Description : Choose the correct statement about sumatriptan: A. It activates serotonergic neurones in raphe nuclei B. It tends to suppress both pain and vomiting in migraine C. It does not carry risk of precipitating coronary vasospasm D. It is combined with ergotamine for treatment of severe migraine
Last Answer : B. It tends to suppress both pain and vomiting in migraine
Description : The short acting dihydropyridine preparations can aggravate myocardial ischaemia by invoking: A. Coronary vasospasm B. Thrombus formation C. Vagal activation D. Reflex sympathetic discharge to the hear
Last Answer : D. Reflex sympathetic discharge to the heart
Description : Which of the following drugs is most commonly used for prophylaxis of migraine: A. Ergotamine B. Propranolol C. Methysergide D. Sumatriptan
Last Answer : B. Propranolol
Description : Diazoxide is an effective hypotensive, but is not used in the long-term treatment of hypertension because: A. It impairs glucose tolerance by inhibiting insulin release B. It inhibits uric acid ... causes marked Na+ and water retention leading to development of tolerance D. All of the above
Last Answer : D. All of the above
Description : The following calcium channel blocker is specifically indicated to counteract cerebral vasospasm and neurological sequelae following subarachnoid haemorrhage: A. Lacidipine B. Nimodipine C. Nicardipine D. Nitrendipine
Last Answer : B. Nimodipine
Description : n a 50-year-old male without any other coronary artery disease risk factor, hypocholesterolemic drugs are considered necessary when the serum LDLcholesterol level is higher than: A. 130 mg/dl B. 160 mg/dl C. 190 mg/dl D. 240 mg/d
Last Answer : C. 190 mg/dl
Description : Combined therapy with dipyridamole and warfarin is recommended in subjects with the following: A. Risk factors for coronary artery disease B. Prosthetic heart valves C. Cerebral thrombosis D. Buerger's disease
Last Answer : B. Prosthetic heart valves
Description : Choose the drug that selectively blocks AT1 subtype of angiotensin receptors: A. Ramipril B. Lovastatin C. Candesartan D. Sumatriptan
Last Answer : C. Candesartan
Description : The following is a selective 5-HT4 agonist: A. Buspirone B. Sumatriptan C. Cisapride D. Clozapine
Last Answer : C. Cisapride
Description : Select the factor which indicates that withdrawal of the successfully used antiepileptic medication is likely to result in recurrence of seizures: A. Childhood epilepsy B. Partial seizures C. Treatment started soon after seizure onset D. Absence of EEG abnormality
Last Answer : B. Partial seizures
Description : Oral contraceptive use increases the risk of occurrence of the following diseases except: A. Hypertension B. Leg vein thrombosis C. Endometrial carcinoma D. Gall stones
Last Answer : C. Endometrial carcinoma
Description : In post-myocardial infarction and other high cardiovascular risk subjects but without hypertension or heart failure, prolonged ACE inhibitor medication has been found to: A. Increase the chances of sudden cardiac death ... Lower the risk of developing heart failure and diabetes D. Both B and C'
Last Answer : D. Both ‘B‘ and ‘C
Description : Select the correct statement in relation to drug therapy of migraine: A. Simple analgesics like paracetamol are ineffective in migraine B. Ergot alkaloids are used for prophylaxis as well as treatment ... resistant cases D. Ergot alkaloids should be given till 24 hours after an attack has subsided
Last Answer : C. Use of ergot alkaloids is restricted to severe or resistant cases
Description : The following is correct about antipsychotic drugs except: A. They only control symptoms of schizophrenia without affecting the basic disorder B. Combination of two or more antipsychotic drugs is ... psychosis high potency drugs are preferred over low potency drugs D. They donot produce dependence
Last Answer : B. Combination of two or more antipsychotic drugs is more efficacious than any single drug
Description : n the treatment of hypertension the beta adrenergic blockers have the following advantage: A. They have minimal effect on work capacity, sleep quality and libido B. They do not cause ... high ceiling antihypertensive efficacy D. They can be used in combination with any other antihypertensive drug
Last Answer : B. They do not cause postural hypotension
Description : Shortacting nifedipine formulation is not recommended now for treatment of hypertension because: A. It tends to increase heart rate and cardiac work B. It invokes pronounced reflex sympathetic discharges C. It can impair haemodynamics in patients with diastolic dysfunction D. All of the above
Description : Digitalis is most suitable for treatment of CHF when it is due to: A. Cor pulmonale B. Arterio-venous shunt C. Thiamine deficiency D. Long-standing uncontrolled hypertension
Last Answer : D. Long-standing uncontrolled hypertensio
Description : Which of the following terms has been defined by the American Psychiatric Association as a group of behavioral or psychological symptoms or a pattern that manifests itself in significant distress ... of the unknown. d) Schizophrenia Schizophrenia is a specific disorder characterized by psychosis.
