Cholinomimetics ✓ Passing Score: 50% 📝 Questions: 19 🎓 Practice Quiz Welcome! This is a practice quiz to test your knowledge. Please enter your details below to participate. Your results will be emailed to you upon completion. Your Information Name * Email * Start Quiz → Question 1 of 19 1 Which side effect is highly characteristic of direct muscarinic agonists (like pilocarpine) when administered systemically? * Bradycardia Blurred distance vision Constipation Dry eyes Urinary retention 2 The primary therapeutic goal when using a cholinesterase inhibitor like Rivastigmine in Alzheimer\\\'s disease is to increase cholinergic neurotransmission in which area of the CNS? * Spinal cord motor neurons Hippocampus and cortex Cerebellum Hypothalamus Basal ganglia 3 Bethanechol is primarily used clinically for which indication due to its selective action on muscarinic receptors in the bladder and GI tract? * Treating bradycardia Reducing gastric acid secretion Stimulating urination and defecation Treating COPD exacerbations Reversing neuromuscular blockade 4 Which muscarinic receptor subtype is primarily responsible for mediating the effects of ACh on the smooth muscle of the bronchi? * M5 M3 M4 M2 M1 5 Which enzyme is responsible for rapidly inactivating acetylcholine (ACh) in the synaptic cleft? * Cytochrome P450 Catechol-O-methyltransferase (COMT) Butyrylcholinesterase (BuChE) Acetylcholinesterase (AChE) Monoamine Oxidase (MAO) 6 Pilocarpine is a classic example of a direct-acting cholinomimetic drug primarily used for treating which condition due to its potent effect on M3 receptors in the eye? * Hypertension Bronchospasm Glaucoma Urinary retention Myasthenia Gravis 7 Nicotinic receptors are located at which two major sites in the body? * CNS and peripheral sensory neurons Smooth muscle and cardiac muscle Endocrine glands and adipose tissue Autonomic ganglia and the neuromuscular junction (skeletal muscle) Salivary glands and lacrimal glands 8 Organophosphate pesticides exert their toxic effects by acting as which type of drug? * Sympathetic ganglion blockers Direct nicotinic agonists Irreversible acetylcholinesterase inhibitors Muscarinic receptor blockers Competitive muscarinic antagonists 9 A patient treated with a high dose of a non-selective cholinesterase inhibitor might develop significant bradycardia due to stimulation of which specific receptor subtype located in the heart? * Nicotinic (Nn) Muscarinic M1 Adrenergic Alpha-1 Nicotinic (Nm) Muscarinic M2 10 Succinylcholine acts as a depolarizing neuromuscular blocker by agonizing which specific type of receptor at the neuromuscular junction? * Serotonin receptors GABA receptors Muscarinic receptors Adrenergic receptors Nicotinic (Nm) receptors 11 Which drug is a selective M3 antagonist used primarily to treat an overactive bladder (OAB) by relaxing the detrusor muscle? * Pilocarpine Bethanechol Neostigmine Oxybutynin Nicotine 12 Carbachol is a synthetic choline ester that is distinct from acetylcholine because it is resistant to hydrolysis by which enzyme? * Plasma esterases only Butyrylcholinesterase (Pseudocholinesterase) Acetylcholinesterase (AChE) COMT Both AChE and BuChE 13 Indirect-acting cholinomimetics (Cholinesterase Inhibitors) exert their effects primarily by: * Increasing the synthesis of acetylcholine. Blocking sodium channels at the neuromuscular junction. Binding directly to cholinergic receptors. Preventing the breakdown of endogenous acetylcholine. Preventing the reuptake of acetylcholine. 14 Which medication is often administered as an antidote to counteract the muscarinic side effects (like excessive salivation and bradycardia) caused by organophosphate poisoning? * Atropine Pralidoxime (2-PAM) Nicotine Physostigmine Succinylcholine 15 Which symptom is characteristic of excessive cholinergic stimulation (cholinergic crisis) due to overwhelming parasympathetic activity? * Urinary retention Mydriasis (pupil dilation) Tachycardia Xerostomia (dry mouth) Diarrhea and excessive salivation 16 Which class of drugs directly mimics the action of acetylcholine (ACh) at muscarinic and nicotinic receptors? * Adrenergic Agonists Cholinesterase Inhibitors Sympatholytics Anticholinergics Cholinomimetics 17 Edrophonium is a short-acting reversible cholinesterase inhibitor historically used to diagnose Myasthenia Gravis. It primarily acts on which receptors? * Both nicotinic and muscarinic receptors Muscarinic receptors only Adrenergic receptors Dopaminergic receptors Nicotinic receptors only 18 Which of the following drugs is a reversible cholinesterase inhibitor often used in the diagnosis and treatment of Myasthenia Gravis? * Edrophonium Atropine Pralidoxime Succinylcholine Neostigmine 19 A major contraindication for the use of cholinomimetic drugs that increase secretions (like pilocarpine) would be which pre-existing condition? * Peptic Ulcer Disease (PUD) Hypotension Asthma or COPD Hyperthyroidism Diabetes Mellitus ← Previous Next → Submit Quiz ✓