Modulars for Module 4 Flashcards
Which of the following groups of drugs inhibit platelet aggregation by
interfering with GPIIB/IIIA binding to fibrinogen?
a. Abciximab, Eptifibatide, Tirofiban
b. Clopidogrel, Ticlopidine, Prasugrel
c. Aspirin, Salsalate, Prasugrel
d. Cilostazol, Dipyridamole
Abciximab, Eptifibatide, Tirofiban
A 65 year old woman received an antithrombotic prophylaxis of enoxaparin, a low molecular weight heprain (LMWH). What is the MOA of the action of the drug used
a. Impairs post-translational modification of Vitamin-K idependent clotting
factors
b. Activates antithrombin III
c. Inhibits Factors Xa in the final common pathway
d. Inhibits Vitamin K epoxide reductase
Activates antithrombin III
Which of the ff. drugs accelerates the conversion of plasminogen to
plasmin
a. aminocaproic acid
b. Heparin
c. Argatroban
d. Reteplase
Reteplase
A patient complains of severe nosebleed after being treated with
warfarin. To prevent severe hemmorhage, the warfarin should be
discontinued, and the patient should be treated with which of the ff?
a. Aminocaproic acid
b. desmopressin
c.Factor 3
d. Vitamin K
Vitamin K
Injecting botulinum toxin causes flaccid paralysis of the facial muscles
via which mechanism on acetylcholine?
a. inhibiting its degradation
b. blockade of vesicular storage
c. acting on the rate-limiting step
d. Preventing its release
Preventing its release
A patient with suspected mushroom poisoning presents with blurring of
vision, small pupils, diarrhea, abdominal cramps, excessive sweating and
salivation, and a heart rate of 50. What treatment will you give?
a. Atropine
b. Diazepam
c. Loperamide
d. Salbutamol
Atropine
Dobutamine is used for cardiogenic shock because of its effect on
which receptor?
a. a1
b. a2
c. b1
d. b2
b1
The first dose phenomenon that manifest as orthostatic hypotension
may occur when a patient takes which medication?
a. Propanolol
b. Terazosin
c. Nitroglycerin
D. Diltiazem
Terazosin
A hypertensive patient was prescribed with Metoprolol to be taken
once a day. What is the principal contraindication when giving this drug?
a. Pre-Existing AV Block
b. Arrhythmia
c. Angina
d. Migraine
Pre-Existing AV Block
A medication that can be utilized for both asthma and premature labor
is likely to be acting on which receptor?
a. Muscarinic-2
b. Muscarinic-3
c. B1
d. B2
B2
Ethacrynic acid being given for pulmonary edema acts by inhibiting
which transporter?
A. Na/Cl transporter
B. Na/K/2Cl transporter
C. Na-glucose transporter
D. Aquaporin-2 channels
Na/K/2Cl transporter
Verapamil may be useful in patients with angina or hypertension, but
a usual undesirable effect is that it may cause:
A. Cyanide toxicity
B. Hirsutism
C. Gingival hyperplasia
D. Lupus
Gingival hyperplasia
Which of the ff. drugs do we avoid giving to pregnant hypertensive
patients due to the risk of renal agenesis and neonatal morbidity
a. nifedipine
b. propranolol
c. Losartan
d. Nitroglycerin
Losartan
This drug, when given to a patient with pesticide poisoning, will NOT
BE EFFECTIVE in reversing its central effects:
a. Atropine
b. Pralidoxime
c. Edrophonium
d.Physostigmine
Physostigmine
Which of the following BP Lowering agents has been discontinued
due to its psychiatric effects such as predisposition for severe depression
and suicidal ideations?
a. Reserpine
b. metolazone
c. Fenoldepam
d. Diazoxide
Fenoldepam
We must be cautious in combining atorvastatin with gemfibrozil because of an increased risk for which of the ff?
a. Cholelithiasis
B. Hypercholesterolemia
C. Rhabdomyolysis
D. Hepatotoxicity
Rhabdomyolysis
A 20 year old student was prescribed with a beta blocker that blocks
b1>b2. The most likely drug prescribed is
A. propanolol
B. Carvedilol
C. Nadolol
D. Metoprolol
Metoprolol
A 15 year old teen developed bronchoconstriction, mucous membrane congestion, angioedema, and severe hypotension following
intake of a drug which he is allergic to. This is a case of anaphylaxis. The
first line of drug is
A. Dobutamine
B. Prednisone
C. Epinephrine
D. Terbutaline
Epinephrine
An 18 year old was given atropine 0.5 mg tablet two times a day for
the reversal of hyperhidrosis. However, she took 20 tablets in single dose
because of several problems. Which of the ff. do you expect to see?
A. Increased salivation
B. Cyclopegia
C. Bradycardia
D. Hypothermia
Cyclopegia
Release inhibitor that reduces degranulation of mast cells from
immunologic triggering by antigen-IgE interaction.
