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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. DOC for giardia - bacterial vaginosis - pseudomembranous colitis - and trichomonas
Acute intermittent porphyria
GFR
Atropine - homatropine - C1208 tropicamide
Metronidazole
2. Proteins that prevent action of tumor necrosis factor alpha (TNF- alpha)
Bupropion
Adalimumab - infliximab and etanercept
inhibit prostaglandin synthesis by inhibiting cyclo - oxygenase (cox)
Monamine oxidase inhibitors
3. Direct vasodilator of arteriolar smooth muscle
Theophylline
Hydralazine
Minocycline
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
4. All antidepressants have roughly the same efficacy in treating depression - agents are chosen based on these criterion
Benzodiazepines and calcium channel blockers
Sodium bicarbonate
Excessive CNS stimulation (seizures)
Side - effect profile and prior pt response
5. Another pneumonic for anticholinergic toxicity
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6. Beta 2 agonist toxicity
Skeletal muscle tremor - tachycardia
Vasodilation
Nadolol
Chloramphenicol
7. SE for Felbamate
Carvedilol
Tissue plasmin activator
Aplastic anemia and acute hepatic failure
Neuroleptanesthesia
8. SE of phenytoin
Fexofenadine - loratadine - and cetirizine
Gingival hyperplasia
Bromocriptine
Block voltage - dependent sodium channels
9. Ultra long acting insulin - has over a day duration of action
Mirtazapine
Kidneys
Full agonist
Glargine (Lantus) - detemir
10. Antihistamine that can be used for anxiety and insomnia and is not addictive
CNS depressants
'On - off - phenomenon'
hydroxyzine (Atarax)
Methotrexate
11. Drug notorious for causing pseudomembranous colitis
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Phase I
Clindamycin
Pralidoxime - atropine
12. DOC for tx of pseudomembranous colitis
Morphine - methadone - meperidine - and fentanyl
Metronidazole
Adenosine
Glucocorticoids
13. Agents for reduction of postpartum bleeding
Little C- peptide
Phenoxybenzamine
Acarbose
Oxytocin - ergonovine and ergotamine
14. Very rapid acting insulin - having fastest onset and shortest duration of action
Ethinyl estradiol and mestranol
Carmustine (BCNU) and lomustine (CCNU)
Patches - gum - nasal spray - psychotherapy - and bupropion
Lispro (Humalog) - aspart - glulisine
15. All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Pilocarpine
Nausea
Meperidine
Ganciclovir - zidovudine - saquinavir - and interferon
16. Drug that causes contraction of the uterus
Rhabdomyolysis and Hepatotoxicity
Oxytocin
Hydration and mercaptoethanesulfonate (MESNA)
Inhibit Na+/Cl - cotransport
17. Class of drugs that reversibly inhibit COX
Buspirone
Spironolactone
Prazosin - terazosin and doxazosin (- AZOSIN ending)
NSAIDS
18. PCN active against pseudomonas
Calcium
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
Carbenicillin - piperacillin and ticarcillin
Dexamethasone suppression test
19. Treatment of resistant pseudomembranous colitis
C- peptide
ORAL vancomycin
Anti - inflammatory - analgesia - antipyretic and antiplatelet activity
Halothane
20. These prevent the action of Ach at the skeletal muscle endplate to produce a 'surmountable blockade -' effect is reversed by cholinesterase inhibitors (ex. neostigmine or pyridostigmine)
Elderly patients
inhibit phospholipase A2
Nondepolarizing type antagonists
Diphenhydramine and cimetridine - respectively
21. Important in synthesis of glucose to glycogen in the liver
Thrombocytopenic purpura - and CINCHONISM
GLUT 2
Hydration and mercaptoethanesulfonate (MESNA)
Zollinger - Ellison Syndrome
22. Fibrates (gemfibrozil) increase activity of
Bradykinin
Glyburide - glipizide - and rosiglitazone
Procarbazine
Lipoprotein lipase
23. DOC for influenza A
Reduce the loss from area of injection
Sedation
Heroin - morphine - oxycodone - meperidine and fentanyl
Amantadine
24. Antiplatelet drug reserved for patients allergic to aspirin
Paclitaxel (taxol)
Albuterol
Ticlopidine
Long - acting sedative - hypnotic or a gradual reduction of dose - clonidine or propranolol
25. Major effect of benzodiazepines on sleep at high doses
Nicotine
2 to 3 weeks
REM is decreased
SSRI's - bupropion - and venlafaxine
26. 2nd generation antihistamines
Hypoglycemia
Fexofenadine - loratadine - and cetirizine
CNS toxicity
