Parkinson's Disease Medications Quiz
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Questions and Answers

What is the primary function of dopamine receptor agonists and COMT inhibitors in treating Parkinson's disease?

  • Correct neurotransmitter imbalance and inhibit levodopa metabolism (correct)
  • Increase acetylcholine levels in the brain
  • Act on M3 receptors in smooth muscle
  • Reduce fever and hyperpyrexia
  • What effect can antiparkinsonian medications have on striatal dopaminergic activity?

  • Decrease
  • Stabilize
  • No effect
  • Increase (correct)
  • What is a potential effect of scopolamine?

  • Relaxation, sleep, and relief from motion sickness (correct)
  • Stimulation of dopamine receptors
  • Increased heart rate and blood pressure
  • Inhibition of acetylcholine production
  • What is the primary function of tiotropium bromide in the treatment of bronchospasm associated with COPD?

    <p>Inhibits M3 receptors in smooth muscle, resulting in bronchodilation</p> Signup and view all the answers

    What is the advantage of Inbrija over levodopa?

    <p>Inbrija provides more consistent control of parkinsonism</p> Signup and view all the answers

    Which drug requires periodic measurement of liver enzymes and red blood cell counts?

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

    Which drug is a reversible and selective inhibitor of COMT, altering the pharmacokinetics of levodopa?

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

    Which drug is used to slow the progression of moderate to severe Alzheimer's disease?

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

    What is the primary route of excretion for Pramipexole?

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

    Which drug is an N-methyl-D-aspartate antagonist used to slow the progression of moderate to severe Alzheimer's disease?

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

    What are the adverse reactions of Inbrija?

    <p>Cough, low blood pressure, chest discomfort</p> Signup and view all the answers

    Which drug requires using barrier contraceptives, avoiding breastfeeding, and using caution when operating machinery?

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

    Which drug requires caution and may require a dose reduction in patients with renal impairment?

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

    Which drug is an antidote for physostigmine overdose?

    <p>Atropine sulfate</p> Signup and view all the answers

    Which drug belongs to the same class as atropine?

    <p>Homatropine hydrobromide</p> Signup and view all the answers

    Which drug increases the effect of atropine?

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

    Which medication is used for adjunctive therapy of all forms of parkinsonism and to control extrapyramidal disorders such as tardive dyskinesia?

    <p>Benztropine mesylate</p> Signup and view all the answers

    Which medication is used to treat idiopathic Parkinson’s disease and related conditions, and to reduce symptoms of restless legs syndrome?

    <p>Levodopa–Carbidopa</p> Signup and view all the answers

    Which medication is administered for 'off time' episodes of Parkinson's disease, with subcutaneous administration and incremental doses?

    <p>Apomorphine hydrochloride</p> Signup and view all the answers

    Which medication is used as an adjunct therapy with levodopa to reduce 'off time' when movements are poorly controlled?

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

    Which medication helps normalize cholinergic and dopaminergic neurotransmission, reducing rigidity, akinesia, and tremor?

    <p>Benztropine mesylate</p> Signup and view all the answers

    Which medication affects the metabolism of levodopa by inhibiting peripheral plasma breakdown?

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

    Which medication can increase the risk of hypertensive crisis when taken with levodopa-carbidopa?

    <p>Amantadine hydrochloride</p> Signup and view all the answers

    Which medication increases dopamine release in the nigrostriatal pathway of patients with Parkinson's disease?

    <p>Amantadine hydrochloride</p> Signup and view all the answers

    Which medication is contraindicated in patients with glaucoma, GI obstruction, prostatic hypertrophy, urinary bladder neck obstruction, and myasthenia gravis?

    <p>Benztropine mesylate</p> Signup and view all the answers

    Which medication's adverse effects include CNS effects like disorientation, confusion, and peripheral anticholinergic effects like tachycardia and blurred vision?

    <p>Benztropine mesylate</p> Signup and view all the answers

    Which medication's therapeutic effects include improvement in mobility, balance, posture, gait, speech, handwriting, and self-care ability?

    <p>Levodopa–Carbidopa</p> Signup and view all the answers

    Study Notes

    Parkinson's Disease Medications Overview

    • Benztropine mesylate helps normalize cholinergic and dopaminergic neurotransmission, reducing rigidity, akinesia, and tremor
    • It is used for adjunctive therapy of all forms of parkinsonism and to control extrapyramidal disorders such as tardive dyskinesia
    • Adverse effects include CNS effects like disorientation, confusion, and peripheral anticholinergic effects like tachycardia and blurred vision
    • Contraindications include glaucoma, GI obstruction, prostatic hypertrophy, urinary bladder neck obstruction, and myasthenia gravis
    • Levodopa–Carbidopa is used to treat idiopathic Parkinson’s disease and related conditions, and to reduce symptoms of restless legs syndrome
    • Therapeutic effects include improvement in mobility, balance, posture, gait, speech, handwriting, and self-care ability
    • Adverse effects include anorexia, nausea, vomiting, and orthostatic hypotension
    • Carbidopa affects the metabolism of levodopa by inhibiting peripheral plasma breakdown
    • Monoamine oxidase inhibitors can increase the risk of hypertensive crisis when taken with levodopa-carbidopa
    • Amantadine hydrochloride increases dopamine release in the nigrostriatal pathway of patients with Parkinson's disease
    • Apomorphine hydrochloride is administered for 'off time' episodes of Parkinson's disease, with subcutaneous administration and incremental doses
    • Rasagiline is used as an adjunct therapy with levodopa to reduce 'off time' when movements are poorly controlled

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    Description

    Test your knowledge of Parkinson's disease medications with this quiz. Explore the uses, therapeutic effects, adverse effects, and contraindications of medications like Benztropine mesylate, Levodopa–Carbidopa, Amantadine hydrochloride, Apomorphine hydrochloride, and Rasagiline.

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