Following mediators are involved in acute inflammation except

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Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions

Question 1 of 5

Following mediators are involved in acute inflammation except

Correct Answer: C

Rationale: Interferons are involved in antiviral defense and immune modulation, not acute inflammation.

Question 2 of 5

Morphine can be used for all the following therapeutic indications EXCEPT:

Correct Answer: B

Rationale: Morphine treats MI pain (choice A), postoperative pain (choice C), and pulmonary edema (choice D) by reducing pain and preload. Head injury pain (choice B) contraindicates it due to respiratory depression and ICP risks. This exception guides safe use.

Question 3 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.

Question 4 of 5

Regarding ketamine, which statement is true?

Correct Answer: D

Rationale: Ketamine can increase heart rate and is contraindicated in conditions like sick sinus syndrome.

Question 5 of 5

A 44-year-old man with schizophrenia is being treated with a low-potency typical antipsychotic. He complains that his medication's side effects are more than he can handle and wants to try another medication. If he was to switch from a low-potency to a high-potency antipsychotic drug, which of the following side effects would likely diminish?

Correct Answer: A

Rationale: High-potency antipsychotics have fewer anticholinergic side effects (e.g., dry mouth, constipation) compared to low-potency antipsychotics, but they are more likely to cause extrapyramidal symptoms like parkinsonism.

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