ATI RN
Pharmacology of CNS Drugs Questions
Question 1 of 5
Both the older (tricyclic) antidepressants and the newer ones (e.g. fluoxetine) relieve signs and symptoms of depression mainly by doing which one of the following things?
Correct Answer: C
Rationale: TCAs (e.g., imipramine) and SSRIs (e.g., fluoxetine) (choice C) block reuptake of serotonin and/or norepinephrine, increasing synaptic levels to treat depression. Blocking receptors (choice A, B) or stimulating serotonin (choice D) aren't primary mechanisms. Reuptake inhibition is their shared action.
Question 2 of 5
After a few weeks on a drug, a patient reports profound thirst and the production of copious volumes of clear (diluted) urine each day. Which of the following drugs is most likely responsible for the signs and symptoms?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A patient received antipsychotic drugs for schizophrenia. Recently, the psychiatric gives her clozapine 'atypical antipsychotic'. Which of the following best summarizes its serious adverse response?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Acarbose is an inhibitor of the following enzyme:
Correct Answer: B
Rationale: Acarbose (choice B) inhibits α-glucosidase, an enzyme in the small intestine that breaks down complex carbohydrates into glucose, delaying absorption and reducing postprandial glucose spikes in type 2 diabetes. Phosphodiesterase (choice A) is targeted by drugs like sildenafil, unrelated to glucose metabolism. Cyclo-oxygenase (choice C), inhibited by NSAIDs, affects prostaglandin synthesis, not carbohydrates. Cholinesterase (choice D), blocked by anticholinesterases, impacts acetylcholine, not glucose. α-glucosidase inhibition is Acarbose's specific action, making it effective for glycemic control without systemic insulin effects. This mechanism highlights its role in dietary glucose management, distinguishing it from other antidiabetic drugs and aiding in patient education about its GI side effects like flatulence.
Question 5 of 5
The following statements are true about leuprolide EXCEPT:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.