MDS PREP
Proton pump inhibitors are most effective when they are given
1) After meals
2) Shortly before meals
3) Along with H2 blockers
4) During prolonged fasting periods
Pharmacology Answer: 2
Bio-availability of all proton pump inhibitors is reduced by food; they should be taken in empty stomach, followed 1 hour later by a meal to activate H+K+ ATPase and make it more susceptible to the proton pump inhibitor.
Which of the following fluoroquinolones does not require dose adjustment in a patient with creatinine clearance of < 50mg/min?
1) Ciprofloxacin
2) Trovafloxacin
3) Lomefloxacin
4) Sparfloxacin
Pharmacology Answer: 2
Fluoroquinolones that are excreted mainly by non renal mechanisms:
Pefloxacin Trovafloxacin Grepofloxacin Nalidixic acid
Morphine withdrawal is characterized by all except
1) Miosis
2) Yawning
3) Lacrimation
4) Diarrhea
Pharmacology Answer: 1
Withdrawal of morphine is associated with marked drug-seeking behavior.
Physical manifestations of abstinence are - lacrimation, sweating, yawning, anxiety, fear, restlessness, gooseflesh, mydriasis, tremor, insomnia, abdominal colic, diarrhea, dehydration, rise in BP, palpitation and rapid weight loss.
Delirium and convulsions are not a characteristic feature (contrast barbiturates) and are seen only occasionally.
Cardi-ovascular collapse and fatality are rare if supportive measures are instituted.
Not a contraindication for epinephrine use is
1) Heart disease.
2) Hypersensitivity to drug.
3) Hyperthyroidism.
4) Liver disease.
Pharmacology Answer: 4
Adrenaline is contraindicated in hypertensive, hyperthyroid and angina patient.
Hypersensitivity to drug is absolute contraindication to any drug.
Ethohepatazine is a chemical derivative of
1. codeine
2. morphine
3. meperidine
4. papaverine
Pharmacology
Answer: 3
Ethohepatazine is a chemical derivative of meperidine
Which of the following antibiotics shows an incidence of approximately 8% cross-allergencity with penicillins?
1) Bacitracin
2) Erythromycin
3) Cephalexin
4) Vancomycin
Pharmacology Answer: 3
Cephalosporins can cause allergic reactions in people with penicillin allergy. The overall rate of allergy to cephalosporins in people with penicillin allergy is approximately 5 to 10%, although rates may be higher for certain people. Allergic reactions to cephalosporins can be severe and even lifethreatening;
it is generally recommended that those allergic to penicillin avoid cephalosporins all together.
MAO inhibitors are contraindicated in a patient taking?
1) Pethidine
2) Buprenorphine
3) Morphine
4) Pentazocine
Pharmacology Answer: 1
first choice pethidine
Use of MAO inhibitors in patient taking pethidine / pentazocine can precipitate serotonin syndrome.
Syncope may be treated with any of the following drug except
1) Phenylephrine
2) Oxygen
3) Ephedrine
4) Isoproterenol
Pharmacology Answer: 4
Isoproterenol is used in the management of bronchospasm during anesthesia;
adjunctive treatment for shock.