(Ans) 138 MCQ With Key Answer: by DR - Giuma Sulieman
(Ans) 138 MCQ With Key Answer: by DR - Giuma Sulieman
(Ans) 138 MCQ With Key Answer: by DR - Giuma Sulieman
ANSWER
BY DR.GIUMA SULIEMAN
Contains
1-Somatic and autonomic nervous system
2- The reflex ARC
3- Autonomic nervous system
4- Relation between the two systems
5- Autonomic ganglia
6- Chemical transmission
7- Function of sympathetic and parasympathetic
8- Adrenergic receptors
9- mass discharge of sympathetic nervous system
10- adrenal gland
11- Horner’s syndrome
12- Denervation hypersensitivity
13- Higher control of autonomic functions
14-Chemical transmission (ACH and Nor -epinephrine )
15- Drug Action
16- Key answer
1-Concerning the afferent neuron:
a. Have mother cells in the lateral horn cell
b. Leave the spinal cord
c. Carry signals from peripheral to central nervous system
d. Non all the above are correct
2-all of the following about motor neuron are NOT correct EXCEPT:
a. Carry the impulse toward the spinal cord
b. Have mother cells in dorsal root ganglia
c. Mother cell in the AHC for autonomic neuron
d. Leave the spinal cord through the ventral root
3-the brain and spinal cord comprise the:
a. Autonomic nervous system
b. Peripheral nervous system
c. Central nervous system
d. Efferent nervous system
4-the part of the peripheral nervous system that bring information to the central nervous system is the
a. Motor division
b. Afferent division
c. Efferent division
d. Autonomic division
e. Somatic division
5-the central nervous system includes all the following components EXCEPT:
a. Spinal cord
b. Medulla oblongata
c. Autonomic ganglia
d. Pons
25- autonomic nervous system may have similar action on the same organ this called:
a. Synergism
b. Dominance
c. Similarity
d. Antagonism
e. Reciprocal action
26-stimulation of the parasympathetic system causes all of the following EXCEPT:
a. Erection
b. Increase motility
c. Viscid (trophic) salivary secretion
d. Bradycardia
e. Bronchoconstriction
Autonomic ganglia
27-autonomic ganglia:
a. Present outside the CNS
b. Act as distribution centers
c. Paravertebral ganglia are only sympathetic
d. Ciliary ganglia are collateral ganglia
e. All of the above are correct
28-the ganglia lie within the organ of supply are
a. Lateral ganglia
b. Collateral ganglia
c. Dorsal ganglia
d. Terminal ganglia
29 sympathetic chain:
a. Only parasympathetic
b. Is formed of 31 ganglia
c. Lie midway between spinal and viscera
d. Is lateral ganglia
30-all of the following about of prevertebral ganglia EXCEPT: السؤال تفهموه احسن لما تقرو الجداول
a. Otic ganglia
b. Ciliary ganglia
c. Dorsal ganglia
d. Submandibular ganglia
31-autonomic ganglia
a. Are 5 types
b. Are the site of relay of afferent neurons
c. Function as distributing centers
d. Are located inside the CNS
Chemical transmission
32- the neurotransmitter of the preganglionic sympathetic nerve fibers is:-
a. Noradrenaline
b. Adrenaline
c. ACH
d. Histamine
e. None of the above is correct
33-muscarinic cholinergic receptors are present in:
a. Sweet gland
b. Skeletal muscle blood vessels
c. All autonomic ganglia
d. A and b are correct
34-origin for the sympathetic nervous system is:
a. Craniosacral outflow
b. Thoracolumbar outflow
c. Only lumbar segments
d. B and c are correct
35-regarding sympathetic nervous system ,the following is correct
a. Increase heart rate and rate of ventilation
b. Decreases GIT secreations
c. It is active during sleep
d. Both a and b are correct
36-the receptor facing the postganglionic parasympathetic fibers are:-
a. Alpha adrenergic
b. Beta adrenergic
c. Nicotinic
d. Both adrenergic and cholinergic
e. Muscarinic
37-it is correct to say that the preganglionic sympathetic nerve fibers are:
a. Cholinergic fibers
b. Adrenergic fibers
c. Both cholinergic and adrenergic fibers
d. Nicotinic fibers
e. Non of the above is correct
38- sympathetic nervous system:
a. Is more active during stress conditions
b. Is more active at rest
c. Originates from sacral region of spinal cord
d. Originates from some cranial nerves
e. Non of the above is correct
39- muscarinic cholinergic receptors are present in:-
a. Motor end plate
b. Adrenal gland
c. Sweat gland
d. All autonomic ganglia
e. All of the above
40-when nerve fiber secrete nor adrenaline, this called:
a. Preganglionic sympathetic adrenergic fiber
b. Postganglionic sympathetic cholinergic fiber
c. Post ganglionic parasympathetic adrenergic fiber
d. Post ganglionic sympathetic adrenergic fiber
Adrenergic receptors
76-stimulation of alpha1 adrenergic receptors causes the following EXCEPT:
a. Ejaculation
b. Contraction of GIT sphincters.
c. Uterine relaxation
d. Vasoconstriction
77- adrenergic receptor are classified into
a. Alpha1 receptors which cause decrease in CAMP
b. Alpha 2 receptor which increase intracellular calcium ions
c. Beta 1 receptors which increase the cardiac properties through increased cAMP in the cell
d. Beta2 receptors which cause contractions of the uterine muscles.
