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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. These beta blockers are less lipid soluble
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
Diphenoxylate - Loperamide
Acebutolol and atenolol
Autocoids
2. Indirect - Acting ACh Agonist - alcohol - short DOA and used in diagnosis of myasthenia gravis
Nevirapine - amprenavir
Arginine
Rifampin
Edrophonium
3. Most common SE of fibrates
Amoxicillin
Reduce the loss from area of injection
Morphine
Nausea
4. MOA of both generations
Cerebral hemorrhage
Imipramine
Spironolactone
Insulin release from pancreas by modifying K+ channels
5. Sedative - Hypnotics action
Salmeterol
Deferoxamine
Pentoxifylline
Reduce inhibition - suppress anxiety - and produce relaxation
6. Methylxanthine derivative used as a remedy for intermittent claudication
Oxytocin - ergonovine and ergotamine
Pentoxifylline
Maintenance dose (Cp*(CL/F))
None
7. Drug used for African sleeping sickness
Chlordiazepoxide and Diazepam
Oxidation - reduction - hydrolysis
Pyridostigmine
Suramin
8. Drug of choice for generalized anxiety disorder - Not effective in acute anxiety
Buspirone
Metformin
Neutropenia and agranulocytosis
Ototoxicity
9. Approved for use in severe pulmonary HTN
Esmolol
PGI2 (epoprostenol)
Ceftriaxone
Osteoporosis - Paget's disease - and osteolytic bone lesions - and hypercalcemia from malignancy
10. Agents for reduction of postpartum bleeding
Oxytocin - ergonovine and ergotamine
Positive Comb's test - depression
100% O2 and hyperbaric O2
Flunitrazepam (rohypnol)
11. DOC to treat chemo - induced nausea and vomiting
Odansetron
Islets of Langerhans
Toremifene (Fareston)
Temazpam - trizolam - flurazepam
12. Aminoglycosides used with loop diuretics potentiate adverse effect
Glyburide - glipizide - and rosiglitazone
Pamidronate - zoledronate - ibandronate
Protease inhibitors
Ototoxicity
13. Weak opioid agonist - poor analgesic - its overdose can cause severe toxicity including respiratory depression - circulatory collapse - pulmonary edema - and seizures
Inhibit Na+/Cl - cotransport
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Propoxyphene
Fentanyl
14. Neurotoxicity with isoniazid (INH) prevented by
EOS
Administration of Vit. B6 (pyridoxine)
Hypoglycemia
Anti - inflammatory - analgesia - antipyretic and antiplatelet activity
15. Presynaptic Alpha 2 agonist used in HTN - and acts centrally
Clonidine - and methyldopa
Phenoxybenzamine
Nicotine
LSD
16. Anti - psychotics available in depot preparation
Deferoxamine
Fluphenazine and haloperidol
Most are thought to act at GABA- A receptor - chloride channel
Chlordiazepoxide and Diazepam
17. Anti - viral agents associated with Stephen Johnson syndrome
Nevirapine - amprenavir
Fluphenazine and haloperidol
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Valproic acid
18. Opioid available trans - dermally
Octreotide
Sodium bicarbonate
Fentanyl
Maintenance dose (Cp*(CL/F))
19. Major indication for H1 receptor antagonist
Use in IgE mediated allergic reaction
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Pregnancy
Heroin - morphine - oxycodone - meperidine and fentanyl
20. Agents acting in the CNS or in the skeletal muscle - used to reduce abnormally elevated tone caused by neurologic or muscle end plate disease
Amantadine
Na+/K+ exchange
Sotalol
Spasmolytic drugs
21. Irreversible - nonselective COX inhibitor
Quetiapine
Mast cell stabilizer
Excessive hypotension and kidney failure
Aspirin
22. SSRI with long T1/2 and can be administered once weekly for maintenance - not acute tx
Fluoxetine
IV and IM (only LMW)
Glucagon
Naltrexone
23. Interact with microtubules (but unlike vinca which prevent disassembly of tubules) - it stabilizes tubulin and cells remain frozen in metaphase
Desmopressin (DDAVP)
Beta1 agonists
Ethosuximide and valproic acid
Paclitaxel (taxol)
24. Plasma concentration of a drug at a given time
Bone marrow and teeth discoloration for children under 8 years of age
Amantadine
Cp
Fluphenazine and haloperidol
25. Side effect of sotalol
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
prolongs QT and PR interval
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Salmeterol
