1.Primaquine is contraindicated Proton pump inhibitor in all of the following except: Anti-H2 SLE,RA Prostaglandin analogue G6PD deficiency Sucralfate Lactating female Ans: 1 Pregnancy 6.Advantages of IV route over Ans: 3 oral route: 2.Most suitable tetracycline in safe and convenient, rapid patient with renal failure: onset,dose can be titrated, can Doxycycline be used in ER 3.Controlled drug A (alprazolam safe and convenient, can be Xanax) recommended storage used in ER conditions: rapid onset, dose can be titrated, Kept in refrigerator all the time can be used in ER Opened by two people rapid onset, can be used in ER Must be stored in a cupboard Ans: 3 made of steel with the proper 7.case about patient recently locks widowed, is suffering from Only one month’s stock should severe depression, is taking be available in the pharmacy imipramine Ans: 3 TCA block the uptake of : 4.Patient got stung by bee, serotonin suffered from severe norepinephrine bronchospasm, and severe serotonin and norepinephrine hypersensitivity reaction, which dopamine drug is most suitable for this Ans: 3 case: 8.same case about the widow Dopamine TCA metabolized by: Norepinephrine CYP450 Epinephrine Ans: 1 Antihistaminic 9.Same case about the widow TCA block all of the following There was no sulfasalazine in the receptors except: choices Histaminic receptors 13.A component for bacteria to Alpha adrenergic receptors move by: Beta adrenergic receptors Mesosome Muscarinic receptors Flagella Ans: 3 Pilli 10.Same case about the widow: Something I cant remember but TCA are used in all of the had nothing to do with following except: movement Panic disorders Ans: 2 Schizophrenia 14.Metabolic effects of BB Migraine include all of the following Neuropathic pain except: Ans: 2 Decreased glucagon release 11.Patient has SIADH ( sudden Decreased glycogenolysis inappropriate antidiuretic Hypertriglyceridemia hormone syndrome) will have all Hyperglycemia of the following except: Ans: 4 Hyponatremia 15.Least effect for BB in : Hypernatremia Benign prostatic hyperplasia Decreased water excretion Myocardial infarction Decreased vasopressin hormone Arrhythmia secretion Angina pectoris Ans: 2 Ans: 1 12.Patient suffering from IBD, 16.All of the following decrease which of the following is used to the effects of BB except: prevent remission: Phenytoin Etanercept Phenobarbital Infliximab rifampin …..mab fluoxetine …..mab Ans: 4 Ans: 2 17.case about patient taking 20.A patient with COPD and MI, propranolol as cardio-protective which of the following is not in myocardial infarction, all of used: the following are effects of Amiodarone propranolol except: Hydralazine reduce infarct size …… increased O2 demand …… decreases mortality and Ans: 1 morbidity 21.A child has been suffering Ans: 2 from chills and fever for the past 18.all of the following are routes three days, and is extremely of administration of nitroglycerin allergic to penicillin, which of the except: following is of adequate efficacy sublingual and safety: transdermal Azithromycin oral 22.Which of the following buccal decreases velocity and Ans: 3 contractility of the heart: I choose oral, but according to Verapamil references on the web there are 23.Female patients suffering capsules that are taken orally, from absence seizures, which of but I found it to be the least the following is not indicated: administered route of Ethosuximide nitroglycerin so I choose it Lamotrigine 19.The use of activated charcoal Diazepam in poisoning is because of its: Carbamazepine absorption Ans: 4 adsorption 24.What is the drug of choice for …… status epilepticus : …… Phenytoin Ans: 2 Carbamazepine Lamotrigine Valproate Ans: 1 Cant remember rest of the 25.All of the following anti- choices but they were so wrong epileptic drugs are avoided in Ans: 2 pregnancy except: 29.What are the symptoms of Phenytoin parkinsons: Valproate Tremors and agitation Diazepam Inability to initiate voluntary Clonazepam movements Ans: 4 Abnormal posture and gait 26.Phenytoin side effects are all Ans: all of the following except : 30.Which of the following Gingival hyperplasia vitamins decreases the effects of Acne levodopa when taken Hirsutism concomitantly : Nephrotoxicity Vit b6 Ans: 4 Vit b12 27.Doctor wants to discontinue Vit b1 anti-epileptic drug for female Vit b5 patient, which of the following Ans: 1 guarantees low recurrence: 31.The decrease in the effect of EEG levodopa occurs within: History of frequent seizures After 5 years Onset in childhood After 3 years MRI After 2 years Ans: 3 From the 3rd to the 5th year 28.Long case about Parkinson Ans: 4 patient: 32.Long case about patient What is the effect of carbidopa taking NRTI & NNRTI: on levodopa: Which of the following is anti- Decrease its