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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. What do beta cells in the pancreas produce?
Salmeterol
Testicular cancer
Hyperuricemia - hypokalemia and hyperglycemia
Insulin
2. Intermediate acting glucocorticoids
Nandrolone - oxymetholone - and oxandrolone
Prednisone - methylprednisolone - prednisolone - and triamcinolone
L- dopa
Specificity
3. Muscarinic antagonist used in asthma
Phentolamine
Nifurtimox
Ketamine
Ipratropium
4. Usual time needed for full effect of antidepressant therapy
First generation due to being more lipid - soluble
Minimum alveolar anesthetic concentration (MAC)
2 to 3 weeks
Vincristine
5. MOA of sulfonamides
Rebound HTN - sedation - dry mouth
Metronidazole
Inhibit dihydropteroate synthase
Calcium
6. Uses of bisphosphonates
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7. Atropine fever is the most dangerous effect and can be lethal in this population group
Infants
Dopamine
CNS depressants
Thrombocytopenic purpura - and CINCHONISM
8. Methylxanthine derivative used as a remedy for intermittent claudication
Pentoxifylline
Niacin
Neuromuscular blocking drugs
Nondepolarizing type antagonists
9. MOA and effect of nitric oxide
Dopamine
Tetrabenazine (amine depleting drug) - Haloperidol (antipsychotic)
Stimulates cGMP which leads to vascular smooth muscle relaxation
Aspirin
10. DOC for herpes and its MOA
Excessive hypotension and kidney failure
Acyclovir; incorporated into viral DNA and chain termination
Carbamazepine - gabapentin - lamotrigine - and valproic acid
Disulfiram
11. Common SE of tamoxifen and raloxifene
Most are thought to act at GABA- A receptor - chloride channel
Anterograde amnesia
Hot flashes
Inhaled anesthetics - especially isoflurane - aminoglycosides - and antiarrhythmic
12. SE of procainamide
Lupus - like syndrome
EOS
Dicyclomine - methscopolamine
Cutaneous flush
13. Lethal arrhythmias resulting from concurrent therapy with azole fungals (metabolized by CYP 3A4) and these antihistamines which inhibit the 3A4 iso - enzyme.
L- dopa
Terfenadine and astemizole (have been removed from the market)
LD50
Vitamin B12
14. MOA of loop diuretics
Methimazole and propylthiouracil (PTU)
Ribavirin
Mifepristone
inhibits Na+/K+/2Cl - cotransport
15. Organophosphate anthelmintic agent with long DOA
Lispro (Humalog) - aspart - glulisine
Cocaine and benzocaine
Magnesium sulfate
Metrifonate
16. Agent that inhibits alcohol dyhydrogenase and its clinical use
Amantadine
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
Bile acid - binding resins
Bromocriptine
17. Anti - seizure medication also used in the prevention of migraines
Bromocriptine
Prednisone
Agranulocytosis
Valproic acid
18. Non - selective Beta - blocker also used for migraine prophylaxis
Propranolol
Oxytocin
Aspirin - metoprolol
Enflurane and halothane
19. Prostaglandins that cause abortions
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Carbamazepine
Use in IgE mediated allergic reaction
20. Treatment of myasthenia gravis
CNS toxicity
Pyridostigmine
Steroids
Alkylating agents (eg. - mechlorethamine - cyclophosphamide) - antibiotics (doxorubicin - daunorubicin) - cisplatin - nitrosourea
21. Agent used in the treatment of alcoholism - if alcohol is consumed concurrently - acetaldehyde builds up and results in nausea - headache - flushing - and hypotension
2 to 3 weeks
Capsaicin
Nadolol
Disulfiram
22. Antidote for hyperkalemia
Celecoxib and rofecoxib
Haloperidol
Opioid Analgesics
sodium polystyrene sulfonate (Kayexalate)
23. Incidence of hyoglycemia with metformin
Capsaicin
Rifampin
None
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
24. Lactam that can be used in PCN allergic patients
N- acetylcysteine (Mucomyst)
Increasing afterload and tissue perfusion declines
Liver toxicity
Aztreonam
25. SE seen only in men with administration of ketoconazole
Gynecomastia
Inhibit dihydropteroate synthase
Acyclovir; incorporated into viral DNA and chain termination
Carvedilol
26. Agent which stimulates cardiac contractile force more than rate with little effect on total peripheral resistance
