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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. Except for these agents all SSRI have significant inhibition of CytP450 enzymes
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
Timolol
Citalopram and its metabolite escitalopram
Buspirone
2. Biguanide
Metformin
Methotrexate
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
Nitrous oxide
3. DOC for paroxysmal supraventricular tachycardia; has high efficacy and short duration of action
Nadolol
Rheumatic disease
Adenosine
Hot flashes
4. Block cardiac adverse effects of thyrotoxicosis such as tachycardia - inhibits the conversion of T4 to T3
Tamsulosin (Flomax)
Levodopa
Beta - blockers such as propranolol
PCP
5. Mineralocorticoids
Efficacy
Hydralazine
Fludrocortisone and deoxycorticosterone
Calcium channel blockers
6. Nitrate used for acute anginal attacks
Esmolol
Nitroglycerin sublingual tablets
Insulin glargine
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
7. Inhibits conversion of cholesterol to pregnenolone therefore inhibiting corticosteroid synthesis
Aminoglutethimide
Leuprolide
Nonselective Muscarinic Antagonists
Nephro and ototoxicity
8. Antidote for tissue plasminogen activator (t - PA) - streptokinase
Ethinyl estradiol and mestranol
Platelet aggregation inhibition
Insulin glargine
Aminocaproic acid
9. Treatment of motion sickness
Thiopental
Scopolamine - meclizine
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Theophylline
10. Agent decreases the excitatory actions of cholinergic neurons. May improve tremor and rigidity but have LITTLE effect on bradykinesia. Atropine - like side effects
Benztropine
Prolongs QT interval
Cyclophosphamide
Partial agonist
11. Agents that reduce heart rate - contractility - and O2 demand
Bradykinin
Carbamazepine - gabapentin - lamotrigine - and valproic acid
Beta - blockers
prolongs QT and PR interval
12. Chemical antagonists that bind to the inhibitor of ACh Estrace and displace the enzyme (if aging has not occurred)
Olanzapine - aripiprazole - and sertindole
Cholinesterase regenerators - pralidoxime
Salmeterol
Aplastic anemia and acute hepatic failure
13. GnRH antagonist with more immediate effects - used for infertility
Bupropion
Odansetron
Ganirelix
Older antipsychotics
14. Antidote used for acetaminophen (APAP) toxicity
N- acetylcysteine (Mucomyst)
Phenytoin
Cyproheptadine
Insulin glargine
15. Structurally related to acetylcholine - used to produce muscle paralysis in order to facilitate surgery or artifical ventilation. Full doses lead to respiratory paralysis and require ventilation
Neuromuscular blocking drugs
Carbamazepine
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Flatulence (do not use beano to tx) - diarrhea - abdominal cramps
16. Initial DMARD of choice for patients with RA
Fentanyl
Phenytoin
Methotrexate
Atropine
17. Anti - seizure medication also used in the prevention of migraines
Interferon alpha
Aspirin
Valproic acid
Cytomel
18. Pneumonic for beta receptors
Infants - closed angle glaucoma - prostatic hypertrophy
Peripheral neuritis and hepatitis
You have 1 heart (Beta 1) and 2 lungs (Beta 2)
Topical mupirocin (Bactroban)
19. DMARDs are slow acting drugs for
Raloxifene
Mivacurium
Alkalinize urine - dialysis
Rheumatic disease
20. Similar to clonidine and may cause hypotension
pregnancy and with K+
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
Thioamides - iodides - radioactive iodine - and ipodate
Tizanidine
21. Antiplatelet drug reserved for patients allergic to aspirin
Serotonin syndrome
Ticlopidine
Reducing progression of heart failure (never use in acute heart failure)
Most are thought to act at GABA- A receptor - chloride channel
22. Class of drugs with ability to decrease the maximal response to an agonist
Bradykinin and histamine
Mast cell stabilizer
Noncompetitive antagonist
Carbamazepine
23. SE of OCs
'dry as a bone - red as a beet - mad as a hatter - hot as a hare - blind as a bat'
Ganciclovir - zidovudine - saquinavir - and interferon
Increased thromboembolic events
Primaquine
24. Diuretics work in CHF by
Toremifene (Fareston)
Oxybutynin - dicyclomine
Reducing preload
Amiodarone
25. Acetaminophen only has
Antipyretic and analgesic activity
Affinity
Ketanserin cyproheptadine - and phenoxybenzamine
Anterograde amnesia
26. SE of Amiodarone
Autocoids
