ATI RN
Drugs for Peripheral Nervous System Questions
Question 1 of 5
At rest, the interior of the typical mammalian neuronal axon potential is approximately mV
Correct Answer: B
Rationale: The correct answer is B) -70 mV. This is known as the resting membrane potential of a typical mammalian neuronal axon. The resting membrane potential is the electrical charge difference across the neuronal membrane when the neuron is not sending any signals. Option A) 0 mV is incorrect because neurons do not have a resting membrane potential of 0 mV. Option C) -100 mV is incorrect as it is too hyperpolarized for a typical resting membrane potential. Option D) -20 mV is also incorrect as it is not the standard resting potential for neurons. Understanding the resting membrane potential is crucial in neuroscience and pharmacology as it plays a vital role in the transmission of nerve impulses. It is essential for maintaining the excitability of neurons and is influenced by various ions such as sodium, potassium, and chloride. Educationally, knowing the resting membrane potential helps students comprehend the basics of neuronal function and how drugs targeting the peripheral nervous system can affect this important physiological parameter. This knowledge is fundamental for understanding the mechanisms of action of drugs used in treating conditions related to the peripheral nervous system.
Question 2 of 5
Which of the following diuretics would be most useful in a patient with cerebral edema?
Correct Answer: C
Rationale: In the context of treating cerebral edema, the most appropriate diuretic from the options provided is Mannitol (Option C). Mannitol is an osmotic diuretic that works by drawing water into the renal tubules, thereby reducing intracranial pressure and cerebral edema. It is particularly useful in situations like cerebral edema where rapid reduction of intracranial pressure is necessary. Acetazolamide (Option A) is a carbonic anhydrase inhibitor diuretic that is more commonly used in conditions like glaucoma and altitude sickness, not specifically for cerebral edema. Amiloride (Option B) is a potassium-sparing diuretic commonly used in conditions such as hypertension and heart failure, but not typically indicated for cerebral edema. Furosemide (Option D) is a loop diuretic that is more commonly used for conditions like heart failure, pulmonary edema, and hypertension. While furosemide can help reduce overall fluid volume in the body, it is not the ideal choice for managing cerebral edema due to its mechanism of action and efficacy in this specific context. In an educational context, understanding the specific mechanisms of action and indications for different diuretics is crucial for healthcare professionals to make informed decisions in clinical practice. By grasping the rationale behind choosing Mannitol over other diuretics for cerebral edema, healthcare providers can optimize patient care and outcomes in conditions involving intracranial pressure management.
Question 3 of 5
Cromolyn has as its major action
Correct Answer: B
Rationale: Cromolyn's major action is the blockage of mediator release from mast cells, making option B the correct answer. This drug is known for its mast cell stabilizing properties, which inhibit the release of histamine and other inflammatory mediators. By preventing these substances from being released, cromolyn helps to reduce allergic responses and inflammation in conditions like asthma and allergic rhinitis. Option A, which suggests blocking calcium channels in lymphocytes, is incorrect because cromolyn does not act on calcium channels but rather on mast cells. Option C, blocking phosphodiesterase in mast cells and basophils, is also incorrect as cromolyn's mechanism of action is not related to phosphodiesterase inhibition. Option D, smooth muscle relaxation in the bronchi, is not the major action of cromolyn; instead, it primarily works by preventing mediator release. In an educational context, understanding the specific mechanisms of action of drugs is crucial for healthcare professionals to make informed decisions regarding patient treatment. Knowing how cromolyn works can help clinicians prescribe it effectively for conditions where mast cell stabilization is needed, and differentiate it from other medications with different mechanisms of action. This knowledge ultimately contributes to better patient outcomes and improved quality of care.
Question 4 of 5
Clinical uses of Vitamin D do not include
Correct Answer: B
Rationale: In this question regarding the clinical uses of Vitamin D, the correct answer is B) Hyperparathyroidism. Vitamin D is primarily involved in calcium and phosphorus homeostasis and bone health. A) Chronic renal failure is a correct clinical use of Vitamin D because patients with kidney disease often have compromised Vitamin D activation in their kidneys and require supplementation for bone health. C) Intestinal osteodystrophy is a condition related to abnormal bone formation due to Vitamin D deficiency, making it a correct clinical use for Vitamin D supplementation. D) Nutritional rickets is a condition caused by Vitamin D deficiency, so it is a valid clinical use for Vitamin D supplementation. Understanding the clinical uses of Vitamin D is crucial for healthcare professionals, especially those working with patients at risk of bone disorders or Vitamin D deficiency. By knowing when to prescribe or recommend Vitamin D supplementation, healthcare providers can help prevent or manage conditions related to inadequate Vitamin D levels. This knowledge is essential for nurses, doctors, pharmacists, and other healthcare professionals who play a role in patient care and education.
Question 5 of 5
A patient is admitted to the emergency room with orthostatic hypotension and evidence of marked GI bleeding. Which of the following most accurately describes the probable autonomic response to this bleeding?
Correct Answer: B
Rationale: The correct answer is B) Rapid heart rate, dilated pupils, damp skin. In response to marked GI bleeding causing orthostatic hypotension, the autonomic nervous system reacts by activating the sympathetic system to compensate for the decreased blood volume. A) Slow heart rate, dilated pupils, damp skin: This option describes a parasympathetic response, which is not appropriate for compensating for blood loss. C) Slow heart rate, dry skin, increased bowel sounds: This option also describes a parasympathetic response and does not align with the compensatory mechanisms needed in this situation. D) Rapid heart rate, constricted pupils, increased bowel sounds: While rapid heart rate is correct, constricted pupils and increased bowel sounds are not typical responses to acute blood loss. Educational Context: Understanding the autonomic responses to different physiological conditions is crucial in healthcare. In emergencies like severe bleeding, recognizing the body's compensatory mechanisms helps healthcare providers make timely and appropriate interventions to stabilize the patient's condition. This knowledge is vital for nurses, doctors, and other healthcare professionals to provide effective care in critical situations.