Cognitive Questions Flashcards
After the injection of Succinylcholine to provide muscle relaxation during an
operation the patient developed prolonged apnoea
A. What do you think was the probable reason?
B. Would you like to give Neostigmine as an antidote?
C. What is the recommended line of treatment?
D. Name 4 drugs which potentiate neuromuscular blockers.
E. Name the drug given for d-tubocurarine overdose.
A. Pseudocholinesterase Deficiency
B. No, there is no antidote for succinyl choline
C. Mechanical Ventilation
D. Vecuronium, Doxacurium, Pancuronium, Mivacurium
E. Neostigmine
.A 4-year-old child was taken to the emergency room with complaints of severe
vomiting. She was not able to tolerate even sips of water. She was given an IV
injection of an antiemetic. About half hour later, her face was contorted to one side
and she was diagnosed with acute muscle dystonia. She was given another injection
for the dystonia
A) Identify the antiemetic that was given initially
B) Name another antiemetic with same mechanism of action that does not cause the side effect experienced by this patient
C) Explain the pharmacological rationale for why the second antiemetic does not produce acute muscle dystonia
D) What drug could be given to reverse this adverse effect?
A. Metoclopromide
B. Domperidone
C. Domperidone does no cross BBB
D. Centrally acting anti cholinergic drugs
A 16-year-old patient is in the emergency department receiving nasal oxygen. She
has a heart rate of 125 bpm, a respiratory rate of 40 breaths/min, and a peak
expiratory flow <50% of the predicted value. Wheezing and rales are audible without
a stethoscope.
i. Which drug can be administered by nebulizer for prompt, direct
bronchodilator effect?
ii. After successful treatment of the acute attack, name a drug given
by inhaled route, that has maximum efficacy in reducing frequency of
acute attacks.
iii. What is the common side effect of this drug?
iv. How can this side effect be prevented?
A. Salbutamol
B. Budesonide
C. Oral candidiasis
D. Gargling after each use (treatment: Cotrimazole)
Mr. Ramesh, a 55-year-old hypertensive patient underwent coronary
angioplasty and was prescribed the following drugs.
Tab. Enalapril 5 mg OD
Tab Aspirin 150 mg OD
Tab Clopidogrel 150 mg OD
The patient complained of severe epigastric pain and the general practitioner
added Cap. Omeprazole 40 mg BD to his prescription
A. What complication do you expect in this patient, after the addition of
Omeprazole?
B. Explain why this complication occurs
C. Which group of drugs are the best choice for treatment of gastritis in this
patient?
D. Name the proton pump inhibitors that are a better choice in this patient
A.
B.