26. Tolerance to all effects of opioid agonists can develop except
Miosis and constipation
Abciximab - tirofiban and eptifibatide
Bromocriptine
Esmolol
27. MOA of erythromycin
SEVERE myelosuppression
Dipyridamole
Amphetamines
Inhibition of protein synthesis at the 50s subunit of ribosome
28. Aspirin is contraindicated in children with viral infection
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29. Cholinomimetics that increase outflow - open trabecular meshwork - and cause ciliary muscle contraction
Pilocarpine - carbachol - physostigmine
Anti - inflammatory - analgesia - antipyretic and antiplatelet activity
Entacapone and Tolcapone
Inhibits thyroid hormone synthesis by blocking iodination of the tyrosine residues of thyroglobulin
30. Selectivity of a drug for its receptor
Platelet aggregation inhibition
Diethylstilbestrol (DES)
Neutropenia and agranulocytosis
Specificity
31. H1 antagonist used in motion sickness
Bleomycin
Kidney and liver toxicity - diarrhea
Glucagon
Dimenhydrinate - meclizine - and other 1st generation
32. Common SE of sulfonylureas - repaglinide - and nateglinide
Olanzapine
PCP
Hypoglycemia
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
33. DOC for CMV retinitis
Ganciclovir
Vitamin K and Fresh frozen plasma (FFP)
NSAIDS
Leuprolide
34. Diuretic used to treat primary aldosteronism
SEVERE myelosuppression
Spironolactone
inhibits HMG COA reductase
Insulin glargine
35. One depolarizing blocker that causes continuous depolarization and results in muscle relaxation and paralysis - causes muscle pain postoperatively and myoglobinuria may occur
Succinylcholine
AZT (zidovudine)
Glargine (Lantus) - detemir
Epinephrine - dipivefrin
36. Some of SSRIs' therapeutic effects beside depression
Olanzapine
REM is decreased
pregnancy and with K+
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
37. Barbiturates decrease the effectiveness of many other drugs via this pharmacokinetics property
Affect calcium - potassium - and sodium channels
Inhibit DNA gyrase
Liver enzyme INDUCTION
Odansetron
38. Antidote used for benzodiazepine toxicity
Flumazenil
Ipratropium
EOS
Olanzapine
39. Extrapyramidal dysfunction is more common with these agents - Which block this subtype of dopamine receptor
Older antipsychotic agents - D2 receptors
Terfenadine and astemizole (have been removed from the market)
Gynecomastia and hyperkalemia
Dopamine
40. DMARDs are slow acting drugs for
Rheumatic disease
Maprotiline
Calcium channels
Iron deiodinates thyroxine
41. Phenylisopropylamines that are used legitimately and abused for narcolepsy - attention deficit disorder - and weight reduction
Aspirin - metoprolol
Inhibit DNA gyrase
5- flouracil (5- FU)
Amphetamines
42. Selective estrogen receptor modulator (SERM) used for prevention of osteoporosis and prophylaxis in women with risk factors for breast cancer
Ethanol
Thiopental
Ethanol
Raloxifene
43. Opioid that can be given PO - by epidural - and IV - which helps to relieve the dyspnea of pulmonary edema
Morphine
Minimum alveolar anesthetic concentration (MAC)
PGI2 (epoprostenol)
Sodium channel blockers
44. Drug that inhibits alcohol dehydrogenase and is used in ethylene glycol exposure
Acyclovir; incorporated into viral DNA and chain termination
Fomepizole
Aminocaproic acid
Arteries and veins
45. Lithium is associated with this congenital defect
Rheumatic disease
Epinephrine
Cardiac anomalies and is contraindicated in pregnancy or lactation
Nonselective Muscarinic Antagonists
46. Interaction with this drug requires dose reduction of 6- MP
Tricyclic antidepressants (TCA)
Megaloblastic anemia
Fentanyl
Allopurinol
47. Anemia caused by trimethoprim
Insulin
Little C- peptide
Megaloblastic anemia
Dimercaprol - EDTA
48. Analog of hypoxanthine - needs HGPRTase for activation
Cartilage damage
Phenoxybenzamine
6- mercaptopurine (6- MP)
G- CSF (filgrastim) and GM- CSF (sargramostim)
49. Anti - androgen used for prostate cancer
Hypertrichosis
Flutamide (Eulexin)
GI bleeding
Nausea
50. Pungent inhaled anesthetic which leads to high incidence of coughing and vasospasm
Inhaled anesthetics - especially isoflurane - aminoglycosides - and antiarrhythmic
Bleeding
Ezetimibe (Zetia)
Desflurane