metabolism in the viral and anti-HBV: CNS Lamivudine Decrease its peripheral Zidovudine decarboxylation to dopamine Acyclovir Didanosine 36.Atropine make all of the Ans: 1 following except : 33.Which of the following Decreased gut motility antiviral causes mitochondrial Decreased gastric acid secretion toxicity: Xerostomia Lamivudine Decreased sweating Zidovudine Ans: 2 Ritonavir Atropine side effects are all of Abacavir the above but the least effect of Ans: 2 atropine is reduced gastric acid 34.Patient suffering from low secretion fever and diffuse cavitations on 37.Long case about patient chest x-ray : suffering from chronic pain and Mycobacterium avium complex receiving morphine as analgesic …… cant remember the choices Meperidine is not recommended were weird for long term used because of : Ans: 1 Nephrotoxicity 35.case scenario about female Neurotoxicity patient have GOUT was weak & Cardiotoxicity dizzy & fatigue and another Hepatotoxicity problems like she can’t raise her Ans: 2 hand and having some blood 38.Patients develop tolerance disorders like agranulocytosis against all of the following and leucopenia and type of effects of morphine except: anemia which anti gout are Respiratory depression probably to cause this Side Euphoria effects Analgesia Allopurinol Pinpoint pupil Indomethacin Ans: 4 Colchicine 39.Patient on rehab program, all Probenecid of the following are used for Ans: 3 detoxification of morphine except: Methadone Ans: 4 Bupropion 43.Which drug is high alert and Clonidine should always be properly Codeine labeled and separated: Ans: 4 Epinephrine inj (epipen) 40.All of the following are non- Norepinephrine competitive acetylcholinesterase ……. inhibitors, except: ……. Donepezil Ans: 1 Rivastigmine 44.All of the following are used Galantamine for ttt of acute mania except: Tacrine Lorazepam Ans: 3 Chlorpromazine 41.Case about patient suffering Lithium from severe skeletal muscle Valproate rigidity and is diagnosed with Ans: 2 myasthenia gravis, which of the I don’t know what is the most following is NOT true: correct answer to this question Diagnosed by edrophonium is but according to my searching, Glucocorticoids are not useful in chlorpromazine was a traditional this condition ttt in mania but is not widely Autoimmune disease caused by used nowadays, lorazepam is antibodies against ACH receptors used but in combination, please at motor endplate make sure of the answer Treated by acetylcholinesterase 45.A 70-yr old diabetic patient inhibitors on oral hypoglycemics and Ans: 2 suffering from hypertension, 42.Which of the following is not which of the following fungus: antihypertensive drugs is not Yeast recommended: Mushroom Losartan Mucor Enalapril Escherichia Hydrochlorothiazide Atenolol 48.All of the following are side Ans: 4 effects of thiazide diuretics I choose atenolol, cz in my except: opinion atenolol’s masking of Hyponatremia hypoglycemic alarm is more Hypocalcemia dangerous as the patient Hyperuricemia wouldn’t know he is Hypervolemia hypoglycemic and may enter a Ans: 2 coma, while Take care: thiazide diuretics and hydrochlorothiazide’s loop diuretics cause the same hyperglycemia may be detected side effects: and corrected, again please 4 hypo: hypokalemia, make sure of the answer hyponatremia, hypovolemia, 46.Conductivity test- dilution hypomagnesemia test- dye test are all tests for 4 hyper: hyperglycemia, which type of dosage form: hyperuricemia, hyperlipidemia ( Emulsion thiazide causes hypercalcemia Suspension while loop cause hypocalcemia) Foam 49.Loop diuretics are Gel contraindicated in all of the ANS: 1 following except: 47.Foam in pharmacy found as Renal diseases spray is used as: Sensitivity to sulfonamides Burn dressing and topical but Anuria despite using loop not for rectal administration diuretics Topical and rectal but not for Na and water depletion burns Ans: 1 Topical, rectal and for burn 50.Which of the following is true dressing about dry cough associated with Topical only ACEI : Ans: 3 Mediated by bradykinin and substance p In women more than men Develops within 6 months metabolism, its metabolite is as Dose related potent as the parent drug, it has Ans: 4 t1/2 of 50 hrs 51.Patient suffering from Make sure the choice u choose arrhythmia and doctors are includes all of the above discussing whether to prescribe 53.Patient having MI was anti-arrhythmics or convert to discharged, which agent is used defibrillator in prophylaxis from arrhythmia: The following is true about anti- Quinidine arrhythmics: Verapamil The most common cause is Sotalol reentry and antiarrhythmics are Lidocaine safer than operations, SA node Ans: 2 sets the pace for contraction of 54.Case about patient has the mycordium glaucoma and is hypertensive, The