Pharmacology Quiz: Sedative-Hypnotics and General Anaesthetics
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Questions and Answers

What is the primary effect of a sedative on motor or mental function?

  • It produces drowsiness and facilitates the onset of sleep
  • It reduces anxiety and moderates excitement
  • It exerts a calming effect with no significant impact (correct)
  • It increases arousal and induces a state of unconsciousness
  • What is the typical duration of a complete sleep cycle?

  • 150 to 160 minutes
  • 90 to 100 minutes (correct)
  • 60 to 70 minutes
  • 120 to 130 minutes
  • What is the primary mechanism of action of diazepam?

  • Activating the serotonin receptor
  • Binding to and modulating the GABA type B receptor
  • Binding to and modulating the GABA type A receptor (correct)
  • Blocking the activity of the dopamine receptor
  • What is the effect of diazepam on REM sleep?

    <p>It decreases REM sleep</p> Signup and view all the answers

    What is the characteristic of diazepam that allows for its quick entry into the CNS?

    <p>Its very high lipid solubility</p> Signup and view all the answers

    What is the clinical application of diazepam in anaesthesia?

    <p>As an anaesthetic agent</p> Signup and view all the answers

    What is the primary mechanism of metabolism of diazepam?

    <p>Phase I oxidation</p> Signup and view all the answers

    What is the effect of discontinuing diazepam treatment?

    <p>Rebound increase in REM sleep</p> Signup and view all the answers

    Which of the following is a characteristic of isoflurane?

    <p>Less soluble in blood and tissues</p> Signup and view all the answers

    What is the primary mechanism of action of propofol?

    <p>Potentiation of GABA activity on GABA-Type A channels</p> Signup and view all the answers

    What is the primary use of flumazenil?

    <p>Treatment of benzodiazepine overdose</p> Signup and view all the answers

    What is the onset of action of propofol?

    <p>Within 40 seconds of injection</p> Signup and view all the answers

    Study Notes

    Sedatives and Their Effects

    • Sedatives primarily depress motor and mental functions, leading to reduced anxiety, sedation, and potential cognitive impairment.

    Sleep Cycle Duration

    • A complete sleep cycle typically lasts around 90 to 110 minutes, with variations depending on the individual.

    Diazepam Mechanism of Action

    • Diazepam primarily enhances the effect of the neurotransmitter GABA at the GABA-A receptor, leading to increased inhibitory neurotransmission.

    Diazepam and REM Sleep

    • Diazepam often reduces the duration of REM sleep, which may affect overall sleep quality and restorative processes.

    CNS Entry of Diazepam

    • Diazepam's lipophilicity allows for rapid penetration into the central nervous system, enabling quick therapeutic effects.

    Diazepam in Anesthesia

    • Clinically, diazepam is used as a premedication to relieve anxiety and induce sedation prior to anesthesia procedures.

    Diazepam Metabolism

    • Diazepam is primarily metabolized in the liver through oxidation to active metabolites such as desmethyldiazepam, which prolongs its effects.

    Discontinuation Effects

    • Discontinuing diazepam treatment can result in withdrawal symptoms, including anxiety, tremors, and seizures, due to physiological dependence.

    Isoflurane Characteristics

    • Isoflurane is known for its rapid onset and offset, making it suitable for outpatient surgical procedures and anesthesia.

    Propofol Mechanism of Action

    • Propofol acts as a GABA-A receptor agonist, leading to sedation and anesthesia through enhanced inhibitory signals.

    Flumazenil Usage

    • Flumazenil is primarily used as an antidote for benzodiazepine overdose, reversing sedation and respiratory depression.

    Propofol Onset of Action

    • Propofol has a rapid onset of action, typically within 30 seconds, making it effective for quick sedation or induction of anesthesia.

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    Description

    Test your knowledge of sedative-hypnotics and general anaesthetics, including their definitions, effects, and functions. This quiz covers the basics of pharmacology and is ideal for students of pharmacy and medicine.

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