Pharmacology · USMLE Step 1

USMLE Pharmacology: Autonomic Drugs

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

38 cards · basic cards · AI-written, checked twice. Edit anything.

Study this set free Get FlashKeepers for iPhone
Bethanechol: receptor target and main clinical use?
Muscarinic receptor agonist; used for postoperative/neurogenic ileus and urinary retention
Pilocarpine: receptor target and main clinical use?
Muscarinic 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 ____.
asthma
Carbachol: receptor target and main clinical use?
Muscarinic and nicotinic receptor agonist; produces miosis in glaucoma and eye surgery
Nicotine: receptor target?
Nicotinic acetylcholine receptor agonist at autonomic ganglia and the neuromuscular junction
Physostigmine: mechanism and signature clinical use?
Acetylcholinesterase inhibitor that crosses the blood brain barrier; antidote for anticholinergic (atropine) toxicity
Neostigmine: mechanism and signature clinical use?
Acetylcholinesterase 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?
Acetylcholinesterase 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.
edrophonium
Donepezil: mechanism and signature clinical use?
Acetylcholinesterase inhibitor; used to treat Alzheimer disease
Organophosphate poisoning irreversibly inhibits acetylcholinesterase, producing a cholinergic toxidrome treated with atropine plus ____.
pralidoxime
Pralidoxime: mechanism of action in organophosphate poisoning?
Regenerates acetylcholinesterase by cleaving the phosphate bond, most effective before enzyme aging occurs
Atropine used as a toxicology antidote: receptor target and indication?
Muscarinic receptor antagonist; antidote for cholinergic toxicity such as organophosphate poisoning
Atropine used to treat symptomatic bradycardia: receptor target?
Muscarinic receptor antagonist (blocks vagal tone on the SA node)
Benztropine: receptor target and clinical use?
Muscarinic receptor antagonist; treats Parkinson disease symptoms and antipsychotic-induced extrapyramidal side effects

23 more cards in the app