WorksheetsMedications That Affect the Nervous System - Test Review
Total questions: 50
Worksheet time: 26mins
Which division of the nervous system controls “fight or flight” responses?
Somatic
Sympathetic
Parasympathetic
Central
Cholinergic medications primarily stimulate which system?
Sympathetic
Somatic
Parasympathetic
Endocrine
What is the primary neurotransmitter of the parasympathetic nervous system?
Norepinephrine
Dopamine
Acetylcholine
Serotonin
Adrenergic agonists cause which effect?
Decreased heart rate
Constricted pupils
Bronchodilation
Decreased blood pressure
Epinephrine is MOST commonly used for:
Constipation
Anaphylaxis (Life threatening allergy)
Insomnia
Chronic pain
A major risk of adrenergic agonists is:
Severe hypotension
Tachycardia and hypertension
Excessive urination
Muscle rigidity
Cholinergic agonists mimic which response?
Stress response
Fight or flight
Rest and digest
Peripheral vasoconstriction
Which brain structure regulates breathing and heart rate?
Cerebrum
Cerebellum
Medulla oblongata
Hypothalamus
The cerebellum is responsible for:
Vision and hearing
Coordination, balance, and movement
Blood pressure
Emotions
Mu receptors are most involved in:
Touch sensation
Pain transmission
Blood pressure control
Vision processing
Acute pain usually causes:
Low heart rate
↑HR, ↑BP, sweating
No emotional response
No inflammation
Gate theory explains that pain sensation varies depending on:
The artery size
The size of nerve fiber activated
The number of neurons present
The type of neurotransmitter
Opioid agonists work by:
Blocking serotonin
Binding to mu and kappa receptors
Blocking dopamine
Increasing epinephrine
A major risk of opioid medications is:
Hypertension
Addiction and respiratory depression
Increased alertness
Muscle tremors
NSAIDs work by blocking:
GABA
Prostaglandins & leukotrienes
Serotonin
Dopamine
NSAIDs should NOT be used in patients with:
Fever
Joint stiffness
Migraine
Bone fractures
A major adverse effect of NSAIDs is:
Respiratory arrest
GI bleeding
Seizures
Muscle rigidity
General anesthetics cause:
Local numbness
Loss of consciousness
Increased respirations
Increased heart rate
An example of a local anesthetic is:
Morphine
Propofol
Ketamine
Lidocaine
Antiepileptics work by:
Increasing neuron irritability
Reducing misfiring of neurons
Releasing norepinephrine
Increasing serotonin uptake
A common CNS side effect of antiepileptics is:
Euphoria
Dizziness and fatigue
Hyperactivity
Dilated pupils
Benzodiazepines work by activating:
Dopamine receptors
GABA receptors
Muscarinic receptors
Mu receptors
Benzodiazepines are used to treat:
Hypertension
Allergies
Anxiety and status epilepticus
Chronic back pain
A major caution with benzodiazepines is:
High blood pressure
High addiction potential
Excessive hunger
Itching
A common benzodiazepine suffix is:
-lol
-pam
-caine
-fen
Fear of being judged for taking anxiety meds is an example of:
Withdrawal
Tolerance
Stigma
Compliance
Medication for opioid overdose:
Aspirin
Ibuprofen (Advil)
Diazepam (Valium)
Naloxone (Narcan)
Which class can cause respiratory depression?
NSAIDs
Opioids
Benzodiazepines
Beta blockers
Condition treated with antiepileptics:
Asthma
Allergies
Seizures
GERD
Which CNS structure is responsible for balance and coordination?
Cerebrum
Cerebellum
Medulla oblongata
Hypothalamus
Which type of pain is described as burning, tingling, or electric-shock-like?
Somatic pain
Visceral pain
Neuropathic pain
Phantom pain
The MOST dangerous opioid adverse effect is:
Nausea
Itching
Respiratory depression
Constipation
Which medication class is best for treating inflammation such as arthritis?
Opioids
Benzodiazepines
NSAIDs
Antiepileptics
Medications ending in “-lol” (like propranolol or metoprolol) are classified as:
ACE inhibitors
Beta blockers
Diuretics
Antiepileptics
What is the primary effect of beta blockers?
Increase heart rate
Relax smooth muscles
Decrease heart rate and blood pressure
Increase respiratory rate
Anticholinergics typically cause which effect?
Increased saliva
Dry mouth and dilated pupils
Increased urination
Decreased heart rate
Cholinergic agonists are generally NOT used in patients with:
High blood sugar
Mild fever
Bradycardia or GI obstruction
Dehydration
Adrenergic medications mimic which neurotransmitter(s)?
Serotonin
Acetylcholine
Epinephrine and norepinephrine
GABA
The suffix “-caine” indicates what type of medication?
NSAID
Local anesthetic
Antibiotic
Cholinergic agonist
Which of the following is MOST important to assess during a neuro check?
Heart sounds
Level of consciousness (LOC)
Respiratory rate only
Skin color
A CCMA notes unequal pupils during a neuro check. What should they do NEXT?
Document and continue hourly checks
Give the patient water
Let the patient sleep
Notify the provider immediately
Which finding during a neuro check is MOST concerning?
Sleepiness after lunch
Mild headache
New inability to speak clearly or form words
Dry mouth
Which vital sign change is MOST concerning after a seizure?
Slightly elevated temperature
Irregular or slowed breathing
Mild increase in heart rate
Decrease in appetite
During a neuro check, which assessment helps evaluate cranial nerve function?
Checking blood pressure
Inspecting skin color
Asking the patient to smile or follow a pen with their eyes
Feeling for pedal pulses
During a neuro check, a patient cannot identify where they are. This finding indicates a problem with:
Pain sensation
Orientation and cognitive function
Muscle strength
Blood glucose level
The name of the specialised gap between 2 neurons
Dendrites
Terminal buttons
Synaptic Vesicles
Synapse
Drugs with which have medical use and the highest potential for dependency
Schedule I
Schedule II
Schedule III
Schedule IV
Drugs with which have medical use and the lowest potential for dependency
Schedule I
Schedule III
Schedule IV
Schedule V
