Quiz Flashcards

1
Q

The most common receptor motive targeted by opthalmic drugs

A

G-protein coupled

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2
Q

According to Fick’s Law of diffusion, whick of the following changes would contribute to greater level of flux

A

C1>C2

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3
Q

5ml of 2% drug A, 6ml of 3% drug B, 8ml of 8% drug C, 1ml of 6% drug D are combined in a solution. What is the resultant concentration of drug A?

A

0.5%

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4
Q

How many mg of tropicamide is in 25ul of 0.5% solution?

A

0.125mg

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5
Q

Which FDA drug schedule corresponds to moderate level of drug abuse potential

A

III

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6
Q

According to FDA, off label prescribing for a prescription includes deviations from the official monograph of all but which of the following examples

  • Dose
  • Dose frequency
  • Sudden drug discontinuation
  • Route of delivery
A

Sudden drug discontinuation

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7
Q

For a weakly acidic drug pKa 5.5, what ph would result in the majority of the drug being lipophylic?

  • 2.5
  • 4.5
  • 6.5
  • 8.5
A

8.5

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8
Q

Generic topical opthalmic drugs can vary from one another in which of the following ways

  • Bioavailability
  • Acrive ingredient
  • Stability
  • Purity
A

Bioavailability

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9
Q

How would you classify the use of thyroid hormone by an adult with thyroid disease

  • Therapeutic
  • Symptomatic
  • Prophylactic
  • Supplemental
A

Supplemental

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10
Q

How many mg of ephedrine are in a 20ul drop of 1:20000 preparation

A

0.001

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11
Q

Your px complains of a headache after taking a standard dose of 200mg of a drug twice a day. What modification would be the most appropriate

  • 400mg once daily
  • 100mg four times daily
  • 100mg twice a day
  • 200mg once daily
A

100mg four times daily

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12
Q

Which of the following agonist subtypes acts on receptors with constitutive activity

  • Inverse
  • Indirect
  • Partial
  • Direct
A

Inverse

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13
Q

Which isoform of cytochrome P450 enzymes is touted as being responsible for the metabolism of over 50% of prescription drugs

  • 2C9
  • 2D6
  • 2C8
  • 3A4
A

3A4

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14
Q

A drug has a bioavailability of 0.8 in elixer form and 0.4 in tablet form. If normal dosing of the tablet form is a total of 400mg per day, which dose regimen would be equivalent in the elixer

  • 100mg 3xper day
  • 50mg 2xper day
  • 50mg 4xper day
  • 100mg 4x per day
A

50mg 4xper day

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15
Q

What time interval does it take for most orally administered drugs to reach peak plasma concentration?

  • 1-2hours
  • 30-60min
  • 10-20min
  • 2-4 hours
A

1-2 hours

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16
Q

Tachyphylaxis is defined as

  • Rapidly reduced drug response
  • Initially reduced drug response
  • Serious adverse reaction to drug
  • Highly positive drug response
A

Rapidly reduced drug response

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17
Q

Spare receptor theory refers to:

  • Initial failure of a reversable antagonist to diminish a response
  • Initial failure of an irreversible antagonist to diminish a response
  • An unlimited number of receptors available to produce a response
  • Initial potential of an agonist to produce an exaggerated response
A

Initial failure of an irreversible antagonist to diminish a response

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18
Q

Schild equation illustrates how a

  • Decline in C’ when Ki is reduced
    -Decline in C when Ki is reduced
  • Rise in C when Ki is reduced
    Rise in C’ when Ki is reduced
A

Rise in C’ when Ki is reduced

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19
Q

Unlike enterohepatic circulation, hepatic portal circulation is involved in processing

  • lipophylic drugs
  • bilirubin
  • nutrients
  • biliary acids
A

Nutrients

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20
Q

Which body compartment contains the most fluid volume

  • Interstitial
  • Fat tissues
  • Blood
  • Intracellular
A

Intracellular

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21
Q

Which drug can cause diplopia

A
  • Lisinopril
  • Amlodipine
  • Escitalopram
  • Alprazolam
22
Q

Which % of Americans have hypertension

23
Q

Which statement abour the renin-angiotensin-aldosterone system is true

  1. Renin results in a rise in angiotensin levels
  2. ACE results in a rise in bradykinin
  3. ACE results in rise in angiotensin I
  4. Angiotensin II leads to rise in aldosterone
A

4.

