Pharmacology XII

Descrição

Praxis Tests: Pharmacology Quiz sobre Pharmacology XII, criado por ACAPUN INSTITUTE em 08-11-2021.
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Quiz por ACAPUN INSTITUTE, atualizado more than 1 year ago
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Criado por ACAPUN INSTITUTE aproximadamente 3 anos atrás
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Resumo de Recurso

Questão 1

Questão
Alpha or beta-adrenergic blocking drugs act by
Responda
  • a. Inhibiting synthesis of norepinephrine.
  • b. Increasing the metabolism of norepinephrine
  • c. Competitive inhibition of postjunctional adrenergic receptors
  • d. A local anesthetic effect on the adrenergic nerve terminal
  • e. Depleting norepinephrine from adrenergic nerve terminals

Questão 2

Questão
A mechanism for the antiadrenergic action of guanethidine is
Responda
  • a. Inhibition of dopa decarboxylase
  • b. Increased rate of metabolism of norepinephrine
  • c. Depletion of norepinephrine from the nerve terminals
  • d. Substitution for norepinephrine and subsequent action as a false transmitter
  • e. Uncoupling of the action potential from the norepinephrine release mechanism

Questão 3

Questão
Which of the following statements most accurately describes the effectiveness of action of methyldopa?
Responda
  • a. It causes marked cardiac slowing
  • b. It directly relaxes vascular smooth muscle
  • c. It causes rapid depletion of norepinephrine from adrenergic nerve terminals
  • d. It causes formation of a false transmitter that is released at vascular smooth muscle
  • e. It produces a false transmitter, the effect of which is primarily at central nuclei

Questão 4

Questão
The mechanism of action of reserpine is to
Responda
  • a. Inhibit monoamine oxidase
  • b. Inhibit catechol-O-methyltransferase
  • c. Block the passage of the nerve action potential in the postganglionic nerve fibers
  • d. Stabilize the axon terminal membrane thus preventing release of norepinephrine

Questão 5

Questão
Amphetamine acts by
Responda
  • a. Promoting storage of the mediator
  • b. Causing a rapid release of the mediator
  • c. Causing a slow depletion of the mediator
  • d. Combining with a receptor substance on the effector cell
  • e. Interfering with the response of the receptor to the mediator

Questão 6

Questão
Which of the following characterizes the mechanism of action on levodopa?
Responda
  • a. It acts through a direct anticholinergic action
  • b. It stimulates specific L-dopa receptors in basal ganglia
  • c. It replenishes the otherwise deficient dopamine in patients with parkinsonism
  • d. It increases concentrations of norepinephrine in the brain to counterbalance an otherwise overactive cholinergic system

Questão 7

Questão
Which of the following combinations of agents would be necessary to block the cardiovascular effects produced by the injection of a sympathomimetic drug?
Responda
  • a. Atropine and prazosin
  • b. Atropine and propranolol
  • c. Prazosin and propranolol
  • d. Phenoxybenzamine and curare
  • e. Amphetamine and propranolol

Questão 8

Questão
Which of the following drugs competitively blocks the action of norepinephrine at beta-adrenergic receptors?
Responda
  • a. Atropine
  • b. Naloxone
  • c. Propranolol
  • d. Phentolamine
  • e. Hexamethonium

Questão 9

Questão
Pretreatment with reserpine prevents a response to which of the following agents?
Responda
  • a. Amphetamine
  • b. Epinephrine
  • c. Phenylephrine
  • d. Isoproterenol
  • e. Norepinephrine

Questão 10

Questão
Each of the following drugs is considered to be a direct-acting catecholamine EXCEPT
Responda
  • a. Epinephrine
  • b. Amphetamine
  • c. Isoproterenol
  • d. Norepinephrine

Questão 11

Questão
After pretreatment with phentolamine, intravenous administration of epinephrine should result in a. Relaxation of bronchial smooth muscle b. Positive chronotropic and inotropic effects c. Splanchnic vasoconstriction d. Dilation of skeletal muscle vascular beds e. Secretion of a mucoid viscous saliva
Responda
  • A) a, and b only
  • B) a, b and d
  • C) a, d and e
  • D) c and d only
  • E) c, d and e

Questão 12

Questão
Which of the following changes produced by intravenous administration of epinephrine result from stimulation of betaadrenergic receptors? a. Respiratory inhibition b. Cardiac acceleration c. Dilation of the pupil d. Increased systolic pressure e. Decreased diastolic pressure
Responda
  • A) a, b and c
  • B) a, b and d
  • C) b and e
  • D) c, d and e
  • E) c and e only

