Professional Documents
Culture Documents
14 1 2022
14 1 2022
1-impetigo
2-gonorrhea
3-urinary tract infection
4-traveler's diarrhea
5-syphilis
94)A 34-year-old man is prescribed labetalol for hypertension. The effect on the
cardiovascular system is a result of its action as an antagonist at which of the following?
1--α-adrenoceptor
2-β- adrenoceptor
3-both -- α-and β adrenoceptor
4-muscarilic cholinoreceptors
95)which of the following drugs has the following effects: nausea and vomiting, blurred and
abnormally colored vision, and palpitation?
1-lisinopril
2-furosemide
3-dobutamine
4-mulrinone
5-digoxin
100) A 65-year-old retired military man with hypertension and type II diabetes comes in for
a follow-up visit. Along with making appropriate diet and lifestyle changes, he is taking an
ACE inhibitor-thiazide diuretic combination for his hypertension and metformin for his
diabetes. His blood pressure and diabetes are under acceptable control. Routine blood work
revealed normal electrolytes. renal function, and liver enzymes. He is noted to have elevated
total cholesterol and low-density lipoprotein (LDL) levels, which have remained high in spite
of his lifestyle changes. In an effort to reduce his risk of developing coronary artery disease,
you start him on a 3-hydroxy-3- methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor.
Mechanism of action of HMG-CoA reductase inhibitor.
101)a man with chronic heartburn caused by gastric acid reflux is prescribed
metoclopramide. Which mechanism is responsible for its pharmacologic effect?
1-muscarinic receptor blockade
2- α-adrenoceptor activation
3-histamine H2 receptor blockade
4-chloride CIC-2 channel activation
5-dopamine D2 receptor blockade
102)which of the following drugs may cause tinnitus, vertigo, and hearing loss in case of
large intravenous doses?
1-furosemide
2-hydrochlorothiazide
3-mannitol
4-acetazolamide
5-spironolactone
103)this orally administered inhibitor of active factor X (Stuart factor) is used to prevent and
treat deep vein thrombosis. Select the correct drug from the following choices:
1-dabigatran
2-rivaroxaban
3-eptifibatide
4-prasugrel
5-enoxaparin
106) Following his third episode of gouty arthritis a 50-year-old man sees you in the clinic.
Each case was successfully treated acutely; however, your patient is interested in trying to
prevent future episodes. He is not on regular medications and has a normal physical
examination today. Blood work reveals an elevated serum uric acid level and otherwise
normal renal function and electrolytes. A 24-hour urine collection for uric acid reveals that
he is under-excreting uric acid. Suspecting that this is the cause of his recurrent gout, you
place him on probenecid. What is the mechanism of action of probenecid?
1-activates secretion of organic bases and decreases reabsorption of uric acid, causing a net
increase in secretion
2-Inhibits secretion of organic acids and decreases reabsorption of uric acid, causing a net
increase in reabsorbtion
3-Inhibits secretion of organic acids and decreases reabsorption of uric acid, causing a net
increase in secretion
4-Inhibits secretion of organic acids and increases reabsorption of uric acid, causing a net
increase in secretion
107)G protein-coupled receptors that activate an inhibitory Gα subunit alter the activity
of adenylate cyclase to
1-decrease the production of cAMP
2-block the ligand from binding
3-generate intracellular inositol triphosphate
4-initiate the conversion of GTP to GDP
5-increase the coupling of receptor to G protein
108)the fact that the degree of reinforcement for morphine is less than that of
heroin is best explained by which one of the following statements?
1-morphine is a partial agonist
2-heroin binds more tightly to opioid receptors
3-heroin is distributed more rapidly to the brain
4-morphine is first metabolized to heroin
5-morphine is metabolized faster than heroin
109)which drug is recommended for treatment of most persons with latent TB?
1-pyrazinamide
2-rifampin
3-isoniazid
4-ethambutol
5-streptomcin
110)which of the following drugs is the same as PGI2 (prostacyclin) and is used for
the treatment of pulmonary hypertension?
1-alprostadil
2-treprostinil
3-travoprost
4-epoprostenol
5-misoprostol
111)A patient with essential hypertension requires a drug that reduces both cardiac
output and peripheral resistance. Select the most appropriate drug therapy
1-betaxolol
2-carvedilol
3-alfuzosin
4-phenoxybenzamine
5-phentolamine
113) which of the following statements best explains the observation that morphine
is more likely to cause nausea and vomiting in ambulatory patients?
1-opioids cause sedation, which makes walking more difficult
2-patients on opioids eat more
3-opopids increase vestibular sensitivity
4-morphine sensitizes medulla cough center neurons
5-morphine inhibits chemoreceptor trigger zone neurons
115)a man is given a drug that inhibits the synthesis of norepinephrine. Which
response would result from this treatment?
1-decreased heart rate
2-bronchodilation
3-renin secretion
4-salovation
5-diarrhea
117)a type 2 diabetic patient is prescribed metformin. Which adverse effect often
occurs when taking this drug?
