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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. HIV med used to reduce transmission during birth
Vitamin B12
Spironolactone
Ipodate
AZT (zidovudine)
2. Heterocyclic antidepressants least likely to affect sexual performance - used for management of nicotine withdrawal - SE's include dizziness - dry mouth - aggravation of psychosis - and seizures
Penicillamine
Bupropion
Succinylcholine
Aminocaproic acid
3. Analog of hypoxanthine - needs HGPRTase for activation
Nitroprusside
Metrifonate
6- mercaptopurine (6- MP)
Hyperkalemia
4. Treatment of choice for organophosphate overdose
Atropine - homatropine - C1208 tropicamide
Atropine
Respiratory failure
Acebutolol and atenolol
5. Antidote useful for some drug induced Torsade de pointes
Magnesium sulfate
Cholinesterase regenerators - pralidoxime
Inhibition of protein synthesis at the 50s subunit of ribosome
SSRIs
6. Local anesthetic with vasoconstrictive property - favored for head - neck - and pharyngeal surgery
Streptokinase
Digibind
Oxytocin - ergonovine and ergotamine
Cocaine
7. Only phenothiazine not exerting antiemetic effects - can cause visual impairment due to retinal deposits - and high doses have been associated with ventricular arrhythmias
Thioridazine
Zileuton
Buspirone
Liver toxicity - increased serum cholesterol
8. Route of administration of warfarin
Gynecomastia hyperkalemia - and impotence
Ethanol or fomepizole
PTU
Oral
9. Converts asparagine to aspartate and ammonia - denies cancer cells of essential AA (asparagine)
Nausea
Lactic acidosis
Pre - existing cardiac or renal disease
L- asparaginase
10. Antidote to reverse actions of warfarin
Vitamin K or fresh frozen plasma
Amantadine
Dexamethasone suppression test
Propoxyphene
11. Treat manifestations of Parkinson's disease and EPS
Benztropine - trihexyphenidyl
Ceftriaxone
6- mercaptopurine (6- MP)
Bile acid - binding resins
12. This beta blocker is the longest acting
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
Nadolol
Buprenorphine
Steroids
13. SE of alpha blockers
Orthostatic hypotension (especially with first dose) and reflex tachycardia
Activattion on an inward K+ current and inhibition of Ca++ current resulting in marked hyperpolarization
Esmolol
Liver enzyme INDUCTION
14. All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Temazpam - trizolam - flurazepam
Aldehyde dehydrogenase
Etidronate
Meperidine
15. Cause dizziness - tachycardia - hypotension - and flushing
Hepatotoxicity
Organic nitrites
Clozapine
Phenoxybenzamine
16. Most common SE of fibrates
Barbiturates - phenytoin - carbamazepine - and rifampin
Nausea
Side - effect profile and prior pt response
Ganirelix
17. GnRH agonist used for infertility or different types of CA depending on pulsatile or steady usage respectively
Ability to cross the placenta
Leuprolide
Aspirin - Nitrates - CCB - and Beta blockers
Warfarin (PT)
18. Agent used neutropenia especially after chemotherapy
Sodium channel blockade
Ability to cross the placenta
Procarbazine
G- CSF (filgrastim) and GM- CSF (sargramostim)
19. Drug notorious for causing pseudomembranous colitis
Haloperidol or pimozide
Clindamycin
Acetazolamide
Gingival hyperplasia - nystagmus - diplopia and ataxia
20. MOA and effect of nitric oxide
Stimulates cGMP which leads to vascular smooth muscle relaxation
Miosis and constipation
Oral and transdermal forms of nitroglycerin
Prinzmetal's angina
21. MOA of Cardiac glycosides (eg. digoxin)
Indirectly increase intracellular calcium and cardiac contractility by inhibiting Na+/K+ ATPase
Thioridazine
Insulin release from pancreas by modifying K+ channels
Reduce the loss from area of injection
22. Hormone inhibiting prolactin release
Decrease arterial blood pressure
Dolasetron
Dopamine
Red urine discoloration
23. CCB are DOC for
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24. Beta 2 agonist toxicity
Procarbazine
Naloxone
Skeletal muscle tremor - tachycardia
Beta - blockers such as propranolol
25. Adenosine's MOA
Chemical esophagitis
Testicular cancer
Sedation
