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USMLE/COMLEX Step 1 Pharmacology One Liners
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Subjects
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health-sciences
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usmle-step-1
,
comlex
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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. Class of anti - arrhythmics that has a pro - arrhythmic effect (CAST trial) - therefore are used as last line agents
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
Chlordiazepoxide and Diazepam
Osteopenia - impaired wound healing - inc. risk of infection - inc. appetite - HTN - edema - PUD - euphoria - psychosis - stria - thinning of skin
Class IC (flecainide - propafenone - moricizine)
2. Longer acting benzodiazepines used in the management of withdrawal states of alcohol and other drugs
Arteries and veins
Calcitonin (salmon prep)
Chlordiazepoxide and Diazepam
Testicular cancer
3. Partial opioid agonist - considered a strong analgesic - has a long duration of action and is resistant to naloxone reversal
Selective inhibitor of microtubule assembly
Buprenorphine
Amiodarone
Repaglinide
4. Occurs when sedative hypnotics are used chronically or at high doses
Hydroxychloroquine
Tolerance
Dolasetron
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
5. MOA of penicillin
Block cell wall synthesis by inhibiting peptidoglycan cross - linkage
Dobutamine and dopamine
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
Alkalinize urine - dialysis
6. SE of penicillamine
Prazosin - terazosin and doxazosin (- AZOSIN ending)
Rheumatic disease
Partial agonist
Aplastic anemia and renal toxicity
7. Inhaled anesthetic - less likely to lower blood pressure than other agents - and has the smallest effect on respiration
Thioridazine
SSRI's - bupropion - and venlafaxine
Nitrous oxide
Relax vascular smooth muscle - at low doses dilate veins and at high doses dilate arterioles
8. Selective Alpha 1 blocker used for hypertension - BPH - may cause first dose orthostatic hypotension
Ezetimibe (Zetia)
Irreversibly blocking cyclooxygenase
Sodium channel blockade
Prazosin - terazosin - doxazosin
9. Major effect of benzodiazepines on sleep at high doses
REM is decreased
Diphenoxylate - Loperamide
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
Steady state
10. Chemical antagonists that bind to the inhibitor of ACh Estrace and displace the enzyme (if aging has not occurred)
Cholinesterase regenerators - pralidoxime
Lithium
Acetazolamide
sodium polystyrene sulfonate (Kayexalate)
11. Benzodiazepines that are the most effective in the treatment of panic disorder
Alprazolam and Clonazepam
Dantrolene
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Inhibit Cytochrome P450 3A4
12. Antivirals that are teratogens
Delavirdine - efavirenz - and ribavirin
Timolol (nonselective) - betaxolol (selective)
Folic acid
Estrogen
13. This agent cause increased aqueous outflow
Prostaglandin PGF2a
Overdose of opioids
Point mutation
Esmolol
14. Antidote used for lead poisoning
Nitroglycerin sublingual tablets
Dimercaprol - EDTA
Most are thought to act at GABA- A receptor - chloride channel
Erythropoietin
15. GnRH antagonist with more immediate effects - used for infertility
Ganirelix
Autocoids
Atropine - pralidoxime (2- PAM)
Potassium channel blockers
16. MOA of loop diuretics
Act on intestine - delay digestion and absorption of glucose formed from digestion of starch and disacchrides
inhibits Na+/K+/2Cl - cotransport
Testosterone
Fludrocortisone and deoxycorticosterone
17. Antidote used for iron salt toxicity
Deferoxamine
Ultralente (humulin U)
Clozapine
Increasing sodium excretion and decreases arterial and venous tone
18. Generation of antihistamine that has the most CNS effects
Aminoglutethimide
Cartilage damage
Severe hypertension
First generation due to being more lipid - soluble
19. Side effect of sotalol
Work at early distal convoluted tubule
Metrifonate
prolongs QT and PR interval
Streptokinase
20. SE of niacin
inhibits Na+/K+/2Cl - cotransport
Cutaneous flush
Sermorelin
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
21. Decreases liver triglycerol synthesis
Point mutation
Niacin
Zafirlukast and montelukast
Leucovorin
22. Only member of depolarizing neuromuscular blocker - causes fasciculation during induction and muscle pain after use; has short duration of action
Nitrites
Dantrolene
Cyproheptadine
Succinylcholine
23. Antidote used for warfarin toxicity
Vitamin K and Fresh frozen plasma (FFP)
inhibits Na+/K+/2Cl - cotransport
Nitroglycerin sublingual tablets
Reduce aqueous secretion
24. Pyrimidine analog that causes 'Thymine - less death' given with leucovorin rescue
