Autonomic nervous system questions Flashcards
Neostigmine is effective in relieving abdominal pain in patients with mechanical bowel obstruction
False. Neostigmine is a Reversible Ach E inhibitor and is used to Reverse Neuromuscular blocker effects and in the treatment of myasthenia gravis
Neostigmine is used to reverse non-depolarising neuromuscular blockade
True
Pilocarpine increases intraocular pressure in patients with open angle glaucoma
False. Pilocarpine is muscarinic agonist that results in the decrease in intraocular pressure in glaucoma.
Prolonged use of pilocarpine is associated with tolerance with regular doses
False
Atropine causes xerostomia as an adverse effect
True. Adverse effects include: dry mouth (xerostomia), blurred vision, “sandy eyes”, tachycardia , urinary retention, constipation
Salbutamol is a beta-2 adrenoceptor antagonist
False. Salbutamol is a beta-2 adrenoceptor agonist
Doxazosin decreases total peripheral resistance.
True. Doxazosin is a selective a1 blocker. Therefore, results in VSM dilation.
Prolonged use of topical phenylephrine causes rebound congestion of the nasal mucosa
False. Prolonged use of oxymetazoline causes rebound congestion.
Phenylephrine is used to reverse hypotension during spinal anaesthesia
True. Indications for phenylephrine include: Nasal decongestant, Hypotension, Mydriatic in eye exams
Oxymetazoline is contraindicated in the treatment of acute rhinitis
False.
Salbutamol causes a tremor as an adverse effect
True.
Propranolol is used in the prophylaxis of migraine headache
True. Propranolol is indicated for: 1. Hypertension 2. Migraine 3. Hyperthyroidism 4. Angina pectoris 5. Myocardial infarction
Propranolol has an oral bioavailability of greater than 95%
False.
Propranolol is an agonist at beta-1-adrenoceptors
False. Propranolol is a non-selective beta blocker.
adrenaline - anaphylactic shock
True
atropine - organophosphate poisoning
True
dopamine - hypertension
False. Indications : Cardiogenic & septic shock , acute hypotension, severe heart failure
Neostigmine - myasthenia gravis
True
Phenylephrine - rebound hyperaemia
False. Indications: - Nasal decongestant - Hypotension - Mydriatic in eye exams
β1-adrenoceptor agonists cause bradycardia
False. Tachycardia
β2-adrenoceptor agonists cause bronchoconstriction
False. Bronchodilation
α1-adrenoceptor blockers cause vasodilation
True. VSM vasodilation
α2-adrenoceptor agonists cause vasodilation
False. α2 receptors (inhibitory): and inhibits release of NE(NA) *GIT, pancreas, platelets
muscarinic receptor stimulation causes tachycardia
False. Bradychardia
- Pharmacological adverse-effects of pseudoephedrine include: a. tremor b. bradycardia c. diarrhoea d. addiction e. hypotension
A. T B. F C. F D. T E. F
- Pharmacological adverse-effects of hyoscine include:
a. dry mouth
b. bradycardia
c. diarrhoea
d. abdominal spasms
e. urinary retention
Hyoscine is an anticholinergic used as an antispasmodic.
A. T
B. F
C. F
D. F
E. T
What are the functions of Acetylcholine?
- Decrease in HR and Cardiac output
- Decrease in blood pressure vd
- Increased salivation and sweating
- Increased intestinal secretions, motility and urination
- Miosis
- Increased bronchial secretions
ANS drug correctly matched with clinical use
a. hyoscine - irritable bowel syndrome
b. atropine - decongestant
c. neostigmine - Myasthenia gravis
d. phenylephrine - glaucoma
e. salbutamol - asthma
- T
- F
- T
- F
- T
Pharmacological adverse-effects of neostigmine include
a. dry Mouth
b. bradycardia
c. miosis
d. bronchoconstriction
e. urinary retention
Neostigmine is ACE inhibitor (prolongs effects of ACH)
- F
- T
- T
- F
- F
pilocarpine - inhibits muscarinic receptors
False. Muscarinic agonist