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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. Thrombolytic used for acute MI and ischemic (non hemorrhagic) CVA
Neuromuscular blocking drugs
Oxidation - reduction - hydrolysis
Insulin glargine
Tissue plasmin activator
2. MOA of AGI's
Cisplatin
Timolol (nonselective) - betaxolol (selective)
Act on intestine - delay digestion and absorption of glucose formed from digestion of starch and disacchrides
Ribavirin
3. MOA of metformin
Sinus tachycardia and serious arrhythmias
Neuromuscular blocking drugs
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
Nonselective Muscarinic Antagonists
4. Interferes with activity of T- lymphocytes
Terfenadine and astemizole (have been removed from the market)
Venlafaxine
Hydroxychloroquine
Half - life (T1/2)
5. These agents are congeners of Amphetamine
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6. The fraction of administered dose of a drug that reaches systemic circulation
Bioavailability (F)
Vancomycin
Nephro and ototoxicity
Nortriptyline - Desipramine
7. Concentration in the plasma times (clearance divided by bioavailability)
hydroxyzine (Atarax)
NO - chloroform - and diethyl ether
Maintenance dose (Cp*(CL/F))
Cholinesterase regenerators - pralidoxime
8. Antidote used for warfarin toxicity
GLUT 2
Bupropion
Vitamin K and Fresh frozen plasma (FFP)
Nitroprusside
9. Syndrome of hypersecretion of gastric acid and pepsin usually caused by gastrinoma; it is associated with severe peptic ulceration and diarrhea
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Ultralente (humulin U)
Zollinger - Ellison Syndrome
Ceftriaxone
10. TCA with greatest sedation of this group - and marked antimuscarinic effects - used for sleep
Deferoxamine
Hyperprolactinemia - menorrhea - galactorrhea - confusion - mood changes - decreased sexual interest - and weight gain
Mannitol
Doxepin
11. H2 blocker that causes the most interactions with other drugs
inhibit phospholipase A2
Thyroxine
Cimetidine
Ondansetron - granisetron - dolasetron and alosetron
12. Peptide drug used to treat CHF
Epinephrine
Methadone
Nesiritide (BNP)
High therapeutic index
13. Most widely used thyroid drugs such as Synthroid and Levoxyl contain
Propoxyphene
Oxytocin - ergonovine and ergotamine
Cartilage damage
L- thyroxine (T4)
14. Available bisphosphonates
Ototoxicity
inhibits HMG COA reductase
Alendronate - etidronate - risedronate - pamidronate - tiludronate - and zoledronic acid
Glucocorticoids
15. Life threatening cardiac event that prolong QT leads to
Blocks peptidoglycan synthesis
Amiodarone
Reduce aqueous secretion
Torsades de pointes
16. Exogenous insulin contains
Paclitaxel (taxol)
Beta blockers
Ondansetron - granisetron - dolasetron and alosetron
Little C- peptide
17. Beta 1 agonists used in acute CHF
Thrombocytopenic purpura - and CINCHONISM
Iodide salts
Dobutamine and dopamine
Nesiritide (Natrecor)
18. Agent that inhibits hepatic metabolism - is hepatotoxic and teratogen that can cause neural tube defects and gastrointestinal distress
Haloperidol
Efficacy
Valproic acid
Glucagon
19. Vascular effects of metformin
Decreased micro and macro vascular disease
sulfamethoxazole/ trimethoprim
Imipramine
L- asparaginase
20. SE of acetazolamide
Ipratropium
Digoxin
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
Hypertension
21. Inhaled anesthetics metabolized by liver enzymes which has a major role in the toxicity of these agents
Methicillin - nafcillin - and dicloxacillin
Propofol
Halothane and methoxyflurane
Beta - blockers such as propranolol
22. Most commonly abused in health care professionals
Calcium
Half - life (T1/2)
Physostigmine
Heroin - morphine - oxycodone - meperidine and fentanyl
23. Rate limiting step of alcohol metabolism
G- CSF (filgrastim) and GM- CSF (sargramostim)
Delavirdine - efavirenz - and ribavirin
Primaquine
Aldehyde dehydrogenase
24. Metronidazole SE if given with alcohol
Low - potency typical antipsychotics and clozapine
Disulfiram - like reaction
Haloperidol
B- blockers
25. Receptors for serotonin (5HT-1) are located
Cephalosporins
Amoxapine
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
Oxybutynin - dicyclomine
26. This diuretic decreases aqueous secretion due to lack of HCO3- ion. Causes drowsiness and paresthesias - alkalinization of the urine may precipitate calcium salts - hypokalemia - acidosis
Acetazolamide
Alpha1 agonists
Protamine sulfate
