PassPharm Flashcards

1
Q

Hepatotoxicity is/are most characteristically caused by:

Isoniazid 
Aminoglycosides
TCAs
Halothane
Levodopa
Lamotrigine
A

Halothane.

Isoniazid causes peripheral neuropathy.

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2
Q

Thrombophlebitis is most characteristically caused by:

Levodopa
Metoclopramide
Quinidine 
Nitrofurantoin 
Methotrexate
Tamoxifen
A

Thrombophlebitis can be caused by:
Amiodarone
Vancomycin
Tamoxifen

Methotrexate causes mucositis.

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3
Q

What is the treatment of choice for migraine prophylaxis (not a women or childbearing age)?

Triptan + NSAID or triptan + paracetamol 
Amitriptyline
Frovatriptan or zolmitriptan
Paroxetine
Propranolol
Topiramate or propranolol
A

Topiramate or propranolol: migraine prophylaxis (not a women of childbearing age).

Frovatriptan or zolmitriptan: prophylaxis against menstrual migraine.

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4
Q

Hyponatraemia is most characteristically caused by:

Rifampicin
Pioglitazone 
Valproic acid 
Lithium 
Sulfonylureas 
TCAs
A
Hyponatraemia:
Thazides
Loop diuretics
Carbamazepine
Sulfonylureas
TCAs
Tremor:
Sodium valproate
Lithium 
Antipsychotics
Valproic acid 
Ciclosporin
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5
Q

What effect does fluconazole have on the p450 system?

A

Inhibitor

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6
Q

Is omeprazole an enzyme inhibitor or inducer?

A

Inhibitor

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7
Q

Which of the following adverse effects is most characteristically associated with sodium valproate?

Skin necrosis 
Nystagmus
Confusion
Myelosuppression/agranulocytosis
Ataxia
Urinary retention
A
Ataxia:
Phenytoin
Sodium valproate
Carbamazepine 
Valproic acid 
Amantadine

Ataxia is a term for a group of disorders that affect co-ordination, balance and speech.

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8
Q

What effect does chronic alcohol intake have on P450 system?

A

Inductor

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9
Q

Which one of the following is an example of a P450 enzyme inhibitor?

Phenytoin
Smoking
Rifampicin
St Johns Wort
Chronic alcohol intake
Amiodarone
A

Amiodarone is an enzyme inhibitor.

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10
Q

Which one of the following effects is most characterically associated with etanercept?

Fever
Tardive dyskinesia 
Peripheral neuropathy
Osteonecrosis of the jaw
Retinopathy
Hyperthyroidism
A
Phenytoin = fever. 
Etanercept = peripheral neuropathy.
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11
Q

Which of the following is most characteristic of lead poisoning?

Hyperpyrexia 
Peripheral neuropathy
Miosis
Pink skin and mucosae
Bradycardia
A
Lead = peripheral neuropathy. 
Miosis = organophosphate insectidine poisoning.
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12
Q

Which of the following is most likely to represent a contraindication to the prescription of hydralazine?

Concurrent statin therapy
CKD (eGFR <30ml/min/1.73m^2)
Recent myocardial infarction
Concurrent nitrate therapy
Heart failure
Asthma
A

Nitrate: PDE5 (sildenafil)

Recent myocardial infarcton:
Metformin
Sildenafil
Sumatriptan 
Hydralazine
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13
Q

Peripheral neuropathy is most characteristically caused by:

Cytarabine
Fluorouracil 
Cyclophophamide 
Cisplatin
Bleomycin
Methotrexate
A

Peripheral neuropathy:
Vincristine
Cisplatin
Vinblastine

Pulmonary fibrosis:
Bleomycin
Methotrexate

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