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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. Extrapyramidal dysfunction is more common with these agents - Which block this subtype of dopamine receptor
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Spasmolytic drugs
Older antipsychotic agents - D2 receptors
Pilocarpine
2. Most common side effect of 1st generation antihistamines
Long - acting sedative - hypnotic or a gradual reduction of dose - clonidine or propranolol
Midazolam
Overdose of opioids
Sedation
3. Sedation is a common side effect of these drugs - they lower seizure threshold - uses include BAD - acute panic attacks - phobias - enuresis - and chronic pain and their overdose can be deadly
None
Adrenal suppression and weaning slowly - respectively
Temazpam - trizolam - flurazepam
Tricyclic antidepressants (TCA)
4. 1st generation antihistamine that is highly sedating
Diphendydramine
Capsaicin
Glucagon
Etidronate
5. Penicillins active against penicillinase secreting bacteria
5-7 days
Sulfasalazine
Methicillin - nafcillin - and dicloxacillin
Glyburide - glipizide - glimepiride - etc.
6. Withdrawal from this drug causes lethargy - irritability - and headache
Decreases protein synthesis by inhibiting 30S ribosome
Caffeine
CNS toxicity
Nateglinide
7. Atropine fever is the most dangerous effect and can be lethal in this population group
EOS
Fluorocarbons and Industrial solvents
Infants
Aplastic anemia and renal toxicity
8. Inhaled anesthetic - less likely to lower blood pressure than other agents - and has the smallest effect on respiration
Pindolol and acebutolol
Nitrous oxide
Normal C- peptide
Carbamazepine
9. SE of phenytoin
Ethosuximide and valproic acid
Older antipsychotic agents - D2 receptors
Carbenicillin - piperacillin and ticarcillin
Gingival hyperplasia
10. Diuretic used to treat primary aldosteronism
Diphenhydramine and cimetridine - respectively
Beta blockers
Spironolactone
Tertiary amines
11. Drugs of choice for generalized tonic - clonic and partial seizures
Na+/K+ exchange
Acebutolol and atenolol
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
Valproic acid and Phenytoin
12. SSRI less likely to cause a withdrawal syndrome
Ethinyl estradiol and mestranol
LD50
Sinus tachycardia and serious arrhythmias
Fluoxetine
13. MOA for benzodiazepines and barbiturates
GABA- related targets
Decreases protein synthesis by inhibiting 30S ribosome
Competitive antagonist
GLUT 2
14. Site of action of loop diuretics
Niacin
Isoflurane
Thick ascending limb
Insulin secretagogue - closes ATP- sensitive K+ channel
15. SE of these drugs include dependence - withdrawal syndrome - sedation - euphoria - respiratory depression nausea and vomiting - constipation - biliary spasm - increased ureteral and bladder tone - and reduction in uterine tone
Platelet aggregation inhibition
Fluphenazine and haloperidol
Opioid Analgesics
Nifurtimox
16. SE of loop (furosemide) diuretics
Hyperuricemia - hypokalemia and ototoxicity
Reduce inhibition - suppress anxiety - and produce relaxation
Impair absorption of fat soluble vitamin absorption (A - D - E - K)
Theophylline
17. THC is active ingredient - SE's include impairment of judgment - and reflexes - decreases in blood pressure and psychomotor performance occur
Buspirone
Marijuana
Oxytocin
Sodium bicarbonate
18. Newer alpha 2 agonist (apraclonidine and brimonidine) treat glaucoma by acting to
PGI2 (epoprostenol)
Reduce aqueous secretion
Bradycardia - SEXUAL DYSFUNCTION - decrease in HDL - and increase in Triglycerols (TG)
Edrophonium
19. Regimen used for breast cancer
Acid reflux disease - duodenal ulcer and peptic ulcer disease
CMF (cyclophosphamide - methotrexate - and fluorouracil) and tamoxifen if ER+
Toremifene (Fareston)
Increase the DURATION of GABA- mediated chloride ion channels
20. Additive effects when Sedative - Hypnotics used in combination with these agents
L- thyroxine (T4)
Buspirone
Potency
CNS depressants
21. H2 blocker that causes the most interactions with other drugs
Citalopram and its metabolite escitalopram
Alkalinize urine - dialysis
Cimetidine
Hypoglycemia
22. Antidote used for iron salt toxicity
Ototoxicity
Diazepam
Vitamin B12
Deferoxamine
23. DOC for management of acute ventricular arrhythmias
Administration of Vit. B6 (pyridoxine)
Chloramphenicol
Spironolactone
Amiodarone
24. Antidepressant also used for sleep that causes priapism
Trazodone
Thioridazine
Class IC (flecainide - propafenone - moricizine)
Amantadine
25. 1st generation antihistamine that is least sedating
Deferoxamine
