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Kaplan Qbank USMLE



Author9 Posts
  #1

A 25-year-old woman at 32 weeks' gestation begins taking a drug to delay the onset of preterm labor. After the first dose, she notices tremulousness in her hands. Which of the following types of receptors is most likely to be involved in this effect?

A) a1-Adrenergic
B) b2-Adrenergic
C) Dopaminergic (D1)
E) Muscarinic (M1)
F) NMDA

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  #2

beta 2 adrenergic [agonist] eg. terbutaline or ritodrine

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  #3

why?

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  #4

yeah why? is it b/c of vasodilation or hyperkalemia?

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  #5

symp overactivity is associated with tremors, isnt it?

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  #6

y would u give symp to a pregnant lady to stop premature labour.... I don't remember that anything was really effective in accomplishing that...

and in that case, the first three answers are all sympathomimetics, so i would probably guess one of the last two... (prolly E)...

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  #7

they actually do give B2-agon (Terbutaline/Ritodrine) in 30 min. intervals in case of prematre contractions and if that doesnt resolve other options like Mg,Ca ch.blocker,ethanol come next. (A,C,F are totally irrelevant).
has anyone heard of giving Atropin for this ??

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  #8

Yeah -Sympathetic activity is associated with tremors, palpitations, flight or fright type effects!

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Smell the coffee! "Is That an Osler move??"

  #9

Yeah -Sympathetic activity is associated with tremors, palpitations, flight or fright type effects!

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Smell the coffee! "Is That an Osler move??"







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