A. Epinephrine
B. Cromolyn Na
C. Loratadine
D. Montelukast
Cromolyn Na
A 17-year old on flight to USA has history of motion sickness. The
most appropriate drug to give 30 minutes before departure to prevent this
symptom is
A. Scopolamine
B. Hydroxyzine
C. Chlorpheniramine
D. Cetirizine
Scopolamine
KC , a 65 y/o hypertensive female presents with bipedal edema and
low eGFR. The most effective drug for producing diuresis is
A. Amlodipine
B. Losartan
C. Furosemide
D. Hydrochlorothiazide
Furosemide
A 60 y/o hypertensive male who had myocardial infarction a few years ago is now showing signs of congestive heart failure.
Spironolactone was added to his drug regimen. Which of the following adverse effect/s may be anticipated from this drug?
a. Hyperuricemia
b. Gynecomastia
c. Lupus-like syndrome
d. Ototoxicity
Gynecomastia
This diuretic binds to mineralocorticoid receptors and blocks
aldosterone
a. Amiloride
b. Ethacrynic acid
c. Eplerenone
d. Traimterene
Eplerenone
A 35 y/o male who has been taking an unrecalled diuretic developed alkalosis and ototoxicity. The most likely drug is:
a. Acetazolamide
b. Chlorothiazide
c. Furosemide
d. Spironolactone
Furosemide
A pregnant mother recently had a BP of 150/190. What anti-
hypertensive agent may be most likely prescribed to her?
a. Irbesartan
b. Reserpine
c. Methyldopa
d. Captopril
Methyldopa
This anti-hypertensive agent inhibits vesicular catecholamine transport and storage:
a. Methyldopa
b. Guanabenz
c. Reserpine
d. Clonidine
Reserpine
Irbesartan was substituted for Lisinopril after the patient developed a bothersome dry cough. What is the culprit for the cough of the patient?
a. Overproduction of renin
b. Sulfhydryl group
c. Bradykinin
d. Chymas
Bradykinin
Nifedipine acts to:
a. Decrease the sensitivity of the ryanodine receptors
b. Prevent the activation of the L-type calcium channels on the T-tubules
c. Increase intracellular calcium by inhibiting the Na-K ATPase pump
d. Blocks the active site of actin
Prevent the activation of the L-type calcium channels on the T-tubules
Which stage of anesthesia is present if the patient is hyperactive and has irregular vital signs
a. Stage I - Analgesia
b. Stage II - Excitation and Delirium
c. Stage III - Surgical Anesthesia
d. Stage IV - Respiratory Depression
Stage II - Excitation and Delirium
The following are inhaled anesthetics, EXCEPT:
a. Nitrous Oxide
b. Halothane
c. Methoxyflurane
d. Midazolam
Midazolam
TRUE regarding ESTER vs AMIDE anesthetics:
a. Amides are usually short-acting compared to ester-based anesthetics.
b. Esters are degraded by hepatic esterases
c. Mepivacaine and Bupivacaine are examples of amide anesthetic agents
d. Ropivacaine has the shortes half-life among all local anesthetics
Mepivacaine and Bupivacaine are examples of amide anesthetic agents
A 28-year old pregnant woman in her 1st trimester comes to you with exophthalmos, heat intolerance, palpitations, and unintentional weight
loss which are signs of Grave’s Disease (under hyperthyroidism). What is the preferred treatment?
a. Propranolol
b. Methimazole
c. Propylthiouracil
d. Lugol’s solution
Propylthiouracil
Finasteride may be used in managing benign prostatic hyperplasia
because of its ability to inhibit:
a. Aromatase
b. GnRH receptors
c. 5-alpha reducatse
d. Androgen receptors
5-alpha reducatse
An example of a long-acting insulin.
a. Lispro
b. Aspart
c. Humulin R
d. Degludec
Degludec
The first line treatment for a diabetic patient with a BMI of 29 (Obese)
is a:
a. GLP-1 agonist
b. Biguanide
c. DPP-4 Inhibitor
d. SGLT-2 Inhibitor
Biguanide
This drug used for hyperthyroidism acts via the mechanism of Wolff-
Chaikoff effect:
a. Propranolol
b. Methimazole
c. Propylthiouracil
d. Lugol’s solution
Lugol’s solution
Which of the following is a common direct or reflex effect of
nitroglycerin?
a. Decreased heart rate
b. Decreased venous capitance
c. Increased afterload
d. Increased cardiac force
Increased cardiac force
A 23-year old woman is using albuterol inhaler for frequent acute
episodes of asthma and complains of symptoms that she ascribed to the
albuterol. Which of the following is not a recognized action of albuterol?
(Note: Albuterol is also known as Salbutamol)
a. Diuretic effect
b. Positive inotropic effect
c. Skeletal muscle tremor
d. Smooth muscle relaxation
Diuretic effect
A 19-year old college student has well-controlled asthma, but on reporting to the college health clinic, complains of a sore throat. On examination, he has typical signs of thrust, a fungal infection with Candida albicans. The asthma controller medication most likely to be associated with Candida infection is:
a. Salbutamol by aerosol
b. Beclomethasone by aerosol
c. Ipratropium inhaler
d. Predinsone by mouth
Beclomethasone by aerosol