1-heart failure
2-weight gain
3-diarrhea
4-hypoglycemia
5-latic acidosis
118) A man with obstructive pulmonary disease requires therapy to prevent anginal
attacks. Which drug should be avoided in this patient?
1-felodipine
2-diltiazem
3-propranolol
4-verapamil
5-Isosorbide mononitrate
119) In case of ONLY hyperbaric conditions, which one of the following anesthetics
provide anesthetic effectiveness?
1-halothane
2-nitrous oxide
3-methoxyflurane
4-isoflurane
5-enflurane
120) A boy experiences a moderately severe reaction to a wasp sting. Which method
of corticosteroid administration is appropriate for this patient?
1-intermittent every-other-day therapy until symptoms resolve
2-continuous low-dose therapy for several weeks
3-gradually increasing doses over several days
4-gradually decreasing doses over several days
5-continuous high-dose therapy for several weeks
122) Administration of this drug to persons with renal insufficiency can cause
hyperkalemia, select the correct drug from the following choices:
1-acetazolamide
2-mannitol
3-furosemide
4-hydrochlorothiazide
5-spironolactone
125) Selegiline, an antidepressant also used for the treatment of Parkinson disease,
has which one of the following mechanisms of action?
1-It irreversibly binds to COMT
2-it blocks the reuptake of dopamine
3-blocks muscarinic cholinergic receptors
4-It increases release of dopamine vesicles
5-it is a selective MAO-B inhibitor
126) A man being treated for chlamydial urethritis presents with severe erythema
over his upper body after sun exposure Which antibiotic is most likely responsible for
this adverse effect?
1-azithromycin
2-clindamycin
3-mupirocin
4-doxycycline
5-erythromycin
128)which drug has been demonstrated to increase survival in persons with heart
failure?
1-hydralazine-isosorbidw dinitrate
2-carvedilol
3-furosemide
4-milrinone
5-digoxin
129) A 70-year-old man is seen in follow-up at your office after he has been
hospitalized for a myocardial infarction (MI). He underwent successful angioplasty
and is currently asymptomatic. Prior to his MI, he was not on medications. He is not
a smoker and is not diabetic. During his hospitalization. he was noted to have
persistently elevated blood pressure readings. He had asthma as a child, but has not
had any recent wheezing episodes. While in the hospital, he was started on oral
metoprolol. What effects do agents such as metoprolol have on the cardiovascular
system?
130)which of the following represents the most common side effect of the treatment
targeted to inhibit the release of acetylcholine in case of facial muscle spasms?
1-bardycardia
2-constriction of the pupils
3-urinary incontinence
4-dry mouth
5-diarrhea
131) Which drug combination usually provides the most rapid and effective
treatment for duodenal ulcer caused by H. pylori infection?
1-amoxicillin, clarithromycin, tetracycline, and metronidazole
2-famotidine, amoxicillin, and metronidazole
3-rabeprazole, bismuth subsalicylate, and tetracycline
4-sucralfate, amoxicillin, and clarithromycin
5-pantoprazole, amoxicillin, clarithromycin, and metronidazole
1-Inhibit active NaCl reabsorption in the ascending limb of the loop of Henle,
increasing water and electrolyte reabsorbtion
2-Inhibit active NaCl reabsorption in the descending limb of the loop of Henle,
increasing water and electrolyte excretion
3-Inhibit active NaCl, PO3- reabsorption in the ascending limb of the loop of Henle,
increasing water and electrolyte excretion
4-Acceleretes active NaCl reabsorption in the ascending limb of the loop of Henle,
increasing water and electrolyte excretion
5-Inhibit active NaCl reabsorption in the ascending limb of the loop of Henle,
increasing water and electrolyte excretion
135) A progestin is included in regimens for HRT to prevent which of the following
adverse effects?
1-stroke
2-elevated cholesterol levels
3-endometrial cancer
4-myocardial infarction
5-breast cancer
137) Aspirin is often used in low doses to prevent platelet aggregation by inhibiting
the synthesis of which substance?
1-thromboxane A2
2-phosphplipase A
3-arachidonic acid
4-leukotrine
5-prostacyclin (pGI2)
138) Clinical antipsychotic potency for "typical" antipsychotics correlates with
actions at which receptor?
1-muscarinic receptors
2-serotonin
3-a2-adrenergic receptors
4-histamine receptors
5-dopamine D2 receptors
139) A woman is placed on an antidysrhythmic drug that dissociates very slowly from
ventricular sodium channels. Which electrocardiographic finding results from this
property?
1-prolonged PR interval
2-shortened PR interval
3-prolonged QT interval
4-prolonged QRS duration
5-sinus bradycardia
143) A 62-year-old man is being managed in the intensive care unit following a large
anterior wall MI. He has been appropriately managed with oxygen, aspirin, nitrates,
and B-adrenergic receptor blockers but has developed recurrent episodes of
ventricular tachycardia. During these episodes he remains conscious but feels dizzy,
and he becomes diaphoretic and hypotensive. He is given an IV bolus of lidocaine
and started on an IV lidocaine infusion. To what class of antiarrhythmic does
lidocaine belong and What is lidocaine's mechanism of action?
