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Pharmacology · USMLE Step 1 · Healthcare and Nursing

USMLE Pharmacology: Autonomic Drugs

Cholinergic, adrenergic, and autonomic blocking drugs with receptor target and one signature clinical effect per card.

About this set

38 mixed cards for USMLE Step 1 Pharmacology. Set 4 of 19 in USMLE Pharmacology. It opens with "Bethanechol: receptor target and main clinical use?" and "Pilocarpine: receptor target and main clinical use?". Study it alongside the other USMLE Step 1 sets below.

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Bethanechol: receptor target and main clinical use?
Show answerMuscarinic receptor agonist; used for postoperative/neurogenic ileus and urinary retention
Pilocarpine: receptor target and main clinical use?
Show answerMuscarinic receptor agonist; used to treat open-angle glaucoma and xerostomia
Methacholine, a muscarinic receptor agonist, is used in a bronchial challenge test to help diagnose ____.
Show answerasthma
Carbachol: receptor target and main clinical use?
Show answerMuscarinic and nicotinic receptor agonist; produces miosis in glaucoma and eye surgery
Nicotine: receptor target?
Show answerNicotinic acetylcholine receptor agonist at autonomic ganglia and the neuromuscular junction
Physostigmine: mechanism and signature clinical use?
Show answerAcetylcholinesterase inhibitor that crosses the blood brain barrier; antidote for anticholinergic (atropine) toxicity
Neostigmine: mechanism and signature clinical use?
Show answerAcetylcholinesterase inhibitor that does not cross the blood brain barrier; used for postoperative ileus, urinary retention, and reversal of neuromuscular blockade
Pyridostigmine: mechanism and signature clinical use?
Show answerAcetylcholinesterase inhibitor; used for long-term maintenance treatment of myasthenia gravis
The historic Tensilon test used the short-acting acetylcholinesterase inhibitor ____ to help diagnose myasthenia gravis.
Show answeredrophonium
Donepezil: mechanism and signature clinical use?
Show answerAcetylcholinesterase inhibitor; used to treat Alzheimer disease
Organophosphate poisoning irreversibly inhibits acetylcholinesterase, producing a cholinergic toxidrome treated with atropine plus ____.
Show answerpralidoxime
Pralidoxime: mechanism of action in organophosphate poisoning?
Show answerRegenerates acetylcholinesterase by cleaving the phosphate bond, most effective before enzyme aging occurs
Atropine used as a toxicology antidote: receptor target and indication?
Show answerMuscarinic receptor antagonist; antidote for cholinergic toxicity such as organophosphate poisoning
Atropine used to treat symptomatic bradycardia: receptor target?
Show answerMuscarinic receptor antagonist (blocks vagal tone on the SA node)
Benztropine: receptor target and clinical use?
Show answerMuscarinic receptor antagonist; treats Parkinson disease symptoms and antipsychotic-induced extrapyramidal side effects

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