Ticlopidine
27. These agents are used as antidiarrheal
Oral and transdermal forms of nitroglycerin
Kidney and liver toxicity - diarrhea
Diphenoxylate - Loperamide
Glucocorticoids
28. SE of INH
Interferon alpha
Midazolam
Peripheral neuritis and hepatitis
Affect calcium - potassium - and sodium channels
29. Interact with microtubules (but unlike vinca which prevent disassembly of tubules) - it stabilizes tubulin and cells remain frozen in metaphase
ACE inhibitors
Paclitaxel (taxol)
Low therapeutic index
Neuromuscular blocking drugs
30. SSRI less likely to cause a withdrawal syndrome
Fluoxetine
Thrombocytopenic purpura - and CINCHONISM
Hyperuricemia - hypokalemia and ototoxicity
Primaquine
31. Toxicity of amphotericin
Propoxyphene
Tricyclic antidepressants (TCA)
Nephrotoxicity
Adrenal suppression and weaning slowly - respectively
32. Benzodiazepine with useful relaxant effects in skeletal muscle spasticity of central origin
Amantadine
Diazepam
Regular (Humulin R)
Prolonged half - life - up to six weeks
33. Hyperglycemic agent that increases cAMP and results in glycogenolysis - gluconeogenesis - reverses hypoglycemia - also used to reverse severe beta - blocker overdose and smooth muscle relaxation
Glucagon
2 to 3 weeks
Nitrous oxide
Dicyclomine - methscopolamine
34. Anti - emetics used in association with anti - cancer drugs that are 5- HT3 (serotonin receptor subtype ) antagonists
Lupus - like syndrome
Odansetron - granisetron
Testicular cancer
Adrenal suppression and weaning slowly - respectively
35. Route of administration of warfarin
Oral
Chlordiazepoxide and Diazepam
Amiodarone
Gingival hyperplasia - nystagmus - diplopia and ataxia
36. Receptors for serotonin (5HT-1) are located
Valproic acid
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
Block voltage - dependent sodium channels
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
37. DOC to treat chemo - induced nausea and vomiting
Carmustine (BCNU) and lomustine (CCNU)
Pregnancy
Cyproterone acetate
Odansetron
38. NSAID contraindicated in gout
Lorazepam - oxazepam - and temazepam
Regular (Humulin R)
Aspirin
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
39. Pungent inhaled anesthetic which leads to high incidence of coughing and vasospasm
Buspirone
Pralidoxime
Desflurane
Inhibiting dihydroorotate dehydrogenase which leads to decreased pyrimidine synthesis - decreased T cell proliferation and decreased antibody production by B cells
40. Agent that is the antidote for methanol overdose
Ethanol - fomepizole
Relax vascular smooth muscle - at low doses dilate veins and at high doses dilate arterioles
Fluoxetine (Sarafem)
Heroin - morphine - oxycodone - meperidine and fentanyl
41. System that increases in activity with chronic ethanol exposure and may contribute to tolerance
Ceftriaxone or cefuroxime
Urinary acidification and activated charcoal or continual nasogastric suction
Terbutaline
EOS
42. Blows DNA (breaks DNA strands) - limiting SE is pulmonary fibrosis
Isoflurane
Bleomycin
Benzodiazepines and calcium channel blockers
Bleeding
43. Some cell cycle specific anti - cancer drugs
Chlorpropamide
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Zolpidem
Epinephrine - dipivefrin
44. This parenteral beta blocker is a short acting (minutes)
Meperidine
Theophylline
Infants - closed angle glaucoma - prostatic hypertrophy
Esmolol
45. GHRH analog used as diagnostic agent
Entacapone and Tolcapone
Cevimeline
Sermorelin
Salmeterol
46. ABVD regimen used for HD - but appears less likely to cause sterility and secondary malignancies than MOPP
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
pregnancy and with K+
increase the FREQUENCY of GABA- mediated chloride ion channel opening
sodium polystyrene sulfonate (Kayexalate)
47. Limiting adverse effect of ganglion blockade that patients usually are unable to tolerate
Pregnancy
Severe hypertension
Pregnancy
High therapeutic index
48. Anti - estrogen used for estrogen receptor + breast cancer
Risperidone
Ceftriaxone
Neuroleptanesthesia
Tamoxifen
49. Inhibitor of lipoxygenase
Zileuton
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Spasmolytic drugs
IV administration
50. Antipsychotic having the weakest autonomic effects
Haloperidol
High therapeutic index
Bromocriptine
Methimazole and propylthiouracil (PTU)