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What is the major reason that monoamine oxidase inhibitors (MAOIs) are rarely used in clinical practice today?

A.

They are under a scheduled drug classification.

B.

They are ineffective in treating depression or anxiety disorders.

C.

They can cause gastrointestinal (GI) bleeding and esophageal varices.

D.

They may cause dangerous interactions with some foods and drugs.

Answer and Explanation

The Correct Answer is D

A. While MAOIs may have some regulatory considerations, they are not classified under a scheduled drug classification like controlled substances.  

 

B. MAOIs are effective in treating depression and anxiety disorders, which is not the reason for their limited use.  

 

C. Although MAOIs can have some side effects, they are more notably associated with dietary and drug interactions rather than causing GI bleeding or esophageal varices.  

 

D. MAOIs can cause dangerous interactions with foods that contain tyramine (like aged cheeses and fermented products) and certain medications, leading to hypertensive crises, making their use cautious and limiting in clinical practice.


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View Related questions

Correct Answer is A

Explanation

A. Acetaminophen is primarily an analgesic and antipyretic; it does not have anti-inflammatory properties, so it will not reduce swelling or inflammation.

B. While some medications may take time to show effects, this is not applicable to acetaminophen regarding inflammation, as it does not address that symptom.

C. Although acetaminophen is used for pain relief, saying it has only clinical use for pain is misleading; it is not effective for inflammation.

D. Monitoring for bleeding is important for medications that can affect coagulation, such as NSAIDs, but acetaminophen does not typically cause this risk.

Correct Answer is C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

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