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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. Cheap wide spectrum antibiotic DOC for otitis media
Amoxicillin
Calcium
Administration of Vit. B6 (pyridoxine)
Seizures
2. Non ergot agents used as first - line therapy in the initial management of Parkinson's
Blocks peptidoglycan synthesis
ED50
Pramipexole and ropinirole
Alkalinize urine - dialysis
3. These agents are CNS depressants
Glucagon
Cp
Ethanol - Barbiturates - and Benzodiazepines
'On - off - phenomenon'
4. New class of drugs that works by inhibiting absorption of intestinal cholesterol and can be given concurrently with the Statins
Excessive hypotension and kidney failure
Penicillamine
NSAIDS
Ezetimibe (Zetia)
5. Agent similar to cisplatin - less nephrotoxic - but greater myelosuppression
Bromocriptine
Carboplatin
Propofol
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
6. MOA of local anesthetics (LA's)
Nevirapine - amprenavir
Phenylephrine
Platelet aggregation inhibition
Block voltage - dependent sodium channels
7. SE of nesiritide
Excessive hypotension and kidney failure
Methoxyflurane
Hypoglycemia
Pindolol and acebutolol
8. Leads to respiratory depression progressing to coma and death
Psychotic state - overdose causes agitation - restlessness - tachycardia - hyperthermia - hyperreflexia - and seizures
SEVERE myelosuppression
Overdose of opioids
Dry cough - hyperkalemia
9. Antidote for hyperkalemia
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
sodium polystyrene sulfonate (Kayexalate)
Clopidogrel and ticlopidine
Insulin release from pancreas; faster and shorter acting than sulfonylurea
10. DOC for malignant hyperthermia that may be caused by use of halogenated anesthetics
Neuroleptanesthesia
Dantrolene
Skeletal muscle tremor - tachycardia
Beta -1 selective blockers
11. Treatment for opioid addiction
Dantrolene
Succinylcholine
Dopamine blockade
Methadone - followed by slow dose reduction
12. Nonselective alpha agonists that increases outflow - probably via the uveoscleral veins
Thioridazine
Methicillin - nafcillin - and dicloxacillin
Epinephrine - dipivefrin
Penicillamine
13. Antidote used for cyanide poisoning
Nitrites
hydroxyzine (Atarax)
Scotch tape technique and mebendazole
Procarbazine
14. Anti - seizure drugs used also for pain of neuropathic orgin
Gabapentin
Fentanyl
Propoxyphene
Thioridazine
15. Median toxic dose required for a toxic effect in 50% of the population
TD50
Odansetron - granisetron
Serotonin syndrome
Block cell wall synthesis by inhibiting peptidoglycan cross - linkage
16. Window between therapeutic effect and toxic effect
Therapeutic index
Atropine - homatropine - C1208 tropicamide
Baclofen
Decreased micro and macro vascular disease
17. Antihistamine that can be used for anxiety and insomnia and is not addictive
Neutropenia and agranulocytosis
Oxytocin - ergonovine and ergotamine
Carmustine (BCNU) and lomustine (CCNU)
hydroxyzine (Atarax)
18. Cephalosporins able to cross the BBB
Gynecomastia
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
Betamethasone and dexamethasone
Steroids
19. Alpha 1 agonist toxicity
Venlafaxine
Prilocaine
Hypertension
Atenolol - acebutolol - and metoprolol
20. This agent regenerates active cholinesterase and is a chemical antagonist used to treat organophosphate exposure
Pralidoxime
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
Tizanidine
5- flouracil (5- FU)
21. Dopamine agonist used in hyperprolactinemia
Beta1 agonists
Sulfonamides
Bromocriptine
Ultralente (humulin U)
22. Used for Cushing's syndrome (increased corticosteroid)
Ipodate
Dexamethasone suppression test
Dantrolene
Mast cell stabilizer
23. Benzodiazepine that is used for anesthesia
Amiodarone
Midazolam
Positive Comb's test - depression
Physostigmine
24. 5 alpha - reductase inhibitor used for benign prostatic hyperplasia (BPH) and male pattern baldness
Finasteride (Proscar and Propecia respectively)
Sedation
Timolol
Minimum alveolar anesthetic concentration (MAC)
25. Arterial vasodilator that works by opening K+ channels
Minoxidil
Acute intermittent porphyria
Diclofenac - ketoralac
Carmustine (BCNU) and lomustine (CCNU)
26. Antivirals associated with neutropenia
Pilocarpine
Heroin - morphine - oxycodone - meperidine and fentanyl
