ATI RN
Central Nervous System Stimulants and Related Drugs NCLEX Style Questions Questions
Question 1 of 5
Which of the following is useful in treatment of trigeminal neuralgia:
Correct Answer: D
Rationale: Carbamazepine (choice D), an anticonvulsant, treats trigeminal neuralgia by stabilizing sodium channels, reducing nerve firing. Phenylbutazone (choice A), an NSAID, and Morphine (choice B), an opioid, aren't first-line. Atropine (choice C), an anticholinergic, is irrelevant. Carbamazepine is the standard therapy.
Question 2 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 3 of 5
The arthritis therapy least likely to cause gastric ulceration is
Correct Answer: B
Rationale: Acetaminophen is not an NSAID and does not cause gastric ulceration.
Question 4 of 5
Select the analgesic that acts via opioid and spinal monoaminergic mechanisms
Correct Answer: A
Rationale: Tramadol has dual mechanisms, affecting opioid receptors and inhibiting serotonin/norepinephrine reuptake.
Question 5 of 5
Which of the following antipsychotics (in excess dose) is responsible for cardiac arrhythmias?
Correct Answer: C
Rationale: Thioridazine has been associated with QT prolongation and a higher risk of cardiac arrhythmias.