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level: board review part1

Questions and Answers List

level questions: board review part1

QuestionAnswer
The driving force for passive absorption of a drug is the:concentration gradient across a membrane separating body compartment
Physical factors influencing absorption:total surface area available for absorption
Clinical effectiveness often depends on:minimum serum drug concentration
Process by which drugs find their way into the urine,active tubular secretion
A drug which has no effect enhances the effect of a second drug:potentiation
Parameters used to evaluate time-response relationship,onset of action
Clinical effectiveness often depends on:minimum serum drug concentration
When the dose of the drug is gradually increased and the first noticeable effect is observed, the dose that produces this effect is called:threshold dose
Regulates and directs sensory impulses traveling to the cortex:thalamus
Inhaled anesthetics are relatively insoluble in blood and brain are eliminated at faster rate than the more soluble anesthetics:True
Coordinate body movement and posture to help maintain body equilibrium:cerebellum
Treatment of neuroses:psychotherapy
Used in treating complex partial seizure:Carbamazepine & Phenytoin
Generalized tonic-clonic drug:Phenytoin
The most important criterion in determining whether surgical anesthesia has been achieved is:absence of eye motion
The branch of pharmacology that deals with the study of the action of drug on functions of the body:Pharmacodynamics
Drug of choice in the treatment of status epiliptecus:Diazepam
An anti-platelet drug:Dipyridamole
The branch of pharmacology that deals with disposition and fate of drug is:Pharmacokinetics
Causes mydriasis by blocking the parasympathetic impulses to the sphincter muscle of the iris:Atropine
Drug of choice for Tularemia:Streptomycin
The following conditions are prone to thrombus formationvaricose vein
Can improve the CO of CHF patient:Dobutamine
Effective for the management of chronic gouty arthritis:allopurinol
Decrease the probability of second Myocardial InfarctionAspirin
Inhibits warfarin metabolism and causes potentiation of anticoagulant:Cimetidine
Histamine H1 receptor blockers are useful in the treatment of:rhinitis & urticaria
It is the treatment of choice for influenza infection:Amantadine
It can lead to discoloration of teeth if given to children:Tetracylcine
Which of the ff. agents shows cytotoxicity that is cell cycle specific?Bleomycin
During times of stress, the adrenal gland releases ___ into the blood.epinephrine &adrenaline
Acetylcholine transmits all parasympathetic signals to end organs by binding to:muscarinic receptors
Increase calcium influx into myocardial cells during heart failure:Digoxin
Draw water into the urine, without interfering with ion secretion or absorption in the kidney:Osmotic diuretics
Arrhythmia occurs because one or more regions of the heart is/are:breathing too fast or too slow
Clinically useful agents which enhance neurotransmission include the followingdrugs which prevent transmitter degradation
Responsible for reducing the release of NorEpinephrine from sympathetic nerves:Alpha 2 postsynaptic adrenergic receptor
Produces competitive antagonism of catecholamine by blockade of alpha 1 receptors:Phentolamine
This may occur when the electrical conduction pathways malfunction:arrhythmias
Placebo may be given:to patients with mild psychological disorders who attribute their symptoms to physical disease
A branch of pharmacology that deals with the study of doses:Posology
It refers to the fate of the drug during its sojourn through the body:Pharmacokinetics
Drugs administered by inhalation are absorbed in the:lungs
Weak acids are reabsorbed into the bloodstream when:the urinary pH is low
All of the following are catecholamines,Norepinephrine
Which of the following is an inhibitory amino acid?GABA
The following situations give rise to excitatory postsynaptic potentialdepolarization of the membrane
The response characterized by increasing magnitude with greater concentration of unbound drug at the receptor site:Graded dose response
It refers to the relative concentration required to produce a given magnitude of effect:potency
Interaction of two drugs whose opposing actions in the body tend to cancel each other’s effect:physiological antagonism
