Neurologic And Neuromuscular Agents

24 Questions | Total Attempts: 55

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Agent Quizzes & Trivia

Includes:Opiod AnalgesicsNSAIDSAnestetic drugsPsychotropicsCNS StimulantsSkeletal Muscle RelaxantsAnticonvulsantsAntiparkinson/Myasthenia Gravis


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Questions and Answers
  • 1. 
    What blocks sympathetic nerves
    • A. 

      Adrenergics

    • B. 

      Adrenergic Blockers

    • C. 

      Cholinergics

    • D. 

      Cholinergic Blockers

  • 2. 
    What stimulates parasympathetic nerves
    • A. 

      Adrenergics

    • B. 

      Adrenergic Blockers

    • C. 

      Cholinergics

    • D. 

      Cholinergic Blockers

  • 3. 
    What blocks parasympathetic nerves
    • A. 

      Adrenergics

    • B. 

      Adrenergic Blockers

    • C. 

      Cholinergics

    • D. 

      Cholinergic Blockers

  • 4. 
    What stimulates sympathetic nerves
    • A. 

      Adrenergics

    • B. 

      Adrenergic Blockers

    • C. 

      Cholinergics

    • D. 

      Cholinergic Blockers

  • 5. 
    CNS Stimulants include...amphetaminesanaleptics anorexiantstriptanWhich is a description of analeptics? 
    • A. 

      Used as abortive medication in the treatment of migraines and cluster headaches

    • B. 

      Used to suppress appetite

    • C. 

      A medication used as a central nervous system stimulant.

    • D. 

      Is a drug that is known to produce increased wakefulness and focus in association with decreased fatigue and appetite

  • 6. 
    Which CNS stimulant is used for ADHD (decreases hyperactivity and impulsiveness of ADHD) and are also used for Narcolepsy (increase wakefullness).  Stimulates norepinephrine and dopamine Stimulates sympathetic nervous system
    • A. 

      Amphetamines - psychomotor stimulant

    • B. 

      Analeptics

    • C. 

      Anorexiants

    • D. 

      Triptan

  • 7. 
    (CNS Psychomotor Stimulant) Amphetamines include the following drugs...Psychomotor Stimulant Treat narcolepsy/ADHD Thought to increase cognition and enhance memory do not use to delay sleep or combat fatigue
    • A. 

      Methylphenidate (Ritalin) and Amphetamine sulfate (Adderall) Methylphenidate - Avoid caffine, check weight 2x/wk, take 30 to 45 minutes before meal, and only take @ breakfast and lunch

    • B. 

      Methamphetamine (Desoxyn)

    • C. 

      Pemoline (Cylert)

    • D. 

      Dexmethylphendate (Focalin)

    • E. 

      Dextroamphetamine (Dexedrine)

  • 8. 
    Amphetamines is a powerful CNS stimulant.  Peripheral alpha and beta actions common with indirect acting sympathomimetic drugs.Do Not use with MAOI'sDosages are tailored to patients needs and symptomsChanges insulin requirements
    • A. 

      CNS excitation: tachycardia, irritability, sleep disturbances, tremors, restlessness, amphetamine psychosis, seizures, arrhythmias, anorexia, drug tolerance and dependency.

    • B. 

      GI: anorexia, dry mouth, n/v/d/cramps

    • C. 

      Cardiac stimulation: HTN, Angina, arrthymias

    • D. 

      Rapidly absorbed after oral administration, onset 1-2 hrs and duration

    • E. 

      Alkaline urine promotes re absorption and prolongs drug action

  • 9. 
    CNS Stimulants: Analeptics is a medication used as a central nervous system stimulant. Think Caffine!!Caffeine (NoDoz, Vivarin)100-200 mg every 4 hours prndoxapram (dopram) (resp stimulant)purpose: stimulate respiration in newbornsSide effects: restlessness, tremors, twitching, palpitations and insomnia n/v/d
    • A. 

      Do not use... ADHD, narcolepsy, obesity or other medical disorders

    • B. 

      Used by many to stay awake

    • C. 

      Stimulates the cerebral cortex to increase alertness and decrease fatigue

    • D. 

      Used for resp depression and apnea

    • E. 

      Contraindicated in depression, duodenal ulcers and diabetes

  • 10. 
    CNS Stimulants: Anorexiants are used to suppress appetite.Includes:Benzphetamine (Didrex)Tenuate/TepanilMazindol (Sanorex, Mazanor)OTC anorexiants:       Dexatrim Natural - Dexedrin       Phenylpropanolamine has been removed by the FDA       May cause an increase of hemorrhagic stroke riskDo not give to children under 12 years of agerapidly absorbed po, peak in 1-2 hours and up to 6, duration 3-15hours
    • A. 

