Which of the following has no muscarinic blocking activity:

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Question 1 of 5

Which of the following has no muscarinic blocking activity:

Correct Answer: D

Rationale: The correct answer is D, Edrophonium. Edrophonium is a short-acting cholinesterase inhibitor used in the diagnosis of myasthenia gravis. It does not possess muscarinic blocking activity, as its mechanism of action involves inhibition of acetylcholinesterase leading to increased acetylcholine levels at the neuromuscular junction. The other choices, Amitriptyline (A) is a tricyclic antidepressant with anticholinergic properties, Meperidine (B) has weak antimuscarinic effects, and Ipratropium (C) is an anticholinergic medication used in respiratory conditions. These choices exhibit muscarinic blocking activity, unlike Edrophonium.

Question 2 of 5

The term catecholamine best describes drugs that are:

Correct Answer: D

Rationale: The correct answer is D because catecholamines are structurally similar to adrenaline and noradrenaline, sharing a catechol nucleus and amine group. This similarity allows them to exert similar pharmacologic effects such as increasing heart rate and blood pressure. Adrenergic receptor blockers (A) inhibit the action of catecholamines, atropine-like drugs (B) block muscarinic receptors, and neostigmine and physostigmine (C) are cholinesterase inhibitors, not catecholamines.

Question 3 of 5

Your patient is diagnosed with myasthenia gravis, and she is given a prescription for pyridostigmine. Which of the following best summarizes the drug’s mechanism of action?

Correct Answer: D

Rationale: The correct answer is D: "Inhibits breakdown of acetylcholine, thereby improving activation of skeletal muscle by acetylcholine." Rationale: 1. Pyridostigmine is an acetylcholinesterase inhibitor, which means it blocks the breakdown of acetylcholine. 2. In myasthenia gravis, there is a decrease in acetylcholine receptor sites, leading to muscle weakness. 3. By inhibiting the breakdown of acetylcholine, pyridostigmine increases the availability of acetylcholine at the neuromuscular junction, improving muscle activation. 4. This mechanism helps alleviate muscle weakness in myasthenia gravis patients. Summary: A: Incorrect. Pyridostigmine does not block muscarinic receptors or change the preference of acetylcholine stimulation. B: Incorrect. Pyridostigmine does not inhibit reuptake of acetylcholine; it acts by inhibiting its breakdown

Question 4 of 5

Which two elements react together to form an ionic compound?

Correct Answer: C

Rationale: The correct answer is C, X and Z. Ionic compounds are formed when a metal (X) reacts with a nonmetal (Z) by transferring electrons to achieve a stable octet configuration. Metal atoms tend to lose electrons to form positively charged cations, while nonmetal atoms tend to gain electrons to form negatively charged anions. In this case, X (metal) and Z (nonmetal) will react to form an ionic compound through electron transfer. Choices A, B, and D are incorrect because they do not involve a metal-nonmetal combination, which is essential for the formation of an ionic compound.

Question 5 of 5

What is the distance travelled by the car in the 20 s shown?

Correct Answer: C

Rationale: The correct answer is C: 160 m. To calculate distance traveled, we use the formula: distance = speed x time. In this case, the speed of the car is 8 m/s (given in the graph) and the time is 20 s. Therefore, distance = 8 m/s x 20 s = 160 m. Choice A is incorrect as it is too low. Choice B is incorrect as it does not account for the full 20 s. Choice D is incorrect as it is too high based on the given speed and time.

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