Day 1 autonomic drug quick quiz

Question 1

Symptoms of excess parasympathetic activity (10)

Answer 1

Diarrhea
Urination
Miosis
Bronchospasm
Bradycardia
Excitation of skel muscle
Lacrimation
Sweating
Salivation
Abdominal cramping

Question 2

Symptoms of inhibiting parasympathetic activity (6)

Answer 2

Hot as a hare
Dry as a bone
Red as a beet
Blind as a bat
Mad as a hatter
Bloated as a toad

Question 3

Drug type: physostigmine

Answer 3

anticholinesterase

Question 4

Drug type: pilocarpine

Answer 4

direct muscarinic agonist

Question 5

Drug type: echothiophate

Answer 5

anticholinesterase

Question 6

Drug type: oxybutynin

Answer 6

musc antagonist

Question 7

Drug type: atropine

Answer 7

musc antagonist

Question 8

Drug type: donepezil

Answer 8

anticholinesterase

Question 9

Drug type: pralidoxime

Answer 9

regenerator of acetylcholinesterase

Question 10

Drug type: bethanechol

Answer 10

cholinergic agonist

Question 11

Drug type: neostigmine

Answer 11

anticholinesterase

Question 12

Drug type: darifenacin

Answer 12

muscarinic antagonist

Question 13

Drug type: ipratropium

Answer 13

muscarinic antagonist

Question 14

Drug type: tropicamide

Answer 14

muscarinic antagonist

Question 15

Drug type: benztropine

Answer 15

muscarinic antagonist

Question 16

Drug type: scopolamine

Answer 16

muscarinic antagonist

Question 17

Drug type: edrophonium

Answer 17

anticholinesterase

Question 18

Drug type: tolterodine

Answer 18

musc antagonist

Question 19

Drug type: trospium

Answer 19

musc antagonist

Question 20

Drug type: rivastigmine

Answer 20

anticholinesterase

Question 21

Drug type: homatropine

Answer 21

musc antagonist

Question 22

Drug type: pyridostigmine

Answer 22

anticholinesterase

Question 23

Drug type: carbachol

Answer 23

cholinergic agonist

Question 24

Gardener with SOB, salivation, miosis, and diarrhea. What caused this? What is the mechanism of action?

Answer 24

Organophosphate poisoning

Inhibitor of acetylcholinesterase (cholinergic stimulation of muscarinic receptors)

Question 25

Atropine is not effective in reversal of organophosphate poisoning: what drug would best help this patient?

Answer 25

Pralidoxime, given early

Question 26

Which of the following drugs would help improve FEV1 in a COPD patient?

Answer 26

Ipratropium

Question 27

30 yo scizophrenic male has urinary retention due to his neuroleptic: what do you treat it with?

Answer 27

Bethanachol

Question 28

In the dark both pupils are dilated. In the light, the control pupil is miotic and the pupil given drug X remains mydriatic. What is drug X? (2)

Answer 28

Anticholinergic

sympathetic agonist