Autonomic Nervous System Quiz

Of the following, which is an effect of stimulation of the parasympathetic nervous system?

Norepinephrine is used as the neurotransmitter in which of the following synapses?

Release of acetylcholine from the presynaptic neuron is stimulated by:

Which of the following muscarinic receptors result in activation of protein kinase C (PKC)? (Select all that apply.)

Monoamine oxidase inhibitors inhibit the enzyme monoamine oxidase.  Which side effect would be expected with these medications?

Stimulation of which receptor type will lead to increased blood glucose levels?

A dentist notices a patient has many cavities and suspects that the cause could be from excessive dry mouth.  The patient was referred to a rheumatologist who diagnosed Sjogren's Syndrome.  Which of the following medications could be useful in treating this patient's dry mouth?

A 68 year old female was at the movie theater when she began experiencing left eye pain.  Pain became severe and she began vomiting. She presented to the emergency department where you are on duty.  You notice that her eye is red and her pupil is midpoint and not reacting to light.  Which of the following medications is useful in treating her condition?

You are counseling a patient and their family member regarding donepezil, which you are recommending for the treatment of Alzheimer's Disease.  What should you tell the patient and family member about prior to starting the medication? Select all that apply.

An 82 year old woman presents to your clinic with concerns about short-term memory loss. After your evaluation, you determine that the patient has Alzheimer's dementia.  Which of the following medications would be appropriate to consider for treatment?

You suspect that a patient has Myasthenia Gravis.  What is the mechanism of action of the drug that would be useful in confirming the diagnosis?

A 32 year-old male presents to the emergency department after an ingestion of an unknown substance.  His temperature is 38.5C (101.3F), and his heart rate is 116.  You notice that he is confused and appears to be hallucinating.  Notably, his skin is dry to touch and his pupils are dilated.  While being observed in the emergency department, his symptoms continue to worsen.  What medication would be indicated in this situation?

A 57 year-old farmer presents to your emergency department. Vital signs: T=99.1 F (37.3C), HR = 117, RR = 21, SpO2 = 91%, BP = 157/93.  You note that the farmer is extremely sweaty.  The farmer complains of having a headache and diarrhea.  The farmer reports that he was about to go out and spray.  Which medications may be helpful in improving the farmer's condition?

What is the mechanism of action of ipratropium?

A 64 year-old woman is about to embark on a cruise and visits your office. She knows that she has had "sea sickness" in the past and would like some medication to help make here trip more enjoyable. Which of the following medications would be appropriate to help with her motion sickness?

A 74 year-old male presents to your clinic with difficulty urinating. He started a new medication three days prior but isn't sure which one.  He brought a list of his current medications to your clinic.  The medications on the list are: aspirin, clopidogrel, benztropine, carbidopa/levodopa, cevimeline, and donepezil.  Which medication is the most likely cause of his symptoms?

You diagnose a 64 year-old woman with overactive bladder. Which of the following medications would be most useful in treating her symptoms?

A 45 year-old male presents to your emergency department after having a seizure.  On review of his medical records you note that he had recently visited his primary care clinician and was started on a medication for smoking cessation. What was the most likely medication prescribed?

A friend of yours recently visited their doctor and started on a medication for smoking cessation. They were surprised to hear from their doctor that the medications that they were starting could cause vivid and unusual dreams. You asked what medication they were prescribed and your friend wasn't sure.  What was the medication most likely prescribed by your friend's doctor?

A 25 year old presents to the emergency department after being crushed in a building collapse for several hours. He is in respiratory distress and required intubation. What would be the preferred paralytic medication?

What is phase 1 of a patient's response to succinylcholine?

While performing anesthesia on a patient for a routine surgery, you notice that the patient's exhaled carbon dioxide level is increasing and the surgeon comments that the patient's muscles are becoming rigid.  The temperature probe indicates that the patient's temperature is rising rapidly.  What medication would be most appropriate in this situation?

What is the mechanism of action of rocuronium that causes paralysis?

An 18 month-old female who ate a peanut butter sandwich for the first time presents with vomiting, rash, and difficulty breathing. What medication would best treat this condition?

What differs in receptor activation between epinephrine and norepinephrine?

Activation of which receptor allows phenylephrine to be effective in treating priapism?

A 56 year-old with past medical history including hypertension, chronic obstructive pulmonary disease (COPD), diabetes mellitus, and hyperlipidemia presents for a medication refill. He is noted to have an elevated blood pressure (241/122). He is homeless and ran out of one of his medications.  His usual home medications are metformin, albuterol, atorvastatin, lisinopril, and clonidine.  Which medication did he run out of?

A 26 year-old male presents with an asthma attack. Which medication would best treat this condition?

What is the mechanism of action of albuterol?

A 36 year-old baseball baseball player who was rumored to be taking a banned supplement to help lose weight suffered a cardiac arrest while training.  The trainers noted that he had an elevated heart rate and a temperature of 104 F (40C) prior to his cardiac arrest.  Which of the following medications would be most likely to have been taken given the above information?

26 year-old female with a blood pressure of 252/125 presents complaining of a headache. She was found to have an adrenal mass and elevated levels of catecholamine metabolites in her urine. Which of the following drugs would be most helpful in treatment of her condition?

A 76 year-old male presents after an episode of syncope. He took a new medication for the first time last night and collapsed when he stood up out of bed.  He is unsure of the name of the new medication that he just started taking and tells you to "look in the computer!" Which of the following medications would you likely find to have been recently prescribed?

What is the mechanism of action for timolol when used for the treatment of glaucoma?

What is the reason that metoprolol is used in the treatment of myocardial infarction? (Check all that apply)

A 56 year-old male is seen if follow-up of a recent hospitalization for a heart attack.  He was started on multiple new medications while he was hospitalized. He as been experiencing sexual dysfunction since the hospitalization.  Which of the following drugs is most likely to be causing his symptoms?