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Pharmacology · Anthelmintics: pyrantel pamoate
Sample itemWhich anthelmintic acts as a depolarising neuromuscular blocker, producing spastic paralysis of roundworms and hookworms?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pyrantel pamoate
Pyrantel pamoate activates nicotinic receptors in the worm, causing sustained depolarisation and spastic paralysis, so the worm is expelled. Piperazine, in contrast, causes flaccid paralysis through GABA agonism.
Option by option
A. Praziquantel
Praziquantel increases calcium permeability.
B. Pyrantel pamoate (correct)
Correct. Pyrantel causes depolarising paralysis.
C. Piperazine
Piperazine causes flaccid paralysis.
D. Albendazole
Albendazole inhibits tubulin.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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