Questão 13

Questão
Which of the following is NOT an action of epinephrine when administered intravenously in a high dose?
Responda
  • A) Increases liver glycogenolysis
  • B) Causes bronchiolar constriction
  • C) Produces a rise in blood pressure
  • D) Evokes extrasystoles in the heart
  • E) Produces restlessness and anxiety

Questão 14

Questão
“Epinephrine reversal” of blood pressure can best be demonstrated by injecting epinephrine intravenously after pretreatment with
Responda
  • A) Prazosin
  • B) Atropine
  • C) Propranolol
  • D) Neostigmine
  • E) Isoproterenol

Questão 15

Questão
Each of the following is a predictable adverse effect of drugs that block the sympathetic nervous system EXCEPT
Responda
  • A) Gastrointestinal disturbance
  • B) Postural hypotension
  • C) Nasal congestion
  • D) Urinary retention
  • E) Miosis

Questão 16

Questão
Injection of a pressor dose of norepinephrine may result in a decreased heart rate because of
Responda
  • A) Activation of baroreceptor reflexes
  • B) Direct stimulation of alpha receptors
  • C) Direct stimulation of beta-1 receptors
  • D) Direct stimulation of beta-2receptors
  • E) Direct stimulation of muscarinic receptors

Questão 17

Questão
Alpha-adrenergic agonists are used in combination with local anesthetics to a. Stimulate myocardial contraction b. Reduce vascular absorption of the local anesthetic c. Increase the rate of liver metabolism of the local anesthetic d. Increase the concentration of the local anesthetic at its receptor site e. Antagonize the vasodilating effects of the local anesthetic
Responda
  • A) (a), (b) and (c)
  • B) (b), (c) and (d)
  • C) (b), (d) and (e)
  • D) (c), (d) and (e)
  • E) (d) and (e) only

Questão 18

Questão
Administration of an otherwise effective pressor dose of epinephrine could cause an “epinephrine reversal” in a patient taking which of the following drugs?
Responda
  • A) Reserpine
  • B) Propranolol
  • C) Amphetamine
  • D) Chlorpromazine
  • E) Lithium carbonate

Questão 19

Questão
Of the following sympathomimetic agents, the most potent bronchodilator is
Responda
  • A) Amphetamine
  • B) Norepinephrine
  • C) Phenylephrine
  • D) Isoproterenol
  • E) Methoxamine

Questão 20

Questão
Administration of which of the following drugs would produce vasoconstriction of the gingival vessels? a. Levonordefrin b. Phentolamine c. Epinephrine d. Propranolol e. Phenylephrine
Responda
  • A) (a) and (b)
  • B) (a) and (c) only
  • C) (a), (c) and (e)
  • D) (b), (d) and (e)
  • E) (b) and (d) only

Questão 21

Questão
Carbidopa, a dopa-decarboxylase inhibitor, is often used in the treatment of parkinsonism because it
Responda
  • A) Potentiates the central action of dopamine
  • B) Potentiates the central action of norepinephrine
  • C) Decreases the peripheral metabolism of levodopa
  • D) Inhibits the peripheral stimulatory fibers from the central nervous system
  • E) Increases the permeability of the blood-brain barrier to levodopa

Questão 22

Questão
Of the following, one of the most effective treatments currently available in the U.S. for most patients suffering from parkinsonism involves oral administration of
Responda
  • A) Dopamine
  • B) Amantadine
  • C) Benztropine
  • D) Levodopa alone
  • E) Levodopa plus carbidopa

Questão 23

Questão
Levodopa therapy for Parkinson disease may result in each of the following effects EXCEPT:
Responda
  • A) Development of abnormal, involuntary movements, especially in the face
  • B) Extreme sensitivity to sympathomimetic drugs
  • C) Exacerbation of an acute psychosis
  • D) Nausea and vomiting
  • E) Extreme sedation

Questão 24

Questão
Adverse effects of levodopa include: a. Arrhythmias b. Psychotic disturbances c. Nausea and vomiting d. Abnormal involuntary movements
Responda
  • A) (a), (b), and (c)
  • B) (a), (b) and (d)
  • C) (a), (c) and (d)
  • D) (b), (c) and (d)
  • E) All of the above

Questão 25

Questão
Which of the following drugs would be most likely taken by an asthmatic patient?
Responda
  • A) Phenylephrine
  • B) Albuterol
  • C) Pseudoephedrine
  • D) Prazosin
  • E) Propranolol

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