most common cause is which of the following is reentry and arrhythmia doesn’t avoided: respond to Ca and Na channel Fenoldopam blockers Nicardipine Antiarrhythmics are safer and SA Na nitroprusside node sets the pace for Labetalol contraction of the myocardium Ans: 1 The most common cause for 55.Mechanism of action of arrhythmia is reentry, SA node digoxin include all of the sets the pace for contraction of following: the myocardium, arrhythmia Positive inotropic effect responds to Ca and Na channel Decrease peripheral vascular blockers resistance Ans: 4 Has modulatory effect on 52.Which of the following is true autonomic nervous system of fluoxetine: Maintain ventricular rate in atrial Used in bulimia nervosa, suffers fibrillation from extensive first pass Ans: 2 56.Female patient has Which of the following side dyslipidemia and lowered HDL, effects is associated with INH: which of the following agents is Peripheral neuropathy most suitable for her: …… Fenofibrate …… Niacin …… Simvastatin Ans: 1 Colsevlem 61.Ipratropium bromide is Ezetimibe approved for Ans: 2 Maintenance of COPD 57.Conductivity in emulsion, the 62.In high therapeutic index: dispersed phase for such The drug is less likely to cause emulsion is: serious side effects Aqueous 63.In HIV pt, CD4 bind to: Non aqueous T-lymphocytes Aqueous and non aqueous 64.In HIV pt, CD4 is less than: Oily 200 Ans: 2 400 58.Conversion of emulsion 600 means: 700 Conversion of o/w to w/o and Ans: 1 vice versa 65.Which is contraindicated in 59.Particle size affects: prinzmetal angina: Suspend ability Beta blockers Penetrability 66.Doxazosin: Dissolution rate Has first dose effect Dose to dose uniformity 67.Drug used for mydriasis when Uniformity of tablet checking for refractive errors : All of the above Tropicamide Ans: 6 Atropine 60.Patient diagnosed with TB, is Ans: 1 taking INH, rifampicin, 68.Toxicity of morphine can be ethambutol reversed by: Naltrexone In closed angle glaucoma 69.Ultra short acting barbiturate Standard one for open glaucoma used for anesthesia : Ans: 4 Thiopental AUC questions 70.Dry gum emulsion: 74.Mec: minimum effective The method is known as 4:2:1 concentration Water and gum and oil are all 75.Mtc: maximum safe triturated in a glass mortar concentration (if u find minimum Water and gum are mixed and toxic concentration choose it) then oil is added slowly 76.Area under mec : ineffective None of the above 77.Are above mtc : toxicity Ans: 1 78.Cmax: maximum plasma I choose 1, others say its none of concentration the above 79.Tmax: maximum time at 71.Which drug is not used in which plasma concentration is parkinson’s disease: maximum Chlorthalidone 80.If Cmax = 23.5 what is Tmax: Bromocriptine 3 hrs Amantadine 81.What is the concentration at Rasagiline T= 12 hrs : Ans: 1 5 ng 72.Timolol is CI in all of the 82.For how long does the drug following except: remain in the body: CHF 24 hrs COPD 83.there were 5 calculation Arrhythmia problems, they were simple all HTN are solved by crisscross. Ans: 4 84.What is the DOC in motion 73.Pilocarpine is used in all of sickness: the following except: Scopolamine (hyoscine) In narrow angle glaucoma 85.Which of the following is CI in Alternatively with mydriatics to Parkinson: separate the iris Haloperidol 86.What is the side effect of all 92.Anti-viral and for Parkinson: antiarrhythmics: Amantadine Torsades de pointe 87.What is the meaning of anti- 93.50% alchohol is to be diluted glaucoma drug: with purified water, how many Decrease intraocular pressure parts of purified water (0% 88.Dose of a drug is 0.2 mg, u alchohol) to prepare 20% hve 15 mg, how many doses do preparation.? u hve: 30parts water + 20 parts 50% 75 alchohol Ans: 15/0.2= 75 Ans: 89.10 ml ampoule of 3% drug 50% alc how many mls required to give …………………………………..20 150mg dose? 20% 3ml 0% pure 5ml water…………………………30 7ml 9ml 94.A dose for pt. is 75mg, how Ans: 2 ml needed from 125mg/5ml 3 gm…..100ml solution: 0.15gm..? 5 ml Take care of gm and mg 3 ml 90.Prinzmetal angina: 15 ml Occurs at rest and is unrelated to Ans: 2 physical activity 125 mg…….5ml Unresponsive to ccb and nitrates 75 mg……….? Occurs at rest and is unrelated to 5*75= 375/125= 3 ml physical activity, associated with 95.which is not true about coronary artery spasm, occurs immune reconstitution due to atherosclerosis inflammatory syndrome: Ans: 3 Corticosteroids and anti- 91.Anti-HIV and for influenza: inflammatory drugs don’t Amantadine shorten inflammation action The action of antiviral start when virus load is high The pt start respond to treatment when CD4 is high Ans: 1 I am sorry that’s all I can remember of the 100 questions, the rest are 100% repeated questions, all from the previous years 2014,2015,2016 I wish u all good luck ال تنسونا بدعوة