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Drugs A-M: How They Work (Mechanism of Action Only)

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Albuterol primarily produces bronchodilation by which action?

a)

Suppressing CNS activity during sedation

b)

Enhancing GABA in central neurons

c)

Blocking acetylcholine at muscarinic sites

d)

Stimulating beta-2 receptors in the airways

2.

Alcaine (proparacaine) provides ocular anesthesia via what mechanism?

a)

Inhibiting platelet aggregation in vessels

b)

Blocking sensory nerve impulses in the eye

c)

Converting hemoglobin to methemoglobin

d)

Binding cyanide to form vitamin B12

3.

Amiodarone stabilizes cardiac rhythm primarily by:

a)

Stimulating alpha receptors to raise pressure

b)

Suppressing ventricular automaticity via GABA

c)

Increasing calcium availability in myocardium

d)

Blocking sodium, potassium, and calcium channels

4.

Which statement best reflects ipratropium’s pulmonary effect?

a)

Anticholinergic bronchodilator that reduces airway secretions

b)

Beta-2 agonist producing rapid bronchodilation alone

c)

Direct calcium channel blocker slowing AV conduction

d)

Histamine receptor blocker preventing allergic bronchospasm

5.

Aspirin’s antiplatelet action occurs through inhibition of:

a)

Thromboxane A2–mediated platelet aggregation

b)

Fibrin cross-linking via factor XIII activation

c)

P2Y12 receptor–mediated ADP signaling

d)

Antithrombin III–dependent thrombin inhibition

6.

Which benzodiazepine mechanism is correctly matched?

a)

Etomidate enhances GABA producing anxiolysis only

b)

Lorazepam enhances GABA to depress CNS activity

c)

Diazepam depresses CNS activity producing sedation and relaxation

d)

Ketamine enhances GABA to induce dissociation

e)

Midazolam enhances GABA causing sedation and amnesia

7.

Dexamethasone’s therapeutic effect is best described as:

a)

Opioid receptor agonist providing analgesia

b)

Dose-dependent stimulation of adrenergic receptors

c)

Blocks dopamine receptors in the basal ganglia

d)

Suppresses inflammation and immune response

8.

Dopamine exerts its effects through:

a)

Anticholinergic inhibition reducing airway secretions

b)

Enhancement of GABA leading to CNS depression

c)

Direct blockade of sodium and calcium channels in myocardium

d)

Dose-dependent stimulation of dopaminergic and adrenergic receptors

9.

Epinephrine’s mixed receptor activity leads to:

a)

Platelet inhibition by blocking thromboxane A2

b)

Vasoconstriction and bronchodilation via alpha and beta stimulation

c)

AV nodal slowing through calcium channel blockade

d)

Sedation and amnesia through GABA enhancement

10.

Etomidate is best characterized as an agent that:

a)

Stimulates alpha receptors to raise blood pressure

b)

Blocks sodium channels to treat dysrhythmias

c)

Converts hemoglobin to methemoglobin

d)

Suppresses CNS activity for sedation

11.

Which statement about fentanyl is accurate?

a)

Opioid receptor agonist providing analgesia

b)

Dissociative anesthetic affecting catecholamines

c)

Benzodiazepine enhancing GABA for amnesia

d)

Antihistamine blocking H1 receptors centrally

12.

Haloperidol affects the brain primarily by:

a)

Blocking dopamine receptors in the brain

b)

Enhancing GABA to produce sedation

c)

Blocking histamine receptors peripherally

d)

Stimulating alpha and beta receptors broadly

13.

Heparin prevents thrombosis mainly by:

a)

Blocking P2Y12 to prevent ADP-mediated aggregation

b)

Inhibiting thromboxane A2 to limit platelet plug

c)

Enhancing antithrombin III to inhibit clotting factors

d)

Chelating calcium to reduce coagulation speed

14.

Hydroxocobalamin counteracts cyanide toxicity by:

a)

Converting hemoglobin to methemoglobin to sequester cyanide

b)

Stimulating beta-2 receptors to improve delivery

c)

Blocking sodium channels to reduce seizures

d)

Binding cyanide to form vitamin B12 for renal excretion

15.

Labetalol lowers both heart rate and blood pressure by:

a)

Enhancing antithrombin III to reduce preload

b)

Blocking alpha and beta receptors together

c)

Stimulating beta-1 receptors in the myocardium

d)

Blocking calcium channels in vascular smooth muscle

16.

Furosemide increases urine output by which mechanism?

a)

Inhibiting sodium and water reabsorption in the kidney

b)

Blocking aldosterone receptors in the distal nephron

c)

Enhancing ADH to concentrate tubular fluid

d)

Osmotically drawing water into renal tubules

17.

Magnesium sulfate’s pharmacologic class is best described as:

a)

Alpha agonist vasoconstrictor and inotrope

b)

Physiologic calcium channel blocker and CNS depressant

c)

Direct beta-2 agonist bronchodilator and vasodilator

d)

Anticholinergic secretion inhibitor and bronchodilator

18.

Which corticosteroid statements are correct?

a)

Atropine reduces inflammation by antimuscarinic action

b)

Hydroxocobalamin suppresses immune cytokine production

c)

Dexamethasone suppresses inflammation and immune response

d)

Methylprednisolone reduces inflammation via immune suppression

19.

Select the agents that enhance GABA signaling as their primary action.

a)

Ketamine enhances GABA similar to benzodiazepines

b)

Diazepam depresses CNS activity with GABA modulation

c)

Midazolam enhances GABA causing sedation and amnesia

d)

Lorazepam enhances GABA to depress CNS activity

e)

Etomidate suppresses CNS without GABA enhancement

20.

Morphine’s mechanism of action is:

a)

Sodium channel blocker suppressing ventricular ectopy

b)

Antihistamine reducing pruritus and secretions

c)

Alpha agonist causing vasoconstriction and inotropy

d)

Opioid agonist providing analgesia and vasodilation