Last Answer : a) Mental disorder The definition was adopted by the American Psychiatric Association in 1994.
Description : Which of the following is a perfect match? (1) Coronary attack - vascular dilation (2) Atherosclerosis - blockage of arteries (3) Hypertension - low blood pressure (4) Hypotension - heart attack
Last Answer : (4) Hypotension - heart attack Explanation: In physiology and medicine, hypotension is abnormally low blood pressure, especially in the arteries of the systemic circulation. Hypotension is the opposite of ... force of blood pushing against the walls of the arteries as the heart pumps out blood.
Description : Which of the following is a perfect match ? (1) Coronary attack – vascular dilation (2) Atherosclerosis – blockage of arteries (3) Hypertension – low blood pressure (4) Hypotension – heart attack
Last Answer : Hypotension – heart attack
Description : The most common and important undesirable effect of injectable contraceptive depot medroxyprogesterone acetate is: A. Nausea and vomiting B. Disruption of cyclic menstrual bleeding C. Venous thrombosis D. Hypertension
Last Answer : B. Disruption of cyclic menstrual bleeding
Description : The following statement is not true of carbamazepine: A. It generates an active metabolite B. Its plasma half life decreases to nearly half of the original value after chronic use C. It is being used in mania D. It is not effective in complex partial seizures
Last Answer : D. It is not effective in complex partial seizures
Description : The following is true of bupropion except: A. It inhibits dopamine reuptake along with inhibiting noradrenaline reuptake B. It produces sedation as a side effect C. It is being used as an aid for smoking cessation D. It is likely to produce seizures in overdose
Last Answer : B. It produces sedation as a side effect
Description : The following is a tetracyclic antidepressant that has additional dopamine blocking and neuroleptic properties, as well as greater propensity to cause seizures in overdose: A. Amoxapine B. Doxepin C. Dothiepin D. Trazodone
Last Answer : A. Amoxapine
Description : Fluphenazine differs from chlorpromazine in the following respects except: A. It has higher antipsychotic efficacy B. It is less sedative C. It is less likely to precipitate seizures in epileptics D. It causes more prominent extrapyramidal side effect
Last Answer : A. It has higher antipsychotic efficacy
Description : A 3-year-old boy gets seizures whenever he develops fever. Which is the most appropriate strategy so that he does not develop febrile convulsions: A. Treat fever with paracetamol and ... Continuous diazepam prophylaxis for 3 years D. Intermittent diazepam prophylaxis started at the onset of fever
Last Answer : D. Intermittent diazepam prophylaxis started at the onset of fever
Description : Which of the following is the most suitable drug for a 6-year-old girl suffering from absence seizures with occasional generalized tonic-clonic seizures: A. Ethosuccimide B. Sodium valproate C. Carbamazepine D. Phenytoin
Last Answer : B. Sodium valproate
Description : A combination of two or more antiepileptic drugs is used: A. Routinely in all types of epilepsy B. In all cases of complex partial seizures C. In all cases of secondarily generalized seizures D. Only when monotherapy with first/second choice drugs fails
Last Answer : D. Only when monotherapy with first/second choice drugs fails
Description : The following is true of topiramate except: A. It is a broad spectrum antiepileptic drug B. It inhibits the enzyme carbonic anhydrase C. It is used as add-on therapy in refractory partial seizures D. It is not effective in generalized tonic-clonic seizures
Last Answer : D. It is not effective in generalized tonic-clonic seizures
Description : Choose the correct statement about lamotrigine: A. It is a dopaminergic agonist used in parkinsonism B. It acts by blocking NMDA-type of glutamate receptors C. It is a broad spectrum antiepileptic drug D. It suppresses tonic-clonic seizures, but worsens absence seizures
Last Answer : C. It is a broad spectrum antiepileptic drug
Description : Select the drug having a narrow spectrum antiepileptic activity restricted to absence seizures: A. Lamotrigine B. Ethosuccimide C. Sodium valproate D. Primidone
Last Answer : . Ethosuccimide
Description : he antiepileptic drug which suppresses maximal electroshock as well as kindled seizures, raises pentylenetetrazol threshold and is effective in both generalized tonic-clonic as well as absence seizures is: A. Phenytoin B. Carbamazepine C. Sodium valproate D. Ethosuximide
Last Answer : C. Sodium valproate
