WorksheetsAdrenergic & Antiadrenergic Batch C
Total questions: 20
Worksheet time: 23mins
Choose the single best response: Norepinephrine increases:
Heart rate
Blood pressure
Bronchodilation
GI motility
Choose the single best response: Which of the following drug is a third generation β-blocker?
Propranolol
Timolol
Nadolol
Nebivolol
Choose the single best response: A patient in shock comes to you in trauma ward. You examine him and decide not to give him vasoconstrictors. Which is the type of shock your patient is having?
Neurogenic shock
Haemorrhagic shock
Secondary shock
Hypotension due to spinal anaesthesia
Choose the single best response: Beta adrenergic blockers lower intraocular tension by:
Down regulating adenylyl cyclase in ciliary body through reduced activation of β2 receptors
Constricting ciliary blood vessels
Blocking adrenergic action on trabecular meshwork
Reducing aqueous formation unrelated to beta adrenoceptor mediation
Choose the single best response: The primary reason for preferring phentolamine as the α adrenergic blocker for performing diagnostic test for pheochromocytoma is:
It produces rapid and short lasting α-adrenergic blockade
It equally blocks α1 and α2 adrenoceptors
It is the most potent α blocker
It has no additional β adrenergic blocking property
Choose the single best response: Select the drug which can improve urinary flow rate in benign prostatic hypertrophy without affecting prostate size:
Amphetamine
Prazosin
Finasteride
Goserelin
Choose the single best response: Select the drug which can impair carbohydrate tolerance in prediabetics but prolongs insulin hypoglycaemia:
Salbutamol
Propranolol
Prazosin
Nifedipine
Choose the correct responses (Multiple options maybe right). Uses of α-blockers: (Select 2)
Pheochromocytoma
BPH
Migraine
Arrhythmias
Choose the correct responses (Multiple options maybe right). Clonidine has the following attributes except:
Acts on α2 adrenergic receptors
Can produce rebound hypertension on abrupt withdrawal
Can produce CNS stimulation
Increases salivation
Choose the correct responses (Multiple options maybe right). Contraindications of beta blockers are:
Asthma
Heart block
Hypertension
Myocardial Infarction
Assertion–Reason: Assertion: Phenylephrine produces mydriasis. Reason: It causes contraction of radial (dilator) muscle of iris via α1 stimulation.
Both Assertion and Reason are true, and Reason explains Assertion.
Both Assertion and Reason are true, but Reason does not explain Assertion.
Assertion is true, Reason is false.
Assertion is false, Reason is true.
Assertion–Reason: Assertion: Methylphenidate is preferred over amphetamine in the management of Attention-Deficit/Hyperactivity Disorder (ADHD). Reason: Methylphenidate has a lower risk of abuse and dependence compared to amphetamine.
Both Assertion and Reason are true, and Reason explains Assertion.
Both Assertion and Reason are true, but Reason does not explain Assertion.
Assertion is true, Reason is false.
Assertion is false, Reason is true.
Assertion–Reason: Assertion: Tamsulosin relieves urinary obstruction in benign prostatic hyperplasia. Reason: Tamsulosin does not significantly lower blood pressure.
Both Assertion and Reason are true, and Reason explains Assertion.
Both Assertion and Reason are true, but Reason does not explain Assertion.
Assertion is true, Reason is false.
Assertion is false, Reason is true.
Assertion: Betaxolol is preferred in glaucoma patients who also have respiratory disease Reason: Betaxolol relieves glaucoma by blocking α₁-adrenergic receptors in the eye.
Both true, reason explains assertion
Both true, reason does not explain assertion
Assertion true, reason false
Both false
Assertion: Salbutamol is used in preterm labor. Reason: It relaxes uterine smooth muscle via β2 receptors.
Both true, reason explains assertion
Both true, reason does not explain assertion
Assertion true, reason false
Both false
Case: A 24-year-old woman is brought to the emergency department 10 minutes after receiving an injection for fever. She suddenly develops difficulty in breathing, wheezing, swelling of lips and tongue, intense itching, dizziness, and a fall in blood pressure. Her pulse is feeble and rapid. She is suspected to be in anaphylactic shock. The drug of choice for the immediate management of this patient is:
Hydrocortisone
Chlorpheniramine
Adrenaline
Salbutamol
Case: A 24-year-old woman is brought to the emergency department 10 minutes after receiving an injection for fever. She suddenly develops difficulty in breathing, wheezing, swelling of lips and tongue, intense itching, dizziness, and a fall in blood pressure. Her pulse is feeble and rapid. She is suspected to be in anaphylactic shock. The preferred route of administration of this drug in this emergency is:
Oral
Intravenous bolus
Intramuscular
Subcutaneous
Case: A 24-year-old woman is brought to the emergency department 10 minutes after receiving an injection for fever. She suddenly develops difficulty in breathing, wheezing, swelling of lips and tongue, intense itching, dizziness, and a fall in blood pressure. Her pulse is feeble and rapid. She is suspected to be in anaphylactic shock. The most important life-saving action of adrenaline in anaphylaxis is:
Increased urine output
Bronchodilation and rise in blood pressure
Sedation of the patient
Antipyretic action
Case: A 24-year-old woman is brought to the emergency department 10 minutes after receiving an injection for fever. She suddenly develops difficulty in breathing, wheezing, swelling of lips and tongue, intense itching, dizziness, and a fall in blood pressure. Her pulse is feeble and rapid. She is suspected to be in anaphylactic shock. Adrenaline produces bronchodilation mainly by stimulating:
α1 receptors
α2 receptors
β1 receptors
β2 receptors
After initial management, which class of drugs is commonly added to prevent a delayed reaction?
Antipyretics
Corticosteroids
Diuretics
Antacids
