DIAGNOSTIC EXAM: MODULE 4 Flashcards
TOP RANK
Astemizole and Terfenadine have been withdrawn from the market because of their intrinsic cardiotoxicity. That risk of cardiotoxicity is increased with concomitant intake of Grapefruit juice or Erythromycin. Which of the following is the explanation for this interaction?
A. Displacement from the protein binding of Astemizole or Terfenadine by Grapefruit juice of Erythromycin
B. Decreased urinary excretion of Astemizole and Terfenadine
C. Inhibition of the CYP3A4 enzyme by Grapefruit juice or Erythromycin
D. Increased absorption of Astemizole or Terfenadine
E. Induction of metabolism of Astemizole and
Terfenadine by Grapefruit juice or Erythromycin
C. Inhibition of the CYP3A4 enzyme by Grapefruit juice or Erythromycin
What is the neurotransmitter mainly released by
postganglionic parasympathetic fibers?
A. Acetylcholine
B. Norepinephrine
C. Epinephrine
D. 5-Hydroxyryptamine
E. Dopamine
A. Acetylcholine
Which of the following is considered as dominant phase I metabolic reaction?
A. Oxidation
B. Reduction
C. Hydrolysis
D. Glucuronidation
E. Acetylation
A. Oxidation
Chloramphenicol when given to a neonate or premature baby causes cardiovascular collapse manifested as the so- called “Gray Baby Syndrome” This toxicity in such subsets of the patients is due to what age-related biologic feature?
A. Decreased protein binding
B. Decreased urinary excretion of the metabolite
C. Deficiency and immaturity of UDP-
glucuronosyltransferase inside their bodies
D. Increased metabolism by nitro-reduction
E. Increased volume of distribution
C. Deficiency and immaturity of UDP-
glucuronosyltransferase inside their bodies
What is the dominant adrenergic receptor in the heart?
A. Dopamine-1
B. Alpha-1
C. Alpha-2
D. Beta-1
E. Beta-2
D. Beta-1
Which of the following amino acids is the precursor in the synthesis of catecholamines?
A. Phenylalanine
B. Glycine
C. Tyrosine
D. Tryptophan
E. Glutamic acid
C. Tyrosine
Methylphenidate and Dextroamphetamine are centrally acting sympathomimetics which have found use in which of the following conditions?
A. Manic depression
B. Alcohol withdrawal
C. Attention deficit hyperactivity disorder
D. Generalized anxiety disorder
E. NOTA
C. Attention deficit hyperactivity disorder
Tacrine, Donepezil, Rivastigmine and Galantamine are indicated for which of the following conditions?
A. Supraventricular tachycardia
B. Curare-induced muscle paralysis
C. Accommodative esotropia
D. Alzheimer’s disease
E. Glaucoma
D. Alzheimer’s disease
Retroperitoneal fibrosis is an observed complication seen with drugs that belong to what class of agents?
A. Antiviral agents
B. Tropane Alkaloids
C. Ergot alkaloids
D. Ethanolamine Antihistamines
E. Dopamine Agonist
C. Ergot alkaloids
What is the creatinine clearance for a 68-year-old female weighing 160 lbs and having a serum creatinine of 1.8 mg/dL?
A. 79.0 mL/min
B. 52.54 mL/min
C. 34.34 mL/min
D. 12.02 mL/min
E. NOTA
C. 34.34 mL/min
Which of the following acts as an agonist at low natural ligand concentration, as well as acts as an antagonist at high natural ligand concentration?
A. Partial Agonist
B. Inverse Agonist
C. Reverse Agonist
D. AOTA
E. NOTA
A. Partial Agonist
Which of the following is/are the physical factor/s influencing absorption?
A. Total surface area available for absorption
B. Contact time at the absorption surface
C. Blood flow to the absorption site
D. AOTA
E. NOTA
D. AOTA
Which of the following receptor/s does Methyldopa act and bind into?
A. Alpha 2
B. Beta 1
C. Beta 2
D. AOTA
E. NOTA
A. Alpha 2
Which of the following drugs causes significant delay in the absorption of acetaminophen by reducing the rate of gastric emptying?
A. Digoxin
B. Levodopa
C. Anticholinergics
D. Paracetamol
E. Propantheline
C. Anticholinergics
Which of the following can be used in patients with hypertensive crisis with damaged organs?
A. Captopril
B. Labetalol
C. Sodium Nitroprusside
D. AOTA
E. NOTA
C. Sodium Nitroprusside
The following are non-selective beta-blockers, except:
A. Nebivolol
B. Nadolol
C. Pindolol
D. Propranolol
E. NOTA
A. Nebivolol
Which of the following is a beta-2 agonist that belongs to SABA?
A. Formoterol
B. Salmeterol
C. Salbutamol
D. Bambuterol
E. NOTA
C. Salbutamo
Which of the following is the most important mechanism of termination of effects of released Norepinephrine which is the target action of TCA’s and cocaine?
A. Degradation by COMT
B. Sequestration into cells
C. Degradation by MAO
D. Reuptake into the presynaptic terminal
E. NOTA
D. Reuptake into the presynaptic terminal
Which of the following is the phenomena that a drug which has no effect but enhances the effect of a second drug?
A. Antagonism
B. Addition
C. Synergism
D. Potentiation
E. NOTA
D. Potentiation
Which of the following is known antidote for N-acetyl-para- aminophenol toxicity?
