Pharmacology 2 Local Anesthetics/ Sympatholytics

The pre-ganglionic sympathetic nerve fibers release what at the  automatic nerve bundle? 

• Substance P
• acetylcholine 
• Norepinephrine 
• Calcium 

Which of the following is a non-selective alpha antagonist?

• Yohimbine
• Prazosin 
• Doxazocin 
• Phentolamine 

Which of the following medication has the highest/most effective β1 selectively? 

• Propranolol 
• Esmolol
• Atenolol 
• Carvedilol 

Mr. Johnson is 85 years old and has BPH, he has not seen the doctor in 2 years recently he has issues with syncope due to orthostatic hypotension, which medication would he be taking?

• Doxazosin
• Propranolol
• Phentolamine 
• PO Nitroglycerin 

Bobby is a brand new SRNA and did not know what phenylephrine was but flushed into a blown IV; what is the treatment medication to give?

• Yohimbine 
• Tolazoline
• Phenoxybenzamine 
• Phentolamine 

Which of the following is not a symptom of pheochromocytoma 

• Increase Blood pressure
• Increase Anxiety 
• Decrease Heart Rate
• Decrease Weight 

Which of the following medication irreversibly binds to α1 and α2 receptors, and is used as a long term treatment of pheochromocytoma? 

• Terazosin
• Tamsulosin 
• Phentolamine 
• Phenoxybenzamine

What statement regarding the clinical use of β-Blockers is false 

• Treatment of essential hypertension
• Management of angina pectoris
• Suppression of cardiac dysrhytmias 
• Provide sympathetic nervous system activity

Mrs. Jones suffers from severe asthma attacks and is hospitalized at least 3 times a month for severe wheezing which beta blocker should be prescribed for her to lower her blood pressure at home?

• Propranolol
• Nadolol
• Esmolol 
• Atenolol 

True or False propranolol decrease clearance of amide local anesthetics due to decreased hepatic blood flow & inhibition of liver metabolism

• True
• False