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Test your basic knowledge |
USMLE/COMLEX Step 1 Pharmacology One Liners
Start Test
Study First
Subjects
:
health-sciences
,
usmle-step-1
,
comlex
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. Cephalosporins able to cross the BBB
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
Hepatic enzymes
Ketanserin cyproheptadine - and phenoxybenzamine
Atropine - pralidoxime (2- PAM)
2. Newer atypical antipsychotic used for bipolar disorder - known to cause weight gain - and adversely affect diabetes
Naloxone
Minimum alveolar anesthetic concentration (MAC)
Parathion
Olanzapine
3. Presynaptic Alpha 2 agonist used in HTN - and acts centrally
Increasing afterload and tissue perfusion declines
Physostigmine
Xanthine oxidase
Clonidine - and methyldopa
4. These beta blockers are less lipid soluble
Acebutolol and atenolol
Buspirone
Sermorelin
Ketoralac
5. Concentration in the plasma times (clearance divided by bioavailability)
Inhaled anesthetics - especially isoflurane - aminoglycosides - and antiarrhythmic
Maintenance dose (Cp*(CL/F))
Heparin
Aspirin
6. Major SE of insulin
Pentoxifylline
Hypoglycemia
Nitrous oxide
Bradycardia - SEXUAL DYSFUNCTION - decrease in HDL - and increase in Triglycerols (TG)
7. Meningitis prophylaxis in exposed patients
Rifampin
Benztropine
Acebutolol and atenolol
Dantrolene
8. Reduce transient hyper GI motility
Cocaine 'super - speed'
Calcium
Ketoralac
Dicyclomine - methscopolamine
9. Slightly increased risk of breast cancer - endometrial cancer - heart disease (questionable) - has beneficial effects on bone loss
Nesiritide (BNP)
Estrogen
Spironolactone
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
10. Beta 1 agonists used in acute CHF
Hallucinations resembling psychosis
Dobutamine and dopamine
Psychotic state - overdose causes agitation - restlessness - tachycardia - hyperthermia - hyperreflexia - and seizures
Amiodarone
11. Antidepressant having stimulant effects similar to SSRI's and can increase blood pressure
Venlafaxine
Esmolol
Increase the DURATION of GABA- mediated chloride ion channels
Drug induced Parkinsonism
12. Used for hairy cell leukemia; it stimulates NK cells
Methoxyflurane
Interferon alpha
Letrozole - anastrozole
Naloxone
13. MOA of nateglinide
Hydralazine
Insulin secretagogue - closes ATP- sensitive K+ channel
Cortisone and hydrocortisone (equivalent to cortisol)
Adenosine
14. Barbiturates decrease the effectiveness of many other drugs via this pharmacokinetics property
Liver enzyme INDUCTION
Tamoxifen
Sotalol
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
15. Important in muscle and adipose tissue for glucose transport across muscles and TG storage by lipoprotein lipase activation
REM is decreased
GLUT 4
Ganciclovir
PCP
16. State of analgesia and amnesia produced when fentanyl is used with droperidol and nitrous oxide
Clindamycin
Neuroleptanesthesia
Olanzapine
Haloperidol
17. SE of demeclocycline
Bone marrow and teeth discoloration for children under 8 years of age
Disulfiram - like reaction
Sulfasalazine
Lispro (Humalog) - aspart - glulisine
18. Most widely used thyroid drugs such as Synthroid and Levoxyl contain
Aspirin
L- thyroxine (T4)
Lupus - like syndrome
Benzodiazepines and calcium channel blockers
19. MOA of metformin
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
Skeletal muscle tremor - tachycardia
Thiopental
Ondansetron - granisetron - dolasetron and alosetron
20. Alpha 1selective blockers
Miosis and constipation
Prazosin - terazosin and doxazosin (- AZOSIN ending)
Toremifene (Fareston)
Buspirone
21. Similar to clonidine and may cause hypotension
Beta blockers
SSRI's - bupropion - and venlafaxine
Tizanidine
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
22. MOA and effect of nitric oxide
Pentoxifylline
Stimulates cGMP which leads to vascular smooth muscle relaxation
Tizanidine
Olanzapine - aripiprazole - and sertindole
23. SE of both warfarin and heparin
GI bleeding
Bleeding
Insulin
Acetazolamide
24. Selective Alpha -1A blocker - used for BPH - but with little effect on HTN
Tamsulosin (Flomax)
Tamsulosin
Pramipexole and ropinirole
Urinary acidification and activated charcoal or continual nasogastric suction
25. Long acting glucocorticoids
Testosterone
Betamethasone and dexamethasone
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
sodium polystyrene sulfonate (Kayexalate)
26. Used intranasally and decreases bone resorption
Calcitonin (salmon prep)
Cholinesterase inhibitors
Older antipsychotic agents - D2 receptors
increase the FREQUENCY of GABA- mediated chloride ion channel opening
27. Most inhaled anesthetics SE
Iron deiodinates thyroxine
Lepirudin
Decrease arterial blood pressure
Hypercalcemia
28. DOC for bipolar affective disorder
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Acebutolol - atenolol - esmolol - metoprolol
Lithium
Tamsulosin (Flomax)
29. Hyperglycemic agent that increases cAMP and results in glycogenolysis - gluconeogenesis - reverses hypoglycemia - also used to reverse severe beta - blocker overdose and smooth muscle relaxation
Phenylephrine
Hallucinations resembling psychosis
Amantadine
Glucagon
30. Antidepressant with MOA as alpha 2 antagonist - has effects on both 5- HT and NE - blocks histamine receptors - and is sedating
Buspirone
Overdose of opioids
Mirtazapine
Ketamine
31. Antidote used for warfarin toxicity
Vitamin K and Fresh frozen plasma (FFP)
block SLUD (salivation - lacrimation - urination - defecation
Bile acid - binding resins
Sedation
32. Antidote for acetaminophen toxicity
N- acetylcysteine
Epinephrine
Naltrexone
Venlafaxine
33. Drug used in ergot alkaloids overdose - ischemia and gangrene
Fludrocortisone and deoxycorticosterone
Naltrexone
Nitroprusside
Estogens increase maternal TBG
34. Some of SSRIs' therapeutic effects beside depression
REM is decreased
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
Combination oral contraceptives (OC)
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
35. Drug used in neuroleptic malignant syndrome
Therapeutic index
Dantrolene
Efficacy
Toremifene (Fareston)
36. Anti - progesterone used as abortifacient
Mifepristone (RU-486)
Diclofenac - ketoralac
L- dopa
Estogens increase maternal TBG
37. Difference between aspirin and other NSAIDS
Yohimbine
Carbamazepine
Aspirin irreversibly inhibits cyclooxygenase
Metronidazole
38. Relates the amount of drug in the body to the plasma concentration
Malathion
Pre - existing cardiac or renal disease
Spironolactone
Volume of distribution (VD)
39. Barbiturates MOA
Affect calcium - potassium - and sodium channels
Increase the DURATION of GABA- mediated chloride ion channels
Penicillamine
Red urine discoloration
40. Strong opioid agonists
Pulse therapy
Olanzapine - aripiprazole - and sertindole
Clozapine
Morphine - methadone - meperidine - and fentanyl
41. Toxicity of these agents include bradycardia - AV blockade - exacerbation of acute CHF; signs of hypoglycemia may be masked (tachycardia - tremor - and anxiety)
Beta blockers
Therapeutic index
Lithium
Digoxin
42. Inhaled anesthetic with a low blood/gas partition coefficient
Clomipramine - fluoxetine and fluvoxamine
Nitrous oxide
Parathion
Pyridostigmine
43. 5HT-3 antagonist used in chemotherapeutic induced emesis
Tetrabenazine (amine depleting drug) - Haloperidol (antipsychotic)
Thioamides - iodides - radioactive iodine - and ipodate
Ethosuximide and valproic acid
Ondansetron - granisetron - dolasetron and alosetron
44. Beta 2 agonist used to suppress premature labor - but cardiac stimulatory effects may be hazardous to mother and fetus
Odansetron
Terbutaline
Morphine
Clearance (CL)
45. Proteins that prevent action of tumor necrosis factor alpha (TNF- alpha)
Phenoxybenzamine
Adalimumab - infliximab and etanercept
Insulin release from pancreas; faster and shorter acting than sulfonylurea
6- mercaptopurine (6- MP)
46. Pneumonic for 3 zones of adrenal cortex
GFR
Tetracycline
Point mutation
Pilocarpine - carbachol - physostigmine
47. Anti - Parkinson's drug which increases intraocular pressure and is contraindicated in closed angle glaucoma
Inhibit DNA gyrase
Levodopa
Imipramine
Metformin
48. Side effect of Mitomycin
Decreased micro and macro vascular disease
SEVERE myelosuppression
Hydration and mercaptoethanesulfonate (MESNA)
Glargine (Lantus) - detemir
49. Clinical use for H2 blockers
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Calcitonin (salmon prep)
Rescue therapy
Platelet aggregation inhibition
50. Treatment of resistant pseudomembranous colitis
LSD
Toremifene (Fareston)
ORAL vancomycin
Bradykinin