Q. is a directly acting vasodilator, but is not used alone as an antihypertensive because:
  • (A) By itself, it is a low efficacy antihypertensive
  • (B) Effective doses cause marked postural hypotension
  • (C) Tolerance to the antihypertensive action develops early due to counterregulatory mechanisms
  • (D) It primarily reduces systolic blood pressure with little effect on diastolic blood pressure
πŸ’¬ Discuss
βœ… Correct Answer: (C) Tolerance to the antihypertensive action develops early due to counterregulatory mechanisms
Q. Methyldopa differs from clonidine in the following respect:
  • (A) It is less likely to cause rebound hypertension on sudden discontinuation
  • (B) It does not reduce plasma renin activity
  • (C) It has a central as well as peripheral site of antihypertensive action
  • (D) It does not produce central side effects
πŸ’¬ Discuss
βœ… Correct Answer: (A) It is less likely to cause rebound hypertension on sudden discontinuation
Q. Methyldopa lowers BP by:
  • (A) Inhibiting dopa decarboxylase in adrenergic nerve endings
  • (B) Generating α-methyl noradrenaline in brain which reduces sympathetic tone
  • (C) Generating α-methyl noradrenaline which acts as a false transmitter in peripheral adrenergic nerve endings
  • (D) Activating vascular dopamine receptors
πŸ’¬ Discuss
βœ… Correct Answer: (B) Generating α-methyl noradrenaline in brain which reduces sympathetic tone
Q. Rapid intravenous injection of clonidine causes rise in BP due to:
  • (A) Stimulation of vasomotor centre
  • (B) Release of noradrenaline from adrenergic nerve endings
  • (C) Agonistic action on vascular αο€²ο€  adrenergic receptors
  • (D) Cardiac stimulation
πŸ’¬ Discuss
βœ… Correct Answer: (C) Agonistic action on vascular αο€²ο€  adrenergic receptors
Q. The most likely mechanism of antihypertensive action of thiazide diuretics in the long-term is:
  • (A) Reduction of circulating blood volume
  • (B) Reduction in cardiac output
  • (C) Decreased sympathetic tone
  • (D) Reduction in total peripheral vascular resistance and improved compliance of resistance Vessels
πŸ’¬ Discuss
βœ… Correct Answer: (D) Reduction in total peripheral vascular resistance and improved compliance of resistance Vessels
Q. Though nitrates and calcium channel blockers are both vasodilators, they are used concurrently in angina pectoris, because:
  • (A) They antagonise each other’s side effects
  • (B) Nitrates primarily reduce preload while calcium channel blockers primarily reduce after-load
  • (C) Nitrates increase coronary flow while calcium channel blockers reduce cardiac work
  • (D) Both ‘B’ and ‘C’ are correct
πŸ’¬ Discuss
βœ… Correct Answer: (B) Nitrates primarily reduce preload while calcium channel blockers primarily reduce after-load