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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. Drug used supraventricular arrhythmias
Didanosine
Digoxin
Bile acid - binding resins
Morphine and fentanyl
2. SE of colchicine
Sedation
Kidney and liver toxicity - diarrhea
Buspirone
Dobutamine and dopamine
3. Usual time needed for full effect of antidepressant therapy
2 to 3 weeks
Potential for development of Reye's syndrome
Block cell wall synthesis by inhibiting peptidoglycan cross - linkage
Vitamin K or fresh frozen plasma
4. Methyldopa is contraindicated in
Propofol
Geriatrics due to its CNS (depression) effects
Lipoprotein lipase
Aminocaproic acid
5. Reason fluoroquinolones are contraindicated in children and pregnancy
Block voltage - dependent sodium channels
Classic
Cartilage damage
Long acting cholinesterase inhibitors
6. MOA of penicillin
Cisplatin
PTU
Block cell wall synthesis by inhibiting peptidoglycan cross - linkage
Streptokinase
7. DOC for giardia - bacterial vaginosis - pseudomembranous colitis - and trichomonas
Atropine
Cocaine and benzocaine
Metronidazole
SSRIs
8. Moderate opioid agonists
Quetiapine
Codeine - hydrocodone - and oxycodone
Interferon alpha
Class IC (flecainide - propafenone - moricizine)
9. Phosphodiesterase inhibitors that increase mortality and have been found to have NO beneficial effects
Dobutamine
Amrinone and milrinone
Administration of Vit. B6 (pyridoxine)
Bleeding
10. Treatment for TB patients (think RIPE)
CNS depressants
Betamethasone and dexamethasone
Rifampin - Isoniazid - Pyrazinamide - and Ethambutol
Naloxone
11. Clinical uses of these agents include treatment of HTN - angina - arrhythmias - chronic CHF - and selected post MI patients
Beta blockers
Ipratropium
Fentanyl
Sumatriptan
12. H1 antagonist used in motion sickness
Dimenhydrinate - meclizine - and other 1st generation
PTU
Morphine and fentanyl
Dimercaprol
13. Target plasma concentration times (volume of distribution divided by bioavailability)
IV diazepam for short term (acute) treatment; phenytoin for prolonged therapy
Loading dose (Cp*(Vd/F))
Testicular cancer
Oxytocin - ergonovine and ergotamine
14. Incidence of hyoglycemia with metformin
Nausea
None
Excessive CNS stimulation (seizures)
Haloperidol or pimozide
15. All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Meperidine
Cosyntropin
Overdose of opioids
Phase I
16. Cause dizziness - tachycardia - hypotension - and flushing
Nephrotoxicity
Organic nitrites
Zolpidem - zaleplon
Hyperkalemia
17. Agent decreases the excitatory actions of cholinergic neurons. May improve tremor and rigidity but have LITTLE effect on bradykinesia. Atropine - like side effects
Platelet aggregation inhibition
Benztropine
Thick ascending limb
Midodrine
18. Anti - androgen used for prostate cancer
First generation due to being more lipid - soluble
Aminocaproic acid
Low therapeutic index
Flutamide (Eulexin)
19. Major nutritional side effect of bile acid - binding resins
Peripheral neuropathy (also excessive alcohol use is associated with HTN - anemia - and MI)
Pramipexole and ropinirole
Nephro and ototoxicity
Impair absorption of fat soluble vitamin absorption (A - D - E - K)
20. Endogenous substances commonly interpreted as histamine - serotonin - prostaglandins - and vasoactive peptides
Autocoids
Postsynaptic Mu receptors
Calcium
Cefixime (3rd) generation
21. MOA of nesiritide
Diazepam
Phenylephrine
Loading dose (Cp*(Vd/F))
Increasing sodium excretion and decreases arterial and venous tone
22. Barbiturates MOA
Clopidogrel and ticlopidine
Increase the DURATION of GABA- mediated chloride ion channels
Diphenoxylate - Loperamide
Midazolam
23. GHRH analog used as diagnostic agent
Sulfonamides
Terfenadine and astemizole (have been removed from the market)
Prostaglandin PGF2a
Sermorelin
24. Newer alpha 2 agonist (apraclonidine and brimonidine) treat glaucoma by acting to
Prednisone - methylprednisolone - prednisolone - and triamcinolone
DOM - STP - MDA - and MDMA 'ecstasy'
Reduce aqueous secretion
Clozapine
25. Peptide drug used to treat CHF
Labetalol and carvedilol
Didanosine
Corticosteroids
Nesiritide (BNP)
26. Reason troglitazone was withdrawn from market
Echothiophate
Hepatic toxicity
Thioridazine
Delavirdine - efavirenz - and ribavirin
27. Laboratory value required to be monitored for patients on valproic acid
