Walking Alone at Night Scenario Quiz
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Questions and Answers

What is the mechanism behind the lethargy and sedation seen due to decreased norepinephrine release in brain neurons?

  • Enhanced epinephrine activity
  • Increased tyramine production
  • Decreased dopamine release
  • Methyldopa metabolism (correct)

Which compound can lead to hypertension in patients taking MAO inhibitors due to its interaction with the sympathetic response system?

  • Dopamine
  • Tyrosine
  • Tyramine (correct)
  • Epinephrine

Which medication should be avoided in patients with a history of narcolepsy due to its potential to exacerbate excessive sleeping?

  • Nifedipine
  • Labetalol
  • Methyldopa (correct)
  • Hydralazine

What is the primary side effect associated with alpha-2 agonists used in the management of various conditions?

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

Why should a healthcare provider inquire about illicit drug use, especially prior use of amphetamine analogs, when prescribing isoproterenol or dobutamine?

<p>To prevent cardiac complications (A)</p> Signup and view all the answers

What is the primary reason for using bethanechol or other cholinergic agonists in patients with bladder outlet obstruction?

<p>To increase bladder contraction and improve urine flow (A)</p> Signup and view all the answers

In Myasthenia Gravis, which type of acetylcholine receptors are primarily affected?

<p>Nicotinic muscular (Nm) receptors (C)</p> Signup and view all the answers

What is the primary reason for the use of indirect-acting cholinergic agonists in the treatment of Myasthenia Gravis?

<p>To increase the concentration of acetylcholine and improve muscle contraction (B)</p> Signup and view all the answers

Why is edrophonium not used as a treatment for Myasthenia Gravis?

<p>Edrophonium is too short-acting to be a suitable treatment (C)</p> Signup and view all the answers

What are the two main mechanisms used to decrease intraocular pressure in the treatment of glaucoma?

<p>Decreasing aqueous humor production and increasing drainage (B)</p> Signup and view all the answers

What is the primary symptom of Myasthenia Gravis that results from the damage to the nicotinic muscular (Nm) receptors?

<p>Ptosis (heavy eyelids) (D)</p> Signup and view all the answers

Which of the following is a parasympathetic response?

<p>Watery secretions like tears and saliva (A)</p> Signup and view all the answers

What is the primary function of noradrenaline (norepinephrine) in the sympathetic nervous system?

<p>Vasoconstriction of blood vessels (B)</p> Signup and view all the answers

Which of the following statements about the sympathetic response is correct?

<p>All of the above are correct (D)</p> Signup and view all the answers

Which of the following is responsible for the urination that occurs during fear or anxiety?

<p>The limbic system (D)</p> Signup and view all the answers

Which receptor is responsible for vasodilation in skeletal muscles during the fight-or-flight response?

<p>Beta-2 receptor (A)</p> Signup and view all the answers

What is the primary function of the parasympathetic nervous system in the urinary system?

<p>Contraction of the detrusor muscle and relaxation of the sphincter (B)</p> Signup and view all the answers

What is the primary effect of phenylephrine on blood vessels?

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

Which property of epinephrine makes it suitable for managing shock due to anaphylaxis?

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

Why is low-dose epinephrine preferred in the treatment of cardiac arrest?

<p>It predominantly affects the alpha-1 receptor (A)</p> Signup and view all the answers

Which condition can result from the use of local anesthetics like lidocaine with epinephrine?

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

In what way does phenylephrine differ from pseudoephedrine and phenylpropanolamine?

<p>It has lesser vasoconstriction effects (A)</p> Signup and view all the answers

What effect does concentrated epinephrine have on blood pressure?

<p>Increases blood pressure (C)</p> Signup and view all the answers

What is the primary neurotransmitter targeted by anticholinergics to reduce acid secretion in the stomach?

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

Which class of drugs blocks muscarinic receptors to treat overactive bladder?

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

Which medication is commonly used to increase sympathetic effect in patients with an overactive bladder?

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

What neurotransmitter needs to be decreased in order to alleviate extrapyramidal symptoms (EPS)?

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

Why are ganglionic blockers like hexamethonium rarely used now?

<p>Lack of selectivity (A)</p> Signup and view all the answers

Which group of drugs blocks histamine to decrease acid secretion in the stomach?

<p>H2 blockers (A)</p> Signup and view all the answers

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