      Used for short term management of obesity

    • B. 

      Adjuncts to other therapies

    • C. 

      No longer than 6-12 weeks

    • D. 

      Thought to stimulate the stiety center in the hypothalamus, also thought that they act in the CNS to cause release of catecholamines from nerve terminals

    • E. 

      AE: palpations, tachycardia, restlessness, dizziness, insomnia, weakness, fatigue, and drowsiness

  • 11. 
    CNS Stimulants: Triptans are used as abortive medication in the treatment of migraines and cluster headaches (inflammation and dilation of vessels).  Triptans as a treatment:
    • A. 

      Sumatriptan succinate

    • B. 

      Imitrex

    • C. 

      Naratriptan Amerge

  • 12. 
    What drugs should be used to prevent migraine headaches.Treatment also includes:AnalgesicsOpioid analgesicsErgot alkaloidsSelective serotonin receptor agonists (triptans)
    • A. 

      Beta blockers such as propanolol

    • B. 

      Anti-cholinergics

    • C. 

      Tricyclic antidepressants

  • 13. 
    CNS Depressants include:SedativesHypnoticsBarbituratesBenzodiazepinesAnti-convulsantsNarcoticsAnti-psychoticsAnti-depressants
    • A. 

      True

    • B. 

      False

  • 14. 
    CNS Depressants / Sedatives
    • A. 

      Nytol

    • B. 

      Sominex

    • C. 

      Sleep Eze

    • D. 

      Tylenol PM

    • E. 

      Advil PM

  • 15. 
    CNS Depressants/ SedativesAntihitaminesDiphenhydramine (Benadryl)H1 blocker or antagonist
    • A. 

      First generation antihistamines- cause drowsiness, dry mouth, and other anticholinergic symptoms

    • B. 

      Second generation antihistamines- have fewer anticholinergic effects and a lower incidence of drowsiness

  • 16. 
    CNS Depressants Hypnotics
    • A. 

      Promote relaxation and produces sleep

    • B. 

      Reduces anxiety

  • 17. 
    CNS Depressants Hypnotics include
    • A. 

      Non benzodiazepines (ambien)

    • B. 

      Benzodiazepines (most commonly prescribed)

    • C. 

      Barbiturates

  • 18. 
    CNS Depressants BarbituratesPhenibarbital prototype drugShort term use only...lose effectiveness after 14 daysAdjuncts to anesthesia and treatment of seizure disordersseveral are indicated for treatment of insomnia but not widely usedincrease GABA to receptor sitesNon selective broader effects then those of Benziodiazepines
    • A. 

      Long Acting: Phenobarbitual Mephobarbital

    • B. 

      Intermediate Acting Drugs Amobarbitual Aprobarbitual

    • C. 

      Short Acting Drugs Pentobarbital Secobarbitual

    • D. 

      SE: hangover, n/v, insomnia, constipation, restlessness, ha/fainting and night terrors

  • 19. 
    CNS Depressants Hypnotics include benzodiazepines (most commonly prescribed)
    • A. 

      Most of these end is "pam"

    • B. 

      Alprazolam -Xanax

    • C. 

      Diazapam (Valium)

    • D. 

      Lorazepam (Ativan)

  • 20. 
    CNS Depressants Hypnotics include Non- Benzodiazepines
    • A. 

      Buspirone (Buspar)

    • B. 

      Chloral Hydrate

    • C. 

      Zolpdem (Ambien)

  • 21. 
    Anesthetics are localized into four groups
    • A. 

      General

    • B. 

      Topical (laceration, periatric IV, numbness) Lidocaine and Xylocaine

    • C. 

      Local (Novocain, Lidocain, Xylocaine, Buplvacaine)

    • D. 

      Spinal - most common epidural

  • 22. 
    General Anesthetics are classified into four phases
    • A. 

      1- Analgesic - loss of pain

    • B. 

      2- Excitement - senses are more stimulated

    • C. 

      3- Surgical

    • D. 

      4- Medullary paralysis (not good)

  • 23. 
    General Anesthetics IV SedationBarbituratesThiopental sodium - pentothalDroperlodol/Fentanyl - InnovarBenzodiazepinesDiazepam - ValiumMidazolam - Versed
    • A. 

      True

    • B. 

      False

  • 24. 
    Anti-seizureAnti-convulsantAnti-epileptic drugs....Epilepsy-chronic condition characterized by seizure activitySeizure - results from excessive stimulation of neurons in the brain leading to a sudden burst of abnormal neuron activity resulting in changes in brain function no two seizures are alikeConvulsions - refers to spasmodic, uncontrolled contractions of the involuntary muscles
    • A. 

      Controls seizure activity by blocking sodium

    • B. 

      Controls seizure by blocking calcium

    • C. 

      Increased activity of GABA