Bind ergosterol in fungal cell membrane
Epinephrine - dipivefrin
Sodium channel blockade
5- flouracil (5- FU)
25. DOC for paroxysmal supraventricular tachycardia (PSVT)
Adenosine
Tizanidine
Disulfiram - metronidazole - certain sulfonylureas and cephalosporins
Desmopressin (DDAVP)
26. Antidepressant having stimulant effects similar to SSRI's and can increase blood pressure
Venlafaxine
Fexofenadine - loratadine - and cetirizine
Dimercaprol - EDTA
Hyperuricemia - hypokalemia and hyperglycemia
27. Drugs of choice for absence seizures
Aminoglutethimide
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Ethosuximide and valproic acid
Asthma (bronchospastic effects) - diabetes (block signs of hypoglycemia) and peripheral vascular disease
28. Cutaneous flush and be reduced by pretreatment with
Osteoporosis - Paget's disease - and osteolytic bone lesions - and hypercalcemia from malignancy
Acebutolol - atenolol - esmolol - metoprolol
Aspirin
Isoflurane
29. Alternative anticoagulant used if HIT develops
Miosis and constipation
Lepirudin
Valproic acid and Phenytoin
Constipation - edema - and headache
30. Agent similar to cisplatin - less nephrotoxic - but greater myelosuppression
Carboplatin
Warfarin (PT)
Specificity
Hyperuricemia - hypokalemia and ototoxicity
31. MOA and effect of nitric oxide
Organic nitrites
Stimulates cGMP which leads to vascular smooth muscle relaxation
Inhibit Cytochrome P450 3A4
Fluoxetine
32. Maximum response achieveable from a drug
Atenolol - acebutolol - and metoprolol
Xanthine oxidase
Efficacy
Nonselective Muscarinic Antagonists
33. Penicillins active against penicillinase secreting bacteria
Corticosteroids
Methicillin - nafcillin - and dicloxacillin
Meperidine
Phase I
34. Common SE of spironolactone
Gynecomastia and hyperkalemia
Quetiapine
Finasteride (Proscar and Propecia respectively)
Desmopressin (DDAVP)
35. For rebound HTN from rapid clonidine withdrawal
Apraclonidine - brimonidine
Zileuton
Phentolamine
First order kinetics
36. Target plasma concentration times (volume of distribution divided by bioavailability)
EOS
Hepatotoxicity
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Loading dose (Cp*(Vd/F))
37. Cystitis - postoperative bladder spasms - or incontinence
Oxybutynin - dicyclomine
Bradycardia - SEXUAL DYSFUNCTION - decrease in HDL - and increase in Triglycerols (TG)
Most are thought to act at GABA- A receptor - chloride channel
Ascending pathways
38. Mediator of tissue pain - edema - inactivated by ACE - and may be a contributing factor to the development of angioedema
Nifurtimox
Bradykinin
ORAL vancomycin
Bioavailability (F)
39. Antidote for tissue plasminogen activator (t - PA) - streptokinase
Aldehyde dehydrogenase
Aplastic anemia and acute hepatic failure
Steroids
Aminocaproic acid
40. This diuretic decreases aqueous secretion due to lack of HCO3- ion. Causes drowsiness and paresthesias - alkalinization of the urine may precipitate calcium salts - hypokalemia - acidosis
Fluoxetine (Sarafem)
Suramin
Acetazolamide
Cyanocobalamin (Vit B12)
41. Methyldopa is contraindicated in
Cortisone and hydrocortisone (equivalent to cortisol)
Geriatrics due to its CNS (depression) effects
6- mercaptopurine (6- MP)
Thioridazine
42. MOA for benzodiazepines
increase the FREQUENCY of GABA- mediated chloride ion channel opening
Vincristine
Gabapentin
Streptomycin
43. Major drug interaction with Quinidine
Tetracycline
Increases concentration of Digoxin
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Dexamethasone suppression test
44. Class III antiarrhythmic that exhibits properties of all 4 classes
IV diazepam for short term (acute) treatment; phenytoin for prolonged therapy
Flumazenil
Testicular cancer
Amiodarone
45. Neurotoxicity with isoniazid (INH) prevented by
Administration of Vit. B6 (pyridoxine)
Spironolactone
Specificity
Aztreonam
46. Direct vasodilator of arteriolar smooth muscle
Beta - blockers such as propranolol
Ascending pathways
Hydralazine
Cutaneous flush
47. Similar to clonidine and may cause hypotension
Inhaled anesthetics - especially isoflurane - aminoglycosides - and antiarrhythmic
Finasteride (Proscar and Propecia respectively)
Nondepolarizing Neuromuscular Blockers
Tizanidine
48. Block glycoprotein IIb/IIIa involved in platelet cross - linking
Metformin
St. Anthony's Fire
Lactic acidosis
Abciximab - tirofiban and eptifibatide
49. Peakless ling acting insulin
G- CSF (filgrastim) and GM- CSF (sargramostim)
Insulin glargine
Urinary acidification and activated charcoal or continual nasogastric suction
Echothiophate
50. Endogenous insulin contains
Aspirin - metoprolol
GABA- related targets
Normal C- peptide
Bromocriptine
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