Description : The following antiepileptic drug raises pentylene tetrazol seizure threshold but does not modify maximal electroshock seizures: A. Ethosuximide B. Carbamazepine C. Primidone D. Phenobarbitone
Last Answer : A. Ethosuximide
Description : Carbamazepine possesses the following property not shared by phenytoin: A. Modification of maximal electroshock seizures B. Raising threshold for pentylenetetrazol convulsions C. Suppression of complex partial seizures D. Amelioration of trigeminal neuralgia
Last Answer : B. Raising threshold for pentylenetetrazol convulsions
Description : Indications of tricyclic antidepressants include the following except: A. Attention deficit-hyperactive disorder in children B. Mania C. Prophylaxis of migraine D. Panic disorder
Last Answer : B. Mania
Description : Estrogen replacement therapy for postmenopausal women is contraindicated in subjects with: A. Leg vein thrombosis B. Undiagnosed vaginal bleeding C. Migraine D. All of the above
Description : Estrogen therapy can worsen the following associated conditions except: A. Migraine B. Cholelithiasis C. Acne vulgaris D. Endometriosis
Last Answer : C. Acne vulgaris
Description : The calcium channel blocker used for prophylaxis of migraine but not for angina pectoris is: A. Verapamil B. Diltiazem C. Flunarizine D. Amlodipine
Last Answer : C. Flunarizine
Description : Ergotamine relieves migraine by: A. Blocking vascular α adrenergic receptors B. Blocking vascular 5-HT2 receptors C. Dilating cranial arterio-venous shunt channels D. Constricting cranial vessels and reducing perivascular neurogenic inflammation
Last Answer : D. Constricting cranial vessels and reducing perivascular neurogenic inflammation
Description : The nonsteroidal antiinflammatory drugs are more effective in migraine: A. Without aura B. With aura C. Than ergotamine D. When combined with propranolol
Last Answer : A. Without aura
Description : Methysergide has lost popularity as a prophylactic drug for migraine because of its: A. Poor efficacy B. Potential to cause visceral fibrosis C. Oxytocic action D. Potential to aggravate ischaemic heart disease
Last Answer : B. Potential to cause visceral fibrosis
Description : 5-HT appears to play a role in the following except: A. Regulation of normal BP B. Regulation of intestinal peristalsis C. Haemostasis D. Causation of migraine
Last Answer : A. Regulation of normal BP
Description : What are the important risk factors of coronary artery diseases?
Last Answer : Serum cholesterol level above 220 mg/dl, LDLcholesterol level above 160 mg/dl, HDL-cholesterol level below 35 mg/dl, and Apo(a) above 30 mg/dl.
Description : Specific drug therapy to lower serum triglycerides (TG) in a subject with normal LDL-cholesterol level is indicated: A. In all subjects with serum TG> 150 mg/dl B. In subjects with existing coronary artery disease and serum TG ... < 40 mg/dl and serum TG > 150 mg/dl D. Both 'B' and 'C' are correct
Last Answer : D. Both 'B' and 'C' are correct
Description : A patient with coronary artery disease has raised serum triglyceride level (500 mg/dl) but normal total cholesterol level (150 mg/dl). Which hypolipidemic drug should be prescribed: A. Probucol B. Gemfibrozil C. Cholestyramine D. Lovastatin
Last Answer : B. Gemfibrozil
Description : Select the drug which reduces cholesterol synthesis in liver, increases expression of LDL receptors on hepatocytes and has been found to reduce mortality due to coronary artery disease: A. Simvastatin B. Nicotinic acid C. Gemfibrozil D. Colestipol (
Last Answer : A. Simvastatin
Description : Ticlopidine is recommended for the following except: A. To reduce neurological sequelae of stroke B. Transient ischaemic attacks C. To prevent occlusion of coronary artery bypass graft D. Intermittent claudication
Last Answer : A. To reduce neurological sequelae of stroke
Description : Low dose subcutaneous heparin therapy is indicated for: A. Prevention of leg vein thrombosis in elderly patients undergoing abdominal surgery B. Ischaemic stroke C. Patients undergoing neurosurgery D. Prevention of extention of coronary artery thrombus in acute myocardial infarction
Last Answer : A. Prevention of leg vein thrombosis in eld
Description : ‘Coronary steal phenomenon’ has been noted most frequently with: A. Glyceryl trinitrate B. Dipyridamole C. Propranolol D. Diltiazem
Last Answer : B. Dipyridamole
Description : A drug which preferentially dilates autoregulatory coronary arterioles with little effect on large conducting vessels is likely to: A. Evoke coronary steal phenomenon B. Mitigate classical angina but not ... . Decrease total coronary blood flow in healthy subjects D. Avert ECG changes of ischaemia
Last Answer : A. Evoke coronary steal phenomenon