ATI RN
Cardiovascular Drug Questions
Question 1 of 5
Biotransformation of the drugs is to render them:
Correct Answer: D
Rationale: Biotransformation aims to make drugs more polar and water-soluble to facilitate their elimination. This process usually involves adding functional groups to increase polarity, making drugs less lipid-soluble. Therefore, the correct answer is D. Choice A is incorrect because ionization is not the primary focus of biotransformation. Choice B is incorrect as increased pharmacological activity is not a goal of biotransformation. Choice C is incorrect because increasing lipid solubility would hinder drug elimination, contrary to the purpose of biotransformation.
Question 2 of 5
Which of the following local anesthetics is more likely to cause allergic reactions?
Correct Answer: C
Rationale: The correct answer is C: Procaine. Procaine is more likely to cause allergic reactions due to its structural similarity to PABA, a common allergen. It can trigger allergic responses in individuals sensitive to PABA. Lidocaine, Bupivacaine, and Ropivacaine are less likely to cause allergic reactions as they have different chemical structures and mechanisms of action. Allergy to these drugs is rare compared to procaine.
Question 3 of 5
All of the following parts of the heart are very sensitive to muscarinic receptor blockade except:
Correct Answer: D
Rationale: The correct answer is D: Ventricle. Muscarinic receptors are predominantly found in the atria, sinoatrial node, and atrioventricular node. Blocking these receptors can lead to decreased heart rate and conduction. The ventricles, however, are more sensitive to beta-adrenergic stimulation rather than muscarinic blockade. This is because beta-adrenergic receptors play a significant role in the contractility of the ventricles. Therefore, the ventricles are not as sensitive to muscarinic receptor blockade compared to the other parts of the heart.
Question 4 of 5
Indirect action includes all of the following properties EXCEPT:
Correct Answer: C
Rationale: The correct answer is C: Interaction with adrenoreceptors. Indirect action involves affecting catecholamines' release, reuptake, or displacement, not direct interaction with adrenoreceptors. A: Displacement of stored catecholamines is correct as it refers to causing the release of stored catecholamines. B: Inhibition of reuptake is correct as it refers to preventing the reuptake of catecholamines. D: Inhibition of release of endogenous catecholamines is correct as it refers to stopping the release of catecholamines from nerve endings.
Question 5 of 5
Which of the following sympathomimetics is used in the therapy of bronchial asthma?
Correct Answer: A
Rationale: The correct answer is A: Formoterol. It is a long-acting beta2-adrenergic agonist used in bronchial asthma therapy to dilate airways by relaxing smooth muscles. Norepinephrine (B) is a vasopressor, not used in asthma. Methoxamine (C) is an alpha1-adrenergic agonist, not indicated for asthma. Dobutamine (D) is a beta1-adrenergic agonist mainly used in heart failure, not asthma. Formoterol's mechanism of action aligns with the therapeutic goal of bronchial asthma treatment, making it the correct choice.