HY USMLE Q #996 – Pharm / Neuro

A 26-year-old woman is brought to emergency due to sudden onset of dizziness, vomiting, and headache while picking peaches. Her pulse is 50/min. Blood pressure is 90/60. Physical examination shows pinpoint pupils, generalized weakness, and diaphoresis. Following administration of atropine, the most appropriate pharmacologic treatment has which of the following mechanisms of action?

  Anti-cholinergic; decreased presynaptic release of acetylcholine
  Anti-cholinergic; decreased postsynaptic acetylcholine binding affinity
  Anti-cholinergic; decreased synaptic activity of cholinesterase
  Anti-cholinergic; increased synaptic cholinesterase regeneration
  Anti-cholinergic; increased synaptic release of acetylcholine
  Pro-cholinergic; decreased presynaptic release of acetylcholine
  Pro-cholinergic; decreased postsynaptic acetylcholine binding affinity
  Pro-cholinergic; decreased synaptic activity of cholinesterase
  Pro-cholinergic; increased synaptic cholinesterase regeneration
  Pro-cholinergic; increased synaptic release of acetylcholine