Atropine:

Correct Answer: A

Rationale: Atropine, a muscarinic antagonist, causes bronchodilation by relaxing bronchial smooth muscle, a true statement used in asthma or COPD. It produces mydriasis (pupil dilation), not miosis (constriction), making that false, as it blocks parasympathetic tone. It's highly lipid-soluble, crossing the blood-brain barrier, so that's false. It doesn't block acetylcholine (ACh) reuptake (there's no such mechanism) but competitively inhibits muscarinic receptors, so that's incorrect. It reduces, not increases, salivary secretions. Bronchodilation is a primary therapeutic effect, reflecting atropine's anticholinergic action, critical for respiratory applications and distinguishing it from sympathomimetics.

Correct Answer: A

Rationale: Amlodipine is a medication that is taken orally, usually in the form of tablets. The abbreviation "PO" stands for per os, which means by mouth or orally. Amlodipine is widely prescribed to treat high blood pressure and certain types of chest pain. It works by relaxing the blood vessels, making it easier for the heart to pump blood. Taking amlodipine orally allows it to be absorbed through the digestive system and enter the bloodstream to exert its therapeutic effects.

Correct Answer: B

Rationale: An idiosyncratic reaction is an unusual or unexpected response to a medication that is not related to the drug's known pharmacological effects. In this case, the elderly woman experienced restlessness instead of sedation, which is contrary to the expected effect of a sleep aid. Idiosyncratic reactions are unpredictable and can vary widely among individuals. Allergic reactions involve the immune system, mutagenic effects involve genetic changes, and synergistic effects involve interactions between multiple drugs. Since the woman's response was unexpected and not consistent with the drug's intended effect, it is classified as an idiosyncratic reaction.

Correct Answer: D

Rationale: When administering Phenytoin, it is essential to monitor all of the above: behavior, therapeutic blood levels, and for the development of Steven Johnson syndrome.

Correct Answer: B

Rationale: Hydroxychloroquine risks retinal damage-regular eye exams (e.g., yearly) detect it early, per safety. Potassium, glucose, and BP aren't directly tied-retinopathy is key. Exams monitor vision, per protocol.