78-the stimulation of adrenergic receptor result in:
a. Decreased heart rate
b. Bronchodilation
c. Glycogenesis
d. Pupillary constriction
79-which of the following is an α adrenergic response?
a. Inhibition (relaxation) of the digestive tract muscular motility, such as peristalisis
b. Opening (dilation) of the airways or bronchioles in the lung
c. Increasing the force and rate of the heart beat
d. Dilating the smooth muscle of blood vessels in the skin and intestinal area
80-stimulation of α adrenergic receptors produces all the following EXCEPT:
a. Contraction of dilator pupillae muscle
b. Dilatation of skeletal muscle blood vessels
c. Constriction of cutaneous blood vessels
d. Ejaculation of semen
81-concernign adrenergic receptors, all the following are true EXCEPT:
a. Stimulation β1 receptor increase the force and rate of cardiac contraction
b. Activation of β1 and β2 receptor results in activation of adenyl cyclase
c. Stimulation of α1 receptor causes bronchodilation
d. Stimulation of β2 receptors causes Glycogenolysis and lipolysis
82-stimulation α1 receptor causes:
a. Increase calcium in ICF
b. Contraction of pilo-erector muscle
c. Inhibition adenyl cyclase enzyme
d. A and B are correct
83- stimulation β2 receptor causes all the following EXCEPT:
a. Inhibition of intestinal wall
b. Stimulation of glycogen breakdown
c. Vasoconstriction
d. Stimulation adenyl cyclase enzyme
84-which of the adrenergic receptors present in the intestines
a. Only alpha1 الن االمعاء موجود فيها الجدار والعضلة القابضة
b. Only alpha 2
c. Alpha 1&2
d. Only beta 1
85-presynaptic adrenergic receptors
a. Are classified into types
b. Are present in the organ of supply
c. Increase Camp
d. Control noradrenaline release.
86-presynaptic adrenergic receptor:
a. Similar to α1 receptor
b. Stimulate it lead to increase cAMP
c. Present at post ganglionic parasympathetic nerve ending membrane
d. Increase release of noradrenaline
e. Non all of the above
87-all of the following about presynaptic adrenergic receptor are correct EXCEPT:
a. Present at post ganglionic sympathetic nerve ending membrane
b. Similar to α2 receptor
c. Inhibit release noradrenaline
d. Stimulate adenyl cyclase enzyme
88-the neurotransmitter at piloerector muscle of the hair is
a. Adrenaline
b. Noradrenaline
c. Acetylcholine
d. Atropine
89-the autonomic receptors at pilo-erctor muscle is:
a. α 2 adrenergic
b. β2 adrenergic
c. α 1 adrenergic
d. muscarinic
90-concernign adrenergic receptors ,all are true EXCEPT
a. when stimulated always produces excitatory effects on the effector organs
b. are classified into α and β adrenoceptors
c. are receptors ,which respond to norepinephrine secreted by nerve ending
d. two type
adrenal gland
93-what gland produces a secretion that cause fight or flight response in effectors?
a. Salivary gland
b. Reproductive gland
c. Thymus
d. Adrenal medulla
94-concerning adrenal medulla, all the following is true EXCEPT:
a. It acts only in emergency condition
b. It secretes epinephrine 80% and nor epinephrine20%
c. It is modified sympathetic ganglion
d. It receive preganglionic nerve supply from the upper4 thoracic
95-which of the following usually has epinephrine and norepinephrine as its major secretion?
