Pharmacology: Sedative, Hypnotic, and Analgesic Effects

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Questions and Answers

Which of the following neurotransmitters plays a primary inhibitory role in the body?

  • Glutamate
  • Histamine
  • GABA (correct)
  • Melatonin

Which receptor is primarily stimulated to produce sedation and/or anesthesia?

  • NMDA receptor
  • GABA-A receptor (correct)
  • a2-adrenergic receptor
  • Melatonin receptor

What is the primary mechanism of action of ketamine?

  • Inhibition of a2-adrenergic receptors
  • Antagonism of NMDA receptors (correct)
  • Positive allosteric stimulation of GABA-A receptors
  • Stimulation of histamine H1 receptors

Which of the following drugs is not a positive allosteric stimulator of GABA-A receptors?

<p>Ketamine (A)</p> Signup and view all the answers

Which receptor is primarily antagonized to produce sedation and/or anesthesia?

<p>NMDA receptor (C)</p> Signup and view all the answers

Which type of receptors are GABA-A receptors classified as?

<p>Ionotropic or ligand-gated ion channel receptors (A)</p> Signup and view all the answers

What is the primary excitatory neurotransmitter in the body?

<p>Glutamate (C)</p> Signup and view all the answers

Which receptors are selectively activated by N-methyl D-aspartic acid?

<p>NMDA receptors (D)</p> Signup and view all the answers

What type of receptors are GABA-B receptors classified as?

<p>Metabotropic or G-protein coupled receptors (A)</p> Signup and view all the answers

Which of the following is a target for nitrous oxide?

<p>NMDA receptors (D)</p> Signup and view all the answers

Which type of receptor is stimulated by dexmedetomidine to produce sedative, hypnotic, and analgesic effects?

<p>a2-adrenergic receptors (B)</p> Signup and view all the answers

Which receptors are involved in the activity of biological clocks and their stimulation can induce sleep?

<p>Melatonin M1 and M2 receptors (B)</p> Signup and view all the answers

Which receptors are blocked by certain antihistamines and antidepressants to produce sedative effects?

<p>Central histamine H1 receptors (C)</p> Signup and view all the answers

Which receptors are involved in the production of sedative, hypnotic, and analgesic effects via the stimulation of inhibitory neurons?

<p>GABA-A receptors (C)</p> Signup and view all the answers

Which receptors are involved in sedative, hypnotic, and/or analgesic effects, and their stimulation can induce sleep?

<p>Melatonin M1 and M2 receptors (A)</p> Signup and view all the answers

What is the primary advantage of benzodiazepines over barbiturates?

<p>They have a higher therapeutic index (C)</p> Signup and view all the answers

What is the primary concern when using benzodiazepines in combination with other CNS depressants?

<p>Increased risk of respiratory depression (B)</p> Signup and view all the answers

What determines the suitability of a benzodiazepine for treatment of anxiety versus insomnia?

<p>Half-life and onset of action (A)</p> Signup and view all the answers

What is the primary mechanism of action of flumazenil?

<p>Competitive antagonist of benzodiazepine receptors (B)</p> Signup and view all the answers

What is the recommended duration of benzodiazepine use to avoid dependence and withdrawal symptoms?

<p>2-4 weeks (C)</p> Signup and view all the answers

What is the primary mechanism of action of benzodiazepines on GABA-A receptors?

<p>Increasing the frequency of neuronal firing (C)</p> Signup and view all the answers

What is the primary mechanism of action of neurosteroids like alfaxalone?

<p>Activation of GABA-A receptors (C)</p> Signup and view all the answers

Which of the following agents is not a dissociative anesthetic?

<p>Alfaxalone (B)</p> Signup and view all the answers

Which of the following receptors is targeted by baclofen, a muscle relaxant?

<p>GABA-B receptors (D)</p> Signup and view all the answers

What is the effect of glutamate binding to NMDA receptors?

<p>Increase in cation conductance (A)</p> Signup and view all the answers

What is the primary effect of benzodiazepines on neuronal activity?

<p>Hyperpolarizing the neuron (C)</p> Signup and view all the answers

Which of the following drugs is an agonist of GABA-B receptors?

<p>GHB (D)</p> Signup and view all the answers

Which receptor is not primarily involved in the mechanism of action of neurosteroids?

<p>NMDA receptors (C)</p> Signup and view all the answers

What is the administration route for ketamine and phencyclidine?

<p>Intravenous infusion (C)</p> Signup and view all the answers

What is the primary mechanism of action of benzodiazepines in reducing anxiety?

<p>Enhancing the actions of GABA (A)</p> Signup and view all the answers

Which class of compounds, including barbiturates, has a greater depressant effect and is used routinely for anesthesia?

<p>Barbiturates (D)</p> Signup and view all the answers

What is the effect of increasing chloride conductance and hyperpolarizing the neuron?

<p>Resistance to depolarization (A)</p> Signup and view all the answers

Which of the following agents enhances the actions of GABA by increasing the duration of channel opening?

<p>Barbiturates (A)</p> Signup and view all the answers

What is the mechanism of action of propofol?

<p>Positive allosteric modulator of GABA-A receptors (A)</p> Signup and view all the answers

What is the primary use of barbiturates in modern medicine?

<p>Anesthesia and lethal injection (A)</p> Signup and view all the answers

Which of the following is NOT a target for barbiturates?

<p>Histamine H1 receptors (A)</p> Signup and view all the answers

What is the effect of binding to distinct sites on GABA-A receptors?

<p>Increased chloride conductance (B)</p> Signup and view all the answers

Which of the following is a characteristic of fluranes?

<p>Volatile liquid administered by inhalation (B)</p> Signup and view all the answers

What is the primary mechanism of action of neurosteroids?

<p>Positive allosteric modulator of GABA-A receptors (D)</p> Signup and view all the answers

Which of the following is NOT a property of barbiturates?

<p>Analgesic (C)</p> Signup and view all the answers

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