Anesthesia Pharmacology: Histamine and Bradykinin
Practice Questions
Click on the correct answer.
Gastrointestinal parietal cells express which one(s) of the following receptors, the activation of which results in acid secretion?
Gastrin
Acetylcholine
Histamine (H2)
A & B
A, B & C
Enterochromaffin-like (ECL) cells stimulate histamine release following activation of this/these receptor(s):
Acetylcholine
Gastrin
Both
Neither
Vagal postganglionic nerve-mediated acetylcholine release and subsequent acetylcholine binding to parietal cell receptors cause an increase in cytosolic calcium thus activating protein kinases which cause increased acid secretion utilizing a proton pump, the H+/K+-ATPase.
True
False
Most (greater than 90%) of peptic ulcers are due to:
Use of nonsteroidal anti-inflammatory agents (NSAIDs)
Helicobacter Pylorii (H Pylorii) infection
Both
Neither
Administration of H2-histamine receptor blockers results in noncompetitive inhibition at parietal cell H2-histamine receptors and suppress only basal, not meal-stimulated acid secretion.
True
False
Both antacids and H2-histamine receptor antagonists are helpful in managing infrequent heartburn/dyspepsia.
True
False
Clinical uses of H2-histamine receptor blockers include/includes:
Peptic ulcer disease
Gastroesophageal reflux disease (Gerd)
Nonulcer dyspepsia
Prevention of bleeding in gastritis (stress-related)
A & B
B & C
A, B, C & D
Effective agent(s) in decreasing the likelihood of clinically important bleeding in stress-related gastritis.
Proton pump inhibitor
H2-histamine receptor antagonist
Both
Neither
For patients at risk of bleeding from stress-related gastritis and absent a nasoenteric tube, which one of the following options appear preferable
Intravenous proton pump inhibitor
Intravenous H2-histamine receptor blockers
Administration of this agent is less likely to result in cytochrome P450-related drug-drug interaction