Parasympathomimetics ✓ Passing Score: 50% 📝 Questions: 18 🎓 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 18 1 Which enzyme is primarily responsible for the rapid hydrolysis and inactivation of acetylcholine in the synaptic cleft? * Monoamine Oxidase (MAO) Acetylcholinesterase (AChE) Catechol-O-methyltransferase (COMT) Butyrylcholinesterase (BChE) Cytochrome P450 2 Cevimeline is a direct-acting cholinergic agonist used to treat dry mouth (xerostomia) associated with Sjögren\'s syndrome. It exhibits selectivity for which receptor subtype? * Nicotinic (Nm) Alpha receptors M1 and M3 Nicotinic (Nn) M2 and M4 3 Indirect-acting cholinergic agonists (Cholinesterase inhibitors) increase the concentration of which neurotransmitter at the receptor sites? * Norepinephrine Serotonin GABA Dopamine Acetylcholine 4 Drugs classified as direct-acting cholinergic agonists primarily exert their effects by mimicking which endogenous substance? * Adrenaline Acetylcholine GABA Substance P Histamine 5 A major side effect of excessive parasympathomimetic stimulation (\"SLUDGE\" syndrome) includes which of the following? * Xerostomia (dry mouth) Urinary retention Diarrhea and increased salivation Tachycardia Mydriasis (pupil dilation) 6 Which drug is a non-selective, centrally acting, reversible cholinesterase inhibitor that can cross the blood-brain barrier? * Pyridostigmine Cevimeline Pancuronium Physostigmine Edrophonium 7 Pilocarpine is a common direct-acting cholinergic agonist. Its primary clinical use is the treatment of which condition? * Hypertension Glaucoma (to reduce intraocular pressure) Muscle paralysis Urinary retention (post-operative) Bronchospasm 8 Why are organophosphate poisonings treated with both atropine (an antagonist) and pralidoxime (a reactivator)? * Pralidoxime is used first, followed by atropine only if necessary. Atropine is the antidote for all nerve agents, and pralidoxime is only for respiratory failure. Atropine stimulates the heart, and pralidoxime causes muscle relaxation. Atropine reverses muscarinic toxicity, while pralidoxime attempts to regenerate the inhibited enzyme. Atropine blocks the nicotinic effects, and pralidoxime blocks the muscarinic effects. 9 A major difference between direct-acting agonists (like Bethanechol) and indirect-acting agonists (like Neostigmine) is: * Indirect agonists only work on muscarinic receptors. Direct agonists stimulate receptors directly; indirect agonists block enzyme breakdown. Direct agonists only work on nicotinic receptors. Indirect agonists have fewer systemic side effects. Direct agonists are irreversible inhibitors. 10 Stimulation of M2 receptors in the heart primarily results in which effect? * Vasoconstriction Increased heart rate (Positive chronotropy) Decreased rate of firing of the SA node (Negative chronotropy) Increased force of contraction (Positive inotropy) 11 Which drug is a reversible cholinesterase inhibitor used to treat the symptoms of Myasthenia Gravis? * Neostigmine Physostigmine Scopolamine Succinylcholine Pilocarpine 12 Which statement accurately describes the effect of a cholinesterase inhibitor on the neuromuscular junction (NMJ)? * It increases the duration of action of ACh at the NMJ. It only affects ganglionic transmission, not skeletal muscle. It causes immediate depolarization blockade similar to Succinylcholine. It decreases the amount of ACh released from the nerve terminal. It blocks ACh from binding to nicotinic (Nm) receptors. 13 Nicotinic receptors (Nn) found at the autonomic ganglia are primarily responsible for which physiological action when stimulated by cholinergic agonists? * Causing muscle relaxation Releasing adrenaline from the adrenal medulla Slowing the heart rate Constricting peripheral blood vessels Inhibiting bronchial secretions 14 Which neurotransmitter is the primary agonist at muscarinic and nicotinic receptors? * Acetylcholine Serotonin Norepinephrine Epinephrine Dopamine 15 Which of the following effects is NOT typically associated with the activation of muscarinic receptors by a parasympathomimetic agent? * Decreased heart rate (Bradycardia) Bronchoconstriction Vasodilation (leading to hypotension) Mydriasis (Pupil dilation) Increased intestinal motility 16 Which drug is a reversible, short-acting cholinesterase inhibitor often used diagnostically for Myasthenia Gravis? * Sarin Atropine Succinylcholine Neostigmine Edrophonium 17 Overdose with an organophosphate pesticide (a highly potent, irreversible AChE inhibitor) would primarily cause severe effects mediated by which receptors? * Nicotinic (Nm) receptors only Serotonergic receptors Muscarinic receptors Histamine receptors Adrenergic receptors 18 Bethanechol is used to treat postoperative urinary retention. Which receptor type does it primarily act upon to cause bladder contraction? * Alpha-1 receptors Nicotinic (Nn) receptors Muscarinic (M3) receptors Nicotinic (Nm) receptors Beta-2 receptors ← Previous Next → Submit Quiz ✓