AUTONOMIC DRUGS 31. How does botulinum toxin work? _____________________________________________ 32. Identify the G-protein class for each receptor. (Numbers may be used more than once.)
33. What are the major effects of 1-receptor activation? ______________________________
______________________________________________________________________________ 34. What are the major functions of 2-receptor activation? ___________________________ ______________________________________________________________________________ 35. What are the major functions of 1-receptor activation? ____________________________ ______________________________________________________________________________ 36. What is the major effect of 2-receptor activation on the body's vasculature? What is the effect on the respiratory system? _____________________________________________________ 37. How does 2-receptor activation affect glucagon release? __________________________
Dr. Vargas Soriano, Arturo
Farmacologa- V ciclo / USPJB 38. In the images below, identify which autonomic drugs work at which site of action.
39. Name five indirect cholinergic agonists. ________________________________________
______________________________________________________________________________ 40. What symptoms are likely in patients taking cholinomimetic agents? __________________ ______________________________________________________________________________ 41. Which pharmacologic agent is used to treat atropine overdose? _____________________ 42. What is a methacholine challenge test? ________________________________________ ______________________________________________________________________________ 43. A farmer presents with diarrhea, abdominal pain, wheezing, pinpoint pupils, copious tears, and salivation. What medications should be prescribed? ______________________________ 44. Why is pyridostigmine used to treat myasthenia gravis? ___________________________ ______________________________________________________________________________ 45. A patient recently began taking haloperidol to treat schizophrenia, but visits his physician because of new-onset Parkinson's-like motor symptoms. What drug could be used to treat these symptoms? ________________________________________________________________________ 46. What are the two effects of atropine on the eye? _________________________________ 47. True or False: Diarrhea is a sign of atropine toxicity. ______________________________
Dr. Vargas Soriano, Arturo
Farmacologa- V ciclo / USPJB 48. Low doses of epinephrine are selective for _______ (1, 2, 1, 2) adrenergic receptors. 49. Isoproterenol is an agonist for which receptors? _________________________________ 50. Dopamine __________ (is/is not) ionotropic and __________ (is/is not) chronotropic, whereas dobutamine __________ (is/is not) ionotropic and __________ (is/is not) chronotropic. 51. What are the clinical applications of epinephrine? ________________________________ ______________________________________________________________________________ 52. What role does dopamine have in treating shock? ________________________________ ______________________________________________________________________________ 53. What are the clinical applications of phenylephrine? ______________________________ ______________________________________________________________________________ 54. What is the clinical application for albuterol? ____________________________________ ______________________________________________________________________________ 55. Which sympathomimetics can reduce premature uterine contractions? _______________ 56. What effect does isoproterenol have on pulse pressure and heart rate? _______________ ______________________________________________________________________________ 57. What is the effect of clonidine on central adrenergic outflow? On which receptor does it act? __________________________________________________________________________ 58. What is the clinical application and mechanism of action of phentolamine? _____________ ______________________________________________________________________________ 59. What is the net effect of epinephrine on blood pressure before and after nonselective -blockade? Why? ___________________________________________________________________ ______________________________________________________________________________ 60. A 63-year-old man is referred long-term care after his first myocardial infarction. Is a -blocker suggested or contraindicated for this patient? Why? ______________________________ ______________________________________________________________________________ 61. How do -blockers work in the setting of angina pectoris? __________________________ ______________________________________________________________________________ 62. Which -blockers have partial agonist activity? __________________________________ 63. Name two nonselective - and -antagonists. ___________________________________