Pharmacology Flashcards

1
Q

Pharmacologic treatment of glucagonoma and somatostatinoma

A
  • Octreotide

* Interferon alpha

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2
Q

H2 blockers produce a reversible or irreversible block

A

Reversible

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3
Q

H2 blockers that decrease renal excretion of creatinine

A

Cimetidine and ranitidine

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4
Q

Proton pump inhibitors produce a reversible or irreversible block

A

Irreversible

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5
Q

Adverse effects of proton pump inhibitors

A
  • Increased risk of C difficile infection
  • Pneumonia
  • Decrease in serum Mg (long-term)
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6
Q

Decrease in which electrolyte is a common side effect of all antacids

A

Potassium

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7
Q

Most important side effects of aluminum hydroxide

A
  • Constipation

* Hypophosphatemia

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8
Q

Mechanism of action of misoprostol

A

PGE1 analog

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9
Q

Reversible oligospermia is a side effect of which gastrointestinal drug

A

Sulfasalazine

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10
Q

Mechanism of action of loperamide

A

Agonist at mu receptors

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11
Q

Only serotonin receptor that is not G-coupled

A

HT3

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12
Q

DOC in vomiting caused by gastrointestinal irritation

A

Ondansetron (there is increased serotonin secretion in these states)

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13
Q

DOC for migraine vomiting

A

Metoclopramide

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14
Q

Mechanism of action of senna

A

Enteric nerve stimulation, leading to colonic contraction

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15
Q

Etiologic agent of melanosis coli

A

Senna

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16
Q

Mechanism of action of aprepitant

A

Substance P antagonist that block NK1 receptors in the brain

17
Q

Clinical use of aprepitant

A

Chemotherapy-induced nausea and vomiting

18
Q

CNS area that is affected by metoclopramide and ondansetron

A

Area postrema in the medulla (chemoreceptor trigger zone)

19
Q

Mechanism through which metoclopramide promotes motility

A

Increase in the sensitivity to acetylcholine

20
Q

Docusate belongs to which types of laxatives

A

Stool softener

21
Q

Examples of irritant laxatives

A
  • Castor oil
  • Senna
  • Bisacodyl
22
Q

Mechanism of action of irritant laxatives

A

Decrease water reabsorption and stimulate secretion

23
Q

Examples of lubricating laxatives

A
  • Mineral oil

* Glycerin

24
Q

Mechanism of action of ursodiol/ursodeoxycholic acid

A

Concentrates in bile and decreases biliary cholesterol by suppresing by suppressing hepatic synthesis and secretion of cholesterol as well as inhibiting its intestinal absorption, leading to partial solubilization of cholesterol from gallstones

25
Q

First-line chelating agent used in arsenic poisoning

A

Dimercaprol

26
Q

Reason for which opioid analgesics are contraindicated in hypotensive patients

A

They stimulate the release of histamine, leading to vasodilation of blood vessels and itching