Which of the following is not a side effect of the cholinoreceptor blocker (Atropine)?

Correct Answer: B

Rationale: The correct answer is B: Diarrhea. Atropine, a cholinoreceptor blocker, inhibits acetylcholine, causing decreased GI motility leading to constipation. Atropine also increases pulse rate due to reduced vagal tone (A). It causes mydriasis by blocking cholinergic receptors in the eye (D). Diarrhea is not a typical side effect of atropine due to its anticholinergic properties.

Correct Answer: B

Rationale: Barbiturates are central nervous system depressants used to treat seizures, insomnia, and anxiety. However, they can worsen hypotension as they can cause vasodilation and decrease blood pressure. Choice B is correct because using barbiturates in hypotensive patients can lead to further lowering of blood pressure, potentially causing harm. Choices A, C, and D are incorrect as barbiturates are commonly used to treat seizures, insomnia, and anxiety, respectively, due to their sedative and anticonvulsant properties.

Correct Answer: D

Rationale: Nifedipine is a calcium channel blocker primarily used to treat angina, arrhythmias, and hypertension due to its vasodilatory effect. However, it does not treat fluid retention as it does not have diuretic properties. Therefore, the correct answer is D. Choice A, B, and C are incorrect because nifedipine is commonly used to manage these conditions.

Correct Answer: D

Rationale: The correct answer is D: Penicillamine. Penicillamine is a chelating agent that binds to copper and forms a complex that can be excreted from the body, making it an effective antidote for copper toxicity. Glucagon (A) is used for treating hypoglycemia, aminocaproic acid (B) is used to treat excessive bleeding, and atropine (C) is used to treat bradycardia and organophosphate poisoning, none of which are related to copper toxicity.

Correct Answer: B

Rationale: The correct answer is B: Protease inhibitor. Drugs ending in the suffix (navir) are commonly used to inhibit protease enzymes in viruses, particularly in the treatment of HIV/AIDS. Protease inhibitors disrupt viral replication by preventing the cleavage of viral proteins, thus inhibiting the production of new infectious viral particles. Choice A, Antidepressant, is incorrect as drugs used to treat depression usually end in (ine) or (pram). Choice C, Beta antagonist, is incorrect as drugs affecting beta receptors typically end in (olol) or (lol). Choice D, H antagonist, is incorrect as drugs targeting histamine receptors usually end in (ine) or (idine).

Correct Answer: A

Rationale: The correct answer is A: Quinidine. Quinidine is a class IA antiarrhythmic drug that blocks sodium channels in a use-dependent manner, which means it preferentially blocks channels that are open or have a rapid firing rate during depolarization. This action results in a decrease in conduction velocity and refractory period. Disopyramide is a class IA antiarrhythmic but does not specifically block sodium channels. Amiodarone is a class III antiarrhythmic that primarily affects potassium channels. Propafenone is a class IC antiarrhythmic that has minimal effects on sodium channel blockade. Therefore, Quinidine is the correct choice as a class IA sodium channel blocker.

Correct Answer: D

Rationale: The correct answer is D: Procainamide. Procainamide is a class IA antiarrhythmic drug that blocks sodium channels, prolonging the action potential duration. This helps to stabilize the heart's rhythm. Mexiletine (A) is a class IB antiarrhythmic drug that blocks sodium channels with fast recovery kinetics. Amiodarone (B) is a class III antiarrhythmic drug that prolongs repolarization by blocking potassium channels. Quinidine (C) is a class IA antiarrhythmic drug that also blocks sodium channels, but it is not a class IB sodium channel blocker like Procainamide.

Correct Answer: D

Rationale: The correct answer is D: Rheumatic fever. Methotrexate is not typically used to treat rheumatic fever as it is an autoimmune inflammatory condition, not typically responsive to Methotrexate. Methotrexate is commonly used to treat sarcomas, leukemias, and ectopic pregnancies due to its ability to inhibit cell proliferation. Sarcomas and leukemias are types of cancers, while ectopic pregnancy is a condition where a fertilized egg implants outside the uterus.

Correct Answer: D

Rationale: Rationale: Lansoprazole is a proton pump inhibitor used to treat conditions related to excess stomach acid. Thalamus hypertrophy is not a condition affecting stomach acid production, making it unrelated to Lansoprazole use. A: Gastritis, B: Peptic Ulcers, and C: Zollinger-Ellison syndrome all involve excessive stomach acid secretion, hence Lansoprazole is used in these cases. Thalamus hypertrophy does not involve stomach acid issues, making it the correct answer.