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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. Plasma concentration of a drug at a given time
Midodrine
Folic acid
Cp
Rhabdomyolysis
2. Aspirin reduces mortality in unstable angina by
Platelet aggregation inhibition
Temazpam - trizolam - flurazepam
Hepatic
Potency
3. Pneumonic for beta receptors
Ganciclovir - zidovudine - saquinavir - and interferon
You have 1 heart (Beta 1) and 2 lungs (Beta 2)
Calcitonin (salmon prep)
Disulfiram - like reaction
4. Laboratory value required to be monitored for patients on valproic acid
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5. T3 compound less widely used
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
Buspirone
Cytomel
Acid reflux disease - duodenal ulcer and peptic ulcer disease
6. Toxic effect of anticancer drug can be lessened by rescue agents
Interleukin 11 (oprelvekin)
Rheumatic disease
Cerebral hemorrhage
Rescue therapy
7. Anti - rheumatic agent also used for ulcerative colitis
Hypertensive crisis
Sulfasalazine
Ceftriaxone
Odansetron - granisetron
8. What do alpha cells in the pancreas produce?
Glucagon
Topical mupirocin (Bactroban)
Calcium channel blockers
Loading dose (Cp*(Vd/F))
9. Non - benzodiazepine used as an anxiolytic
Benzodiazepines and calcium channel blockers
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
Degradation of fibrin clots and are administered IV
Buspirone
10. Dose may need to be increased during pregnancy or with Ocs due to increased TBG in plasma
Gingival hyperplasia
ACE inhibitors
Thyroxine
Nitroprusside
11. Associated with an increased incidence of cataracts in patients treated for glaucoma
Megaloblastic anemia
Epinephrine - dipivefrin
Morphine - methadone - meperidine - and fentanyl
Long acting cholinesterase inhibitors
12. Antidote used for tricyclic antidepressants (TCA)
Phenytoin
Terbutaline
Aminoglutethimide
Sodium bicarbonate
13. Thrombolytic used for acute MI and ischemic (non hemorrhagic) CVA
Tissue plasmin activator
Magnesium sulfate
Tamsulosin
Clomiphene and tamoxifen
14. Inhibitor of leukotrienes (LTD4) receptors and used in asthma
Reduce aqueous secretion
Fentanyl
Estogens increase maternal TBG
Zafirlukast and montelukast
15. Enhances dopaminergic neurotransmission SE's include CNS excitation - acute toxic psychosis and livedo reticularis
Glyburide - glipizide - and rosiglitazone
Amantadine
Neuromuscular blocking drugs
'On - off - phenomenon'
16. Class of anti - arrhythmics that has a pro - arrhythmic effect (CAST trial) - therefore are used as last line agents
Class IC (flecainide - propafenone - moricizine)
Selective inhibitor of microtubule assembly
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Nondepolarizing type antagonists
17. Phenylisopropylamines that are used legitimately and abused for narcolepsy - attention deficit disorder - and weight reduction
Demeclocycline
Amphetamines
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
GFR
18. Antidote used for acetaminophen (APAP) toxicity
Clonazepam
N- acetylcysteine (Mucomyst)
Phentolamine
Hyperprolactinemia - menorrhea - galactorrhea - confusion - mood changes - decreased sexual interest - and weight gain
19. Anti - seizure agent that induces formation of liver drug - metabolism enzymes - is teratogen and can cause craniofacial anomalies and spina bifida
6- mercaptopurine (6- MP)
Glyburide - glipizide - glimepiride - etc.
