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Review of Pharmacology - 9E (2015)

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Autonomic Nervous System<br />

82<br />

<strong>Review</strong> <strong>of</strong> <strong>Pharmacology</strong><br />

(c) Is longer acting<br />

(d) Has weaker antimotion sickness activity<br />

81. A drug ‘X’ belongs to the anticholinergic drug group.<br />

It is primarily used in pre anesthetic medication and<br />

also during surgery. Which <strong>of</strong> the following can be ‘X’?<br />

(a) Glycopyrrolate<br />

(b) Pipenzolate methyl bromide<br />

(c) Isopropamide<br />

(d) Dicyclomine<br />

82. You are being asked to give your expert opinion<br />

as a toxicologist regarding an effective antidote for<br />

belladonna poisoning. Which <strong>of</strong> the following agents<br />

would you suggest?<br />

(a) Neostigmine<br />

(b) Physostigmine<br />

(c) Pilocarpine<br />

(d) Methacholine<br />

83. What is the most dangerous effect <strong>of</strong> belladonna in very<br />

young children?<br />

(a) Dehydration<br />

(b) Hallucination<br />

(c) Hypertension<br />

(d) Hyperthermia<br />

84. Which <strong>of</strong> the following best describes the mechanism<br />

<strong>of</strong> action <strong>of</strong> scopolamine?<br />

(a) Irreversible antagonist at nicotinic receptors<br />

(b) Irreversible antagonist at muscarinic receptors<br />

(c) Reversible antagonist at muscarinic receptors<br />

(d) Reversible antagonist at nicotinic receptors<br />

85. Accepted therapeutic indications for the use <strong>of</strong><br />

antimuscarinic drugs include all <strong>of</strong> the following<br />

except:<br />

(a) Hypertension<br />

(b) Motion sickness<br />

(c) Parkinson’s disease<br />

(d) To produce mydriasis and cycloplegia<br />

86. In which <strong>of</strong> the following organs, the effect <strong>of</strong><br />

atropine on parasympathetic system is <strong>of</strong> the longest<br />

duration?<br />

(a) Eye<br />

(b) Heart<br />

(c) Salivary glands<br />

(d) Urinary bladder<br />

87. Which is the shortest acting mydriatic? (DPG 2010)<br />

(a) Atropine<br />

(b) Tropicamide<br />

(c) Cyclopentolate<br />

(d) Homatropine<br />

88. Oxybutynin acts by: (DPG 2004)<br />

(a) Nicotine receptor stimulation<br />

(b) Muscarinic receptor stimulation<br />

(c) Muscarinic receptor inhibition<br />

(d) α receptor inhibition<br />

89. Atropine does not cause: (DPG 2004, MPPG 2004)<br />

(a) Increase bowel sound<br />

(b) Decrease bowel sound<br />

(c) Dryness<br />

(d) Tachycardia<br />

90. Atropine poisoning causes all, EXCEPT: (DPG 2003)<br />

(a) Dilated pupil<br />

(b) Excitement<br />

(c) Excessive salivation<br />

(d) Hot skin<br />

91. Which <strong>of</strong> the following drugs is useful in prophylaxis<br />

<strong>of</strong> motion sickness? (DPG 2000)<br />

(a) Hyoscine<br />

(b) Metoclopramide<br />

(c) Prochlorperazine<br />

(d) Ondansetron<br />

92. Clinical signs <strong>of</strong> atropine intoxication are as follows,<br />

EXCEPT: (MPPG 2007)<br />

(a) Decreased bowel sounds<br />

(b) Dry skin<br />

(c) Scarlet flushing <strong>of</strong> face<br />

(d) Increased bowel sounds<br />

93. Atropine is substituted by phenylephrine to facilitate<br />

fundus examination when: (MPPG 2003)<br />

(a) Mydriasis is required without cycloplegia<br />

(b) Cycloplegia is required<br />

(c) Mydriasis and cycloplegia both are required<br />

(d) Cycloplegia and Mydriasis both are not required<br />

94. Treatment <strong>of</strong> atropine toxicity is: (MPPG 2003)<br />

(a) 2-Pralidoxime<br />

(b) Naloxone<br />

(c) Flumazenil<br />

(d) Physostigmine<br />

95. Short acting mydriatic used in fundoscopy is:<br />

(a) Atropine (UP 2007, 2006, RJ 2006)<br />

(b) Homatropine<br />

(c) Cyclopentolate<br />

(d) Tropicamide<br />

96. The following drug is a selective blocker (antagonist) <strong>of</strong><br />

M1 muscarinic receptors: (TN 2004)<br />

(a) Methacholine<br />

(b) Bethanechol<br />

(c) Methoctramine<br />

(d) Pirenzepine<br />

97. All <strong>of</strong> the following are anticholinergics, except:<br />

(a) Ipratropium bromide (TN 2007)<br />

(b) Dicyclomine<br />

(c) Atropine<br />

(d) Amphetamine<br />

98. Which <strong>of</strong> the following drugs has no cycloplegic<br />

action? (MH 2005)<br />

(a) Atropine<br />

(b) Cyclopentolate<br />

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