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Pharmacology Question Set 2

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    About the Lecture

    The lecture Pharmacology Question Set 2 by Lecturio USMLE is from the course Pharmacology – Board-Style Questions.


    Included Quiz Questions

    1. Atorvastatin
    2. Colestipol
    3. Nifedipine
    4. Gemfibrozil
    5. Glyceryl trinitrate
    1. Metronidazole
    2. Fluconazole
    3. Tinidazole
    4. Azithromycin
    5. Ceftriaxone
    1. Cell wall inhibitor
    2. Prostaglandin inhibitor
    3. Neutrophil migration inhibitor
    4. Uric acid synthesis inhibitor
    5. Metabolic inhibitor
    1. Volume of distribution
    2. Clearance of the Drug
    3. Rate of administration
    4. Half life of the drug
    5. Therapeutic index
    1. Ramipril
    2. Clopidogrel
    3. Nitroglycerin
    4. Lovastatin
    5. Digoxin
    1. Cyclophosphamide
    2. Cytarabine
    3. Rituximab
    4. Methotrexate
    5. Prednisone
    1. Spironolactone
    2. Nitroglycerine
    3. Amlodipine
    4. Losartan
    5. Atorvastatin
    1. Nimodipine
    2. Nifedipine
    3. Frusemide
    4. Verapamil
    5. Ecosprin
    1. Sildenafil 50mg 1 hour before intercourse
    2. Single dose of labetalol 2 hours before intercourse
    3. Prophylactic beta blocker
    4. Pre-exertional GTN
    5. Isosorbide dinitrate 10 minutes before intercourse
    1. Methyldopa
    2. Hydralazine
    3. Nifedipine
    4. Metoprolol
    5. Olmesartan
    1. Lidocaine
    2. Digoxin
    3. Quinidine
    4. Atropine
    5. Dobutamine
    1. β-antagonist (labetalol)
    2. Calcium resonium
    3. Stoppage of amiloride
    4. Sodium bicarbonate (8.4%), 50 ml solution
    5. Glucose, 50 ml of 50% solution, plus 10 units of soluble insulin by IV infusion
    1. Milrinone
    2. Enalapril
    3. Carvedilol
    4. Spironolactone
    5. Digoxin
    1. Interferes with IP3 on Ca2+ release
    2. Inhibits PDE
    3. Release NO
    4. K+ channel activation
    5. Ca2+ channel antagonism
    1. Amiodarone
    2. Sotalol
    3. Lidocaine
    4. Digitalis
    5. Verapamil
    1. To avoid nitrate tolerance
    2. To avoid vasodilator headache
    3. To overcome collapse
    4. To prevent methemoglobinemia
    5. It used in angina due to anemia
    1. Propranolol
    2. Sumatriptan
    3. Verapamil
    4. Ergotamine
    5. Valproic
    1. Syndrome of inappropriate ADH
    2. Gingival hyperplasia
    3. Hirsutism
    4. Alopecia
    5. Pinpoint pupils
    1. Clindamycin
    2. Cefuroxime
    3. Cefotetan
    4. Oral vancomycin
    5. Aztreonam
    1. Inhibits voltage gated calcium channels
    2. Inhibits voltage gated sodium channels
    3. Potentiates GABA transmission
    4. Inhibits neuronal GABA receptors
    5. Inhibits release of excitatory amino acid glutamate
    1. It suppresses the ciliary epithelium from producing aqueous humor
    2. Increased outflow via dilatation of the uveoscleral veins
    3. It leads to opening of the trabecular meshwork
    4. It decreases the production of aqueous humor by decreasing levels of bicarbonate through cAMP mediated pathway
    5. It increases the transit of aqueous humor into the vitreous humor for absorption into the choroid
    1. To compensate for warfarin’s initial prothrombotic property
    2. To achieve supraoptimal anticoagulation during critical periods of illness as warfarin and heparin have synergistic effects
