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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. The most important sign of withdrawal syndrome
Respiratory failure
Excessive CNS stimulation (seizures)
Metronidazole
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
2. Two toxicities of aminoglycosides
Raloxifene
Aminoglutethimide
nephro and ototoxicity
Propofol
3. 1st generation antihistamine that is highly sedating
Diphendydramine
Aminoglutethimide
Nausea
Ondansetron - granisetron - dolasetron and alosetron
4. Agent used in drug therapy of Parkinson's instead of Dopamine which has low bioavailability and does not cross the BBB
Meperidine
LFT's
L- dopa
Thrombocytopenia
5. Scabicide organophosphate
Malathion
Propofol
IV and IM (only LMW)
Atenolol - acebutolol - and metoprolol
6. The most common type of drug interaction of sedative hypnotics with other depressant medications
Thyroxine
Nitrous oxide
Additive CNS depression
Hyperkalemia
7. NSAID also available as an ophthalmic preparation
Etidronate
Diclofenac - ketoralac
Probenecid and sulfinpyrazone
Dimenhydrinate - meclizine - and other 1st generation
8. Radio contrast media that inhibits the conversion of T4 to T3
Midodrine
Malathion
Ipodate
Adalimumab - infliximab and etanercept
9. T3 compound less widely used
Cytomel
ED50
Hypertrichosis
Propranolol
10. MOA of Cardiac glycosides (eg. digoxin)
Bradycardia - SEXUAL DYSFUNCTION - decrease in HDL - and increase in Triglycerols (TG)
Maprotiline
Indirectly increase intracellular calcium and cardiac contractility by inhibiting Na+/K+ ATPase
Pioglitazone - Rosiglitazone - Troglitazone (withdrawn/d from market)
11. Antifungal agent used for inhibition of all gonadal and adrenal steroids
Tissue plasmin activator
Suramin
Ketoconazole
Mifepristone (RU-486)
12. Pneumonic for beta receptors
Methadone
Block voltage - dependent sodium channels
Carboplatin
You have 1 heart (Beta 1) and 2 lungs (Beta 2)
13. Class of drugs with ability to decrease the maximal response to an agonist
Apraclonidine - brimonidine
Aminoglutethimide
Noncompetitive antagonist
CNS depressants
14. MOA of class III antiarrhythmics
Diazepam
Potassium channel blockers
Somatrem
Ceftriaxone or cefuroxime
15. Nonselective alpha agonists that increases outflow - probably via the uveoscleral veins
Meperidine
Oxytocin - ergonovine and ergotamine
Clearance (CL)
Epinephrine - dipivefrin
16. Short acting glucocorticoids
Phenoxybenzamine
Ipratropium
Rhabdomyolysis
Cortisone and hydrocortisone (equivalent to cortisol)
17. Cause dizziness - tachycardia - hypotension - and flushing
Bile acid - binding resins
Normal C- peptide
Organic nitrites
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
18. Anticancer drug also used in RA - produces acrolein in urine that leads to hemorrhagic cystitis
Inhibit dihydropteroate synthase
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Cyclophosphamide
Cocaine
19. Treatment of choice for organophosphate overdose
Clearance (CL)
Atropine
Increases concentration of Digoxin
Flunitrazepam (rohypnol)
20. Usual time needed for full effect of antidepressant therapy
inhibit prostaglandin synthesis by inhibiting cyclo - oxygenase (cox)
2 to 3 weeks
Inhibits osteoclast bone resorption
Cocaine 'super - speed'
21. Agents may exacerbate tardive dyskinesias (may be irreversible and there is no treatment)
Insulin secretagogue - closes ATP- sensitive K+ channel
Nephrotoxicity
Muscarinic blockers
Baclofen
22. Mechanisms of action for Phenytoin - Carbamazepine - Lamotrigine
Sodium channel blockade
Spasmolytic drugs
Diclofenac - ketoralac
SSRIs
23. Muscarinic antagonist used in asthma
B- blockers
Aspirin
Ipratropium
Excessive CNS stimulation (seizures)
24. Somatotropin (GH) analog used in GH deficiency (dwarfism)
DOM - STP - MDA - and MDMA 'ecstasy'
Somatrem
Protamine
Amoxapine
25. MOA of aspirin
Infants - closed angle glaucoma - prostatic hypertrophy
Rifampin
Pamidronate - zoledronate - ibandronate
Irreversibly blocking cyclooxygenase
26. Pneumonic for 3 zones of adrenal cortex
