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Adrenergic and Anti-adrenergic MCQ Test – Batch A

Total questions: 20

Worksheet time: 23mins

Name
Class
Date
1.

Choose the single best response: Which of the following drug is a third generation β-blocker?

a)

Propranolol

b)

Timolol

c)

Nadolol

d)

Nebivolol

2.

Choose the single best response: Select the drug which can improve urinary flow rate in benign prostatic hypertrophy without affecting prostate size:

a)

Amphetamine

b)

Prazosin

c)

Finasteride

d)

Goserelin

3.

Choose the single best response: Select the drug which can impair carbohydrate tolerance in prediabetics but prolongs insulin hypoglycaemia:

a)

Salbutamol

b)

Propranolol

c)

Prazosin

d)

Nifedipine

4.

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?

a)

Neurogenic shock

b)

Haemorrhagic shock

c)

Secondary shock

d)

Hypotension due to spinal anaesthesia

5.

Choose the single best response: Labetalol blocks:

a)

β1 and β2 receptors

b)

α1, β1, and β2 receptors

c)

Only β1 receptors

d)

α2 and β2 receptors

6.

Choose the single best response: Drug used for treatment of scorpion sting is:

a)

Adrenaline

b)

Morphine

c)

Captopril

d)

Prazosin

7.

Choose the single best response: Timolol is contraindicated in:

a)

Hypertension

b)

Glaucoma

c)

COPD

d)

Aphakia

8.

Choose the correct responses (multiple options may be right). Clonidine has the following attributes except:

a)

Acts on α2 adrenergic receptors

b)

Can produce rebound hypertension on abrupt withdrawal

c)

Can produce CNS stimulation

d)

Increases salivation

e)
9.

Choose the correct responses (multiple options may be right). True about esmolol is:

a)

It is a cardioselective β-blocker

b)

It increases airway resistance

c)

It causes tachycardia

d)

Its t ½ is 4 hrs

e)

It has negative inotropic activity

10.

Choose the correct responses (multiple options may be right). Selective β2-agonists include:

a)

Salbutamol

b)

Salmeterol

c)

Dobutamine

d)

Epinephrine

11.

Assertion–Reason Question. Assertion: Phenylephrine produces mydriasis. Reason: It causes contraction of radial (dilator) muscle of iris via α1 stimulation.

a)

Both Assertion and Reason are true, and Reason explains Assertion

b)

Both Assertion and Reason are true, but Reason does not explain Assertion

c)

Assertion is true, Reason is false

d)

Assertion is false, Reason is true

12.

Assertion–Reason Question. Assertion: Tamsulosin relieves urinary obstruction in benign prostatic hyperplasia. Reason: Tamsulosin does not significantly lower blood pressure.

a)

Both Assertion and Reason are true, and Reason explains Assertion

b)

Both Assertion and Reason are true, but Reason does not explain Assertion

c)

Assertion is true, Reason is false

d)

Assertion is false, Reason is true

13.

Assertion–Reason Question. Assertion: Betaxolol is preferred in glaucoma patients who also have respiratory disease. Reason: Betaxolol relieves glaucoma by blocking α1-adrenergic receptors in the eye.

a)

Both true, reason explains assertion

b)

Both true, reason does not explain assertion

c)

Assertion true, reason false

d)

Both false

14.

Assertion: Beta blockers reduce mortality in chronic heart failure Reason: They prevent catecholamine induced myocardial toxicity and remodelling. Choose the correct option.

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

15.

Assertion: Propranolol worsens variant (Prinz metal’s) angina. Reason: Propranolol blocks β2-mediated coronary vasodilation, leaving unopposed α-mediated vasoconstriction and worsening coronary spasm. Choose the correct option.

a)

Both Assertion and Reason are true, and Reason explains Assertion.

b)

Both Assertion and Reason are true, but Reason does not explain Assertion.

c)

Assertion is true, Reason is false.

d)

Assertion is false, Reason is true.

16.

Case scenario based MCQs 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:

a)

Hydrocortisone

b)

Chlorpheniramine

c)

Adrenaline

d)

Salbutamol

17.

Case scenario based MCQs 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:

a)

Oral

b)

Intravenous bolus

c)

Intramuscular

d)

Subcutaneous

18.

Case scenario based MCQs 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:

a)

Increased urine output

b)

Bronchodilation and rise in blood pressure

c)

Sedation of the patient

d)

Antipyretic action

19.

Case scenario based MCQs 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:

a)

α1 receptors

b)

α2 receptors

c)

β1 receptors

d)

β2 receptors

20.

Case scenario based MCQs 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. After initial management, which class of drugs is commonly added to prevent a delayed reaction?

a)

Antipyretics

b)

Corticosteroids

c)

Diuretics

d)

Antacids