Acarbose
Carbamazepine
20. MOA of cisplatin
Cyclobenzaprine
Alkylating agent
Zafirlukast and montelukast
Abciximab - tirofiban and eptifibatide
21. W/D from this drug causes anxiety and mental discomfort
Rhabdomyolysis
Overdose of opioids
Nicotine
Amantadine
22. 3 zones of adrenal cortex and their products
Glomerulosa (mineralocorticoids) - fasciculata (glucocorticoid=GC) - and reticularis (adrenal androgens)
5-7 days
Amiodarone
Skeletal muscle tremor - tachycardia
23. All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Meperidine
L- thyroxine (T4)
LSD
Clopidogrel and ticlopidine
24. Anti - biotic frequently used for chronic UTI prophylaxis
Autocoids
Physostigmine
Nandrolone - oxymetholone - and oxandrolone
sulfamethoxazole/ trimethoprim
25. Major SE of zileuton
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
Oxybutynin - dicyclomine
Liver toxicity
Propoxyphene
26. Common toxicities of cisplatin
Raloxifene (SERM- selective estrogen receptor modulator)
Metronidazole
Nephro and ototoxicity
Gynecomastia
27. Heparin (PTT) increases activity of
Clozapine
Calcium channels
Amrinone and milrinone
Antithrombin 3
28. Non - benzodiazepine used for sleep
Vincristine
Zolpidem
Desflurane
Nandrolone - oxymetholone - and oxandrolone
29. Agent with zero - order kinetics
Methadone - followed by slow dose reduction
Ethanol
Cisplatin
Potassium channel blockers
30. Class of drugs whose MOA utilizes ligand gated ion channels
Benzodiazepines and calcium channel blockers
Monamine oxidase inhibitors
Propofol
Esmolol
31. This beta blocker is highly lipid soluble and may account for side effects such as nightmares
Propranolol
Acetazolamide
Terfenadine and astemizole (have been removed from the market)
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
32. Inhibitor of lipoxygenase
Dimercaprol
Zileuton
Radioactive iodine
Allopurinol
33. This agent cause increased aqueous outflow
Prostaglandin PGF2a
Thyroxine
CNS depressants
Tamsulosin
34. Antidote for methotrexate toxicity
Side - effect profile and prior pt response
Leucovorin
Gynecomastia hyperkalemia - and impotence
Glucagon
35. Route of administration of warfarin
Atropine - pralidoxime (2- PAM)
Oral
Postsynaptic Mu receptors
Midodrine
36. Anti - viral agents associated with Stephen Johnson syndrome
Midazolam
Enflurane and halothane
Nevirapine - amprenavir
Salmeterol
37. Losartan and valsartan block
Angiotensin receptor
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
Hepatotoxicity
Glucagon
38. Beta blockers partial agonist activity (intrinsic sympathomimetic activity) cause some bronchodilation and may have an advantage in treating patients with asthma
Desmopressin (DDAVP)
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Pindolol and acebutolol
Maprotiline
39. Common SE of spironolactone
Gynecomastia and hyperkalemia
DOM - STP - MDA - and MDMA 'ecstasy'
Aminocaproic acid
Potassium channel blockers
40. Causes bone marrow suppression
Methotrexate
Beta -1 selective blockers
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
Dobutamine and dopamine
41. Antidote used for carbon monoxide poisoning
Oxidation - reduction - hydrolysis
Edrophonium
Dolasetron
100% O2 and hyperbaric O2
42. Chelating agent used in acute iron toxicity
Severe hypertension
Excessive CNS stimulation (seizures)
Prolonged half - life - up to six weeks
Deferoxamine
43. SE of acetazolamide
Penicillamine
Dextroamphetamines and methamphetamine
Tremor - sedation - ataxia - aphasia - thyroid enlargement - and reversible diabetes insipidus
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
44. Antidote used for organophosphate/anticholinesterase poisoning
5-7 days
Atropine - pralidoxime (2- PAM)
inhibits Na+/K+/2Cl - cotransport
Use in IgE mediated allergic reaction
45. Barbiturates decrease the effectiveness of many other drugs via this pharmacokinetics property
Deferoxamine
Liver enzyme INDUCTION
Phenytoin
Chlorpheniramine or cyclizine
46. Agent used in CHF that is a selective alpha and nonselective beta blocker
Acute intermittent porphyria
Carvedilol
Adrenal suppression and weaning slowly - respectively
Nitrous oxide
47. MOA of thrombolytics
Tolerance
Alkalinize urine - dialysis
Degradation of fibrin clots and are administered IV
Low - potency typical antipsychotics and clozapine
48. Relates the amount of drug in the body to the plasma concentration
Methadone - followed by slow dose reduction
Volume of distribution (VD)
Timolol (nonselective) - betaxolol (selective)
Affect calcium - potassium - and sodium channels
49. Drug that selectively inhibits COX 2
Celecoxib and rofecoxib
Dobutamine and dopamine
Aplastic anemia and renal toxicity
Naltrexone
50. Treatment of resistant pseudomembranous colitis
Adenosine
Work at early distal convoluted tubule
Spasmolytic drugs
ORAL vancomycin