Neurology Medications Flashcards

1
Q
These drugs mimic the actions of the sympathetic nervous system.  The primary effects of these drugs occur on the heart, the blood vessels, and the smooth muscles (ie.  GI tract and bronchi)
A.  Adrenergic Blocking Drugs
B.  Cholinergic Drugs
C.  Adrenergic Drugs
D.  Cholinergic Blocking Drugs
A

C. Adrenergic Drugs

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2
Q

Which body responses are produced by Adrenergic drugs? (select all that apply)
A. increased heart rate
B. increased gastric motility
C. relaxation of the smooth muscles of the bronchi
D. quickened reflexes
E. decreased glucose metabolism

A

A. increased heart rate
C. relaxation of the smooth muscles of the bronchi
D. quickened reflexes

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3
Q
Adrenergic drugs are used for the following conditions EXCEPT:
A.  Hypovolemia
B.  Hypertension
C.  Allergic reactions
D.  Respiratory distress
E.  Septic shock
A

B. Hyertension

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4
Q
The following are Adrenergic drugs EXCEPT:
A.  Epinephrine
B.  Albuterol (Proventil)
C.  Formoterol (Foradil)
D.  Metoprolol (Lopressor)
E.  Brimonidine tartrate (Alphagan)
A

D. Metoprolol (Lopressor)

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5
Q
This herbal supplement has been used to treat respiratory disorders, relieve cold symptoms and as an adjunct in weight loss.  Due to its possible adverse reactions of HTN, stroke and MIs, the US FDA has warned against using it.
A.  Valerian
B.  Ephedra (Ma Huang)
C.  St John's Wort
D.  Echinacea
A

B. Ephedra (Ma Huang)

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6
Q
These drugs work by either directly blocking a receptor (Alpha or Beta), or by preventing the release of norepinephrine.
A.  Cholinergic medications
B.  Cholinergic blocking medications
C.  Adrenergic medications
D.  Adrenergic blocking medications
A

D. Adrenergic blocking medications

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7
Q
What conditions are contraindicated for the use of Beta Adrenergic Blocking Drugs?  (select all that apply)
A.  bronchial asthma
B.  bradycardia
C.  hypertension
D.  glaucoma
A

A. bronchial asthma

B. bradycardia

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8
Q
What is most important to assess prior to administering Adrenergic blocking medications?
A.  urinary output
B.  respirations
C.  BP & pulse
D.  serum electrolyte levels
A

C. BP & pulse

***if pulse is <90 mmHg, HOLD medication and notify PCP

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9
Q
The following are typical Adrenergic Blocking Medications EXCEPT:
A.  Nor-epinephrine (Levophed)
B.  -olol "beta blockers"
C.  Clonidine (Catapress)
D.  Carvedilol (Coreg)
E.  Labetalol (Trandate)
F.  Tamsulosis (Flomax)
A

A. Nor-epinephrine (Levophed)

**This is an adrenergic drug

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10
Q
What part of the peripheral nervous system does Cholinergic drugs affect?
A.  Autonomic
B.  Parasympathetic
C.  Somatic
D.  Sympathetic
A

B. Parasympathetic

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11
Q
Cholinergic drugs act on which receptors found in the parasympathetic nervous system?  (select all that apply)
A.  Beta receptors
B.  Muscarinic receptors
C.  Nicotinis receptors
D.  Dopamine receptors
A

B. Muscarinic receptors

C. Nicotinis receptors

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12
Q
Cholinergic drugs are used to treat the following conditions EXCEPT:
A.  Glaucoma
B.  Myasthenia Gravis
C.  Parkinson's disease
D.  Urinary retention
A

C. Parkinson’s disease

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13
Q
Some Cholinergic drugs act like what neurotransmitter?
A.  Atropine
B.  Acetylcholine (ACh)
C.  Acetylcholinesterase (AChE)
D.  Dopamine
A

B. Acetylcholine (ACh)

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14
Q

Over-stimulation at the neuromuscular junction due to excess acetylcholine (ACh) is a medical emergency. Signs and symptoms include: (select all that apply)
A. Severe abdominal cramping, diarrhea
B. Tachyapnea
C. Excessive salivation
D. Tachycardia
E. Muscle weakness, rigidity & spasm
F. Respiratory failure

A

A. Severe abdominal cramping, diarrhea
C. Excessive salivation
E. Muscle weakness, rigidity & spasm
F. Respiratory failure

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15
Q

Cholinergic blocking drugs are used to treat the following conditions except: (select all that apply)
A. Parkinson’s disease
B. Drug induces extrapyramidal syndrome (EPS)
C. Dysuria
D. Overactive bladder
E. Reduce “death rattle” in hospice patients

A

A. Parkinson’s disease
B. Drug induces extrapyramidal syndrome (EPS)
D. Overactive bladder
E. Reduce “death rattle” in hospice patients

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16
Q
This Cholinergic blocking drug comes in a transdermal patch that is commonly used by cruise ship passengers who get sea sickness.
A.  carpidopa/levodopa (Sinemet) 
B.  scopolamine
C.  Benztropine mesylate (Cogentin)
D.  tolterodine (Detrol)
A

B. scopolamine

17
Q
The following are types of anticonvulsants EXCEPT:
A.  Anticholinergics
B.  Hydantions
C.  Benzodiazepines
D.  Carboxylic Acid Derivatives
A

A. Anticholinergics

18
Q
Which of the following are common anticonvulsants EXCEPT?
A.  mannitol (Osmitrol)
B.  phenytoin (Dilantin)
C.  valproic acid (Depakote)
D.  clinazepam (Klonopin)
E.  lorazepam (Ativan)
A

A. mannitol (Osmitrol)

19
Q

Adverse reactions for anticonvulants include:
A. tachycardia, respiratory distress, blurry vision
B. respiratory distress, cardiac arrhythmia, gingivitis
C. drowsiness, gingival hyperplasia, Stevens-Johnson syndrome
D. hypotension, blurry vision, pulmonary edema

A

C. drowsiness, gingival hyperplasia, Stevens-Johnson syndrome

20
Q
Medications used to treat or act as prophylactic treatment for migraine headaches include:  (select all that apply)
A.  Beta blockers
B.  Antidepressants 
C.  Anticonvulsants
D.  Triptan medications
A

A. Beta blockers
B. Antidepressants
C. Anticonvulsants

21
Q
Pharmaceutical management for Intracranial Pressure (ICP) includes all of the following EXCEPT:
A.  Antidepressants
B.  Corticosteroids
C.  Osmotic diuretics
D.  Anticonvulsants
A

A. Antidepressants

22
Q
Medications used to treat dementia related to Alzheimer's Disease include:  (select all that apply)
A.  mannitol (Osmitrol)
B.  carpidopa/levodopa (Sinemet) 
C.  tacrine (Cognex)
D.  donepezil (Aricept)
A

C. tacrine (Cognex)

D. donepezil (Aricept)

23
Q
While there is no cure for ALS, this medication slows the progression of the disease.  
A.  ropinirole (Requip)
B.  rilutec (Riluzole)
C.  ramipril (Altace)
D.  gabapentin (Neurontin)
A

B. rilutec (Riluzole)

24
Q
Pharmaceutical management for Huntington's disease includes:  (select all that apply)
A.  Anticholinergics
B.  Adrenergic blocking drugs
C.  Antipsychotics
D.  Antidepressants
E.  Antichoreas
A

C. Antipsychotics
D. Antidepressants
E. Antichoreas