Indirectly increase intracellular calcium and cardiac contractility by inhibiting Na+/K+ ATPase
Adriamycin (doxorubicin) +bleomycin - vinblastine +dacarbazine
Chlorpheniramine or cyclizine
26. 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
Acarbose - miglitol
PTU
Aspirin
Inhibits phosphodiesterase -5 - enhancing effects of nitric oxide - activated increases in cGMP
27. B- blockers that are more cardioselective
Beta -1 selective blockers
Glyburide - glipizide - and rosiglitazone
Thick ascending limb
Dextroamphetamines and methamphetamine
28. Prolonged exposure to this inhaled anesthetic may lead to megaloblastic anemia
Clozapine
ACE inhibitors
'dry as a bone - red as a beet - mad as a hatter - hot as a hare - blind as a bat'
Nitrous oxide
29. Anti - Parkinson's drug which increases intraocular pressure and is contraindicated in closed angle glaucoma
FOMEPIZOLE - used to prevent formation of toxic metabolites from methanol and ethylene glycol ingestion
Theophylline
Levodopa
Increasing sodium excretion and decreases arterial and venous tone
30. These agents are used as antidiarrheal
Indomethacin
Barbiturates - phenytoin - carbamazepine - and rifampin
Diphenoxylate - Loperamide
Prednisone
31. Used for prevention of postmenopausal osteoporosis in women
Classic
Ondansetron - granisetron - dolasetron and alosetron
Disulfiram - metronidazole - certain sulfonylureas and cephalosporins
Estrogen (HRT- Hormone replacement therapy)
32. Cause dizziness - tachycardia - hypotension - and flushing
Skeletal muscle tremor - tachycardia
Iodide salts
Infants - closed angle glaucoma - prostatic hypertrophy
Organic nitrites
33. Slightly increased risk of breast cancer - endometrial cancer - heart disease (questionable) - has beneficial effects on bone loss
Estrogen
Diphendydramine
Decrease arterial blood pressure
Phenobarbital
34. Used for Cushing's syndrome (increased corticosteroid)
Mifepristone (RU-486)
2 to 3 weeks
Dexamethasone suppression test
Methoxyflurane
35. Antiprogestin used as potent antagonist of GC receptor
Sinus tachycardia and serious arrhythmias
PGI2 (epoprostenol)
Mifepristone
Methadone - followed by slow dose reduction
36. Drugs of choice for absence seizures
Bone marrow and teeth discoloration for children under 8 years of age
Insulin
Ethosuximide and valproic acid
Sedation
37. Aminoglycosides used with loop diuretics potentiate adverse effect
Ototoxicity
Lorazepam - oxazepam - and temazepam
Raloxifene
Midazolam
38. Selective Alpha -1A blocker - used for BPH - but with little effect on HTN
Tamsulosin
Desmopressin (DDAVP)
Zolpidem - zaleplon
High therapeutic index
39. These Beta blockers decrease aqueous secretion
Timolol (nonselective) - betaxolol (selective)
Ipratropium
Pregnancy
Midazolam
40. Diuretics work in CHF by
Clopidogrel and ticlopidine
Reducing preload
Kidney and liver toxicity - diarrhea
Pramipexole and ropinirole
41. Antipsychotic used in the treatment of psychiatric symptoms in patients with dementia
ORAL vancomycin
Risperidone
Glucuronate - acetic acid - and glutathione sulfate
Minocycline
42. All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Infants
lispro insulin - aspart insulin - glulisine insulin
Calcium channels
Meperidine
43. Use of this opioid with MAOI can lead to hyperpyrexic coma - and with SSRI's can lead to serotonin syndrome
Sedation
Meperidine
Ezetimibe (Zetia)
Hyperuricemia - hypokalemia and ototoxicity
44. Thiazolidinediones
Pyridostigmine
Pioglitazone - Rosiglitazone - Troglitazone (withdrawn/d from market)
Torsades de pointes
Cyproheptadine
45. Major effect of benzodiazepines on sleep at high doses
Letrozole - anastrozole
Reducing progression of heart failure (never use in acute heart failure)
Cevimeline
REM is decreased
46. Facilitates GABA presynaptic inhibition
Didanosine
Clomiphene and tamoxifen
Decreases protein synthesis by inhibiting 30S ribosome
Diazepam
47. Agents having higher sedation and antimuscarinic effects than other TCA's
Nitroprusside
PGE1
Tertiary amines
Low potency phenothiazines and ziprasidone
48. Vitamin K dependent anticoagulant
Chlorpropamide - tolbutamide - tolazamide - etc.
Thioamides - iodides - radioactive iodine - and ipodate
Loading dose (Cp*(Vd/F))
Warfarin (PT)
49. Anti - androgen used for prostate cancer
Topical mupirocin (Bactroban)
Excessive hypotension and kidney failure
Nifurtimox
Flutamide (Eulexin)
50. Neurotoxicity with isoniazid (INH) prevented by
Class IC (flecainide - propafenone - moricizine)
Haloperidol or pimozide
Ephedrine
Administration of Vit. B6 (pyridoxine)