    3. To prevent bleeding as heparin partially counteracts warfarin’s hemorrhagic property
    4. Warfarin is metabolized slowly thus leading to a delay in anticoagulation if heparin is not also given.
    5. Heparin decreases the clearance of warfarin thus achieving greater plasma drug concentration of warfarin
    1. Guanosine analog that preferably inhibits viral DNA polymerase
    2. Inhibits A-site tRNA binding during translocation
    3. Blocks CCR5 receptor preventing viral entry
    4. A neuraminidase inhibitor preventing release of viral progeny
    5. Prevents viral uncoating
    1. Metoprolol
    2. Furosemide
    3. Digoxin
    4. Dobutamine
    5. Nesiritide
    1. Clozapine
    2. Haloperidol
    3. Quetiapine
    4. Risperidone
    5. Olanzapine
    1. Phase 2
    2. Phase 0
    3. Phase 1
    4. Phase 3
    5. Phase 4
    1. Pyrazinamide
    2. Rifampicin
    3. Isoniazid
    4. Ethambutol
    5. Streptomycin
    1. Leuprolide
    2. Mestranol
    3. Anastrazole
    4. Danazol
    5. Clomiphene
    1. Triamterene
    2. Eplerenone
    3. Furosemide
    4. Acetazolamide
    5. Hydrochlorothiazide
    1. Amantadine
    2. Levodopa
    3. Acyclovir
    4. Zidovudine
    5. Ribavirin
    1. Methimazole
    2. Levothyroxine
    3. Octreotide
    4. Propranolol
    5. Propylthiouracil
    1. Sitagliptin
    2. Exenatide
    3. Pramlintide
    4. Metformin
    5. Canagliflozin
    1. Tolbutamide
    2. Thyroxine
    3. Metformin
    4. TMP-SMX
    5. Pioglitazone
    1. It blocks receptors for certain arachidonic acid metabolites.
    2. It inhibits lipoxygenase enzyme, decreasing production of inflammatory leukotrienes.
    3. It activates the adrenal receptors on the bronchial smooth muscles
    4. It inhibits the release of inflammatory substances from mast cells.
    5. It binds to IgE immunoglobulins.
    1. Inhaled albuterol
    2. Inhaled cromolyn
    3. Oral montelukast
    4. Inhaled beclomethasone
    5. Intravenous propranolol
    1. He should continue with current treatment
    2. Long acting β2 agonists should be added to his treatment plan
    3. Inhalatory corticosteroids should replace β2 agonists
    4. He should start using short acting β2 agonists every day, not just when he has symptoms
    5. Systemic corticosteroids should be added to his treatment plan
    1. Celecoxib
    2. Aspirin
    3. Indomethacin
    4. Naproxen
    5. Diclofenac
    1. Tuberculosis screening
    2. Endoscopy
    3. Bleeding time
    4. Malignancy screening
    5. Anti-Nuclear Antibody (ANA) level
    1. C-Reactive Protein (CRP)
    2. Radiography
    3. Rheumatoid Factor (RF)
    4. Erythrocyte Sedimentation Rate (ESR)
    5. Anti-Cyclic Citrullinated Peptide (anti-CCP)
    1. Allopurinol
    2. Probenecid
    3. Methotrexate
    4. Colchicine
    5. Indomethacin
    1. Aspirin
    2. Atorvastatin
    3. Captopril
    4. Carvedilol
    5. Vitamin C
    1. Corticosteroids
    2. Cyclosporine
    3. Mycophenolic acid
    4. Cyclophosphamide
    5. Azathioprine
    1. Anti-D immunoglobulin
    2. Vitamin K
    3. Folic Acid
    4. Iron supplements
    5. Vitamin D
    1. Start Esomeprazole, temporarily stop Pamidronate
    2. Start Esomeprazole and increase Enalapril dose
    3. Start triple therapy with Esomeprazole, Metronidazole, and Clarithromycin
    4. Refer her for an upper GI endoscopy
    5. Start her on Ranitidine
    1. Get an urgent ophthalmology consultation
    2. Add Latanoprost
    3. Perform emergency iridotomy
    4. Anesthetize the eye and perform corneal indentation
    5. Administer systemic steroids
    1. Prolonged usage of Brimonidine results in release of prostaglandins that relax the Ciliary muscle and increase uveoscleral outflow.