The period from the drug administration to the first visible effect is:onset of action
Parkinson’s disease is due to:excessive cholinergic activity
When MAOi is taken with tyramine containing food it can result to serious consequences such as:hypertensive crisis & cerebral stroke
Meclizine is used to prevent nausea and vomiting due to:vertigo & motion sickness
Antipsychotic agents reduce hallucinations and agitation by:blocking the reuptake of NE and SE
Antihistamines can be used clinically as:antiemetic
A drug used to treat chronic alcoholism:Disulfiram
The following are pharmacological actions of benzodiazepines,reduction of anxiety
Alcohol can produce the following peripheral effects,diuresis
All of the ff. statements about the extrapyramidal effects of antipsychotics are correct,if therapy is stopped, tardive dyskinesia occurs
Pharmacological effects brought about by dopamine receptor blockade,development of parkinsonian signs
Which of the ff. statements is CORRECT about Loperamide?it is used to control diarrhea
Which of the ff. statements is NOT TRUE about paracetamol?associated with Reye’s syndrome in children
A dissociative anesthetic agent:Ketamine
A drug useful in febrile seizure:Phenobarbital
A drug that reverses the effects of morphine and heroin by competitively blocking the opioid receptors:naloxone
It refers to a change of one or more of the pharmacokinetic processes with increasing dose size:dose dependency
Cleaning out of stomach by repeated infusion of water using rubber tube:gastric lavage
The process with the slowest rate constant in a system of simultaneous kinetic processes:rate limiting step
The measured preparation devised to make possible the administration of medications in prescribed or measured amounts:dosage form
The sum of all body regions in which the drug concentration is an instantaneous equilibrium with that in blood or plasma:central compartment
Loss of drug from the central compartment due to transfer to another compartment:disposition
The extent of protein binding is determined in vitro by the ff. mechanisms,ultra centrifugation
A phase I biotransformation reaction,sulfoxidation
A phase II biotransformation,methylation
Non-irritating to the larynx and produces bronchiolar dilation:halothane
Commonly used spinal anesthetic that is 10 times more potent than procaine:tetracaine
Which of the ff. effects is associated with benzodiazepines?paradoxical excitement
Is a potent ultra short-acting non barbiturate hypnotic agent without analgesic properties:diazepam
It is an important autonomic nervous system center wherein it plays a role in the regulation of body temperature water balance, and metabolism:hypothalamus
It triggers the ovulation of an egg from the female ovary and causes the ruptured follicle to be converted to a corpus luteum:luteinizing hormone
The standard of comparison for potency of general anesthetic agent is:minimum alveolar concentration
Benzodiazepines are used therapeutically which of the following indications?panic disorder
Which of the following effects is produced by morphine,Vasodilation of cerebral blood vessels
Benzodiazepines differ from barbiturates in that benzodiazepines:have a higher margin of safety than barbiturates
Classified as an amide-type local anesthetic,lidocaine
This drug has both local anesthetic and antiarrhythmic properties:lidocaine
This drug produces rapid analgesia and amnesia while maintaining laryngeal reflexes:dissociative anesthesia
Contraindicated to patients with seizure disorders:cocaine
Leukopenia has been reported with chronic abuse of ____.nitrous oxide
This drug produces tolerance, abuse, hyperyrexia and anorexia:cocaine
Postulates that the local anesthetic displaces Ca++ from a site near the Na+ channel and blocks the adjacent Na+ channel:specific receptor theory
The most serious adverse effect of local anesthetics:seizures
The agent which has a parasympathetic effect that can cause bradycardia and hypotension:fentanyl
Which of the ff. agents may be considered the drug of choice for the treatment of absence seizures?ethosuximide
Softening of the bones caused by a deficiency of Vitamin D either from a poor diet or lack of sunshine or both:osteomalacia
A stage of anesthesia where there is loss of consciousness and is characterized by irregular respiration and involuntary activity:delirium
If a drug stimulates its own metabolism, the phenomenon is called:auto-induction