Cardiac dysfunction - photosensitivity - skin (blue smurf syndrome) - Pulmonary fibrosis - thyroid and corneal deposits
Nitrous oxide
Hepatic enzymes
27. Limiting side effect of Quinidine
Edema - mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism
Prolongs QT interval
Prednisone
Beta - blockers
28. Drug ofter used in combination with TNF - alpha inhitors for RA
inhibit phospholipase A2
Atenolol - acebutolol - and metoprolol
Methotrexate
Nondepolarizing Neuromuscular Blockers
29. Concentration in the plasma times (clearance divided by bioavailability)
Maintenance dose (Cp*(CL/F))
IV diazepam for short term (acute) treatment; phenytoin for prolonged therapy
Ketoralac
Diazepam - Flurazepam - chlordiazepoxide - and clorazepate
30. Chelating agent used in acute iron toxicity
Nitrous oxide
Magnesium sulfate
Deferoxamine
Calcium
31. SE of both warfarin and heparin
Bleeding
Midazolam
Ototoxicity
Streptokinase
32. Three C's associated with TCA toxicity
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
First order kinetics
ACE inhibitors
prolongs QT and PR interval
33. Arterial vasodilator that works by opening K+ channels
Apraclonidine - brimonidine
IV and IM (only LMW)
Minoxidil
Timolol
34. Major nutritional side effect of bile acid - binding resins
Leucovorin
Impair absorption of fat soluble vitamin absorption (A - D - E - K)
Normal C- peptide
LSD
35. THC is active ingredient - SE's include impairment of judgment - and reflexes - decreases in blood pressure and psychomotor performance occur
Bile acid - binding resins
Capsaicin
First generation due to being more lipid - soluble
Marijuana
36. Other side effects of Quinidine
Thrombocytopenic purpura - and CINCHONISM
Ribavirin
Tremor - sedation - ataxia - aphasia - thyroid enlargement - and reversible diabetes insipidus
Salmeterol
37. Important in synthesis of glucose to glycogen in the liver
LSD
Epinephrine
PCP
GLUT 2
38. Drug used for African sleeping sickness
COX 1 is found throughout the body and COX 2 is only in inflammatory tissue
Suramin
Prinzmetal's angina
Cocaine and benzocaine
39. Anti - arrhythmic with 15 second duration of action
Raloxifene (SERM- selective estrogen receptor modulator)
Adenosine
Chlorpheniramine or cyclizine
Zolpidem - zaleplon
40. Relates the amount of drug in the body to the plasma concentration
Amitriptyline
Sodium bicarbonate
Volume of distribution (VD)
6- mercaptopurine (6- MP)
41. Amphetamine agents
Dextroamphetamines and methamphetamine
Cardiac dysfunction - photosensitivity - skin (blue smurf syndrome) - Pulmonary fibrosis - thyroid and corneal deposits
Psychotic state - overdose causes agitation - restlessness - tachycardia - hyperthermia - hyperreflexia - and seizures
Clomiphene and tamoxifen
42. Drug increases the renal clearance hence decreases levels of lithium
Aspirin irreversibly inhibits cyclooxygenase
Theophylline
Gastric ulcers and GI Bleeding
Glucagon
43. Distribution of histamine receptors H1 - H2 - and H3
Edema - mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism
Dexamethasone suppression test
Low therapeutic index
Smooth muscle; stomach - heart - and mast cells; nerve endings - CNS respectively
44. Prevention of cyclophosphamide induced hemorrhagic cystitis
Thick ascending limb
Hydration and mercaptoethanesulfonate (MESNA)
Prolonged half - life - up to six weeks
Spironolactone
45. Facilitates GABA presynaptic inhibition
Glucagon
inhibits Na+/K+/2Cl - cotransport
Diazepam
Albuterol
46. State of analgesia and amnesia produced when fentanyl is used with droperidol and nitrous oxide
IV administration
Neuroleptanesthesia
NSAIDS
Low - potency typical antipsychotics and clozapine
47. MOA of thiazide diuretics
Bone marrow and teeth discoloration for children under 8 years of age
Irreversibly blocking cyclooxygenase
Inhibit Na+/Cl - cotransport
Ferrous sulfate
48. Ability to bind reversibly to the same site as the drug and without activating the effector system
Hallucinations resembling psychosis
Demeclocycline
Competitive antagonist
Cimetidine - ketoconazole - erythromycin - isoniazid and grapefruit
49. Thrombolytic that can cause allergic reaction
Streptokinase
Oxytocin
Retinal destruction and dermatitis
Ipratropium
50. MOA of colchicine (used in acute gout)
Dobutamine and dopamine
Selective inhibitor of microtubule assembly
Organic nitrites
Alkylating agents (eg. - mechlorethamine - cyclophosphamide) - antibiotics (doxorubicin - daunorubicin) - cisplatin - nitrosourea