ATI RN
Pharmacology CNS Drugs Quiz Questions
Question 1 of 5
The use of morphine is contraindicated in all the following conditions EXCEPT:
Correct Answer: C
Rationale: Morphine is contraindicated in conditions where its effects exacerbate risks. In head injuries (choice A), it masks neurological signs (e.g., pupil changes) and raises intracranial pressure via CO2 retention from respiratory depression. In bronchial asthma (choice B), respiratory depression worsens hypoxemia. In myxoedema (choice D), slowed metabolism increases sensitivity to CNS depression. However, in acute left ventricular failure (choice C), morphine is beneficial, reducing preload and anxiety in pulmonary edema, improving oxygenation. This exception reflects its therapeutic role in cardiac emergencies, contrasting with contraindications where CNS or respiratory depression is detrimental. Understanding these nuances guides safe morphine use.
Question 2 of 5
The following is a selective COX-3 enzyme inhibitor:
Correct Answer: C
Rationale: Acetaminophen (choice C) is proposed to inhibit COX-3 (a COX-1 variant) in the CNS, explaining its antipyretic and analgesic effects with minimal anti-inflammatory action. Acetylsalicylic acid (choice A) and Diclofenac (choice B) inhibit COX-1 and COX-2, while Celecoxib (choice D) targets COX-2. Acetaminophen's selectivity distinguishes its mechanism, key for fever and pain management.
Question 3 of 5
The following statements about carbidopa is CORRECT:
Correct Answer: A
Rationale: Carbidopa (choice A) inhibits dopa decarboxylase peripherally, preventing L-DOPA breakdown, enhancing CNS delivery in Parkinson's. It doesn't cross the BBB (choice B), reduces L-DOPA dose needs (choice C incorrect), and decreases peripheral metabolism (choice D incorrect). This correct statement underscores its adjunctive role.
Question 4 of 5
Psychic depression can be treated by the following:
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
L-Dopa can be used to treat which of the following:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.