The protein binding of a drug is defined by:the affinity constant
Which of the ff. agents is the primary drug for treatment of major motor seizures and partial seizures?carbamazepine
A tricyclic antidepressant which is effective in multiple sclerosis patients with pseudobulbar palsy:amitriptyline
It potentiates the action of biogenic amines, presumably by blocking the inactivating reuptake of the amines after release from the presynaptic neuron:tricyclic antidepressants
Granulocytopenia, GI irritation, gingival hyperplasia and facial hirsutism are all possible side effects of which of the following anticonvulsant drugs?phenytoin
Symptoms of migraine,phonohobia
Barbiturates are being replaced by benzodiazepines for use as sedative-hypnotic agents because of the shortcomings of the barbiturates therapy, which include all of the following,suppression of rapid eye movement (REM) sleep
Chemically it is a trimethylated monocyclic phenylaminoketone used for the treatment of major depression:bupropion
The brain stem centers affected most strongly by barbiturates are:the respiratory centers
Ultra-short acting barbiturates are used primarily as:preanesthetic agents
Amitriptyline is used to treat symptoms of:depression
Endocrine and metabolic effects of antipsychotic drugs are the following,weight gain
Drugs active by the oral route in the treatment of bronchial asthma,terbutaline
This diuretic competitively antagonizes aldosterone:spronolactone
This antacid is likely to produce mental depression in patient with poor renal function:magnesium trisilicate
This antacid produces cathartic action:magnesium trisilicate
A laxative considered as a surface active agent and has an action of easing defecation by softening stool:dioctyl sodium sulfosuccinate
The most common adverse effect associated with the use of antihistamines is:sedation
Which of the following is a stimulant laxative?castor oil
All of the following statements concerning antacids are true,sodium bicarbonate is very effective in neutralizing stomach acid but its use is not recommended because of the potential for systemic alkalosis and fluid retention
The mechanism of action of the anticoagulant effect of coumarin derivatives involves:an action that blocks the release of preformed prothrombin by the liver
Regarding the therapeutic uses of iron:oral ferrous sulfate is the treatment of choice for iron deficiency
Antihistamines (H1 antagonists) are useful in treating certain allergic disorders and the mechanism is most likely the result of:inhibition of histamine release
Histamine shock is associated with all of the following,a reduced venous return to the heart
Which of the following agents can produce hearing loss and renal impairment?cisplatin
Which of the following is not a selective beta 1 blocker?timolol
Beta blocker given thru IV used for emergency hypertension:betaxolol
Which of the following drugs is used to prevent postpartum hemorrhage in patient with blood pressure of 180/100 mmHg?oxytocin
Drug of choice for myasthenia gravis:neostigmine
It is a CNS neurotransmitter with greater inotropic effect, less chronotropic effect and is used primarily for congestive heart failure:dopamine
Neurotransmitter at adrenergic receptors:norepinephrine
Neurotransmitter at cholinergic receptors:acetylcholine
Antagonist at alpha adrenergic receptors:phentolamine
Antagonist at muscarinic receptors:atropine
Antagonist at nicotinic receptor:curare
Preanesthetic agent to prevent delayed hypersensitivity reaction:promethazine
Enzyme/s which break/s down the neurotransmitter of the sympathetic nerve:catechol-o-methyl transferase
Enzyme/s which break/s down the neurotransmitter of the parasympathetic nerve:monoamine oxidase
Drug of choice for Parkinson’s disease:levodopa
Long-acting barbiturate:Phenobarbital
Opioid used for intractable, dry itchy cough:codeine
Antidote for physostigmine poisoning:NH4Cl
Dopamine:adrenergic agonist
Edrophonium:antiacetylcholinesterase agent
Antidote for warfarin toxicity:vitamin K
Antihypertensive agent used as hair grower in alopecia:minoxidil
Nifedipine:calcium channel blocker
Anti-anginal agentNitroglycerine:
Used to induce ovulation:clomiphene
Aldosterone:mineralocorticoid
Two drugs have the same pharmacological effects but when given together produced a greater effect than if each drug was given individually:synergism