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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. Diuretics work in CHF by
Reducing preload
Ortho - Evra
Albuterol
Vincristine
2. MOA of Cardiac glycosides (eg. digoxin)
Aspirin
Ototoxicity
Indirectly increase intracellular calcium and cardiac contractility by inhibiting Na+/K+ ATPase
Tamsulosin (Flomax)
3. Antidote for tissue plasminogen activator (t - PA) - streptokinase
Rhabdomyolysis
Buspirone
Aminocaproic acid
Prilocaine
4. GHRH analog used as diagnostic agent
Positive Comb's test - depression
Valproic acid and Phenytoin
Gynecomastia hyperkalemia - and impotence
Sermorelin
5. MOA for Ethosuximide
Flatulence (do not use beano to tx) - diarrhea - abdominal cramps
Calcium channels
Toremifene (Fareston)
Nitroprusside
6. Treatment for opioid addiction
Paclitaxel (taxol)
Methadone - followed by slow dose reduction
Point mutation
Ganirelix
7. Anti - psychotic not shown to cause tardive dyskinesia
Olanzapine
Clozapine
Naltrexone
Red urine discoloration
8. Mineralocorticoids
Retinal destruction and dermatitis
Fludrocortisone and deoxycorticosterone
Albuterol
Ethanol - fomepizole
9. MOA of metformin
Insulin
Niacin
Propranolol
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
10. MOA of sulfonamides
Nondepolarizing type antagonists
Inhibit dihydropteroate synthase
Pramipexole and ropinirole
100% O2 and hyperbaric O2
11. Arterial vasodilator that works by opening K+ channels
Cholinesterase inhibitors
Gingival hyperplasia - nystagmus - diplopia and ataxia
Minoxidil
Neostigmine
12. Cystitis - postoperative bladder spasms - or incontinence
Oxybutynin - dicyclomine
Infants
Seizures
Desmopressin (DDAVP)
13. Somatotropin (GH) analog used in GH deficiency (dwarfism)
Calcium channels
Somatrem
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Isoflurane
14. MOA of drug or foods (grapefruit juice) that increase statin effect
Odansetron
Bromocriptine
CHOP (cyclophosphamide - doxorubicin - vincristine - and prednisone) plus rituximab
Inhibit Cytochrome P450 3A4
15. MOA of nystatin
Cosyntropin
Low - potency typical antipsychotics and clozapine
Valproic acid - carbamazepine - phenytoin and gabapentin
Bind ergosterol in fungal cell membrane
16. Agents having active metabolites - long half lives - and a high incidence of adverse effects
Overdose of opioids
Presynaptic mu - delta - and kappa receptors
Interferon alpha
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
17. Thiazolidinediones
PTU
Sumatriptan - naratriptan - and rizatriptan
Beta blockers
Pioglitazone - Rosiglitazone - Troglitazone (withdrawn/d from market)
18. ADH agonist used for pituitary diabetes insipidus
Specificity
Lipoprotein lipase
Desmopressin (DDAVP)
Ultralente (humulin U)
19. SE of AGI's
Hyperuricemia - hypokalemia and ototoxicity
Flatulence (do not use beano to tx) - diarrhea - abdominal cramps
Constipation - edema - and headache
Spironolactone
20. MOA of class III antiarrhythmics
Potassium channel blockers
GLUT 4
Bile acid - binding resins
Nevirapine - amprenavir
21. Benzodiazepine that has efficacy against absence seizures and in anxiety states - such as agoraphobia
Alkalinize urine - dialysis
St. Anthony's Fire
Clonazepam
pregnancy and with K+
22. Antiarrhythmic that exhibits Class II and III properties
Sotalol
Hypertrichosis
Benztropine
Indomethacin
23. Dose may need to be increased during pregnancy or with Ocs due to increased TBG in plasma
ACE inhibitors
Thyroxine
Scopolamine - meclizine
Dobutamine and dopamine
24. Somatostatin (SRIF) analog used for acromegaly - carcinoid - glucagonoma and other GH producing pituitary tumors
COX 1 is found throughout the body and COX 2 is only in inflammatory tissue
Octreotide
PCP
Bleomycin
25. Agents used in Tourette's dx
Megaloblastic anemia
Atropine - homatropine - C1208 tropicamide
Haloperidol or pimozide
Long - acting sedative - hypnotic or a gradual reduction of dose - clonidine or propranolol
26. Digoxin toxicity can be precipitated by
Hypokalemia
Letrozole - anastrozole
Regular (Humulin R)
Edrophonium
27. Antipsychotics that reduce positive symptoms only
Ganciclovir
Deferoxamine
Older antipsychotics
Fluoxetine
28. Anti - progesterone used as abortifacient
Erythropoietin
Mifepristone (RU-486)
Ethanol
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
29. This is the drug of choice for anaphylactic shock
Epinephrine
Pilocarpine - carbachol - physostigmine
Zafirlukast and montelukast
high doses
30. Reason benzos are used cautiously in pregnancy
Nitroglycerin sublingual tablets
Older antipsychotic agents - D2 receptors
Ability to cross the placenta
Aldehyde dehydrogenase
31. Warfarin is contraindicated in
Pregnancy
Reduce the loss from area of injection
N- acetylcysteine (Mucomyst)
Venlafaxine
32. Most widely used thyroid drugs such as Synthroid and Levoxyl contain
Epinephrine - dipivefrin
L- thyroxine (T4)
