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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. SE of beta blockers
Amphetamines
Inhibit DNA gyrase
Tolerance
Bradycardia - SEXUAL DYSFUNCTION - decrease in HDL - and increase in Triglycerols (TG)
2. Sedative - Hypnotics action
Pilocarpine - carbachol - physostigmine
GABA- related targets
Reduce inhibition - suppress anxiety - and produce relaxation
Heparin
3. Most frequent route of metabolism
'On - off - phenomenon'
Dopamine blockade
Oxytocin - ergonovine and ergotamine
Hepatic enzymes
4. Angiotensin receptor blockers do Not cause
Rebound HTN - sedation - dry mouth
Alprazolam
Potential for development of Reye's syndrome
Dry cough
5. These prevent the action of Ach at the skeletal muscle endplate to produce a 'surmountable blockade -' effect is reversed by cholinesterase inhibitors (ex. neostigmine or pyridostigmine)
Nondepolarizing type antagonists
Alprostadil
Meperidine
LD50
6. These beta blockers are less lipid soluble
Hepatic toxicity
Depression of medullary and cardiovascular centers
Acebutolol and atenolol
Increased thromboembolic events
7. Prostaglandin used in the treatment of impotence
Calcium channel blockers
Reduce the loss from area of injection
Alprostadil
Haloperidol
8. 5 alpha - reductase inhibitor used for benign prostatic hyperplasia (BPH) and male pattern baldness
Low - potency typical antipsychotics and clozapine
Finasteride (Proscar and Propecia respectively)
Aspirin
Somatostatin
9. Reduced seizure threshold
Desmopressin (DDAVP)
Low - potency typical antipsychotics and clozapine
Hydration and mercaptoethanesulfonate (MESNA)
Betamethasone and dexamethasone
10. Inhaled anesthetic that may sensitize the myocardium to arrhythmogenic effects of catecholamines and has produced hepatitis
Scopolamine - meclizine
Halothane
N- acetylcysteine (Mucomyst)
Cyanide toxicity treated with sodium thiosulfate
11. Additive effects when Sedative - Hypnotics used in combination with these agents
Bromocriptine
Bromocriptine
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
CNS depressants
12. Difference between aspirin and other NSAIDS
Tremor - sedation - ataxia - aphasia - thyroid enlargement - and reversible diabetes insipidus
Dapsone - rifampin and clofazimine combination
Aspirin irreversibly inhibits cyclooxygenase
Pulmonary embolism and DVT
13. Block glycoprotein IIb/IIIa involved in platelet cross - linking
Abciximab - tirofiban and eptifibatide
Muscarinic blockers
Opioid Analgesics
Dicyclomine - methscopolamine
14. SE of acetaminophen
Hepatotoxicity
Alkalinize urine - dialysis
Loading dose (Cp*(Vd/F))
Cimetidine
15. Agents that block L- type calcium channel
Chlorpropamide
Prolonged half - life - up to six weeks
Calcium channel blockers
Prostaglandin PGF2a
16. MOA of Cardiac glycosides (eg. digoxin)
Panic attacks - social phobias - bulimia nervosa - and PMDD (premenstrual dysphoric disorder) - OCD
Side - effect profile and prior pt response
Indirectly increase intracellular calcium and cardiac contractility by inhibiting Na+/K+ ATPase
inhibit phospholipase A2
17. Digoxin toxicity can be precipitated by
Hypokalemia
Naloxone (IV) - naltrexone (PO)
Rescue therapy
Protease inhibitors
18. Thioamide less likely to cross placenta - inhibits peripheral conversion of T4 to T3 in high doses - and should be used with extreme caution in pregnancy
PTU
Nitrites
inhibit prostaglandin synthesis by inhibiting cyclo - oxygenase (cox)
Amoxapine
19. Used for SIADH
Severe hypertension
Estrogen
Demeclocycline
Use in IgE mediated allergic reaction
20. MOA for Valproic acid at high doses
Delavirdine - efavirenz - and ribavirin
Affect calcium - potassium - and sodium channels
Didanosine
Valproic acid
21. 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
Buspirone
Maprotiline
Bupropion
Alprazolam and Clonazepam
22. Anti - androgen used for hirsutism in females
Increase the DURATION of GABA- mediated chloride ion channels
Cyproterone acetate
Tizanidine
Mostly in the brain - and they mediate synaptic inhibition via increased K+ conductance
23. Drug used for N. gonorrhea in females
Terfenadine and astemizole (have been removed from the market)
Atropine - pralidoxime (2- PAM)
Thrombocytopenic purpura - and CINCHONISM
Ceftriaxone