Lupus - like syndrome
Ganciclovir - zidovudine - saquinavir - and interferon
27. Losartan and valsartan block
Pilocarpine
inhibit phospholipase A2
Bradykinin
Angiotensin receptor
28. Inhibitors of CYP450
Baclofen
Gynecomastia and hyperkalemia
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
Cholinesterase inhibitors
29. Captopril and enalapril (- OPRIL ending) are
IV diazepam for short term (acute) treatment; phenytoin for prolonged therapy
Procarbazine
Thiopental
ACE inhibitors
30. Use of this opioid with MAOI can lead to hyperpyrexic coma - and with SSRI's can lead to serotonin syndrome
Meperidine
Gynecomastia and hyperkalemia
Phenylephrine
Sumatriptan
31. Regimen used for breast cancer
CMF (cyclophosphamide - methotrexate - and fluorouracil) and tamoxifen if ER+
Probenecid and sulfinpyrazone
Partial agonist
Dimercaprol
32. Prototype antagonist of H1 and H2 receptors
Calcium channel blockers
L- thyroxine (T4)
Valproic acid - carbamazepine - phenytoin and gabapentin
Diphenhydramine and cimetridine - respectively
33. Skeletal muscle agent that undergoes Hofmann elimination (breaks down spontaneously)
'dry as a bone - red as a beet - mad as a hatter - hot as a hare - blind as a bat'
Adenosine
Atracurium
GLUT 2
34. Benzodiazepines used to promote sleep
Temazpam - trizolam - flurazepam
Rhabdomyolysis and Hepatotoxicity
Ephedrine
Increase the DURATION of GABA- mediated chloride ion channels
35. Penicillins active against penicillinase secreting bacteria
Methicillin - nafcillin - and dicloxacillin
Increasing sodium excretion and decreases arterial and venous tone
N- acetylcysteine (Mucomyst)
Edema - mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism
36. These agents are used as antidiarrheal
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
Nateglinide
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
Diphenoxylate - Loperamide
37. Converted to more active form DHT by 5 alpha - reductase
Clomipramine
Testosterone
Succinylcholine
lispro insulin - aspart insulin - glulisine insulin
38. Increased risk of developing cataracts
Sumatriptan
Aminocaproic acid
Dextroamphetamines and methamphetamine
Quetiapine
39. Opioid that can be given PO - by epidural - and IV - which helps to relieve the dyspnea of pulmonary edema
Morphine
Sodium bicarbonate
Pralidoxime - atropine
Clozapine
40. Produce mydriasis and cycloplegia
Atropine - homatropine - C1208 tropicamide
Clomipramine - fluoxetine and fluvoxamine
Sulfasalazine
Epinephrine
41. Moderate opioid agonists
Codeine - hydrocodone - and oxycodone
Skeletal muscle tremor - tachycardia
Pamidronate - zoledronate - ibandronate
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
42. MOA of thiazide diuretics
Morphine and fentanyl
Valproic acid
Inhibit Na+/Cl - cotransport
Zollinger - Ellison Syndrome
43. SE of long term (>5 days) corticosteroid therapy and remedy
Alprazolam
Adrenal suppression and weaning slowly - respectively
Hyperprolactinemia - menorrhea - galactorrhea - confusion - mood changes - decreased sexual interest - and weight gain
Inhibits thyroid hormone synthesis by blocking iodination of the tyrosine residues of thyroglobulin
44. MOA for Valproic acid at high doses
Fluorocarbons and Industrial solvents
Acarbose
Affect calcium - potassium - and sodium channels
EOS
45. MOA of quinolones
Aztreonam
L- dopa
Inhibit DNA gyrase
Raloxifene (SERM- selective estrogen receptor modulator)
46. Other side effects of Quinidine
Mechlorethamine
Niacin
Thrombocytopenic purpura - and CINCHONISM
Carboplatin
47. Drug used supraventricular arrhythmias
Nitrous oxide
Acarbose - miglitol
Digoxin
Nefazodone
48. Inhibitors of catechol - O- methyltransferase (COMT) - used as adjuncts in Parkinson's dx and cause acute hepatic failure (monitor LFT's)
Patches - gum - nasal spray - psychotherapy - and bupropion
Hyperuricemia - hypokalemia and hyperglycemia
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
Entacapone and Tolcapone
49. Fibrates are contraindicated in
Acebutolol and atenolol
Pregnancy
Tamsulosin (Flomax)
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
50. Indirect - Acting ACh Agonist - alcohol - short DOA and used in diagnosis of myasthenia gravis
Nesiritide (BNP)
'On - off - phenomenon'
Edrophonium
Epinephrine - dipivefrin