**Core Concept**
The question is testing the student's knowledge of the pharmacological mechanism of antiemetic drugs. Specifically, it involves understanding the role of cannabinoid-1 (CB1) receptors in the regulation of nausea and vomiting. CB1 receptors are part of the endocannabinoid system, which plays a crucial role in modulating various physiological processes, including appetite, mood, and emesis.
**Why the Correct Answer is Right**
Drugs that act by stimulating CB1 receptors are known as cannabinoid receptor agonists. These compounds mimic the effects of endocannabinoids, such as anandamide, which are naturally produced in the body. By activating CB1 receptors in the brain, these agonists can reduce the occurrence of nausea and vomiting. The exact mechanism involves the inhibition of the vomiting center in the medulla oblongata and the reduction of the release of neurotransmitters involved in the emetic response, such as substance P and acetylcholine.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is incorrect because the given drug is not a CB1 receptor agonist. Instead, it might be an antagonist or a drug with a different mechanism of action.
* **Option B:** This option is incorrect because the mentioned drug does not primarily act through CB1 receptors. It might have other mechanisms, such as dopamine antagonism or serotonin antagonism.
* **Option C:** This option is incorrect because the specified drug does not have a well-established role in the treatment of nausea and vomiting through CB1 receptor stimulation.
**Clinical Pearl / High-Yield Fact**
Cannabinoid receptor agonists can have psychoactive effects, which is why they are typically used for severe nausea and vomiting in specific clinical scenarios, such as chemotherapy-induced emesis.
**Correct Answer:** C. Nabilone
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.