Nervous System & Autonomic Pharmacology Quiz
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Questions and Answers

Which component is NOT part of the nervous system as described?

  • Sensory organs
  • Spinal cord
  • Lungs (correct)
  • Brain
  • What are the three basic functions of the nervous system when responding to environmental changes?

  • Recognize, Process, Integrate (correct)
  • Perceive, Respond, Maintain
  • Observe, Adapt, Execute
  • Recognize, Analyze, React
  • Which system is targeted by drugs developed for autonomic pharmacology?

  • Central nervous system only
  • Voluntary nervous system only
  • Peripheral vascular system only
  • Autonomic nervous system (correct)
  • What does the nervous system do when it recognizes environmental changes?

    <p>Processes sensations and feedback.</p> Signup and view all the answers

    What is the primary effect of muscarinic antagonists when administered to patients with respiratory disorders?

    <p>Produce moderate bronchodilation and decreased airway secretion</p> Signup and view all the answers

    In which urinary disorder might muscarinic antagonists be particularly beneficial?

    <p>Incontinence and bladder inflammation</p> Signup and view all the answers

    How do muscarinic antagonists affect gastrointestinal disorders?

    <p>Decrease intestinal motility and alleviate cramps</p> Signup and view all the answers

    What neurotransmitter is primarily involved in the 'rest-and-digest' response of the parasympathetic nervous system?

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

    What is the role of acetylcholinesterase in relation to acetylcholine in the nervous system?

    <p>To break down acetylcholine into acetate and choline</p> Signup and view all the answers

    What can result from cholinergic poisoning due to excessive acetylcholine?

    <p>Prolonged activation of the parasympathetic nervous system</p> Signup and view all the answers

    What condition would NOT generally be treated with muscarinic antagonists?

    <p>Gastroesophageal reflux disease</p> Signup and view all the answers

    Which of the following statements about Sarin gas is accurate?

    <p>It is a potent acetylcholinesterase inhibitor leading to cholinergic poisoning</p> Signup and view all the answers

    Which of the following receptors is primarily found in the heart?

    <p>β1</p> Signup and view all the answers

    Which receptor is associated with relaxing uterine smooth muscle?

    <p>β2</p> Signup and view all the answers

    What is the effect of activating β1 receptors in the body?

    <p>Increase heart rate and force of contraction</p> Signup and view all the answers

    Which receptor is primarily responsible for decreasing the release of norepinephrine from the presynaptic neuron?

    <p>α2</p> Signup and view all the answers

    The contraction of smooth muscle in the vasculature is primarily mediated by which receptor?

    <p>α1</p> Signup and view all the answers

    Which of the following organs is primarily affected by β2 receptor activation?

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

    What physiological response occurs when β2 receptors are activated?

    <p>Muscle relaxation in various tissues</p> Signup and view all the answers

    Which receptors are involved in the postsynaptic action of norepinephrine?

    <p>Both α and β receptors</p> Signup and view all the answers

    What is an example of a non-depolarizing neuromuscular blocker?

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

    During which phase does desensitization occur in depolarizing neuromuscular blockers?

    <p>Phase 2</p> Signup and view all the answers

    What is a common adverse effect of depolarizing neuromuscular blockade?

    <p>Malignant Hyperthermia</p> Signup and view all the answers

    What is the primary clinical indication for neuromuscular blockers?

    <p>Muscle paralysis during surgery</p> Signup and view all the answers

    Which of the following is a type of anesthetic NOT typically used in balanced anesthesia?

    <p>Topical Anesthetics</p> Signup and view all the answers

    What is one of the mechanisms that lead to drug tolerance?

    <p>Down-regulation of receptors</p> Signup and view all the answers

    Which characteristic is commonly associated with addictive drugs?

    <p>Inhibition of neurotransmitter reuptake</p> Signup and view all the answers

    What does drug withdrawal refer to?

    <p>Physical and mental symptoms experienced after stopping a drug</p> Signup and view all the answers

    Which of the following best describes substance use disorder (SUD)?

    <p>An inability to manage different aspects of life due to substance use</p> Signup and view all the answers

    What is cross tolerance?

    <p>Tolerance to one drug leading to tolerance to a different drug</p> Signup and view all the answers

    What is a common clinical application for local anesthesia?

    <p>Managing acute pain during minor procedures</p> Signup and view all the answers

    What effect does sustained exposure to a drug typically have?

    <p>Develops tolerance to the drug's effects</p> Signup and view all the answers

    What is the onset time of succinylcholine?

    <p>~30-60 seconds</p> Signup and view all the answers

    Which of these is NOT a factor influencing substance use disorder (SUD)?

    <p>Permanent immunity to addiction</p> Signup and view all the answers

    What is the primary goal of general anesthesia?

    <p>To induce unconsciousness during surgical procedures</p> Signup and view all the answers

    What accounts for the short duration of action of succinylcholine?

    <p>Rapid metabolism by cholinesterase in plasma</p> Signup and view all the answers

    What is the primary result of the desensitizing phase when using succinylcholine?