Cholinesterase inhibitors
Succinylcholine
33. What do beta cells in the pancreas produce?
Peripheral neuritis and hepatitis
Insulin
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Rescue therapy
34. Produces disulfiram - like reaction with ethanol
Nifurtimox
Affinity
Procarbazine
Naloxone
35. SSRI with long T1/2 and can be administered once weekly for maintenance - not acute tx
Aztreonam
Pulmonary embolism and DVT
Glucagon
Fluoxetine
36. Technique used to diagnose perianal itching - and the drug used to treat it
Minimum alveolar anesthetic concentration (MAC)
Scotch tape technique and mebendazole
Cyanide toxicity treated with sodium thiosulfate
GABA- related targets
37. Tolerance to all effects of opioid agonists can develop except
Hydroxychloroquine
Calcium channels
Miosis and constipation
Deferoxamine
38. Aspirin reduces mortality in unstable angina by
Ethanol - Barbiturates - and Benzodiazepines
Maprotiline
AZT (zidovudine)
Platelet aggregation inhibition
39. Reversal of blockade by neuromuscular blockers
Torsades de pointes
Iron deiodinates thyroxine
Cholinesterase inhibitors
Low therapeutic index
40. Ability to produce less than 100% of the response
DUMBELSS (diarrhea - urination - miosis - bronchoconstriction - excitation of skeletal muscle and CNS - lacrimation - salivation - and sweating)
Vitamin K and Fresh frozen plasma (FFP)
Retinal destruction and dermatitis
Partial agonist
41. DOC for malignant hyperthermia that may be caused by use of halogenated anesthetics
Dantrolene
Volume of distribution (VD)
'On - off - phenomenon'
Therapeutic index
42. Antidote used for methanol and ethylene glycol
None
Propranolol
Ethanol or fomepizole
Carbidopa
43. Newer NSAID that selectively inhibits COX-2
Insulin secretagogue - closes ATP- sensitive K+ channel
Edrophonium
Celecoxib
Partial agonist
44. W/D from this drug causes anxiety and mental discomfort
Prilocaine
Midodrine
B- blockers
Nicotine
45. Agent used in drug therapy of Parkinson's instead of Dopamine which has low bioavailability and does not cross the BBB
Sotalol
Cartilage damage
L- dopa
Malathion
46. Agents that inhibit acetaldehyde dehydrogenase
Psychotic state - overdose causes agitation - restlessness - tachycardia - hyperthermia - hyperreflexia - and seizures
Lactic acidosis
L- dopa
Disulfiram - metronidazole - certain sulfonylureas and cephalosporins
47. Microtubule inhibitor that causes peripheral neuropathy - foot drop (eg. ataxia) - and 'pins and needles' sensation
Dimercaprol - EDTA
Gynecomastia
Angiotensin receptor
Vincristine
48. This produces 'dissociative anesthesia' - is a cardiovascular stimulant which may increases intracranial pressure - and hallucinations occur during recovery
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
Tissue plasmin activator
Ketamine
Reducing progression of heart failure (never use in acute heart failure)
49. Example of three antidepressants that are indicated for obsessive compulsive disorder
Clomipramine - fluoxetine and fluvoxamine
Sulfasalazine
Caffeine
Skeletal muscle tremor - tachycardia
50. Commonly abused LA which has cardiovascular toxicity including severe hypertension with cerebral hemorrhage - cardiac arrhythmias - and myocardial infarction
Ortho - Evra
Cocaine
Affect calcium - potassium - and sodium channels
Edema - mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism