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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. Antidepressant inhibiting norepinephrine - serotonin - and dopamine reuptake
Ethanol
CMF (cyclophosphamide - methotrexate - and fluorouracil) and tamoxifen if ER+
Amphetamines
Venlafaxine
2. Atropine fever is the most dangerous effect and can be lethal in this population group
Acebutolol and atenolol
Infants
Fentanyl
Propranolol
3. Selectivity of a drug for its receptor
Specificity
Minoxidil
SSRIs
Bethanechol
4. This beta blocker is highly lipid soluble and may account for side effects such as nightmares
Propranolol
Clonidine - and methyldopa
Midodrine
Bupropion
5. Another pneumonic for anticholinergic toxicity
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6. Ergot alkaloid that is a partial agonist at D2 receptors in the brain - used for patients who are refractory or cannot tolerate levodopa - causes erythromelalgia
Inhibition of protein synthesis at the 50s subunit of ribosome
Morphine
Bromocriptine
Acetazolamide
7. Selective alpha agonists that decreases aqueous secretion
Apraclonidine - brimonidine
Clozapine
Beta1 agonists
'dry as a bone - red as a beet - mad as a hatter - hot as a hare - blind as a bat'
8. Most commonly abused in health care professionals
Alpha1 agonists
Heroin - morphine - oxycodone - meperidine and fentanyl
Calcitonin (salmon prep)
Inhibit dihydropteroate synthase
9. Antiprogestin used as potent antagonist of GC receptor
Lispro (Humalog) - aspart - glulisine
Demeclocycline
Erythropoietin
Mifepristone
10. Toxicity caused by nitroprusside and treatment
Prednisone - methylprednisolone - prednisolone - and triamcinolone
Cyanide toxicity treated with sodium thiosulfate
Ticlopidine
Asthma (bronchospastic effects) - diabetes (block signs of hypoglycemia) and peripheral vascular disease
11. Generation of antihistamine that has the most CNS effects
First generation due to being more lipid - soluble
Dantrolene
L- thyroxine (T4)
Bromocriptine
12. Example of three antidepressants that are indicated for obsessive compulsive disorder
Clomipramine - fluoxetine and fluvoxamine
Calcium channel blockers
Cyanide toxicity treated with sodium thiosulfate
LD50
13. 'Date rape drug'
Thyroxine
Flunitrazepam (rohypnol)
Marijuana
Peripheral neuritis and hepatitis
14. Meningitis prophylaxis in exposed patients
Cocaine
Glucagon
Atropine
Rifampin
15. Irreversible - nonselective COX inhibitor
Overdose of opioids
Nausea
Aspirin
Acetazolamide
16. MOA of nateglinide
Thrombocytopenia
Insulin secretagogue - closes ATP- sensitive K+ channel
Glucagon
Risperidone
17. The most common neurologic abnormality in chronic alcoholics
Estrogen
Peripheral neuropathy (also excessive alcohol use is associated with HTN - anemia - and MI)
GI bleeding
Older antipsychotic agents - D2 receptors
18. SE of nitrates
Hepatic
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
Tissue plasmin activator
Noncompetitive antagonist
19. Aminoglycoside that is least ototoxic
Glucuronate - acetic acid - and glutathione sulfate
Malathion
Streptomycin
Levodopa
20. Antidote used for tricyclic antidepressants (TCA)
Overdose of opioids
Presynaptic mu - delta - and kappa receptors
Sodium bicarbonate
Imipramine
21. Class of drugs with ability to decrease the maximal response to an agonist
Valproic acid - carbamazepine - phenytoin and gabapentin
Noncompetitive antagonist
Uterine contractions
Amiodarone
22. Drug that causes contraction of the uterus
Neutropenia and agranulocytosis
Ortho - Evra
Oxytocin
Albuterol
23. Drugs used in the management of angina
Severe hypertension
Vasodilation
Edrophonium
Aspirin - Nitrates - CCB - and Beta blockers
24. Antidote used for anticholinergic poisoning
Vitamin K or fresh frozen plasma
Physostigmine
Cosyntropin
SEVERE myelosuppression
25. Available bisphosphonates
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
High therapeutic index
Alendronate - etidronate - risedronate - pamidronate - tiludronate - and zoledronic acid
Pregnancy
26. Prevents thrombosis in patients with artificial heart valve
