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USMLE/COMLEX Step 1 Pharmacology One Liners
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Subjects
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health-sciences
,
usmle-step-1
,
comlex
Instructions:
Answer 50 questions in 15 minutes.
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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. MOA of sulfonamides
Scopolamine - meclizine
Ephedrine
Fluoxetine (Sarafem)
Inhibit dihydropteroate synthase
2. Maximum response achieveable from a drug
Lispro (Humalog) - aspart - glulisine
Efficacy
B- blockers
Methadone
3. DOC for paroxysmal supraventricular tachycardia (PSVT)
Overdose of opioids
CHOP (cyclophosphamide - doxorubicin - vincristine - and prednisone) plus rituximab
Naloxone
Adenosine
4. Toxicity of these agents include bradycardia - AV blockade - exacerbation of acute CHF; signs of hypoglycemia may be masked (tachycardia - tremor - and anxiety)
Ketanserin cyproheptadine - and phenoxybenzamine
Nesiritide (BNP)
Didanosine
Beta blockers
5. Drug used in Chagas disease
Class IC (flecainide - propafenone - moricizine)
Full agonist
Diazepam
Nifurtimox
6. Beta 2 agonist toxicity
Skeletal muscle tremor - tachycardia
Epinephrine
Mifepristone
ACE inhibitors
7. Class of anti - arrhythmics that has a pro - arrhythmic effect (CAST trial) - therefore are used as last line agents
5- flouracil (5- FU)
Class IC (flecainide - propafenone - moricizine)
Methadone
Fluoxetine
8. Used for prevention of postmenopausal osteoporosis in women
Estrogen (HRT- Hormone replacement therapy)
Irreversibly blocking cyclooxygenase
Fluorocarbons and Industrial solvents
Nifedipine
9. Anti - seizure drugs used also for pain of neuropathic orgin
Thioamides - iodides - radioactive iodine - and ipodate
Gabapentin
Alpha1 agonists
Nitrites
10. MOA for benzodiazepines and barbiturates
Letrozole - anastrozole
Cyproterone acetate
GABA- related targets
Relax vascular smooth muscle - at low doses dilate veins and at high doses dilate arterioles
11. Antidote used for anticholinergic poisoning
Physostigmine
Buprenorphine
Arteries and veins
Nifedipine
12. Agent that is the antidote for methanol overdose
Depression of medullary and cardiovascular centers
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Cardiac anomalies and is contraindicated in pregnancy or lactation
Ethanol - fomepizole
13. Antidote for salicylate intoxication
Acute intermittent porphyria
Alkalinize urine - dialysis
GI bleeding
Thioridazine
14. Irreversible - nonselective COX inhibitor
Valproic acid
Bradykinin
Pentoxifylline
Aspirin
15. Agent used for neurological deficits in megaloblastic anemia
Mirtazapine
Thrombocytopenic purpura - and CINCHONISM
Midazolam
Vitamin B12
16. Some of SSRIs' therapeutic effects beside depression
Terfenadine and astemizole (have been removed from the market)
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
Glucagon
Dimercaprol - EDTA
17. Major effect of benzodiazepines on sleep at high doses
Bile acid - binding resins
Ketoconazole
REM is decreased
Benztropine - trihexyphenidyl
18. Tubocurarine is the prototype - pancuronium - atracurium - vecuronium are newer short acting agent - produce competitive block at end plate nicotinic receptor - causing flaccid paralysis
Atropine - pralidoxime (2- PAM)