Amrinone and milrinone
27. The selective agents loose their selectivity at
high doses
Clonazepam
Vasodilation
Apraclonidine - brimonidine
28. This agent has greater affinity for muscarinic receptors and used for postoperative and neurogenic ileus and urinary retention
Prolonged half - life - up to six weeks
Chlorpheniramine or cyclizine
Competitive antagonist
Bethanechol
29. Phosphodiesterase inhibitors that increase mortality and have been found to have NO beneficial effects
Aspirin
Adenosine
Little C- peptide
Amrinone and milrinone
30. SE of nitrates
Gastric ulcers and GI Bleeding
Sodium channel blockade
Cocaine
Postural hypotension - reflex tachycardia - hot flashes - and throbbing headache due to meningeal artery dilation
31. Drug causing depletion of substance P (vasodilator)
Presynaptic mu - delta - and kappa receptors
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
Capsaicin
Midodrine
32. The most frequent cause of acute deaths in cholinesterase inhibitor toxicity
Bile acid - binding resins
Respiratory failure
Entacapone and Tolcapone
ACE inhibitors
33. SE for Lamotrigine
Alprostadil
GABA- related targets
Stevens - Johnson syndrome
Alpha1 agonists
34. Drug used concurrently with toxic anticancer agents to reduce renal precipitation of urates
Thyroid and steroid hormones
Allopurinol
Valproic acid and Phenytoin
Na+/K+ exchange
35. Fibrates (gemfibrozil) increase activity of
Diazepam
Lipoprotein lipase
Digibind
SSRI's - bupropion - and venlafaxine
36. Well - tolerated and are first - line antidepressants
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37. MOA of both generations
Inhibits thyroid hormone synthesis by blocking iodination of the tyrosine residues of thyroglobulin
Insulin release from pancreas by modifying K+ channels
Risperidone
Rhabdomyolysis
38. Drug used in Chagas disease
Nifurtimox
Alkylating agent
Insulin release from pancreas by modifying K+ channels
Metronidazole
39. Inhibitor of leukotrienes (LTD4) receptors and used in asthma
Zafirlukast and montelukast
Adalimumab - infliximab and etanercept
Alprazolam and Clonazepam
Radioactive iodine
40. MOA of erythromycin
Epinephrine - dipivefrin
Inhibition of protein synthesis at the 50s subunit of ribosome
Dicyclomine - methscopolamine
Thick ascending limb
41. Beta blockers partial agonist activity (intrinsic sympathomimetic activity) cause some bronchodilation and may have an advantage in treating patients with asthma
Pindolol and acebutolol
Timolol
Block voltage - dependent sodium channels
Bioavailability (F)
42. Important in synthesis of glucose to glycogen in the liver
GLUT 2
COX 1 is found throughout the body and COX 2 is only in inflammatory tissue
Acid reflux disease - duodenal ulcer and peptic ulcer disease
Coma - Convulsions - Cardiac problems (arrhythmias and wide QRS)
43. Weak opioid agonist - poor analgesic - its overdose can cause severe toxicity including respiratory depression - circulatory collapse - pulmonary edema - and seizures
Log - kill hypothesis
Paresthesias - alkalization of the urine (which may ppt. Ca salts) - hypokalemia - acidosis - and encephalopathy in patients with hepatic impairment
Calcium channel blockers
Propoxyphene
44. Most useful in patients with significant anxiety - phobic features - hypochondriasis - and resistant depression
Theophylline
Monamine oxidase inhibitors
Atropine - homatropine - C1208 tropicamide
Corticosteroids
45. Major route of elimination for Lithium
Platelet aggregation inhibition
B- blockers
Skeletal muscle tremor - tachycardia
Kidneys
46. Beta blockers work in CHF by
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Reducing progression of heart failure (never use in acute heart failure)
Bile acid - binding resins
L- asparaginase
47. All antidepressants have roughly the same efficacy in treating depression - agents are chosen based on these criterion
Side - effect profile and prior pt response
Iron deiodinates thyroxine
Calcium
Diphenhydramine and cimetridine - respectively
48. Treatments available for nicotine addiction
Patches - gum - nasal spray - psychotherapy - and bupropion
Flumazenil
Excessive hypotension and kidney failure
L- thyroxine (T4)
49. Common SE of spironolactone
Lithium
Gynecomastia and hyperkalemia
Dopamine
Point mutation
50. Neurotransmitters affected by the action of antidepressants
Selective inhibitor of microtubule assembly
Norepinephrine and serotonin
Clomipramine - fluoxetine and fluvoxamine
Phenytoin