Activattion on an inward K+ current and inhibition of Ca++ current resulting in marked hyperpolarization
26. SE of tPA
Clopidogrel and ticlopidine
Cerebral hemorrhage
Calcium channel blockers
Increased thromboembolic events
27. DOC for paroxysmal supraventricular tachycardia (PSVT)
Aspirin - Nitrates - CCB - and Beta blockers
Flumazenil
Selegiline
Adenosine
28. Antidote used for beta agonist toxicity (eg. Metaproterenol)
Decreases protein synthesis by inhibiting 30S ribosome
Esmolol
Methadone - followed by slow dose reduction
Gastric ulcers and GI Bleeding
29. Alpha 1selective blockers
Naloxone (IV) - naltrexone (PO)
Cefuroxime (2nd) generation - Ceftazidime - Ceftriaxone
Prazosin - terazosin and doxazosin (- AZOSIN ending)
Spironolactone
30. Alpha 1 agonist toxicity
Tetracycline
Sedation
Alkylating agent
Hypertension
31. Prostaglandins that cause abortions
Cerebral hemorrhage
Morphine and fentanyl
inhibits Na+/K+/2Cl - cotransport
Prostaglandin E1 (misoprostol) PGE2 - and PGF2alpha
32. Agent effective in physiologic and essential tremor
Propoxyphene
Propranolol
Inhibit DNA gyrase
Peripheral neuritis and hepatitis
33. Inhaled anesthetic with a low blood/gas partition coefficient
Stimulate PPAR- gamma receptor to regulate CHO and lipid metabolism
Doxepin
Competitive antagonist
Nitrous oxide
34. Methylxanthine derivative used as a remedy for intermittent claudication
Carbamazepine
Side - effect profile and prior pt response
Tamoxifen
Pentoxifylline
35. Vitamins containing iron should Not be taken simultaneously with levothyroxine because
Acyclovir; incorporated into viral DNA and chain termination
Iron deiodinates thyroxine
Warfarin (PT)
Increased thromboembolic events
36. GHRH analog used as diagnostic agent
GLUT 2
Ethanol - fomepizole
Malathion
Sermorelin
37. SE of phenytoin
Gingival hyperplasia - nystagmus - diplopia and ataxia
Testicular cancer
Hydration and mercaptoethanesulfonate (MESNA)
Desmopressin (DDAVP)
38. DOC for status epilepticus
'On - off - phenomenon'
Cyanocobalamin (Vit B12)
Malathion
Diazepam
39. Causes bone marrow suppression
Act on intestine - delay digestion and absorption of glucose formed from digestion of starch and disacchrides
Methotrexate
Beta - blockers
Amoxapine
40. MOA of nitrates
Bradykinin and histamine
Propoxyphene
Bromocriptine
Relax vascular smooth muscle - at low doses dilate veins and at high doses dilate arterioles
41. H2 blocker that causes the most interactions with other drugs
Cimetidine
Thrombocytopenia
SEVERE myelosuppression
Inhibiting dihydroorotate dehydrogenase which leads to decreased pyrimidine synthesis - decreased T cell proliferation and decreased antibody production by B cells
42. Tubocurarine is the prototype - pancuronium - atracurium - vecuronium are newer short acting agent - produce competitive block at end plate nicotinic receptor - causing flaccid paralysis
Corticosteroids
Nondepolarizing Neuromuscular Blockers
Hepatic
Potency
43. Neurotoxicity with isoniazid (INH) prevented by
Ketoralac
Ketanserin cyproheptadine - and phenoxybenzamine
Carbamazepine
Administration of Vit. B6 (pyridoxine)
44. Reduced seizure threshold
Nitroprusside
Low - potency typical antipsychotics and clozapine
Methotrexate
Thiopental
45. Term for a narrow margin of safety
Levodopa
Low therapeutic index
Thioridazine
Methotrexate
46. 1st generation antihistamine that is least sedating
Nitroprusside
Degradation of fibrin clots and are administered IV
Dry cough - hyperkalemia
Chlorpheniramine or cyclizine
47. MOA for Ethosuximide
Most are thought to act at GABA- A receptor - chloride channel
Bupropion
Calcium channels
Normal C- peptide
48. MOA of nateglinide
Insulin secretagogue - closes ATP- sensitive K+ channel
EOS
Alprostadil
Fentanyl
49. Anti - psychotics available in depot preparation
Fluphenazine and haloperidol
Morphine
Acarbose
Cocaine
50. These agents increase cardiac output and may be beneficial in treatment of acute heart failure and some types of shock
Glucuronate - acetic acid - and glutathione sulfate
Dantrolene
Beta1 agonists
Reduce inhibition - suppress anxiety - and produce relaxation