Nausea, Vomit and Motion Sickness Pharmacology Quiz
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Questions and Answers

Which neurotransmitter is released by the enterochromaffin cells of the small intestine in response to blood-borne emetics and local irritants?

  • Dopamine
  • Histamine
  • Acetylcholine
  • Serotonin (correct)

Which receptor is stimulated by serotonin to initiate the vomiting reflex?

  • H1 (histamine)
  • Muscarinic (acetylcholine)
  • D2 (dopamine)
  • 5HT3 (serotonin) (correct)

Which neurotransmitter's receptors may mediate signaling in the emetic center?

  • Acetylcholine
  • Dopamine
  • Histamine
  • Serotonin (correct)

Which neurotransmitter is associated with 5HT3 receptors?

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

Which neurotransmitter is responsible for stimulating vagal afferents in the vomiting reflex?

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

Which neurotransmitter is released in response to blood-borne emetics and local irritants?

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

Which medication has the highest receptor-binding affinity to 5-HT3R and a longer half-life?

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

Which medication is metabolized by CYP2D6 and to a lesser extent, CYP3A4 and CYP1A2?

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

Which medication is a pro-drug that is converted in vivo by carbonyl reductase to its active metabolite, hydrodolasetron?

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

Which medication has the highest bioavailability but is rapidly absorbed after oral administration?

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

Which medication has the longest half-life after intravenous injection?

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

Which medication is extensively metabolized by liver CPY3A4 enzyme with extensive inter-subject variability?

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

Which of the following is a common side effect of antihistamines and anticholinergics?

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

Where are the serotonin receptors localized and how do they influence the emetic center?

<p>Localized in the brain, influencing nausea and vomiting (C)</p> Signup and view all the answers

What are the names of the 5-HT3 receptor antagonists?

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

Why should metoclopramide not be given at high doses or used long-term?

<p>Because it can cause neurological side effects (B)</p> Signup and view all the answers

Name some antihistamine drugs.

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

What event in the body results most often as a side effect of 5-HT3 use?

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

Which areas in the CNS would be most associated with motion sickness?

<p>Cerebellum and medulla oblongata (C)</p> Signup and view all the answers

What are some side effects of antihistamines and anticholinergics?

<p>Dry mouth, constipation, difficulty urinating (A)</p> Signup and view all the answers

Which medication is a selective 5-HT3 receptor antagonist?

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

What is the mechanism of action of Aprepitant?

<p>Blocks NK1 receptor, preventing nausea and vomiting (D)</p> Signup and view all the answers

Which medication has the longest half-life after intravenous injection?

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

What is the most common side effect of Dronabinol?

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

How is scopolamine primarily excreted from the body?

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

What is the main concern associated with metoclopramide use at high doses or long-term?

<p>Extrapyramidal side effects (D)</p> Signup and view all the answers

Which medication is metabolized by CYP2D6 and to a lesser extent, CYP3A4?

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

What is the primary receptor targeted by Palonosetron?

<p>5-HT3 receptor (B)</p> Signup and view all the answers

What is the primary mechanism of action of glucocorticoids like dexamethasone in preventing nausea and vomiting?

<p>Inhibits prostaglandin production and suppresses inflammation (B)</p> Signup and view all the answers

What is the most common side effect of ondansetron?

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

Which of the following is a common side effect of anticholinergic agents?

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

Which of the following is a side effect most frequently associated with antihistamines?

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

What area in the body are H1R antagonists well absorbed from?

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

Which neurotransmitter's receptors may mediate signaling in the emetic center?

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

Where are the serotonin receptors localized and how do they influence the emetic center?

<p>Localized in the brain and stimulate vomiting reflex (D)</p> Signup and view all the answers

What are some side effects of antihistamines and anticholinergics?

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

Which area in the central nervous system could be most associated with motion sickness?

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

What event in the body results most often as a side effect of 5-HT3 receptor antagonist use?

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

Why should metoclopramide not be given at high doses or used long-term?

<p>Because it can result in tardive dyskinesia and dystonia (D)</p> Signup and view all the answers

Which medication has the highest receptor-binding affinity to 5-HT3 receptors and a longer half-life?

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

What is the main neurotransmitter responsible for stimulating vagal afferents in the vomiting reflex?

<p>Serotonin (5-HT3) (C)</p> Signup and view all the answers

Which medication is a pro-drug converted in vivo by carbonyl reductase to its active metabolite, hydrodolasetron?

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

Which medication has the highest receptor-binding affinity to 5-HT3R and a longer half-life?

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

What is a common side effect of antihistamines and anticholinergics?

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

What event in the body most often results as a side effect of 5-HT3 use?

<p>QT interval prolongation (B)</p> Signup and view all the answers

Which areas in the CNS are most associated with motion sickness?

<p>Medulla oblongata and pons (D)</p> Signup and view all the answers

Why should metoclopramide not be given at high doses or used long-term?

<p>Potential for extrapyramidal side effects (D)</p> Signup and view all the answers

Which medication is extensively metabolized by liver CPY3A4 enzyme with extensive inter-subject variability?

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

Which medication has the longest half-life after intravenous injection?

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

Which receptor is stimulated by serotonin to initiate the vomiting reflex?

<p>5-hydroxytryptamine (5-HT3) (B)</p> Signup and view all the answers

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