    2. Brimonidine causes an increase in cAMP leading to decreased Aqueous Humour formation by the Ciliary body.
    3. Brimonidine causes immediate contraction of the Ciliary body leading to decreased uveoscleral outflow.
    4. Brimonidine acts by blocking the beta-receptors on the Ciliary body to reduce aqueous humour production.
    5. Peripheral vasoconstriction by Brimonidine leads to better control of her hypertension.
    1. Start her on Erythropoietin
    2. Start oral iron supplements
    3. Start Vitamin B12 with folic acid
    4. Start her on fluoxetine
    5. Transfuse Red blood cells
    1. Sweating
    2. Palpitations
    3. Anxiety
    4. Tremors
    5. Hunger pangs
    1. Increase the frequency of blood glucose checks
    2. Hold off the insulin till he gets better
    3. Reduce the insulin dose
    4. Increase the insulin dose
    5. Don’t change anything
    1. Increased lipolysis in adipose tissues
    2. Increased hepatic glycogenolysis
    3. Increased hepatic gluconeogenesis
    4. Decreased blood cholesterol level
    5. Increased glucose utilization by tissues
    1. Start Exenatide
    2. Start Rosiglitazone
    3. Stop Metformin
    4. Stop Furosemide
    5. Replace Captopril with Valsartan
    1. Insulin production by the pancreas is insufficient for Exenatide to function
    2. Exenatide suppresses glucagon secretion which increases the risk of hypoglycemia
    3. Gastric emptying is inhibited by exenatide
    4. Suppression of appetite makes it even harder for him to gain weight
    5. Exenatide is contraindicated in children below 18 years
    1. Start her on Fluconazole
    2. Start her on Metronidazole
    3. Switch her from oral antidiabetic medication to insulin
    4. Stop Empagliflozin
    5. Advise her to drink lots of Cranberry juice
    1. Replace Potassium intravenously
    2. Start IV insulin infusion
    3. Start IV 5 % dextrose
    4. Switch fluids to 0.45 % NaCl
    5. Infuse NaHCO3 slowly
    1. Start him on Omeprazole
    2. Start him on oral antacids
    3. Start him on Sucralfate
    4. Start him on Famotidine
    5. Get H. pylori screening
    1. Administer naloxone
    2. Start a dextrose infusion
    3. Give her opioid analgesics
    4. Provide her a scopolamine patch
    5. Perform a gastric lavage
    1. Start her on Metoclopramide
    2. Get an abdominal x-ray
    3. Prescribe her a nicotine patch
    4. Refer her for bariatric surgery
    5. Endoscopic evaluation
    1. Weight reduction
    2. A low sodium diet
    3. Increasing dietary fibre
    4. Increasing daily water intake
    5. Starting a multivitamin
    1. Recommend weight loss, more exercise, and salt restricted diet
    2. Start him on hydrochlorothiazide
    3. Start him on lisinopril
    4. Order a glycosylated hemoglobin test (HbA1c)
    5. Start him on hydrochlorothiazide and lisinopril together
    1. Serotonin syndrome
    2. Anaphylactic reaction
    3. Diabetic ketoacidosis
    4. Sepsis
    5. Neuroleptic malignant syndrome
    1. No, taking ginkgo will increase her risk for bleeding.
    2. No, ginkgo has no role in improving brain function.
    3. No, because herbal preparations are unsafe in general.
    4. No, she has Alzheimer’s and needs to start on donepezil.
    5. Yes, ginkgo is widely used for improving brain function and memory.
    1. Atorvastatin
    2. Gemfibrozil
    3. Niacin
    4. Orlistat
    5. Cholestyramine
    1. Prostaglandin release
    2. A mild allergic reaction
    3. Serotonin
    4. Drug overdose
    5. Anxiety
    1. Fenofibrate
