Pharmacology Board Exam Review: Adrenergic Receptors and Sympathomimetics
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Questions and Answers

What does QISS stand for?

Q=Alpha 1, 1=Alpha 2; S-Beta 1; S = Beta 2

What does QIQ stand for?

Q-M1, 1=M2 Q=M3

What does the mnemonic QISS and QIQ sound like?

Kiss and Kick

How is S represented in QISS?

<p>S = Beta 2</p> Signup and view all the answers

What does 1 represent in QISS?

<p>1=Alpha 2</p> Signup and view all the answers

What are the common sympathetic effects associated with septic and cardiogenic shock?

<p>Restlessness, tremor, palpitations, throbbing headache</p> Signup and view all the answers

How does epinephrine differ from norepinephrine in terms of its effect on blood pressure?

<p>Epinephrine causes a greater rise in blood pressure compared to norepinephrine.</p> Signup and view all the answers

What are the potential serious consequences of extreme vasospasm?

<p>Tissue necrosis, arrhythmia, myocardial infarction (MI), ischemia</p> Signup and view all the answers

What is the main difference in the effect of epinephrine and norepinephrine on heart rate?

<p>Epinephrine causes reflex bradycardia, while norepinephrine does not.</p> Signup and view all the answers

What are the main vascular effects of epinephrine and norepinephrine?

<p>Epinephrine causes extreme vasospasm, while norepinephrine increases total peripheral resistance.</p> Signup and view all the answers

What is the function of B.ADRENERGIC RECEPTORS in the body?

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

What is the effect of B.ADRENERGIC RECEPTORS on the pupillary dilator muscle?

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

How do B.ADRENERGIC RECEPTORS affect CAMP levels?

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

What is the role of norepinephrine in B.ADRENERGIC RECEPTORS?

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

What is the mechanism of action of sympathomimetics on α1 adrenergic receptors?

<p>Vasoconstriction, increases BP, mydriasis</p> Signup and view all the answers

Which drug cannot cause a cholinergic crisis?

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

What is a side effect of excessive intake of ipratropium bromide?

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

A patient was given five times the normal dose of physostigmine and is manifesting toxicity. What antidote would you give?

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

What are some potential complications of a sharp rise in blood pressure?

<p>cerebral hemorrhage, cardiac arrhythmias</p> Signup and view all the answers

In the context of norepinephrine and blood pressure, what is important to remember?

<p>Norepi a &gt; B</p> Signup and view all the answers

Why is it significant to be cautious with norepinephrine in relation to blood pressure?

<p>It can lead to severe complications like cerebral hemorrhage.</p> Signup and view all the answers

What should healthcare providers bear in mind regarding the impact of norepinephrine on cardiac function?

<p>It can cause cardiac arrhythmias.</p> Signup and view all the answers

How can an abrupt surge in blood pressure affect the brain?

<p>It can result in cerebral hemorrhage.</p> Signup and view all the answers

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