  • ACE inhibitors cause increase in bradykinin
  • ACE results in angiotensin 1 conversion into angiotensin 2
  • Renin results in angiotensinogen conversion into angiotensin 1
24
Q

Which drug is centrally acting

  1. Guanfacine
  2. Lisinopril
  3. Amlodipine
  4. Losartan
A
  1. Guanfacine - (Central alpha-2 Adrenergic Agonist)
  • Lisinopril - (ACE inhibitor)
  • Amlodipine - (Calcium channel blocker)
  • Losartan - (Angiotensin 2 Receptor Blocker)
25
Which condition involves changes in GABA tone
Anxiety
26
What drugs can cause floppy iris syndrome?
* Tamsulosin * Terazosin
27
Which of the following is an anticholinergic effect 1. Sedation 2. Sweating 3. Diarrhea 4. Hypotension
Sedation
28
Botox acts by: 1. Blocking M receptor 2. Blocking N receptor 3. Blocking ACh synthesis 4. Blocking ACh release
Blocking ACh release
29
An increase in parasympathetic tone produces all of the following responses except 1. Bradycardia 2. Vasodilation 3. Diaphoresis(cold sweats) 4. Reduced gastric pH
Diaphoresis
30
Which receptor has a role in the inhibitory feedback within the ANS 1. Alpha 1 2. Alpha 2 3. Beta 1 4. Beta 2
Alpha 2
31
Which effect is consistent with fight/flight 1. Glycogen breakdown 2. Bronchoconstriction 3. Bradycardia 4. Platelet inhibition
Glycogen breakdown
32
Which condition nvolves changes in GABA tone? 1. Mania/psychosis 2. ADHD 3. Anxiety 4. Depression
Anxiety
33
Widespread supression of sympathetic tone is the therapeutic approach used to treat: 1. Mania/psychosis 2. ADHD 3. Anxiety 4. Depression
Anxiety
34
Cataracts are a recognised side effect of a drug/drugs used to treat: 1. Mania/psychosis 2. ADHD 3. Anxiety 4. Depression
Mania/psychosis
35
Which class of antidepressants are considered out-dated due to its poo receptor selectivity 1. MAOI 2. TCAD 3. SNRI 4. SSRI
TCAD
36
Ptosis is side effect of a drug used to treat: 1. Mania/psychosis 2. ADHA 3. Anxiety 4. Depression
Depression (Escitalopram)
37
Which drugs can cause angioedema
* Lisinopril (ACE inhibitor) * Losartan (Angiotensin receptor blocker) * Clonidine (Alpha agonist) * Alprazolam (Benzo-anxiety)
38
Which drugs can cause conjunctivitis?
* Amlodipine(Calcium channel clocker) * Escitalopram (SSRI)
39
Which drugs can cause retinal hemorrhage?
* Lisinopril * Sildenafil
40
Which drug can cause cyanopsia(blue vision)
Sildenafil
41
Which drug can cause corneal deposits?
Amiodarone with \> 6month use
42
Which drug can cause optic neuritis
Amiodarone
43
Which drug can cause optic neuropathy
Amiodarone
44
Which drug can cause ptosis(drooping eyelid)
Escitalopram
45
Which drugs can cause cataracts
Quetiapine Haloperidol Chlorpromazine
46
Which drug can cause ocular pigmentation
Chlorpromazine
47
Which drug can cause night blindness?
Chlorpromazine
48
Which drug can cause salt & peper fundus?
Chlorpromazine
49
Which drug can cause nystagmus?
Phenytoin
50
Which drug can cause retinopathy?
Haloperidol Chlorpromazine