All of the following are selective SSRIs except

Correct Answer: C

Rationale: The correct answer is C: Olanzapine. Olanzapine is an atypical antipsychotic medication, not an SSRI. SSRIs (Selective Serotonin Reuptake Inhibitors) are a class of antidepressants that specifically target serotonin reuptake. Fluvoxetine, Paroxetine, and Fluvoxamine are all SSRIs used to treat depression and anxiety disorders. Olanzapine, on the other hand, is primarily used to treat schizophrenia and bipolar disorder by targeting dopamine and serotonin receptors. Therefore, C is the correct answer as it does not belong to the class of selective SSRIs.

Correct Answer: D

Rationale: Bradykinin is a peptide that primarily causes smooth muscle contraction, dilatation of blood vessels, and pain by binding to its receptors. However, it does not directly cause liver cirrhosis. Liver cirrhosis is a chronic disease characterized by liver scarring due to various factors like alcohol abuse or hepatitis, not by the action of bradykinin. Therefore, the correct answer is D. Smooth muscle contraction, dilatation of blood vessels, and pain are all known effects of bradykinin based on its physiological functions, making them incorrect choices for this question.

Correct Answer: A

Rationale: The correct answer is A: Prostaglandins. Prostaglandins are known to induce uterine contractions, playing a crucial role in the process of labor. They stimulate smooth muscle contraction, including that of the uterus, leading to the initiation and progression of labor. Thromboxanes are involved in platelet aggregation, not uterine contractions. Leukotrienes are associated with inflammation and immune responses, not uterine contractions. NSAIDs inhibit prostaglandin synthesis, therefore, they would not cause uterine contractions.

Correct Answer: C

Rationale: The correct answer is C: Intravenous or Intramuscular route. Ketamine can be administered via both intravenous and intramuscular routes due to its rapid onset of action and versatility in different clinical settings. Intravenous administration allows for a quick and precise dosing, ideal for surgical procedures, while intramuscular administration provides an alternative for patients who cannot receive IV medications. Option A and B are incorrect as they are limited to only one route of administration each. Option D is incorrect as ketamine can indeed be administered by one of the mentioned routes.

Correct Answer: A

Rationale: The correct answer is A: Imipramine hydrochloride. Imipramine is a tricyclic antidepressant that is also used to treat childhood enuresis. It works by affecting neurotransmitters in the brain, helping to control the bladder and reduce bedwetting. Imipramine pamoate is a similar drug but is not typically used for enuresis in children. Therefore, choice B is incorrect. Choice C is incorrect because only imipramine hydrochloride is specifically indicated for childhood enuresis. Choice D is incorrect as imipramine hydrochloride is indeed used for this condition.