a. Postganglionic sympathetic nerve fibers
b. The adrenal medulla
c. Preganglionic sympathetic nerve fibers
d. Preganglionic parasympathetic nerve fibers
e. Nerve fibers that innervate the sweat gland
96-the sites of formation of nor adrenaline includes
a. Sympathetic fibers to sweat glands
b. Adrenal medulla
c. Parasympathetic post ganglionic fibers
d. Motor end plates of skeletal muscles
97-concerning adrenal medulla , which of the following are correct:
a. Receives preganglionic sympathetic adrenergic
b. Receives preganglionic parasympathetic cholinergic
c. Receive preganglionic nerve from lower 6 thoracic segment
d. Non all of the above are correct
98-concerning adrenal medulla which of the following are correct:
a. Receives preganglionic sympathetic cholinergic
b. Decrease rate of cellular metabolism
c. Receives preganglionic called greater splanchnic nerve
d. Receive preganglionic nerve supply from the anterior horn cells of the lower 6 thoracic
segments of the spinal cord
e. A and C are correct
Horner’s syndrome
99-All of the following are manifestations of Horner’s syndrome EXCEPT
a. Ptosis
b. Miosis
c. Exophthalmos
d. Anhydrosis
100-all of the following about Horner’s syndrome is true EXCEPT:
a. Manifested by dryness & redness of skin
b. Group of signs including ptosis &miosis
c. Is due to injury of LHC present in thoracic 1-2 spinal segments
d. Causes pallor of skin due to V.C
101-among symptoms of Horne’s syndrome there is:
a. Increased sweating
b. Dilatation of pupil
c. Dropping of the upper eye lid
d. Vasoconstriction of skin blood vessels
102-which of the following is NOT a symptom of Horner’s syndrome?
a. Enophthalmos
b. Warm red skin
c. Dilatation of the pupil
d. Dryness of skin
103-Horner’s syndrome:
a. Result lesion of 1-2 thoracic segments in AHC
b. Result lesion of 1-2 thoracic segments in LHC
c. Result lesion of ventral roots of sympathetic nerve
d. Result lesion in 1-2 thoracic ganglia
e. B and C are correct
104-horner’s syndrome:
a. Ptosis due to paralysis of Muller’s muscle
b. Miosis due to paralysis pupillocinstriction muscle
c. Endophthalmos due to paralysis of levator palpebrae superioris muscle
d. Flushed skin due to sympathetic vasoconstrictor tone stimulation
e. Non all of the above are correct
Denervation hypersensitivity
105-administration of nor epinephrine to a person whose sym.sytem has been surgically removed
reacts by developing
a. Hypoglycemia
b. Hypotension
c. No change
d. More marked sympathetic response than before sympathectomy
106- denervation hypersensitivity may be due to:
a. Up-regulation of receptors
b. Increase activity of sympathetic tone
c. Decrease removal of nor epinephrine or ACH by nerve ending
d. A and C are correct
Drug Action
125-which of the following is a good example for parasympatholytic drug?
a. Acetyle choline
b. Anticholinesterases
c. Atropine
d. Nicotine small dose
126-nicotinic receptors
a. Accept nicotine released by nerve endings
b. Are not sensitive to acetylcholine
c. Are blocked by Hexamethonium
d. Are found in sympathetic ganglia
e. C and D are correct
127- an injection of atropine causes all the following effects EXCEPT:
a. An increase in the heart rate
b. Pupillo- dilatation
c. Difficult micturition
d. Constriction of the bronchi
128-atropine injection causes , all the following EXCEPT;
a. Pupillodilatation
b. Increased heart rate
c. Relaxation of skeletal muscle
d. Decrease salivary secretion
129-all the following drug stimulation parasympathetic receptor EXCEPT;
a. Methacholine
b. Neostigmine
c. Pilocarpine
d. Large dose nicotine
130-which drug that act on choline enzyme
a. Succinyl choline
b. Methacholine
c. Neostigmine
d. Hexamethonium
e. Non all of the above
131-curare:
a. Block the nicotinic receptor on autonomic ganglia
b. Block the nicotinic receptor on neuromuscular junction
c. Increase acetylcholine release
d. All of the above are correct
132-all of the following statement are true EXCEPT:
a. Nicotinic receptors of acetyl choline can blocked by large dose of nicotine
b. Muscarinic receptors of acetyl choline are blocked by atropine
c. Alpha adrenergic receptors are blocked by phentolamine and ergotamine
d. Beta adrenergic receptors are blocked by guanethidine
133- all the following drugs increase the sympathetic activity EXCEPT:
a. Reserpine
b. Ephedrine
c. Amphetamine
d. Phenylephrine
e. isoprenaline
134-a drug that affects both division of the autonomic system is going to bind to or block, which type
of neurotransmitter receptor?
a. Nicotinic
b. Muscarinic
c. α adrenergic
d. β adrenergic
135- a drug is called an agonist if it
a. blocks a receptor
b. interfere with neurotransmitter reuptake
c. acts like the endogenous neurotransmitter by binding to its receptor
d. blocks the voltage –gated calcium ion channel
136-all of the following drug are sympatholytic EXCEPT;
a. propranolol
b. hexamethonium
c. reserpine
d. large dose nicotine
e. Ephedrine
137-all of the following drug increase heart rate EXCEPT:
a. Adrenaline
b. Isoprenaline
c. Atropine
d. Guanithidine
138-neostigmine act on the following EXCEPT:
a. Muscarinic receptor
b. Nicotinic receptor
c. Sympathetic ganglia
d. Beta receptors