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Anesthetic C.

isoflurane
54. Inhalation anesthesia of characterized by the D. nitrous oxide
following statements EXCEPT E. none of the above
A. The MAC is used as a measure of potency for all
inhalation anesthetic 57. Pharmacologic effects enflurane; EXCEPT
B. The concentration of an inhalation anesthetic in the A. bradycardia will not occur
blood or tissue is the product of its solubility and partial B. bronchoconstriction
pressure C. lower incidence of arrhythmia
C. Halothane is frequently used with another anesthetic D. provides muscular relaxation adequately
D. Influrane depresses laryngeal reflexes E. relaxes uterine smooth muscles
E. none of the above
58. Which of the following General anesthetic has better
55. The cardiovascular effect of halothane EXCEPT muscle relaxation activity than halothane and enflurane?
A. increases the automaticity of the heart A. nitrous oxide
B. increases cutaneous blood flow B. isoflurane
C. depresses myocardial contractility C. diethyl ester
D. enhances cardiac sympathetic reflexes D. desflurane
E. none of the above E. none of the above

56. Which of the following general anesthetic is 59. It is contraindicated in pregnant women?
centramaleated in patient with seizure disorder? A. nitrous oxide
A. halothane B. nitrous oxide
B. enflurane C. isoflurane
D. enflurane C. nalorphine
E. thiopental D. naloxone
E. none of the above
60. Inactivation of Vitamin B12 common adverse affect of
…anesthetic? 63. Which of the statements about pentazocine is
A. isoflurane INCORRECT?
B. nitrous oxide A. it is mixed agonist-antagonist
C. halothane B. it is often combined with morphine for maximal
D. enflurane analgesic effects
E. none of the above C. high doses of pentazoeine increases blood pressure
D. it can be administered orally and parenterally
opioid E. it produces less euphoria than morphine
61. The following opioids are strong agonists EXCEPT
A. heroin 64. All of the following statements concerning methadone
B. fentanyl are correct EXCEPT
C. codeine A. it has less potent analgesic effect than morphine
D. methadone B. it has longer duration of action than morphine
E. meperidine C. it is effective by oral administration
D. it causes a milder withdrawal syndrome than morphine
62. Mixed agonists-antagonist opioids are the following E. it has greatest action at Mu receptor
EXCEPT
A. pentazocine 65. Mainly agonist action of opioids at Mu receptors;
B. buprenorphine EXCEPT
A. supraspinal analgesia A. constripation
B. papillary dilatation B. papillary dilatation
C. cophoria sedation C. bronchoconstriction
D. decreased GI motility D. respiratory depression
E. none of the above E. none of the above

66. Treatment of choice for patients addicted to heroin or 69. The following statements are true concerning
other opioids codeine;EXCEPT
A. methadone A. it has high oral-parenteral potency ratio
B. naltrexone B. analgesic potency is ½ of morphine
C. meperidine C. 30 mg of codeine equivalent to 60 mg of aspirin
D. palbuphane D. useful as cough suppressant
E. naloxone E. none of the above

67. The following are pharmacologic effects of morphine; 70. Opioids with no gastrointestinal and antitussive action
EXCEPT A. methadone
A. cutaneous vasoconstriction B. codeine
B. bronchoconstriction C. meperidine
C. dose-dependent analgesia D. naloxone
D. increased alveolar and serum carbon dioxide tension E. levorphanal
E. none of the above
71. It is used in the suppression of withdrawal symptoms
68. Adverse effects of morphine; EXCEPT due opiate addiction?
A. nalhexone A. propoxyphene
B. meperidine B. meperidine
C. methadone C.nalbuphine
D. naloxone D. methadone
E. levorphanol E. naloxone

72. Its ponerpal use is to control diarrhea 75. It has no anti-inflammatory effect with pharmacologic
A. morphine activity similar to codeine
B. codeine A. propoxyphene
C. diphenoxylate B. methadone
D. methadone C. oxycodone
E. meperidine D. meperidine
E. none of the above
73. Which of the following opioids is noted to prolong
labor? End
A. herom Anti PD
B. morphine 76. The following statements are correct concerning L-
C. codeine dopa; EXCEPT
D. nabuphine A. it crosses the BBB
E. methadone B. it decreases prolactin secretion
C. pyridoxine increases the beneficial effects of L-dopa
74. it satisfies craving for heroin without producing D. the effects on tremor is complete than on bradykinesia
euphoria and somnolence E. none of the above
80. It stimulates the release of dopamine from
77. It acts to reduce the peripheral conversion of dopaminergic nerve terminals
levodopa to dopamine A. bromocriptine
A. amantidine B. anticholinergic agents
B. carbidopa C. amantidine
C. anticholinergic agents D. antihistamine
D. antihistamine E. selegiline
E. sinemet
TRUE or FALSE: Write A=TRUE; B=FALSE
78. The treatment of choice essential tremor is B 81. Bromocriptine prevents the catabolism of
A. antihistamine dopamine in the brain.
B. anticholinergic agent B 82. Vitamin B12 reduces the beneficial effects of L-
C. setegiline dopa
D. propranolol B 83. Combined therapy of carbidopa and levodopa
E. fentanyl reduces the dose of carbidopa
A 84. Antihistamine are less effective therapeutically
79. It mimics the action of dopamine but are better tolerated than anticholinergic agents in the
A. levodopa treatment of parkinsonian symptoms.
B. amantidine A 85. Antocholinergic agents has better activity on
C. selegiline tremor than L-dopa
D. bromocriptine B 86. The example of preanesthetic medication is
E. carbidopa ketamine.
B 87.Thiopental is a form of intravenous anesthetic.
B 88. Procaine has better topical of intravenous
anesthetic.
B 89. Endocaine is used mainly for the anesthesia of the
mucous membrane.
B 90. 0.50% solution of bupivacaine is used for obstetric
epidural anesthesia.
A 91. The MAC of halothane is 0.75% and is a potent
anesthetic agent.
B 92. Bradycardia is pronounced following
administration of enflurane.
A 93. Cardiac output may increased with isoflurane.
B 94. Urinary urgency is adverse reaction of codeine.
A 95. Heroin has rapid onset and shorter duration of
action than morphine.
B 96. 100 mg of meperidine is equivalent to 10 mg of
morphine.
B 97. Methadone has no gastrointestinal or antitussive
action.
A 98. Methadone is more effective orally than
morphine.
B 99. Fentanyl is contraindicated in Chronic cancer pain
because of its potential to cause muscular rigidity.
B 100. Methadone is prepared intravenously.

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