Autonomic Drugs

Question 1

Bethanechol

Answer 1

Cholinomimetic, post-op ileus,

urinary retention

Question 2

Carcachol

Answer 2

Cholinomimetic, Glaucoma, pupil constriction

Question 3

Pilocarpine

Answer 3

Cholinomimetic, stimulate lacrimation, Glaucoma

Question 4

Methacholine

Answer 4

Cholinomimetic, Asthma challenge test

Question 5

Neostigmine

Answer 5

Anticholinesterase, post-op ileus, Myastthenia gravis

Question 6

Pyridostigmine

Answer 6

Anticholinesterase- Myasthenia Gravis

Question 7

Physostigmine

Answer 7

Anticholinesterase, Anti Ach toxicity

Question 8

Donepezil, Rivastigmine, galantamine

Answer 8

Anticholinesterase, Alzheimer’s disease

Question 9

Edrophonium

Answer 9

Anticholinesterase, MG diagnosis

Question 10

Atropine, Tropicamide

Answer 10

Muscarinic antagonist
Used to reverse cholinesterase inhibitor poison, and Eye exams (cycloplegia)
SE:Dry secretions, decrease acid, decrease GI motility, urinary retention

Question 11

Benztropine

Answer 11

Muscarinic antagonist, Parkinson’s disease

Question 12

Scopolamine

Answer 12

Muscarinic antagonist, motion sickness

Question 13

Ipratropium, tiotropium

Answer 13

Muscarinic antagonist, COPD, Asthma

Question 14

Oxybutynin

Answer 14

Muscarinic antagonist, Reduce urinary urgency

Question 15

Glycopyrrolate

Answer 15

Muscarinic Antagonist, Reduce airway secretions, PUD

Question 16

Epinephrine

Answer 16

Beta agonist>Alpha agonist

Use: Anaphylaxis, asthma, hypotension

Question 17

Norepinephrine

Answer 17

Alpha1>Alpha2>Beta1

Use: Hypotension

Question 18

Isoproterenol

Answer 18

B1=B2

Use: Evaluation of tachyarrhythmia

Question 19

Dopamine

Answer 19

D1=D2>Beta>Alpha

Use: unstabile Bradycardia, Heart failure, shock

Question 20

Dobutamine

Answer 20

B1>B2, Alpha

Use: Heart Failure, cardiac stress test

Question 21

Phenylephrine

Answer 21

Apha1>Alpha2

Use: Hypotension, ocular procedure, colds

Question 22

Albuterol, Salmeterol, terbutaline

Answer 22

B2>B1

Use: Acute Asthma, COPD (salmeterol)

Question 23

Clonidine

Answer 23

Alpha 2 Agonist
Use: HTN urgency, no effect on renal blood flow
SE: CNS depression, bradycardia, hypotension

Question 24

Alpha-Methyldopa

Answer 24

HTN in Pregnancy

Question 25

Phenoxybenzamine

Answer 25

Irreversible Alpha blocker

Use: Pheochromocytoma

Question 26

Phentolamine

Answer 26

Reversible alpha blocker

Use: People on MAO inhibitors who eat tyramine foods

Question 27

Prazosin, Terazosin, doxazosin, tamsulosin

Answer 27

Alpha 1 Blocker

Use: BPH, HTN (not tamsulosin)