Nursing Pharmacology Chapter 23:
Ergot Alkaloid Practice Questions
Click on the correct answer.
Ergot alkaloids act on which one(s) of the following receptor types:
- serotonin
- alpha-adrenergic
- beta adrenergic
- A & B
- A, B & C
Ergot alkaloid with most prominent effects at dopamine receptor sites:
- ergonovine
- ergotamine
- bromocriptine (Parlodel)
- methysergide (Sansert)
- all the above
An example of an amine ergot alkaloid:
- bromocriptine (Parlodel)
- ergotamine
- alpha-ergocryptine
- ergonovine
Very high selectivity for pituitary dopamine receptors:
- bromocriptine (Parlodel)
- pergolide (Permax)
- both
- neither
Vasoconstriction due to ergot alkaloids is mediated through which receptor system(s)?
- beta adrenergic
- alpha adrenergic
- serotonergic
- A & B
- B & C
Vascular bed likely most sensitive to the actions of sumatriptan or ergotamine.
- pulmonary
- gastrointestinal
- cerebral
- renal
- coronary
Vasospasm following ergot alkali overdosage most likely reversible by:
- phentolamine (Regitine)
- phenoxybenzamine (Dibenzyline)
- nitroglycerin
- propranolol (Inderal)
- lisinopril (Prinvivil, Zestril)
Ergot alkaloid with highest uterine selectivity:
- methysergide (Sansert)
- bromocriptine (Parlodel)
- ergotamine
- ergonovine
- sumatriptan (Imitrex)
Prophylactic use only in management of migraine:
- sumatriptan (Imitrex)
- methysergide (Sansert)
- ergotamine
- dihydroergotamine
- none of the above
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