A. Naltrexone
B. NAC
C. Fomepizole
D. Flumazenil
E. Heparin Sulfate
B. NAC
Which of the following anesthetics has both local anesthetic and antiarrhythmic properties?
A. Desflurane
B. Lidocaine
C. Isoflurane
D. Halothane
E. Sevoflurane
B. Lidocaine
Which of the following is responsible for reducing the release of Norepinephrine from the sympathetic nerves?
A. Alpha-1 postsynaptic adrenergic receptor
B. Alpha-2 postsynaptic adrenergic receptor
C. Beta-1 postsynaptic adrenergic receptor
D. Beta-2 postsynaptic adrenergic receptor
E. AOTA
B. Alpha-2 postsynaptic adrenergic receptor
Which of the following antibiotics belong to the
ureidopenicillin class of agents?
A. Carbenicillin
B. Ticarcillin
C. Mezlocillin
D. Methicillin
E. Bacampicillin
C. Mezlocillin
Eosinophilic Granulomatosis with Polyangiitis (EPGA) is caused by which of the following drugs?
A. Zafirlukast
B. Lipoxygenase Inhibitors
C. Beta-2 blockers
D. Glucocorticoids
E. NOTA
A. Zafirlukast
Inulin is a fructosan used to measure which of the following?
A. Creatinine Clearance
B. Glomerular Excretion Rate
C. Glomerular Filtration Rate
D. Tubular Reabsorption Rate
E. NOTA
C. Glomerular Filtration Rate
Gray baby syndrome happening to infants is caused by the antibiotic, chloramphenicol. Which of the following metabolic reaction is responsible for this?
A. Glucuronidation
B. Nitro reduction
C. Acetylation
D. Methylation
E. NOTA
A. Glucuronidation
Rhinitis medicamentosa is associated to which of the following drug classifications?
A. Alpha-2 Selective Agonist
B. Non-Selective Agonists
C. Alpha-1 Selective Agonist
D. Beta-2 Agonist
E. NOTA
C. Alpha-1 Selective Agonist
The following agents below are drugs used in the treatment and management of dyslipidemia together with their corresponding Mechanism of Action (MOA). Which of them is/are incorrectly paired?
I. Colestipol: PPAR-α agonist
II. Atorvastatin: HMG-CoA reductase inhibitor
III. Gemfibrozil: PPAR-α agonist
IV. Ezetimibe: bile acid sequestrant
A. I and III
B. I and IV
C. II and IV
D. II and III
E. III and IV
B. I and IV
Which of the following is the clinical application of drugs that inhibits dipeptidyl peptidase-4 enzymes?
A. Used against bacterial infections
B. Oral hypoglycemics
C. Thyroid function
D. Adjunct in Cancer Chemotherapy
E. Nausea and Vomiting
B. Oral hypoglycemics
Which of the following diuretics is used in treating Kidney Stone formations?
A. Hydrochlorothiazide
B. Furosemide
C. Mannitol
D. Acetazolamide
E. NOTA
A. Hydrochlorothiazide
Which of the following Serotonin Agonists does
Methysergide classify into?
A. 5-HT 2A and 2B Receptors
B. 5-HT 1B Receptor
C. 5-HT3 Receptor
D. 5-HT4 Receptor
E. NOTA
E. NOTA
Which of the following drugs is included in the therapies available for the treatment of Peptic Ulcer Disease (PUD)?
I. Proton Pump Inhibitors
II. Ampicillin IV
III. Clarithromycin
IV. Metronidazole
A. I, II, and III
B. II, III, and IV
C. I, III, and IV
D. II and IV
E. III and IV
C. I, III, and IV
Weak acids are reabsorbed in bloodstream in which of the following conditions? 34.
A. Urinary pH is high
B. Urinary pH is low
C. Highly Protein Bound
D. Highly Ionized
E. NOTA
B. Urinary pH is low
Which of the following effects of Alpha-1 Receptor excitation is/are correctly paired?
A. Eyes –> Miosis
B. Blood Vessels –> Vasodilation
C. Urinary Bladder –> Relaxation
D. Piloerector Muscles –> Contraction
E. AOTA
D. Piloerector Muscles –> Contraction
Which of the following is/are the rational antidote/s for organophosphate poisoning?
A. Scopolamine
B. Hyoscyamine
C. Atropine
D. A and B
E. B and C
E. B and C
Which among the following nervous systems has a longer preganglionic fibers but shorter postganglionic fibers?
A. Sympathetic Nervous System
B. Enteric Nervous System
C. Parasympathetic Nervous System
D. A and B
E. B and C
C. Parasympathetic Nervous System
Which of the following is not true about Chronic Stable Angina Pectoris?
A. Relieved by rest and NTG patches
B. Beta Blockers as Drug of Choice
C. Chest pain for at least 20 minutes
D. Chest pain occurs for 2 to 5 minutes
E. NOTA
E. NOTA
Which of the following is not one of the side effects of ACE Inhibitors?
A. Hypokalemia
B. Hyperkalemia
C. Dry Cough
D. Angioedema
E. Teratogenicity
A. Hypokalemia
Which of the following ions is one of the components of drugs used in Lethal Injection?
A. Mg2+
B. K+
C. Ca2+
D. Na+
E. Two of the above
E. Two of the above