    2. Niacin
    3. Ezetimibe
    4. Cholestyramine
    5. Orlistat
    1. Ezetimibe
    2. Orlistat
    3. Furosemide
    4. Niacin
    5. Losartan
    1. Levodopa/Carbidopa
    2. Bromocriptine
    3. Selegeline
    4. Entacapone
    5. Benztropine
    1. Start her on metformin
    2. Start her on insulin
    3. Start her on glipizide
    4. Start her on exenatide
    5. Start her on empagliflozin
    1. Phenytoin
    2. Albuterol
    3. Beclomethasone
    4. Multivitamin
    5. Garlic supplement
    1. Drug induced SLE
    2. Drug dependence
    3. Liver failure
    4. Renal failure
    5. Glaucoma
    1. Valproic acid
    2. Acetaminophen
    3. Albuterol
    4. Budesonide
    5. Sumatriptan
    1. It increases frequency of GABA-gated chloride channel opening
    2. It decreases frequency of GABA-gated chloride channel opening
    3. It increases duration of GABA-gated chloride channel opening
    4. It decreases duration of GABA-gated chloride channel opening
    5. It activates GABA receptors by binding the GABA site
    1. Alprazolam
    2. Buspirone
    3. Nitroglycerin
    4. Propranolol
    5. Setraline
    1. Increase in frequency of chloride channel opening
    2. Blockage of voltage gated calcium channels
    3. Blockage of T-type calcium
    4. Inactivation of sodium channels
    5. Prolongation of chloride channel opening
    1. Methotrexate
    2. Anakinra
    3. Prednisone
    4. Infliximab
    5. Cyclosporine
    1. Colchicine
    2. Probenecid
    3. Aspirin
    4. Allopurinol
    5. Morphine
    1. Anti-D will prevent antibody formation in the mother.
    2. Anti-D will prevent hemolytic disease in this pregnancy.
    3. Anti-D will prevent antibody formation in the fetus.
    4. The father requires anti-D administration.
    5. The mother does not require anti-D administration.
    1. Bromocriptine
    2. Levodopa/Carbidopa
    3. Selegeline
    4. Entacapone
    5. Benztropine
    1. Selegeline
    2. Levodopa/Carbidopa
    3. Bromocriptine
    4. Entacapone
    5. Benztropine
    1. Entacapone
    2. Atorvastatin
    3. Bromocriptine
    4. Selegeline
    5. Benztropine
    1. Entacapone
    2. Atorvastatin
    3. Bromocriptine
    4. Selegeline
    5. Benztropine
    1. Memantine
    2. Rivastigmine
    3. Donepezil
    4. Tacrine
    5. Galantamine
    1. 5-hydroxytryptamine type 1 (5-HT1) receptors
    2. Ꞵ-adrenergic receptors
    3. Angiotensin II receptors
    4. 5-hydroxytryptamine type 2 (5-HT2) receptors
    5. Muscarinic receptors
    1. aPTT and platelet counts
    2. Prothrombin Time and platelet counts
    3. Prothrombin Time alone
    4. Activated Partial Thromboplastin Time (aPTT) alone
    5. Platelet count alone
    1. Inhibition of vitamin K dependent clotting factors
    2. Inhibition of the cyclooxygenase enzyme
    3. Activation of the antithrombin enzyme
    4. Inhibition of the ADP receptors
    5. Blockage of glycoprotein IIb/IIIa receptors
    1. Clopidogrel
    2. Abciximab
    3. Alteplase
    4. Celecoxib
    5. Urokinase
    1. Prolonged bleeding time
    2. Prolonged Activated Partial Thromboplastin Time (aPTT)
    3. Prolonged Prothrombin Time (PT)
    4. Decreased platelet count
    5. Increased D-dimers
    1. Amoxicillin alters normal gastrointestinal flora, which leads to decreased enterohepatic circulation of estrogens
    2. Amoxicillin induces CYP3A4, which metabolizes estrogens
    3. Amoxicillin induces CYP3A4, which metabolizes progestins
    4. Amoxicillin alters normal gastrointestinal flora, which leads to decreased enterohepatic circulation of progestins
