NAGELHOUT-PHARM 2-Exam 2 Questions
with 100% verified Answers latest update
2025 A+
NMBs work at receptors
Ans: Nicotinic Cholinergic (sub-m)
Neurotransmitter of the NM junction
Ans: acetylcholine
Breaks down acetylcholine at the NM synapse/junction
Ans: acetylcholinesterase
Non-depolarizing agents are: agonists or antagonists
,Ans: Antagonist
Depolarizing agents act as: agonist or antagonist??
Ans: Agonist then antagonist
Onset time definition
Ans: time from drug administration to maximum effect
Clinical duration definition
Ans: time from drug administration to 25% recovery of twitch response
Total duration of action definition
Ans: time from drug administration to 90% recovery of twitch response
(point at which pt is recovered)
Recovery index definition
,Ans: time from 25% to 75% recovery of twitch response (how fast?)
Train of Four Index
Ans: 4th twitch of TOF/1st twitch of TOF
Muscle stimulated by ulnar nerve in TOF
Ans: Adductor pollicis
Best nerve/muscle to measure onset of NMB
Ans: Facial Nerve
Orbicularis Oculi (Corrugator supercilii = best)
(reflects diaphragm blockade)
Best nerve/muscle to measure emersion from NMB
, Ans: Ulnar Nerve
Adductor Pollicis
Single Twitch Test
Ans: 1.0 Hz
Single stimulus
Compares pre (baseline) and post NMB hand twitch
Train of Four Test
Ans: 4 - 2 Hz twitches
Compares 4th twitch to 1st twitch (fade)
Reflects 70-100% blockade
Double Burst Simulation (DBS) Test
with 100% verified Answers latest update
2025 A+
NMBs work at receptors
Ans: Nicotinic Cholinergic (sub-m)
Neurotransmitter of the NM junction
Ans: acetylcholine
Breaks down acetylcholine at the NM synapse/junction
Ans: acetylcholinesterase
Non-depolarizing agents are: agonists or antagonists
,Ans: Antagonist
Depolarizing agents act as: agonist or antagonist??
Ans: Agonist then antagonist
Onset time definition
Ans: time from drug administration to maximum effect
Clinical duration definition
Ans: time from drug administration to 25% recovery of twitch response
Total duration of action definition
Ans: time from drug administration to 90% recovery of twitch response
(point at which pt is recovered)
Recovery index definition
,Ans: time from 25% to 75% recovery of twitch response (how fast?)
Train of Four Index
Ans: 4th twitch of TOF/1st twitch of TOF
Muscle stimulated by ulnar nerve in TOF
Ans: Adductor pollicis
Best nerve/muscle to measure onset of NMB
Ans: Facial Nerve
Orbicularis Oculi (Corrugator supercilii = best)
(reflects diaphragm blockade)
Best nerve/muscle to measure emersion from NMB
, Ans: Ulnar Nerve
Adductor Pollicis
Single Twitch Test
Ans: 1.0 Hz
Single stimulus
Compares pre (baseline) and post NMB hand twitch
Train of Four Test
Ans: 4 - 2 Hz twitches
Compares 4th twitch to 1st twitch (fade)
Reflects 70-100% blockade
Double Burst Simulation (DBS) Test