Dobutamine
Low therapeutic index
'On - off - phenomenon'
Bethanechol
27. Drugs of choice for generalized tonic - clonic and partial seizures
Olanzapine
Apraclonidine - brimonidine
Valproic acid and Phenytoin
Caffeine
28. Causes acne - premature closure of epiphyses - masculinization in females - hepatic dysfunction - MI - and increases in libido and aggression
Suramin
Steroids
Flumazenil
B- blockers
29. Drug causes teeth discoloration
Increased thromboembolic events
Celecoxib
Tetracycline
Probenecid and sulfinpyrazone
30. Major drug interaction with Quinidine
Minoxidil
Rescue therapy
Calcitonin (salmon prep)
Increases concentration of Digoxin
31. Strength of interaction between drug and its receptor
Lithium
Aplastic anemia and renal toxicity
Theophylline
Affinity
32. Drug of choice for generalized anxiety disorder - Not effective in acute anxiety
Buspirone
Mechlorethamine
Demeclocycline
Smooth muscle; stomach - heart - and mast cells; nerve endings - CNS respectively
33. Short acting Beta 2 agonists that is drug of choice in treatment of acute asthma but not recommended for prophylaxis
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Zero order kinetics
Albuterol
Therapeutic index
34. Beta 2 agonist used to suppress premature labor - but cardiac stimulatory effects may be hazardous to mother and fetus
Fentanyl
Tinnitus - GI bleeding
Terbutaline
Rifampin
35. DOC for paroxysmal supraventricular tachycardia; has high efficacy and short duration of action
Hyperkalemia
Adenosine
Echothiophate
Succinylcholine
36. MOA of sildenafil (Viagra)
Beta -1 selective blockers
Hydroxychloroquine
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
37. Beta - blockers should be used cautiously in
SEVERE myelosuppression
GLUT 4
Asthma (bronchospastic effects) - diabetes (block signs of hypoglycemia) and peripheral vascular disease
Haloperidol
38. Barbiturate used for the induction of anesthesia
Bupropion
Thiopental
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
Hyperkalemia
39. Site of action of thiazide diuretics
Hydration and mercaptoethanesulfonate (MESNA)
Miosis and constipation
Work at early distal convoluted tubule
Morphine - methadone - meperidine - and fentanyl
40. These LA's have surface activity
Cocaine and benzocaine
Degradation of fibrin clots and are administered IV
Spironolactone
Propofol
41. 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
Changes in heart rate - blood pressure - respiration - body temperature - sweating - bowel signs - and pupillary responses
CHOP (cyclophosphamide - doxorubicin - vincristine - and prednisone) plus rituximab
Bupropion
Miosis and constipation
42. SE of nitrates
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
Mivacurium
Betamethasone and dexamethasone
Buprenorphine
43. Ultra long acting insulin - has over a day duration of action
Amiodarone
Glargine (Lantus) - detemir
Reducing preload
Paclitaxel (taxol)
44. Opioid antagonist that is given IV and had short DOA
Pregnancy
Spironolactone
Naloxone
Fluoxetine (Sarafem)
45. Technique used to diagnose perianal itching - and the drug used to treat it
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Haloperidol
Paclitaxel (taxol)
Scotch tape technique and mebendazole
46. Inhibitors of CYP450
Dolasetron
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
pregnancy and with K+
Pilocarpine - carbachol - physostigmine
47. SE of HMG COA reductase inhibitors
Rhabdomyolysis and Hepatotoxicity
Acebutolol - atenolol - esmolol - metoprolol
C- peptide
Hallucinations resembling psychosis
48. Tolerance is marked and abstinence syndrome occurs
Pyridostigmine
Therapeutic index
Amphetamines
Diphenhydramine and cimetridine - respectively
49. Drug that causes gray baby syndrome and aplastic anemia
Mifepristone (RU-486)
Dexamethasone suppression test
Ezetimibe (Zetia)
Chloramphenicol
50. Partial opioid agonist - considered a strong analgesic - has a long duration of action and is resistant to naloxone reversal
Cytomel
Buprenorphine
Dimercaprol - EDTA
Sermorelin