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28. Metronidazole SE if given with alcohol
Disulfiram - like reaction
Ethanol
Bleomycin
Benzodiazepine receptor BZ1 (although do not have a benzodiazepine ring structure)
29. SE of nesiritide
Excessive hypotension and kidney failure
Lepirudin
Ethanol - Barbiturates - and Benzodiazepines
Alprazolam
30. Cholinomimetics that increase outflow - open trabecular meshwork - and cause ciliary muscle contraction
Ethanol - Barbiturates - and Benzodiazepines
Inhibition of protein synthesis at the 50s subunit of ribosome
Pilocarpine - carbachol - physostigmine
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
31. SE of minoxidil
Mifepristone
Hypertrichosis
Inhaled anesthetics - especially isoflurane - aminoglycosides - and antiarrhythmic
Fluorocarbons and Industrial solvents
32. DMARDs are slow acting drugs for
Rheumatic disease
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Lorazepam - oxazepam - and temazepam
G- CSF (filgrastim) and GM- CSF (sargramostim)
33. The most frequent cause of acute deaths in cholinesterase inhibitor toxicity
Respiratory failure
Capsaicin
Bromocriptine
Dimenhydrinate - meclizine - and other 1st generation
34. SSRI indicated for premenstrual dysphoric disorder
LSD
Decrease arterial blood pressure
Fluoxetine (Sarafem)
Labetalol and carvedilol
35. Drugs of choice for absence seizures
Ethosuximide and valproic acid
Competitive antagonist
Tizanidine
Dextromethorphan - Codeine
36. Where are beta cells found in the pancreas?
Leucovorin
Islets of Langerhans
Buspirone
Paclitaxel (taxol)
37. PTU (propylthiouracil) MOA
Inhibits thyroid hormone synthesis by blocking iodination of the tyrosine residues of thyroglobulin
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Kidneys
Diphenhydramine and cimetridine - respectively
38. These agents are CNS depressants
Pulse therapy
Ethanol - Barbiturates - and Benzodiazepines
Methoxyflurane
Tizanidine
39. Beta blockers work in CHF by
Block cell wall synthesis by inhibiting peptidoglycan cross - linkage
Reducing progression of heart failure (never use in acute heart failure)
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
Acarbose - miglitol
40. Thrombolytic used for acute MI and ischemic (non hemorrhagic) CVA
Erythromycin
Hepatic toxicity
Ipratropium
Tissue plasmin activator
41. Converts asparagine to aspartate and ammonia - denies cancer cells of essential AA (asparagine)
SEVERE myelosuppression
L- asparaginase
Pregnancy
Inhibit Na+/Cl - cotransport
42. Antidote to reverse actions of heparin
Diazepam
Protamine sulfate
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
Cocaine and benzocaine
43. Benzodiazepine receptor antagonist - it accelerates recovery from benzodiazepine overdose
Seizures
Buspirone
Ketoconazole
Flumazenil
44. Agent effective in physiologic and essential tremor
Rescue therapy
Propranolol
Prazosin - terazosin and doxazosin (- AZOSIN ending)
Beta - blockers such as propranolol
45. Common SE of spironolactone
Venlafaxine
GI bleeding
Atenolol - acebutolol - and metoprolol
Gynecomastia and hyperkalemia
46. Common mechanism by which overdose result in death
Depression of medullary and cardiovascular centers
Cholinesterase regenerators - pralidoxime
Mifepristone (RU-486)
Hypertensive crisis
47. What do beta cells in the pancreas produce?
Hyperprolactinemia - menorrhea - galactorrhea - confusion - mood changes - decreased sexual interest - and weight gain
Insulin
Therapeutic index
Stimulates cGMP which leads to vascular smooth muscle relaxation
48. Irreversible - nonselective COX inhibitor
Aspirin - Nitrates - CCB - and Beta blockers
Aspirin
Etidronate
Torsades de pointes
49. Limiting adverse effect of ganglion blockade that patients usually are unable to tolerate
Inhibiting dihydroorotate dehydrogenase which leads to decreased pyrimidine synthesis - decreased T cell proliferation and decreased antibody production by B cells
Iodide salts
Prilocaine
Severe hypertension
50. Block cardiac adverse effects of thyrotoxicosis such as tachycardia - inhibits the conversion of T4 to T3
CHOP (cyclophosphamide - doxorubicin - vincristine - and prednisone) plus rituximab
Irreversibly blocking cyclooxygenase
Nonselective Muscarinic Antagonists
Beta - blockers such as propranolol