24. SSRI indicated for premenstrual dysphoric disorder
Fluoxetine (Sarafem)
Cartilage damage
Alprazolam
Cyanide toxicity treated with sodium thiosulfate
25. Prolonged exposure to this inhaled anesthetic may lead to megaloblastic anemia
Cisplatin
Nitrous oxide
Loading dose (Cp*(Vd/F))
Clomiphene and tamoxifen
26. Slightly increased risk of breast cancer - endometrial cancer - heart disease (questionable) - has beneficial effects on bone loss
Olanzapine
Estrogen
Acebutolol - atenolol - esmolol - metoprolol
hydroxyzine (Atarax)
27. Agent used in CHF that is a selective alpha and nonselective beta blocker
REM is decreased
5-7 days
L- asparaginase
Carvedilol
28. Most common side effect of 1st generation antihistamines
Sedation
Sodium channel blockers
Combination oral contraceptives (OC)
Repaglinide
29. Biguanide
Heroin - morphine - oxycodone - meperidine and fentanyl
Metformin
Naloxone (IV) - naltrexone (PO)
Amiodarone
30. SE of heparin
Caffeine
Heparin induced thrombocytopenia (HIT)
Cholinesterase regenerators - pralidoxime
Thiopental
31. Facilitates GABA presynaptic inhibition
Diazepam
Minoxidil
Long acting cholinesterase inhibitors
Aspirin
32. Ability to bind reversibly to the same site as the drug and without activating the effector system
Competitive antagonist
Partial agonist
Clozapine
Cardiac dysfunction - photosensitivity - skin (blue smurf syndrome) - Pulmonary fibrosis - thyroid and corneal deposits
33. SE of niacin
Odansetron
B- blockers
Sulfonamides
Cutaneous flush
34. SSRI less likely to cause a withdrawal syndrome
Oral
Fluoxetine
Bromocriptine
Dextromethorphan - Codeine
35. Antiarrhythmic that exhibits Class II and III properties
Sotalol
Cholinesterase inhibitors
Side - effect profile and prior pt response
Affinity
36. Treat manifestations of Parkinson's disease and EPS
Benztropine - trihexyphenidyl
Allopurinol
Patches - gum - nasal spray - psychotherapy - and bupropion
Nitrous oxide
37. Irreversible condition resulting from the use of antipsychotics - reserpine at high doses - and MPTP (by- product of illicit meperidine analog)
Chlorpropamide - tolbutamide - tolazamide - etc.
Zolpidem - zaleplon
Drug induced Parkinsonism
Beta -1 selective blockers
38. Effective in preventing TIA's
Clopidogrel and ticlopidine
Dexrazoxane
Echothiophate
SSRIs
39. Barbiturates MOA
Zileuton
Hydralazine
Thrombocytopenia
Increase the DURATION of GABA- mediated chloride ion channels
40. Non - depolarizing skeletal muscle antagonist that has short duration
Amiodarone
Bleomycin - vinca alkaloids - antimetabolites (eg. - 5- FU - 6- MP - methotrexate - etoposide)
Xanthine oxidase
Mivacurium
41. Major SE of zileuton
Aspirin - Nitrates - CCB - and Beta blockers
Liver toxicity
Estrogen (HRT- Hormone replacement therapy)
Nonselective Muscarinic Antagonists
42. Limiting adverse effect of ganglion blockade that patients usually are unable to tolerate
Prednisone - methylprednisolone - prednisolone - and triamcinolone
Severe hypertension
Nitroglycerin sublingual tablets
Nephro and ototoxicity
43. Inhaled anesthetic causes peripheral vasodilation
Ascending pathways
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Isoflurane
Ketoconazole
44. Site of action of thiazide diuretics
Work at early distal convoluted tubule
Sedation
Severe hypertension
Levodopa
45. Used intravenously for acute arrhythmias during surgery
Alprazolam
GI bleeding
Dimercaprol
Esmolol
46. Common mechanism by which overdose result in death
Pralidoxime
Glargine (Lantus) - detemir
Depression of medullary and cardiovascular centers
Beta -1 selective blockers
47. Dose may need to be increased during pregnancy or with Ocs due to increased TBG in plasma
Changes in heart rate - blood pressure - respiration - body temperature - sweating - bowel signs - and pupillary responses
Somatostatin
Vasodilation
Thyroxine
48. MOA of nystatin
Gingival hyperplasia
Mast cell stabilizer
Nortriptyline - Desipramine
Bind ergosterol in fungal cell membrane
49. The fraction of administered dose of a drug that reaches systemic circulation
Bioavailability (F)
Tolerance
Pre - existing cardiac or renal disease
Doxepin
50. This agent cause increased aqueous outflow
Prostaglandin PGF2a
Miosis and constipation
Cholinesterase regenerators - pralidoxime
Antithrombin 3