Following agent is generally used in allergic rhinitis

Questions 187

ATI RN

ATI RN Test Bank

Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions

Question 1 of 5

Following agent is generally used in allergic rhinitis

Correct Answer: D

Rationale: All of these are corticosteroids commonly used for allergic rhinitis due to their anti-inflammatory effects.

Question 2 of 5

A first-year surgery intern has rotated on numerous surgical services. He has gotten quite used to ordering morphine for pain control. However, which of the following is an absolute contraindication to opioid use?

Correct Answer: A

Rationale: Closed head injury (choice A) contraindicates morphine due to respiratory depression and ICP elevation, masking neurological signs. MI (choice B), pulmonary edema (choice C), and diarrhea (choice D) benefit from morphine. This exception ensures safety.

Question 3 of 5

The characteristic feature of phenytoin pharmacokinetics is

Correct Answer: C

Rationale: Phenytoin follows nonlinear (saturation) kinetics meaning small dose increases can cause disproportionate rises in blood levels.

Question 4 of 5

Which of the following is a potassium-sparing diuretic?

Correct Answer: B

Rationale: Triamterene is a potassium-sparing diuretic that inhibits Na+ channels in the distal tubule reducing K+ loss.

Question 5 of 5

Benzodiazepines produce their actions on CNS by:

Correct Answer: B

Rationale: Benzodiazepines (e.g., diazepam, lorazepam) are CNS depressants used for anxiety, seizures, and insomnia. They exert effects by binding to a specific allosteric site on the GABAa receptor, enhancing GABA's inhibitory action. GABA, the primary inhibitory neurotransmitter, opens chloride (Cl⁻) channels, hyperpolarizing neurons and reducing excitability. Benzodiazepines increase the frequency of channel opening, potentiating this effect, leading to sedation and anxiolysis. Blocking Cl⁻ channels (choice A) would oppose inhibition, contrary to their purpose. Acting as direct agonists (choice C) is incorrect—they don't activate the receptor alone but amplify GABA's action. Antagonizing GABAb receptors (choice D) is irrelevant, as benzodiazepines target GABAa specifically. This potentiation mechanism underlies their therapeutic utility and risks like tolerance. Understanding this is key to distinguishing benzodiazepines from other CNS drugs and managing their clinical use effectively.

Access More Questions!

ATI RN Basic


$89/ 30 days

 

ATI RN Premium


$150/ 90 days

 

Similar Questions