    <p>Flaccid paralysis</p> Signup and view all the answers

    What occurs during the depolarizing phase of succinylcholine's action?

    <p>Muscular fasciculation followed by paralysis</p> Signup and view all the answers

    How long does full depolarizing neuromuscular block by succinylcholine typically take to achieve?

    <p>Within 60 seconds</p> Signup and view all the answers

    Which of the following statements about the action of succinylcholine is true?

    <p>It is metabolized quickly by cholinesterase.</p> Signup and view all the answers

    What happens to muscle fibers after prolonged exposure to succinylcholine?

    <p>They repolarize but remain desensitized</p> Signup and view all the answers

    Which of the following is NOT a characteristic of succinylcholine compared to non-depolarizing blockers?

    <p>Lower potential for muscle fasciculation</p> Signup and view all the answers

    Which statement correctly describes a function of the sympathetic nervous system?

    <p>β1 receptors are predominantly found in the heart.</p> Signup and view all the answers

    How many neurons are required by the somatic nervous system to reach its target organ?

    <p>One neuron is required.</p> Signup and view all the answers

    What role do neuromuscular blocking drugs play during surgical procedures?

    <p>They protect patients from pain and relax muscles.</p> Signup and view all the answers

    Which statement about the autonomic and somatic nervous systems is correct?

    <p>Somatic nervous system uses one neuron to innervate muscle.</p> Signup and view all the answers

    What is a key difference between the sympathetic and parasympathetic nervous systems?

    <p>Parasympathetic system conserves energy during resting states.</p> Signup and view all the answers

    Which receptors are primarily involved in the sympathetic nervous system’s action on the heart?

    <p>β1 receptors</p> Signup and view all the answers

    What is the major purpose of anesthetics during surgical procedures?

    <p>To eliminate feelings of pain.</p> Signup and view all the answers

    In the context of the somatic nervous system, what type of muscle does it primarily innervate?

    <p>Skeletal muscle</p> Signup and view all the answers

    Study Notes

    Module 02: Introduction to the Nervous System

    • This module is designed for interaction with online learning resources.
    • The Module Companion Guide complements the online slides.
    • Discrepancies between the guide and the module should be resolved by referencing the module.
    • Do not share the Module Companion Guide with students not enrolled in the course.
    • Sharing the guide violates the Academic Integrity Policy of Queen's University.
    • Students violating the policy face sanctions.

    Table of Contents

    • Learning outcomes, icons, and assignments listed for each module section.
    • Specific topics include neurotransmission, autonomic pharmacology, parasympathetic and sympathetic nervous systems and neuromuscular disorders, which are all components of the nervous system.
    • Questions are included throughout each section for self-assessment.
    • Sections on neurotransmission, organization of the nervous system (CNS and PNS) and review of the nervous system are all introduced.
    • The module includes information for the parasympathetic nervous system, including its neurons, organization, neurotransmitters, receptors, and other associated topics.
    • The module also deals with sympathetic nervous system topics such as neurons, organization, and other associated topics like neurotransmitters, and receptors.
    • Neuromuscular blocking drugs and their related clinical uses are also discussed in this module.
    • The module concludes with an introduction to substance use disorders (SUD), exploring social impairments and risky use aspects, as well as withdrawal and tolerance.
    • Additional topics like glaucoma, poor muscle tone in the bladder, and asthma are also incorporated across sections
    • A summary is provided at the end of the module.

    Introduction

    • The nervous system is the body's control and communication system, encompassing the brain, spinal cord, and nerves for voluntary and involuntary actions.
    • The nervous system needs to be targeted by many drugs.
    • The nervous system has three basic steps in responding to the environment: recognize, process, and react.
    • Recognition involves acknowledging changes in internal and external surroundings.
    • Processing involves interpreting these environmental changes.
    • Reaction involves responding to the changes through appropriate actions.

    Neuronal Communication and Neurotransmission

    • Neurotransmission is the primary mode of communication between neurons.
    • It is a chemical process where neurotransmitters facilitate the transmission of signals from one neuron to another.
    • Removal of neurotransmitters is crucial to terminate the signal.
    • Transporters in presynaptic neurons are the mechanism by which neurotransmitters clear the synaptic cleft.

    Organization of the Nervous System

    • The nervous system is generally divided into two major components: central nervous system (CNS) and peripheral nervous system (PNS).
    • The CNS comprises the brain and spinal cord.
    • The PNS encompasses all nerve fibers outside the CNS.

    Autonomic Nervous System (ANS)

    • This system controls involuntary actions like heart rate, blood pressure, and digestion.
    • It functions as a two-neuron system.
    • It's divided into parasympathetic ("rest-and-digest") and sympathetic ("fight-or-flight") to achieve balance and control bodily functions.

    Substance Use Disorders (SUD)

    • Criteria for diagnosing SUD involve aspects like social impairment, risky use, impaired control, withdrawal, and tolerance to substances.

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