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Review of Pharmacology - 9E (2015)

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Autonomic Nervous System<br />

84<br />

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

(b) IV adrenaline increases systolic, decreases diastolic<br />

BP and causes tachycardia<br />

(c) IV isoproterenol increases systolic, decreases diastolic<br />

BP and causes tachycardia<br />

(d) Dopamine increases peripheral resistance and improves<br />

renal perfusion<br />

117. Which is not an endogenous catecholamine?<br />

(a) Dopamine (AIIMS May, 2007)<br />

(b) Dobutamine<br />

(c) Adrenaline<br />

(d) Noradrenaline<br />

118. Which <strong>of</strong> the following is not an alpha adrenoceptor<br />

agonist? (AIIMS May, 2005)<br />

(a) Clonidine<br />

(b) Methyldopa<br />

(c) Guanabenz<br />

(d) Guanfacine<br />

119. Uses <strong>of</strong> α 2<br />

agonists are all except:<br />

(a) To produce sedation<br />

(b) Glaucoma<br />

(c) Benign hyperplasia <strong>of</strong> prostate<br />

(d) Hypertension<br />

120. True statement(s) out <strong>of</strong> the following is/are:<br />

(PGI June, 2001)<br />

(a) β 1<br />

receptors in heart stimulate its contractions<br />

(b) β 2<br />

receptors in heart stimulate its contractions<br />

(c) β 2<br />

receptors are present in smooth muscles<br />

(d) α 1<br />

receptors cause preganglionic stimulation<br />

(e) α 2<br />

receptors cause postganglionic feedback inhibition<br />

121. True about tachyphylaxis is: (PGI Dec. 2006)<br />

(a) Direct sympathomimetics involved<br />

(b) Mechanism clearly understood<br />

(c) Ephedrine tachyphylaxis reversed with dopamine<br />

(d) Indirect sympathomimetics involved<br />

(e) It is an anaphylactic reaction<br />

122. A patient, Harish came to the emergency after receiving<br />

penicillin injection. He was diagnosed to have<br />

anaphylactic shock. Which <strong>of</strong> the following is the only<br />

life saving measure to treat him?<br />

(a) Intravenous hydrocortisone hemisuccinate<br />

(b) Intravenous adrenaline hydrochloride<br />

(c) Intramuscular adrenaline hydrochloride<br />

(d) Intravenous glucose saline<br />

123. The only non-catecholamine sympathomimetic drug<br />

out <strong>of</strong> the following is:<br />

(a) Adrenaline<br />

(b) Ephedrine<br />

(c) Dopamine<br />

(d) Isoprenaline<br />

124. Which <strong>of</strong> the following drugs shows the phenomenon<br />

<strong>of</strong> vasomotor reversal <strong>of</strong> Dale after administration <strong>of</strong> an<br />

α adrenergic blocker?<br />

(a) Adrenaline<br />

(b) Noradrenaline<br />

(c) Isoprenaline<br />

(d) All <strong>of</strong> the above<br />

125. A drug is shown to activate dopaminergic D 1<br />

and D 2<br />

and adrenergic α and β 1<br />

but not β 2<br />

receptors. Which <strong>of</strong><br />

the following can be the drug being talked about?<br />

(a) Dopamine<br />

(b) Dobutamine<br />

(c) Methoxamine<br />

(d) Phenylephrine<br />

126. A patient in shock comes to you in trauma ward. You<br />

examine him and decide not to give him vasoconstrictors.<br />

Which is the type <strong>of</strong> shock your patient is having?<br />

(a) Neurogenic shock<br />

(b) Haemorrhagic shock<br />

(c) Secondary shock<br />

(d) Hypotension due to spinal anaesthesia<br />

127. The correct statement regarding adrenergic neuron<br />

blocking drugs is:<br />

(a) Block the action <strong>of</strong> adrenaline on neuronal α 2<br />

adrenoceptors<br />

(b) Block both α and β adrenoceptor mediated effects <strong>of</strong><br />

injected adrenaline<br />

(c) Do not block any effect <strong>of</strong> injected adrenaline<br />

(d) Do not block the effects <strong>of</strong> sympathetic nerve stimulation<br />

128. A child, Ramu has swallowed the contents <strong>of</strong> 2 bottles<br />

<strong>of</strong> a nasal decongestant whose primary ingredient is α<br />

adrenoceptor agonist drug. The signs <strong>of</strong> α activation<br />

that may occur in this patient include:<br />

(a) Tachycardia<br />

(b) Dilatation <strong>of</strong> pupil<br />

(c) Vasodilation<br />

(d) All <strong>of</strong> the above<br />

129. The neurotransmitter agent that is normally released in<br />

the SA node <strong>of</strong> the heart in response to increased blood<br />

pressure is:<br />

(a) Acetylcholine<br />

(b) Dopamine<br />

(c) Adrenaline<br />

(d) Noradrenaline<br />

130. β 2<br />

selective agonists are <strong>of</strong>ten effective in:<br />

(a) Angina due to coronary insufficiency<br />

(b) Asthma<br />

(c) Delayed labour<br />

(d) All the above<br />

131. Which <strong>of</strong> the following drugs will decrease heart rate<br />

in a patient with a normal heart rate but will have little<br />

effect on heart rate in a cardiac transplant recipient?<br />

(a) Adrenaline<br />

(b) Noradrenaline<br />

(c) Isoproterenol<br />

(d) Phenylephrine<br />

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