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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
Thrombocytopenic purpura - and CINCHONISM
Octreotide
sulfamethoxazole/ trimethoprim
2. Indirect - Acting ACh Agonist - alcohol - short DOA and used in diagnosis of myasthenia gravis
Patches - gum - nasal spray - psychotherapy - and bupropion
5-7 days
Edrophonium
Hypertrichosis
3. Weak opioid agonist - poor analgesic - its overdose can cause severe toxicity including respiratory depression - circulatory collapse - pulmonary edema - and seizures
Cocaine and benzocaine
Hepatic
Calcitonin (salmon prep)
Propoxyphene
4. Cutaneous flush and be reduced by pretreatment with
'dry as a bone - red as a beet - mad as a hatter - hot as a hare - blind as a bat'
Aspirin
Repaglinide
Temazpam - trizolam - flurazepam
5. SE of HMG COA reductase inhibitors
Rhabdomyolysis and Hepatotoxicity
Therapeutic index
Citalopram and its metabolite escitalopram
Aspirin
6. Antidote used for methanol and ethylene glycol
Ethanol or fomepizole
Bradykinin and histamine
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
Epinephrine
7. Converted to more active form DHT by 5 alpha - reductase
Efficacy
Methimazole and propylthiouracil (PTU)
Insulin
Testosterone
8. SE of mirtazapine
Nortriptyline - Desipramine
Disulfiram - like reaction
Aldehyde dehydrogenase
Liver toxicity - increased serum cholesterol
9. Common side effect of Rifampin
Bone marrow and teeth discoloration for children under 8 years of age
Glucocorticoids
Tremor - sedation - ataxia - aphasia - thyroid enlargement - and reversible diabetes insipidus
Red urine discoloration
10. Antipsychotics that reduce positive symptoms only
Chlordiazepoxide and Diazepam
Hyperkalemia
Dobutamine
Older antipsychotics
11. Examples of alpha - glucosidase inhibitors (AGI)
Aspirin
Acarbose - miglitol
Excessive CNS stimulation (seizures)
Prilocaine
12. Diuretic used to treat primary aldosteronism
Arginine
Fomepizole
Hydroxychloroquine
Spironolactone
13. Major nutritional side effect of bile acid - binding resins
Neuromuscular blocking drugs
Impair absorption of fat soluble vitamin absorption (A - D - E - K)
Nicotine
Fentanyl
14. Treatment of withdrawal syndrome involves
C- peptide
Dextromethorphan - Codeine
Long - acting sedative - hypnotic or a gradual reduction of dose - clonidine or propranolol
Patches - gum - nasal spray - psychotherapy - and bupropion
15. This agent has greater affinity for muscarinic receptors and used for postoperative and neurogenic ileus and urinary retention
Bethanechol
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
PGI2 (epoprostenol)
Rescue therapy
16. SE of salicylates
Tinnitus - GI bleeding
Infants - closed angle glaucoma - prostatic hypertrophy
Ipratropium
Somatostatin
17. Antivirals associated with neutropenia
Ganciclovir - zidovudine - saquinavir - and interferon
Antipyretic and analgesic activity
Vancomycin - infusion at a slow rate and antihistamines
B- blockers
18. MOA of loop diuretics
Vancomycin - infusion at a slow rate and antihistamines
Lactic acidosis
Tinnitus - GI bleeding
inhibits Na+/K+/2Cl - cotransport
19. MAOI should not be administered with SSRI's or potent TCA's due to development of this condition
Norepinephrine and serotonin
Vitamin K and Fresh frozen plasma (FFP)
Serotonin syndrome
Aplastic anemia and renal toxicity
20. Rapid acting - crystalline zinc insulin used to reverse acute hyperglycemia
Lispro (Humalog) - aspart - glulisine
Na+/K+ exchange
Regular (Humulin R)
Tamsulosin (Flomax)
21. Most common SE of fibrates
Nausea
Dopamine
Valproic acid
Monamine oxidase inhibitors
22. A hormone whose MOA utilizes transmembrane receptors
Haloperidol or pimozide
Prinzmetal's angina
Calcium
Insulin
23. When the rate of drug input equals the rate of drug elimination
Bethanechol
Alkylating agents (eg. - mechlorethamine - cyclophosphamide) - antibiotics (doxorubicin - daunorubicin) - cisplatin - nitrosourea
Nitrous oxide
Steady state
24. MOA of class I A (eg. Procainamide) - class IB (eg. Lidocaine) - and class IC (eg. Flecainide) antiarrhythmics
Adenosine
Sodium channel blockers
DOM - STP - MDA - and MDMA 'ecstasy'
Adrenal suppression and weaning slowly - respectively