Ultralente (humulin U)
SSRI's - bupropion - and venlafaxine
GFR
Bile acid - binding resins
27. These agents are CNS depressants
Calcium
Ethanol - Barbiturates - and Benzodiazepines
Hepatic enzymes
Dimercaprol - EDTA
28. SE of nitrates
G- CSF (filgrastim) and GM- CSF (sargramostim)
Gingival hyperplasia - nystagmus - diplopia and ataxia
Acarbose
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
29. Agent that is teratogen and causes a fetal syndrome
Ethanol
Muscarinic blockade (dry mouth - constipation); weak alpha -1 block (orthostatic hypotension); weak hisamine block (sedation)
Ethanol - fomepizole
Prednisone
30. Anti - rheumatic agent also used for Chron's disease
Infliximab
LFT's
Use in IgE mediated allergic reaction
Respiratory failure
31. Captopril and enalapril (- OPRIL ending) are
Adenosine
First order kinetics
ACE inhibitors
AZT (zidovudine)
32. Non - benzodiazepine used as an anxiolytic
Buspirone
Thrombocytopenia
Steady state
Aspirin
33. Drug that selectively inhibits COX 2
Halothane
Celecoxib and rofecoxib
Penicillamine
inhibit prostaglandin synthesis by inhibiting cyclo - oxygenase (cox)
34. Chelating agent used in acute iron toxicity
Insulin secretagogue - closes ATP- sensitive K+ channel
Midazolam
Deferoxamine
Potential for development of Reye's syndrome
35. Longer acting local anesthetics which are less dependent on vasoconstrictors
Tetracaine and bupivacaine
Edrophonium
Esmolol
Amiodarone
36. Median effective dose required for an effect in 50% of the population
Selegiline
ED50
Clozapine
Efficacy
37. Common SE of tamoxifen and raloxifene
Hot flashes
Diphenhydramine and cimetridine - respectively
Fluorocarbons and Industrial solvents
Ganciclovir - zidovudine - saquinavir - and interferon
38. Alpha agonist used to produce mydriasis and reduce conjunctival itching and congestion caused by irritation or allergy - it does not cause cycloplegia
Phenylephrine
Reduce aqueous secretion
Morphine - methadone - meperidine - and fentanyl
Cocaine
39. Commonly abused LA which has cardiovascular toxicity including severe hypertension with cerebral hemorrhage - cardiac arrhythmias - and myocardial infarction
Nicotine
Cocaine
Carboplatin
Phenytoin
40. Anti - malarial drug used in rheumatoid arthritis (RA)
Fluorocarbons and Industrial solvents
Hydroxychloroquine
Clearance (CL)
Estrogen (HRT- Hormone replacement therapy)
41. Antidote to benzodiazepine overdose (antagonist that reverses the CNS effects)
Flumazenil
Clozapine
Zolpidem
Ceftriaxone
42. SE of Thiazolindinediones
Chlorpheniramine or cyclizine
Edema - mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism
Ethosuximide and valproic acid
Lupus - like syndrome
43. DOC for digoxin induced arrhythmias
Bile acid - binding resins
Phenytoin
Cholinesterase inhibitors
Valproic acid and Phenytoin
44. Atypical antipsychotic causing high prolactin levels
Selegiline
Risperidone
Methicillin - nafcillin - and dicloxacillin
Carboplatin
45. Drug used in Chagas disease
Muscarinic blockers
Geriatrics due to its CNS (depression) effects
Nifurtimox
Work at early distal convoluted tubule
46. SelectiveB1 Receptor blockers that may be useful in treating patients even though they have asthma
Aminocaproic acid
Haloperidol or pimozide
Baclofen
Acebutolol - atenolol - esmolol - metoprolol
47. ABVD regimen used for HD - but appears less likely to cause sterility and secondary malignancies than MOPP
Dantrolene
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Methadone
Primaquine
48. Benzodiazepine that is used for anesthesia
Hydroxychloroquine
Glucagon
Midazolam
Potential for development of Reye's syndrome
49. Agents having active metabolites - long half lives - and a high incidence of adverse effects
Positive Comb's test - depression
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Desmopressin (DDAVP)
Sodium channel blockade
50. TCA with greatest sedation of this group - and marked antimuscarinic effects - used for sleep
Torsades de pointes
NO - chloroform - and diethyl ether
Doxepin
Liver enzyme INDUCTION