Reduce the loss from area of injection
Dipyridamole
Cyclobenzaprine
Metformin
27. Strength of interaction between drug and its receptor
Ferrous sulfate
Affinity
Cp
Insulin
28. Anti - viral with a dose limiting toxicity of pancreatitis
Didanosine
Tamsulosin
Clomipramine - fluoxetine and fluvoxamine
Clomipramine
29. MOA for benzodiazepines and barbiturates
PCP
GABA- related targets
Dobutamine
Insulin release from pancreas; faster and shorter acting than sulfonylurea
30. Sulfonylurea Not recommended for elderly because of very long half life
Pioglitazone - Rosiglitazone - Troglitazone (withdrawn/d from market)
Chlorpropamide
Long acting cholinesterase inhibitors
Midodrine
31. Class of anti - arrhythmics that has a pro - arrhythmic effect (CAST trial) - therefore are used as last line agents
Class IC (flecainide - propafenone - moricizine)
sulfamethoxazole/ trimethoprim
Phentolamine
Organic nitrites
32. IV Drug used Hypertensive Crisis
Benzodiazepine receptor BZ1 (although do not have a benzodiazepine ring structure)
Nitroprusside
Methimazole and propylthiouracil (PTU)
Nausea
33. Organophosphate anthelmintic agent with long DOA
Clozapine
Ethanol - fomepizole
Nondepolarizing type antagonists
Metrifonate
34. MOA of aspirin
Methotrexate
Infants - closed angle glaucoma - prostatic hypertrophy
Irreversibly blocking cyclooxygenase
Acetazolamide
35. Beta 2 agonist used to suppress premature labor - but cardiac stimulatory effects may be hazardous to mother and fetus
Dimercaprol
Alpha1 agonists
Terbutaline
Drug induced Parkinsonism
36. Agents for reduction of postpartum bleeding
Oxytocin - ergonovine and ergotamine
Desmopressin (DDAVP)
Fluoxetine
Clomipramine
37. Well - tolerated and are first - line antidepressants
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38. THC is active ingredient - SE's include impairment of judgment - and reflexes - decreases in blood pressure and psychomotor performance occur
Fluoxetine
Betamethasone and dexamethasone
Alendronate - etidronate - risedronate - pamidronate - tiludronate - and zoledronic acid
Marijuana
39. 5HT-3 antagonist that has been associated with QRS and QTc prolongation and should not be used in patients with heart disease
Bind ergosterol in fungal cell membrane
Mirtazapine
Dolasetron
Acid reflux disease - duodenal ulcer and peptic ulcer disease
40. Phenylisopropylamines that are used legitimately and abused for narcolepsy - attention deficit disorder - and weight reduction
Liver enzyme INDUCTION
Cyproheptadine
Odansetron - granisetron
Amphetamines
41. Reason troglitazone was withdrawn from market
Hepatic toxicity
Glucagon
Calcium channel blockers
Somatostatin
42. Alpha - glucosidase inhibitor associated with elevation of LFT's
Point mutation
Gastric ulcers and GI Bleeding
Liver toxicity
Acarbose
43. This is the drug of choice for anaphylactic shock
Ethinyl estradiol and mestranol
Pilocarpine - carbachol - physostigmine
Epinephrine
'On - off - phenomenon'
44. Anti - microbials that cause hemolysis in G6PD- deficient patients
Flatulence (do not use beano to tx) - diarrhea - abdominal cramps
GLUT 2
Sulfonamides
Digibind
45. This parenteral beta blocker is a short acting (minutes)
Flumazenil
Na+/K+ exchange
Dopamine
Esmolol
46. Inhibitor of MAO type B which metabolizes dopamine - used adjunct to levodopa or as sole agent in newly diagnosed patients
Mifepristone
Selegiline
Pilocarpine - carbachol - physostigmine
lispro insulin - aspart insulin - glulisine insulin
47. Prevention of cyclophosphamide induced hemorrhagic cystitis
Fomepizole
Dextromethorphan - Codeine
Somatostatin
Hydration and mercaptoethanesulfonate (MESNA)
48. Anti - androgen used for hirsutism in females
IV administration
Cyproterone acetate
Classic
Marijuana
49. SE of phenytoin
Cyanocobalamin (Vit B12)
Gingival hyperplasia - nystagmus - diplopia and ataxia
Stevens - Johnson syndrome
Insulin
50. Concentration in the plasma times (clearance divided by bioavailability)
Sulfasalazine
Maintenance dose (Cp*(CL/F))
Zero order kinetics
Mirtazapine