1-la, Specific Na+ channel blocker, increases the rate of phase 0 depolarization,
primarily in damaged tissue
2-lb, Specific Na+ channel blocker, reduces the rate of phase 0 depolarization,
primarily in damaged tissue
4-Ib, Specific Na+ channel blocker, reduces the rate of phase 0 depolarization,
primarily in damaged tissue and strickly contraindicated in post MI patient
145)a patient takes Nate glinide before each meal. Which mechanism is responsible
for the therapeutic effect of this drug?
1-slowed gastric emptying
2-inhibition of a-glucosidase
3-closing of potassium channels
4-intertion of glucose transporters in cell membranes
5-inhibition of DPP-4
146) A man with episodic severe hypertension is found to have markedly elevated
levels of epinephrine and norepinephrine metabolites in his urine and needs a long-
acting drug to lower blood pressure before surgery. select the most appropriate drug
therapy from the following
1-phenoxybenzamine
2-carvedilol
3-alfuzosin
4-phentolamine
5-betaxolol
148) Which one of the following agents is considered the drug of choice for initial
treatment of generalized absence seizure (petit mal) in children?
1-levetiracetam
2-zonisamide
3-phenytoin
4-ethosuximide
5-carbamazepine
149) Which of the following most likely describes the cardiac arrhythmias as the
effect of the initial doses of levodopa (l-dopa)?
150) Which drug is recommended for treatment of most persons with latent TB?
1-pyrazinamide
2rifampin
3-isoniazid
4-ethambutol
5-Ostreptomycin
151) A man with HIV infection is taking darunavir, a protease inhibitor. Which
adverse effect is associated with this class of drugs?
1-neuropsychiatric reactions
2-elevated triglyceride and cholesterol levels
3-peripheral neuropathy
4-pancreatitis
5-anemia
152)A 72-year-old man presents to the office for routine follow-up. He is under
treatment for hypertension and congestive heart failure with enalapril and a diuretic.
His blood pressure is under acceptable control and he has no symptoms of heart
failure at present. He does complain that he has been coughing frequently in the
past few months. History and examination reveal no other cause of a chronic cough,
so you decide to discontinue his enalapril and start him on losartan. Mechanism of
action of enalapril.
1-Inhibits the conversion of angiotensin I to angiotensin II, this also inhibits the
angiotensin Il-stimulated release of aldosterone Angiotensin-converting enzyme
(ACE) inhibitors also impair the inactivation of bradykinin
2-Inhibits the conversion of angiotensin I to angiotensin II, this also stimulates the
angiotensin Il-stimulated release of aldosterone Angiotensin-converting enzyme
(ACE) inhibitors also impair the inactivation of bradykinin
153) Which of the following is the most common adverse effect of methimazole?
1-thromboembolism
2-hypotension and bradycardia
3-pruritic rash
4-liver failure
5-agranulocytosis
156) A 19-year-old man is brought to the physician's office by his very concerned
mother. He has been kicked out of the dormitory at college for his "bizarre"
behavior. He has accused several fellow students and professors of spying on him for
the CIA. He stopped attending his classes and spends all of his time watching TV
because the announcers are sending him secret messages on how to save the world.
He has stopped bathing and will only change his clothes once a week. In your office
you find him to be disheveled, quiet, and unemotional. The only spontaneous
statement he makes is when he asks why his mother brought him to the office of
"another government spy." His physical examination and blood tests are normal. A
drug screen is negative. You diagnose him with acute psychosis secondary to
schizophrenia, admit him to the psychiatric unit of the hospital, and start him on
haloperidol. Describe mechanism of therapeutic action of haloperidol
158) Acetaminophen is a potent analgesic and antipyretic NSAID but differs from
other agents in that it has no anti-inflammatory action. Which of the following
reasons explains this unique aspect of acetaminophen?
1-antiinflammatory doses of acetaminophen are too high and toxic
2-acetaminophen undergoes significant first-pass metabolism
3-acetaminophen is not an inhibitor of the COX enzyme
4-it is selective for a newly discovered isozyme of COX
5-the distribution of acetaminophen does not reach peripheral sites of inflammation
160) Which of the following best describes the mechanism of disulfiram as the
effective treatment of alcohol (ethanol) dependence?
1-preventing the conversion of ethanol to methanol in the liver
2-blocking the action of ethanol at its cell membrane receptor
3-increasing plasma ethanol concentration
4-increasing circulating acetaldehyde concentrations
5-stabilizing the cell membrane to prevent ethanol disruption
161) A man is given a drug to reduce thyroid gland size and vascularity before
surgical thyroidectomy. Which mechanism is responsible for its use in this setting?
1-destruction of thyroid tissue
2-inhibition of TSH secretion
3-inhibition of thyroid hormone release
4-inhibition of thyroperoxidase
5-inhibition of the sodium/iodide symporter
164) Which of the following molecular processes best describes the mechanism of
action of benzodiazepines?
1-potentiating the action of the inhibitory amino acid, glycine
2-binding to opioid receptors to produce sedation
3-blocking the inactivation of sodium ion channels
4-potentiating the effect of GABA at chloride ion channels
5-blocking glutamate excitation