Pharmacology Review-Exam III

Which neurotransmitter inactivates acetylcholine at the parasympathetic terminal receptor site?

• enzyme catechol O-methyltransferase (COMT)

• the reuptake process

• the enzyme cholinesterase

• the enzyme monoamine oxidase (MAO)

After administering a sympathomimetic drug to your patient, in what areas would you expect to see an upward trend?

1. Heart rate

2. Blood pressure

3. Blood glucose

• 1

• 1 & 2

• 1, 2, & 3

• 2 & 3

You are treating a patient for bronchospasm. Albuterol (an adrenergic bronchodilator) is the only aerosolized agent being administered at this time. What other type of aerosolized drug might you recommend?

• Anticholinergic bronchodilator

• Sympatholytic

Agents blocking or inhibiting the effects of the parasympathetic nervous system are

• cholinergic.

• parasympatholytic.

• adrenergic.

• parasympathomimetic.

Albuterol is available in which of the following forms?

1. Syrup

2. Nebulizer solution

3. Metered dose inhaler (MDI)

4. Oral tablets

5. Dry powder inhaler (DPI)

• 2 and 3 only

• 1, 2, and 5 only

• 3, 4, and 5 only

• 1, 2, 3, and 4 only

What does the b₁-receptor stimulation cause?

• vasoconstriction.

• upper airway decongestion

• increases heart rate and contractile force

• relaxes bronchiole smooth muscle.

A 7-year-old boy has been given multiple aerosolized albuterol treatments over the last several days. His father tells you that every time a respiratory therapist administers a treatment, a few minutes later the saturation falls. You explain to the father that this is

• abnormal and call the physician.

• abnormal and you will try to change the medication to levalbuterol.

• normal because of increased perfusion to poorly ventilated areas.

• normal because you are giving the treatment with air.

Which of the following is the generic name for Brovana?

• Formoterol

• Salmeterol

• Olodaterol

• Arformoterol

Quaternary ammonium compounds such as ipratropium bromide

• are ineffective as inhaled agents.

• do not cross lipid membranes easily.

• are distributed quickly throughout the body when inhaled.

• have no role in respiratory care.

Results of a patient’s pulmonary function test (PFT) show that the peak flow rate increased the most when she inhaled an aerosolized sympathomimetic agent and an aerosolized parasympatholytic agent. You would recommend that she be given which of the following?

• Ventolin^® MDI

• Serevent Diskus^® DPI

• Combivent Respimat^®

• Foradil^® DPI