Pralidoxime - atropine
Tetracycline
Nondepolarizing Neuromuscular Blockers
19. What do beta cells in the pancreas produce?
Insulin
Digoxin
Prazosin - terazosin - doxazosin
Morphine
20. Antiplatelet drug reserved for patients allergic to aspirin
Blocks peptidoglycan synthesis
Half - life (T1/2)
Ticlopidine
Peripheral neuropathy (also excessive alcohol use is associated with HTN - anemia - and MI)
21. Antidote to benzodiazepine overdose (antagonist that reverses the CNS effects)
Atropine
Flumazenil
Metronidazole
Glucagon
22. Well - tolerated and are first - line antidepressants
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23. Class of drugs that reversibly inhibit COX
Allopurinol
Sumatriptan
NSAIDS
Radioactive iodine
24. Constant low dose of estrogen and increasing dose of progestin for 21 days (last 5 days are sugar pills or iron prep)
Hyperkalemia
Propranolol
Combination oral contraceptives (OC)
Phase I
25. Withdrawal from this drug causes lethargy - irritability - and headache
Caffeine
Estrogen
Organic nitrites
Methotrexate
26. SE of long term (>5 days) corticosteroid therapy and remedy
Kidney and liver toxicity - diarrhea
Inhibition of protein synthesis at the 50s subunit of ribosome
Nitroprusside
Adrenal suppression and weaning slowly - respectively
27. Local anesthetic with vasoconstrictive property - favored for head - neck - and pharyngeal surgery
Cocaine
Acarbose - miglitol
Hydralazine
Somatostatin
28. Common toxicities of cisplatin
100% O2 and hyperbaric O2
Esmolol
Paclitaxel (taxol)
Nephro and ototoxicity
29. These LA's have surface activity
Scotch tape technique and mebendazole
Cocaine and benzocaine
Asthma (bronchospastic effects) - diabetes (block signs of hypoglycemia) and peripheral vascular disease
Testosterone
30. Drug notorious for causing pseudomembranous colitis
Dry cough
Bradykinin and histamine
Clindamycin
Naloxone
31. Agents used in Huntington's Disease
Acyclovir; incorporated into viral DNA and chain termination
Tetrabenazine (amine depleting drug) - Haloperidol (antipsychotic)
Phenoxybenzamine
Amoxicillin
32. Long acting sympathomimetic - sometimes used to improve urinary continence in children and elderly with enuresis
Ephedrine
Nondepolarizing Neuromuscular Blockers
Atropine
Diphenoxylate - Loperamide
33. Drug causing depletion of substance P (vasodilator)
Alprazolam and Clonazepam
Aspirin - metoprolol
nephro and ototoxicity
Capsaicin
34. Pyrimidine analog that causes 'Thymine - less death' given with leucovorin rescue
Hypokalemia
5- flouracil (5- FU)
Venlafaxine
Epinephrine - dipivefrin
35. The most important sign of withdrawal syndrome
Excessive CNS stimulation (seizures)
Cimetidine
Apraclonidine - brimonidine
Ketanserin cyproheptadine - and phenoxybenzamine
36. May protect against doxorubicin toxicity by scavenging free radicals
Elderly patients
Celecoxib
Sulfonamides
Dexrazoxane
37. Atypical antipsychotic causing high prolactin levels
Naltrexone
Risperidone
Dexrazoxane
Gabapentin
38. Antidote used in poisonings: copper (Wilson's disease) - lead - mercury - and arsenic
Penicillamine
Atrial fibrillation and CHF
Deferoxamine
pregnancy and with K+
39. Barbiturates may precipitate this hematologic condition
Acute intermittent porphyria
Methotrexate
Severe hypertension
Lithium toxicity
40. Example of three antidepressants that are indicated for obsessive compulsive disorder
Zileuton
SSRIs
Clomipramine - fluoxetine and fluvoxamine
ACE inhibitors
41. Anti - viral with a dose limiting toxicity of pancreatitis
Arginine
Oral and transdermal forms of nitroglycerin
Tetrabenazine (amine depleting drug) - Haloperidol (antipsychotic)
Didanosine
42. Agents that block L- type calcium channel
Calcium channel blockers
Fluoxetine (Sarafem)
Diazepam
Bromocriptine
43. Opioid available trans - dermally
Fentanyl
Pilocarpine - carbachol - physostigmine
Aminocaproic acid
Regular (Humulin R)
44. Newer atypical antipsychotic used for bipolar disorder - known to cause weight gain - and adversely affect diabetes
Older antipsychotics
Pralidoxime
Olanzapine
Inhibits thyroid hormone synthesis by blocking iodination of the tyrosine residues of thyroglobulin
45. Shock due to septicemia or myocardial infarction is made worse by
Nesiritide (Natrecor)
Niacin
Increasing afterload and tissue perfusion declines
Carbamazepine - gabapentin - lamotrigine - and valproic acid
46. Inhibits conversion of cholesterol to pregnenolone therefore inhibiting corticosteroid synthesis
Hypertrichosis
Valproic acid
Aminoglutethimide
Ezetimibe (Zetia)
47. Activation of these receptors close Ca2+ ion channels to inhibit neurotransmitter release
Stimulates cGMP which leads to vascular smooth muscle relaxation
Tetracaine and bupivacaine
Presynaptic mu - delta - and kappa receptors
Bromocriptine
48. Selective Alpha 1 blocker used for hypertension - BPH - may cause first dose orthostatic hypotension
Severe hypertension
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Prazosin - terazosin - doxazosin
Cyproheptadine
49. Antidote used for opioid toxicity
Nonselective Muscarinic Antagonists
Ototoxicity
Naloxone (IV) - naltrexone (PO)
Affect calcium - potassium - and sodium channels
50. Most inhaled anesthetics SE
Nandrolone - oxymetholone - and oxandrolone
Glucuronate - acetic acid - and glutathione sulfate
Decrease arterial blood pressure
Disulfiram - like reaction
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