disease according to the text?

<p>Difficulty with reasoning (C)</p> Signup and view all the answers

What is the reason for avoiding first generation antihistamines, tricyclic anti-depressants, and conventional anti-psychotics when using cholinesterase inhibitors?

<p>They can reduce an individual's responses to cholinesterase inhibitors (C)</p> Signup and view all the answers

What is the similarity between Rivastigmine and Galantamine?

<p>Both cause irreversible inhibition of acetylcholinesterase (A)</p> Signup and view all the answers

What is the main benefit of Memantine in the treatment of Alzheimer's disease?

<p>It slows the decline in cognitive function (D)</p> Signup and view all the answers

Why is dosage adjustment required for patients with creatinine clearance of less than 30 mL/min when using Memantine?

<p>To prevent decreased renal excretion causing increased levels (B)</p> Signup and view all the answers

What is the purpose of conducting post-approval studies (Phase 4 confirmatory trials) for the drug aducanumab?

<p>To verify the drug’s clinical benefit (C)</p> Signup and view all the answers

What percentage of people with AD experience neuropsychiatric symptoms?

<p>More than 80% (C)</p> Signup and view all the answers

What distinguishes drugs for localized muscle spasms from those for spasticity?

<p>Their effect on muscle tone (C)</p> Signup and view all the answers

Which drug acts directly on the skeletal muscle to suppress the release of calcium from the sarcoplasmic reticulum?

<p>Dantrolene (A)</p> Signup and view all the answers

Which centrally acting muscle relaxant is contraindicated with MAOIs, SSRIs, SNRIs, and tricyclic antidepressants?

<p>Cyclobenzaprine (A)</p> Signup and view all the answers

Which drug acts in the central nervous system and mimics the action of GABA?

<p>Diazepam (D)</p> Signup and view all the answers

What is the main adverse side effect of diazepam?

<p>Sedation (C)</p> Signup and view all the answers

Which drug is used to treat malignant hyperthermia and has a black box warning for hepatic toxicity?

<p>Dantrolene (B)</p> Signup and view all the answers

What is a potential adverse effect of methocarbamol that affects urine color?

<p>Black urine (B)</p> Signup and view all the answers

Which muscle relaxant is considered the least sedating out of the given group?

<p>Metaxalone (A)</p> Signup and view all the answers

Which muscle relaxant can be hazardous to patients predisposed to intermittent porphyria?

<p>Carisoprodol (B)</p> Signup and view all the answers

What adverse effect can be caused by chlorzoxazone related to urine color?

<p>Orange urine (D)</p> Signup and view all the answers

Which muscle relaxant can cause hypotension and hallucinations as potential adverse effects?

<p>Tizanidine (A)</p> Signup and view all the answers

What is the primary belief regarding the mechanism of action for most centrally acting muscle relaxants?

<p>Sedative properties (A)</p> Signup and view all the answers

Which muscle relaxant is particularly associated with hepatic toxicity as an adverse effect?

<p>Carisoprodol (D)</p> Signup and view all the answers

What is a potential adverse effect common to all centrally acting muscle relaxants mentioned in the text?

<p>CNS depression (D)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser