pharm Qs bank Flashcards
which method avoids first pass metabolism?
sublingual
how is salbutamol given?
inhalation
which drug is totally metabolised in first pass metabolism?
GTN (glyceryl trinitate)
a quaternary ammonium compound can only be deliverd by the following route:
intravenous
which of the following statements concerning atropine is false?
paralyses skeletal muscle
the alpha adrenergic receptor antagonist phentolamine causes which one of the following effects:
fall in blood pressure in pheochromocytoma
which is a selective alpha-1 antagonist?
prazosin
which is an acetylcholine antagonist?
benztropine
what is the action of salbutamol?
bronchodilation
what is an adrenoceptor neurone blocker?
used as hypertensive drugs
which of the following is incorrect:
all ionised drugs are lipid soluble
what is the ration of distribution of aspirin across biological membrane?
9900:01:00
which drug can be absorbed from the stomach?
aspirin
what do acidic drugs bind to?
albumin
what do basic drugs bind to?
albumin and alpha-acid glycoprotein
in which process is there the introduction of groups so that is can undergo phase 2 reactions?
functionalisation
what does conjugation reactions involve?
generally increase in rate of excretion
name a drug that can proceed without phase 1 reaction?
temazepam
an usual site of excretion
sweat
which is not the fator that affects drug concentration in blood plasma?
conjugation
what is the loading dose?
given at the beginning of treatment as one big dose
which is not a factor of multiple dosing (long 0.5t)?
hard to maintain in therapeutic window
which is not a factor of multiple dosing (short 0.5t)?
small fluctuations between doses
ionisation affects
distribution
which is not a structure of quarternary ammonium ions?
R group is not an aryl group
the ANS can be:
excitatory or inhibitory
the ANS is controlled by:
None of the above
the SNS can be:
excitatory only
the SNS is controlled by
cerebrum
what do SNS terminals produce?
acetylcholine
what do ANS terminals produce?
noradrenaline and acetylcholine
which divisions of the hypothalamus has direct parasympathetic innervations?
anterior and medial regions
which divisions of the hypothalamus has direct sympathetic innervations?
lateral and posterior regions
which is not a muscarinic agonist?
BDZ
Which is an adverse effect of alpha-2 adrenergic agonists?
hypotension
which is not an anti- muscarinic effect?
tremors
which is not a property of pyridostigmine?
tertiary ammonium
which cranial nerve is not involved in parasympathetic innervations?
trigeminal
what is the function of occulomotor nerve?
innervates four extrinsic muscles of the eye
what is the function of facial nerve?
innervates facial expression muscles
suxamethonium
is a depolarising blocker at neuromuscular junction end-plate
which of the following statements is correct?
physiological antagonism is exhibited by salbutamol in asthma
the mechanism of action of ipratropium in the treatment of asthma is:
inhibition of the effect of the vagus
which of the following statements is correct?
histamine release from mast cells stimulates H2 receptors on the parietal cell
what is the mode of action of ipratropium?
anticholinergic drug
which is not a property of pyridostigmine?
tertiary ammonium
what is the function of glossopharyngeal nerve
innervates tongue and pharynx
what produce acetylcholine neurotransmitter?
choline acetyl transferase (CAT)
excess production of acetylcholine neurotransmitter doesn’t result in:
stimulation of respiratory and cardiovascular centres
NM junctions function by
sodium-potassium channel
the M1/M3/M5 receptors function by
phospholipase C
the M2/M4 receptors function by
cAMP
which cranial nerve innervates parotid salivary gland?
glossopharyngeal
which cranial nerve innervates parotid, iris radial muscle, and ciliary muscle?
occulomotor
which is the cofactor for dopa beta- hydroxylase?
Ascorbate
selective agonists of alpha-1 > alpha 2?
phenylephrine
selective agonists of alpha-2> alpha 1?
clonidine
selective agonists of beta-1= beta-2?
dobutamine
what is the resting membrane potential?
-60 to -90mV
where does acetylcholine neurotransmitter get broken down?
synaptic basal lamina
selective agonists of alpha-1, alpha-2, and beta-1?
noradrenaline
how does hemicholinium function?
competes with choline transporter for uptake
how does botulinum toxin function?
inhibits fusion of vesicles at pre-synaptic membrane
how does streptomycin/ tetracycline function?
calcium channel blocker
how does Black widow spider function?
promotes exocytosis
which is an example of competitive non depolarising antagonist?
tubocurare
which is not a side effect of depolarising blocker?
inhibits potassium release
which is not a clinical function of NMJ blockers?
hypothermia
which is eMax?
max effect
pAx values can only be determined for
competitive antagonists