Friedmans

Question 1

Anesthetics esters vs amides

Answer 1

Esters: cocaine, tetracaine, proparacaine, procaine, benoxinate

Amides: bupivicaine, lidocaine, mepivicaine

Not necessarily allergic cross-reactivity

Question 2

Alpha one adrenergic receptors

Answer 2

Smooth muscle contraction (arteries, decrease aqueous production by reducing ciliary body blood flow, iris dilator, miller’s muscle

Question 3

Alpha 2 adrenergic receptor

Answer 3

Feedback inhibition, ciliary body (decreases production and /or increase his outflow)

Question 4

Beta one adrenergic receptor

Answer 4

Cardiac stimulation

Question 5

Beta two adrenergic receptor

Answer 5

Pulmonary and Gastrointestinal intestinal smooth muscle relaxation, cilary body / TM (increase aqueous production, increase outflow facility)

Question 6

Direct acting cholinergic agonists

Answer 6

Acetylcholine (miochol), pilocarpine

Question 7

Muscarinic (anticholinergics)

Answer 7

Atropine (1 to 2 week duration)
Scopolamine (One week duration), home atropine (1 to 3 day duration), cyclopentolate (24 hours duration),
tropicamide (4 to 6 hour duration)

Question 8

Direct acting alpha agonists

Answer 8

Epinephrine, phenylephrine, dipivefrin, Clonidine, apraclonidine, brimonidine, methyldopa, naphazoline, oxymetazoline, tetrahydrozoline