Bronchodilators · Pharmacology

Which of the following mechanisms explains why inhaled anticholinergics are particularly effective in COPD?

  1. COPD is driven primarily by IgE-mediated responses
  2. Vagal tone is the primary reversible component of airway obstruction in COPD
  3. They increase the number of beta receptors
  4. They inhibit the release of interleukin-5
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Correct answer: Vagal tone is the primary reversible component of airway obstruction in COPD

In COPD, the cholinergic pathway via the vagus nerve is a major contributor to bronchoconstriction. Blocking M3 receptors effectively reduces this resting tone and decreases mucus hypersecretion.

Difficulty: Medium Question 16 of 20

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