Chapter 7 Pharm

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Questions and Answers

Which of the following is NOT a side effect of β-blocker therapy?

  • Peripheral vasoconstriction
  • Increased peripheral vascular resistance (correct)
  • Altered serum lipid levels
  • Increased blood glucose levels

Which β-blocker is specifically mentioned for its beneficial effects in reducing lipid peroxidation and vascular wall thickening?

  • Atenolol
  • Carvedilol (correct)
  • Propranolol
  • Metoprolol

For which condition is intravenous labetalol specifically used due to its ability to rapidly lower blood pressure?

  • Hypertensive emergencies (correct)
  • Migraine
  • Glaucoma
  • Heart failure

Which β-blocker provides a prophylactic effect in the treatment of migraines?

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

What is the main purpose of carvedilol in patients with chronic heart failure?

<p>To prevent cardiovascular mortalities (A)</p> Signup and view all the answers

Which adverse effects are associated with α1 blockade?

<p>Orthostatic hypotension and dizziness (C)</p> Signup and view all the answers

Which agent is known for reducing cardiac rate and potential for arrhythmias after myocardial infarction?

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

What is the purpose of reserpine, as mentioned in the text?

<p>Interference with neurotransmitter release (B)</p> Signup and view all the answers

Which of the following statements accurately describes the effect of β blockers on sexual function in males?

<p>β blockers do not affect normal ejaculation due to their effect on α-adrenergic activation (A)</p> Signup and view all the answers

What metabolic disturbances can occur due to β blockade?

<p>Prevention of counterregulatory effects of catecholamines during hypoglycemia (D)</p> Signup and view all the answers

Which lipid profile changes are associated with the use of nonselective β blockers?

<p>Increased low-density lipoprotein and decreased high-density lipoprotein (A)</p> Signup and view all the answers

Why are cardioselective β blockers preferred in treating asthma patients who use insulin?

<p>They have less effect on bronchial smooth muscle and glycogenolysis (D)</p> Signup and view all the answers

True or False: There are clinically useful β2 antagonists available for use.

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

True or False: β blockers induce postural hypotension due to the blockade of α adrenoceptors.

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

True or False: Propranolol primarily blocks β1 receptors and has no effect on β2 receptors.

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

Nebivolol has no vasodilator properties mediated by nitric oxide.

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

Coldness of extremities is less frequent in patients treated with cardioselective β blockers.

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

Pindolol and acebutolol are pure antagonists with no intrinsic sympathomimetic activity (ISA).

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

Blocking β2 receptors leads to vasodilation.

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

Propranolol, when given at therapeutic doses, has a significant membrane-stabilizing effect on the heart.

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

Patients with hypertension may experience a gradual reduction in both systolic and diastolic blood pressures with long-term use of propranolol.

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

β blockers generally have a significant effect against ventricular arrhythmias, especially those induced by exercise.

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

What is the primary effect of drugs that block α adrenoceptors?

<p>Decreased peripheral vascular resistance (A)</p> Signup and view all the answers

How do adrenergic antagonists, which are α-adrenergic blocking agents, affect blood pressure?

<p>They lower peripheral vascular resistance (A)</p> Signup and view all the answers

What is the consequence of α adrenoceptor blockade on the sympathetic tone of the blood vessels?

<p>Decreased sympathetic tone of the blood vessels (D)</p> Signup and view all the answers

What is the mechanism of action of phenoxybenzamine?

<p>Linking covalently to both α1- and α2-receptors (B)</p> Signup and view all the answers

How long do the effects of phenoxybenzamine last after a single administration?

<p>24 hours (A)</p> Signup and view all the answers

What is the limited clinical application of phentolamine and phenoxybenzamine attributed to?

<p>Irreversible block and noncompetitive nature (C)</p> Signup and view all the answers

What is the main reason phenoxybenzamine has been unsuccessful in maintaining lowered blood pressure in hypertension?

<p>It blocks presynaptic inhibitory α2 receptors in the heart, contributing to increased cardiac output. (B)</p> Signup and view all the answers

How do α-adrenergic blockers affect the vasoconstrictive action of epinephrine?

<p>They reverse the vasoconstrictive action of epinephrine. (C)</p> Signup and view all the answers

What effect do α-adrenergic blockers have on the actions of isoproterenol?

<p>They have no effect on the actions of isoproterenol. (B)</p> Signup and view all the answers

Why has phenoxybenzamine been discontinued for maintaining lowered blood pressure in hypertension?

<p>It blocks presynaptic inhibitory α2 receptors in the heart, contributing to increased cardiac output. (A)</p> Signup and view all the answers

What effect do β blockers have on serum lipid and blood glucose levels?

<p>They do not alter serum lipid or blood glucose levels (A)</p> Signup and view all the answers

Which β blocker is specifically mentioned for its effects on reducing lipid peroxidation and vascular wall thickening?

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

For which condition is intravenous labetalol specifically used due to its ability to rapidly lower blood pressure?

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

What is the potential cause of impaired sexual activity in some men who are on β-blocker therapy?

<p>Blockade of α-adrenergic activation (D)</p> Signup and view all the answers

What are the metabolic disturbances that can occur due to β-blockade according to the text?

<p>Prevention of counterregulatory effects of catecholamines during hypoglycemia (D)</p> Signup and view all the answers

How do patients administered nonselective β-blockers typically experience changes in their serum lipid profile?

<p>Increased LDL and triglycerides, and reduced HDL cholesterol (A)</p> Signup and view all the answers

What is the primary difference between nonselective and cardioselective β blockers?

<p>Nonselective β blockers block both β1 and β2 receptors, while cardioselective β blockers primarily block β1 receptors (A)</p> Signup and view all the answers

In what way do α adrenoceptors contribute to the maintenance of normal sympathetic control of the vasculature?

<p>By maintaining the responsiveness of the vasculature to sympathetic signals (B)</p> Signup and view all the answers

What is a notable effect of propranolol on cardiovascular function?

<p>Diminishes cardiac output with negative inotropic and chronotropic effects (C)</p> Signup and view all the answers

What is the significance of the names of all β blockers ending in “-olol”?

<p>It indicates their specific mechanism of action on adrenergic receptors (A)</p> Signup and view all the answers

What is the mechanism of action of phenoxybenzamine?

<p>It irreversibly blocks both α1- and α2-receptors (A)</p> Signup and view all the answers

What is the primary reason for the limited clinical applications of phenoxybenzamine and phentolamine?

<p>They have limited selectivity for α-adrenoceptors (A)</p> Signup and view all the answers

How long do the effects of phenoxybenzamine last after a single administration?

<p>24 hours (C)</p> Signup and view all the answers

What is the consequence of α adrenoceptor blockade on the sympathetic tone of the blood vessels?

<p>Decreased sympathetic tone (C)</p> Signup and view all the answers

How do the effects of phenoxybenzamine and phentolamine compare in terms of duration of action?

<p>Phenoxybenzamine has a longer duration of action than phentolamine (A)</p> Signup and view all the answers

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