25. Target plasma concentration times (volume of distribution divided by bioavailability)
Carmustine (BCNU) and lomustine (CCNU)
Loading dose (Cp*(Vd/F))
Pindolol and acebutolol
Heparin
26. This may antagonize activity of local anesthetics
Cephalosporins
Selective inhibitor of microtubule assembly
Hypercalcemia
Diphenhydramine and cimetridine - respectively
27. Antiarrhythmic effective in most types of arrhythmia
Liver toxicity - increased serum cholesterol
Theophylline
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Amiodarone
28. CCB contraindicated in CHF
Verapamil
Cytomel
Propoxyphene
Ethanol or fomepizole
29. Anti - thyroid drugs
Na+/K+ exchange
Methotrexate
Thioamides - iodides - radioactive iodine - and ipodate
Cyanide toxicity treated with sodium thiosulfate
30. 1st generation antihistamine that is highly sedating
Alkalinize urine - dialysis
None
Diphendydramine
AZT (zidovudine)
31. Cause dizziness - tachycardia - hypotension - and flushing
Calcitonin (salmon prep)
Organic nitrites
Cephalosporins
Insulin secretagogue - closes ATP- sensitive K+ channel
32. Agent used in acutely decompensated CHF resembling natriuretic peptide
IV diazepam for short term (acute) treatment; phenytoin for prolonged therapy
Pilocarpine - carbachol - physostigmine
Hypertrichosis
Nesiritide (Natrecor)
33. Antidote used for iron salt toxicity
Radioactive iodine
Estrogen
Mifepristone (RU-486)
Deferoxamine
34. Reason ergot alkaloids are contraindicated in pregnancy
Celecoxib and rofecoxib
Blocks peptidoglycan synthesis
Uterine contractions
Nesiritide (Natrecor)
35. Newer atypical antipsychotics that also improve some of the negative symptoms and help acute agitation
Somatrem
Olanzapine - aripiprazole - and sertindole
Aplastic anemia and renal toxicity
Pralidoxime - atropine
36. Lactam that can be used in PCN allergic patients
Cyproheptadine
Opioid Analgesics
Aztreonam
Heparin
37. Short acting Beta 2 agonists that is drug of choice in treatment of acute asthma but not recommended for prophylaxis
Estogens increase maternal TBG
Red urine discoloration
Albuterol
Ipratropium
38. Used intranasally and decreases bone resorption
Hypokalemia
Chlorpheniramine or cyclizine
B- blockers
Calcitonin (salmon prep)
39. Reduce transient hyper GI motility
Alkalinize urine - dialysis
Additive CNS depression
Dicyclomine - methscopolamine
B- blockers
40. Heterocyclic antidepressants least likely to affect sexual performance - used for management of nicotine withdrawal - SE's include dizziness - dry mouth - aggravation of psychosis - and seizures
Clomipramine
Bupropion
Spironolactone
Bile acid - binding resins
41. The selective agents loose their selectivity at
Succinylcholine
high doses
2 to 3 weeks
Flumazenil
42. MOA of repaglinide
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Pioglitazone - Rosiglitazone - Troglitazone (withdrawn/d from market)
Inhibit Na+/Cl - cotransport
Alpha1 agonists
43. Anti - viral agents associated with Stephen Johnson syndrome
Ethanol
Nevirapine - amprenavir
Leuprolide
Marijuana
44. Anti - seizure drugs used also for pain of neuropathic orgin
Nephrotoxicity
Gabapentin
Pamidronate - zoledronate - ibandronate
Cardiac anomalies and is contraindicated in pregnancy or lactation
45. Only phenothiazine not exerting antiemetic effects - can cause visual impairment due to retinal deposits - and high doses have been associated with ventricular arrhythmias
Use in IgE mediated allergic reaction
Clozapine
Thioridazine
Pregnancy
46. These agents are used as antidiarrheal
Long acting cholinesterase inhibitors
Point mutation
Diphenoxylate - Loperamide
Bleeding
47. Moderate opioid agonists
Pulmonary embolism and DVT
Beta - blockers such as propranolol
Codeine - hydrocodone - and oxycodone
Infliximab
48. MOA of class III antiarrhythmics
Decreases protein synthesis by inhibiting 30S ribosome
Potassium channel blockers
Buspirone
Hypokalemia
49. Vitamin given with calcium to ensure proper absorption
Streptokinase
Gingival hyperplasia - nystagmus - diplopia and ataxia
Hepatic enzymes
Vitamin D
50. ABVD regimen used for HD - but appears less likely to cause sterility and secondary malignancies than MOPP
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Anterograde amnesia
Thioridazine
Acebutolol and atenolol