Pharmacology: Cholinergic Antagonists Atropine
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Questions and Answers

What is the primary mechanism of action of atropine?

  • Competitive nicotinic ganglion blocker
  • Antimuscarinic receptor antagonist (correct)
  • Depolarization of ganglia ANS and striated muscle
  • Inhibition of neuromuscular transmission
  • Which of the following is a therapeutic use of scopolamine?

  • Relief of uveitis
  • Treatment of Parkinson's disease
  • Antidote for organophosphate toxicity
  • MANAGEMENT OF MOTION SICKNESS (correct)
  • What is the primary difference between atropine and scopolamine?

  • Atropine is used as an antidote for organophosphate toxicity
  • Scopolamine is an agonist at muscarinic receptors
  • Scopolamine is used to treat uveitis
  • Scopolamine has a longer duration of action in the CNS (correct)
  • What is the primary mechanism of action of ipratropium?

    <p>Antimuscarinic receptor antagonist</p> Signup and view all the answers

    Benztropine is primarily used as an adjuvant treatment for which condition?

    <p>Parkinson's disease</p> Signup and view all the answers

    What is the primary effect of cholinergic antagonists on the urinary system?

    <p>Decreased urination</p> Signup and view all the answers

    What is the primary pharmacokinetic characteristic of atropine?

    <p>Readily absorbed and partially metabolized in the liver</p> Signup and view all the answers

    Which of the following is a side effect of cholinergic antagonists?

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

    What is the primary therapeutic use of darifenacin?

    <p>Treatment of overactive bladder</p> Signup and view all the answers

    What is the primary mechanism of action of trimethaphan?

    <p>Competitive nicotinic ganglion blocker</p> Signup and view all the answers

    What is the primary mechanism of action of competitive nicotinic ganglion blockers like mecamylamine?

    <p>Competing with acetylcholine for nicotinic receptors</p> Signup and view all the answers

    What is the main difference between depolarizing and non-depolarizing neuromuscular blockers?

    <p>Depolarizing blockers cause prolonged stimulation and subsequent desensitization of the receptors, while non-depolarizing blockers compete with acetylcholine for receptors</p> Signup and view all the answers

    What is the primary therapeutic use of Curane?

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

    What is the primary mechanism of action of benzodiazepines?

    <p>Enhancing the activity of gamma-aminobutyric acid (GABA)</p> Signup and view all the answers

    What is the primary use of rocuronium?

    <p>Facilitating tracheal intubation during anesthesia</p> Signup and view all the answers

    What is the primary effect of nicotine on dopamine levels?

    <p>Increase in dopamine, leading to pleasure and appetite suppression</p> Signup and view all the answers

    What is the primary effect of mecamylamine on blood pressure?

    <p>Increase in blood pressure, leading to hypertension</p> Signup and view all the answers

    Which cholinergic antagonist has a stronger central nervous system effect than atropine?

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

    What is the primary therapeutic use of ipratropium and tiotropium?

    <p>Asthma and COPD</p> Signup and view all the answers

    Which of the following cholinergic antagonists is used to treat overactive bladder?

    <p>All of the above</p> Signup and view all the answers

    What is the primary mechanism of action of trimethaphan?

    <p>Competitive nicotinic ganglion blocker</p> Signup and view all the answers

    What is the primary effect of nicotine on the autonomic nervous system?

    <p>Depolarization of ganglia and striated muscle</p> Signup and view all the answers

    Which of the following is a common side effect of cholinergic antagonists?

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

    What is the primary therapeutic use of tropicamide?

    <p>Cycloplegic refraction and uveitis</p> Signup and view all the answers

    What is the primary mechanism of action of benztropine?

    <p>Centrally acting antimuscarinic agent</p> Signup and view all the answers

    What is the primary effect of atropine on the eye?

    <p>All of the above</p> Signup and view all the answers

    What is the primary mechanism of action of mecamylamine in the treatment of hypertension?

    <p>Competitive inhibition of nicotinic receptors in the ganglion</p> Signup and view all the answers

    What is the primary effect of nicotine on glutamate levels?

    <p>Increased release of glutamate</p> Signup and view all the answers

    What is the primary mechanism of action of non-depolarizing neuromuscular blockers?

    <p>Competitive inhibition of acetylcholine receptors</p> Signup and view all the answers

    What is the primary therapeutic use of succinylcholine?

    <p>Rapid endotracheal intubation during induction of anesthesia</p> Signup and view all the answers

    What is the primary effect of benzodiazepines on GABA?

    <p>Enhancement of GABA's inhibitory effects</p> Signup and view all the answers

    What is the primary adverse effect of succinylcholine?

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

    What is the primary mechanism of action of succinylcholine?

    <p>Depolarization of the neuromuscular junction</p> Signup and view all the answers

    What is the primary effect of nicotine on norepinephrine levels?

    <p>Increased release of norepinephrine</p> Signup and view all the answers

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