    5. Amoxicillin directly interferes with intestinal absorption of estrogens
    1. Delayed ovulation through inhibition of follicular development
    2. Thickening of cervical mucus
    3. Mucosal hypertrophy and polyp formation in cervix
    4. Atrophy of endometrium
    5. Reduction in motility of cilia in fallopian tubes
    1. Delayed ovulation through inhibition of follicular development
    2. Thickening of cervical mucus
    3. Mucosal hypertrophy and polyp formation in cervix
    4. Atrophy of endometrium
    5. Reduction in motility of cilia in fallopian tubes
    1. Smoking is likely to increase risk of developing deep vein thrombosis and pulmonary embolism in women taking OCPs
    2. Smoking induces CYP1A2, therefore OCPs would become ineffective.
    3. Smoking induces CYP3A4, therefore OCPs would become ineffective.
    4. Smoking inhibits CYP1A2, therefore there is increased risk of estrogen-related side-effects of OCPs.
    5. Smoking inhibits CYP3A4, therefore there is increased risk of progestin-related side-effects of OCPs.
    1. Yellow fever vaccine
    2. Rabies vaccine
    3. Polio vaccine (Salk)
    4. Hepatitis A vaccine
    5. Hepatitis B vaccine
    1. Diet modification
    2. Metoclopramide
    3. Cholestyramine
    4. Viokase
    5. Omeprazole
    1. Ivermectin
    2. Mebendazole
    3. Treatment only for symptomatic illness
    4. Fluconazole
    5. Mefloquine
    1. Discontinue oral contraceptives
    2. Observation
    3. Referral for surgical excision
    4. CT-guided biopsy
    5. Radiofrequency ablation (RFA)
    1. Sulfisoxazole
    2. Tobramycin
    3. Penicillin
    4. Ceftazidime
    5. Erythromycin
    1. Candidemia
    2. Invasive aspergillosis
    3. Histoplasmosis
    4. Mucormycosis
    5. Paracoccidioidomycosis
    1. Nitrous oxide
    2. Lignocaine
    3. Propofol
    4. Halothane
    5. Ketamine
    1. d-Tubocurarine
    2. Atracurium
    3. Diazepam
    4. Vecuronium
    5. Pancuronium
    1. Ketamine
    2. Nitrous oxide
    3. Propofol
    4. Thiopentone
    5. Midazolam
    1. Halothane
    2. Enflurane
    3. Isoflurane
    4. Methoxyflurane
    5. Nitrous oxide
    1. Diffusion hypoxia
    2. Second gas effect
    3. Laryngospasm
    4. Pneumothorax
    5. Cardiotoxicity
    1. Increase in intraocular pressure
    2. Respiratory depression
    3. Bradycardia
    4. Hypotension
    5. Muscle rigidity
    1. Tetanic tension is poor
    2. Autonomic ganglia are stimulated
    3. Predominantly histamine release
    4. Muscle fasciculations are observed at the onset
    5. Post-tetanic potentiations are blocked
    1. Seepage of CSF resulted in the present condition.
    2. It is a major complication and needs immediate intervention.
    3. It is due to infection at the site of spinal anesthesia.
    4. Epidural blood patch is the next step in the management.
    5. Early ambulation resulted in the present condition.
    1. It is inactivated by spontaneous breakdown
    2. It is an anticonvulsant.
    3. It is a vagolytic non-depolarizing muscle relaxant.
    4. It is contraindicated in renal failure.
    5. Its action is prolonged in pseudocholinesterase deficiency.
    1. Isoflurane
    2. Halothane
    3. Desflurane
    4. Sevoflurane
    5. Enflurane
    1. Succinylcholine
    2. Pancuronium
    3. Atracurium
    4. Rocuronium
    5. d-Tubocurarine

    Author of lecture Pharmacology Question Set 2

     Lecturio USMLE

    Lecturio USMLE


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