Description : Systemic corticosteroids are indicated in the following conditions except: A. Mild episodic asthma B. Severe chronic asthma C. Status asthmaticus D. To prevent neonatal respiratory distress syndrome
Last Answer : A. Mild episodic asthma
Description : Inhaled salbutamol is useful in bronchial asthma for: A. Aborting/terminating asthma attacks B. Round the clock prophylaxis of asthma C. Status asthmaticus D. All of the above
Last Answer : A. Aborting/terminating asthma attacks
Description : In comparison to inhaled β 2 adrenergic agonists, the inhaled anticholinergics: A. Are more effective in bronchial asthma B. Are better suited for control of an acute attack of asthma C. Produce slower response in bronchial asthma D. Produce little benefit in chronic obstructive lung disease
Last Answer : C. Produce slower response in bronchial asthma
Description : 6 A patient of chronic bronchial asthma was maintained on oral prednisolone 20 mg/day for 3 months. It was decided to switch him over to inhaled beclomethasone dipropionate 200 μg 4 times a day. What should ... week and then tapered D. Its dose should be doubled for one week and then tapered (p. 2
Last Answer : C. It should be given at the same dose for one week and then tapered
Description : In patients of bronchial asthma inhaled corticosteroids achieve the following except: A. Reduce the need for bronchodilator medication B. Control an attack of refractory asthma C. Reduce bronchial hyperreactivity D. Reverse diminished responsiveness to sympathomimetic bronchodilators
Last Answer : B. Control an attack of refractory asthma
Description : A 10 year old child suffers from exercise induced asthma: Which is the most suitable first line drug for regular prophylactic therapy ? (a) Oral salbutamol (b) Oral theophylline (c) Inhaled sodium cromoglycate (d) Inhaled beclomethasone dipropionate
Last Answer : Ans: C
Description : In a patient of bronchial asthma, inhaled salbutamol produces the following effect(s): A. Inhibits antigen-antibody reaction in the lungs B. Causes bronchodilatation C. Reduces bronchial hyperreactivity D. Both ‘B’ and ‘C’ are correct
Last Answer : B. Causes bronchodilatation
Description : One of the most common side effect of inhaled beclomethasone dipropionate is: A. Pneumonia B. Oropharyngeal candidiasis C. Atrophic rhinitis D. Pituitary-adrenal suppression
Last Answer : B. Oropharyngeal candidiasis
Description : The most consistent, pronounced and sustained relief of symptoms in chronic bronchial asthma is afforded by: A. β2 sympathomimetics B. Anticholinergics C. Sodium cromoglycate D. Corticosteroids
Last Answer : D. Corticosteroids
Description : Which of the following drugs is administered by intranasal spray/application for systemic action: A. Phenylephrine B. Desmopressin C. Azelastine D. Beclomethasone dipropionate
Last Answer : B. Desmopressin
Description : The National Institutes of Health (NIH) guidelines for the treatment of asthma recommended institution of routine inhaled corticosteroids when patients are classified as having greater than or equal to which ... (a) Mild intermittent (b) Mild persistent (c) Moderate persistent (d) Severe persistent
Last Answer : Ans: B
Description : Montelukast produces the following action(s) in bronchial asthma patients: A. Bronchodilatation B. Suppression of bronchial hyperreactivity C. Stabilization of mast cells D. Both 'A' and 'B'
Last Answer : D. Both 'A' and 'B'
Description : Theophylline is believed to benefit asthma patients by exerting the following actions except: A. Bronchodilatation B. Augmentation of diaphragmatic contractility C. Reduced mediator release D. Inhibition of antigen: antibody reaction
Last Answer : D. Inhibition of antigen: antibody reaction
Description : Which of the following β 2 agonist bronchodilators is given by inhalation, and is suitable for both terminating asthma attacks as well as for twice daily prophylaxis: A. Terbutaline B. Bambuterol C. Salmeterol D. Formoterol
Last Answer : D. Formoterol
Description : Intranasal spray of budesonide is indicated in: A. Common cold B. Acute sinusitis C. Perennial vasomotor rhinitis D. Epistaxis
Last Answer : C. Perennial vasomotor rhinitis
Description : Which of the following physical findings are associated with the various classes of hemorrhagic shock? a. Mild shock (< 20% blood volume): Pallor, cool extremities, diminished capillary refill and ... ): Systemic hypotension, changes in mental status, tachycardia, oliguria d. All of the above
Last Answer : Answer: a, c PHYSICAL FINDINGS IN HEMORRHAGIC SHOCK* Moderate Mild (40% Blood Volume) Blood Volume) Blood Volume) Pallor Pallor Pallor Cool extremities Cool extremities Cool extremities ... hypotension Mental status changes * Alcohol or drug intoxication may alter physical findings
Description : Which of the following drugs is neither bronchodilator nor anti-inflammatory, but has antihistaminic and mast cell stabilizing activity ? (a) Sodium cromoglycate (b) Ketotifen (c) Beclomethasone dipropionate (d) Mepyramine maleate
Description : Select the drug that is neither bronchodilator nor antiinflammatory, but has antihistaminic and mast cell stabilizing activity: A. Sodium cromoglycate B. Ketotifen C. Beclomethasone dipropionate D. Chlorpheniramine
Last Answer : B. Ketotifen
Description : Choose the correct statement(s) about inhaled glucocorticoids in chronic obstructive pulmonary disease (COPD): A. They are indicated in COPD only for severe/ advanced cases B. Instituted early they retard the progression of COPD C. Their use predisposes to respiratory infections D. Both 'A' and 'B
Last Answer : A. They are indicated in COPD only for severe/ advanced cases
Description : A patient of chronic bronchial asthma maintained on oral prednisolone 20 mg daily and inhaled salbutamol as required develops chest infection. Which of the following measures is recommended: A. ... mg/day C. No change/increase in prednisolone dose D. Substitute prednisolone with inhaled budesonid
Last Answer : C. No change/increase in prednisolone dose
Description : Bronchodilators are useful in cough: A. Only when cough is nonproductive B. Only when cough is associated with thick sticky secretions C. Only when reflex bronchoconstriction is associated D. Irrespective of nature of cough or associated features
Last Answer : C. Only when reflex bronchoconstriction is associated
Description : In patients of bronchial asthma inhaled corticosteroids achieve the following except (a) Reduce the need for bronchodilator medication (b) Control an attack of refractory asthma (c) Reduce bronchial hyperreactivity (d) Reverse diminished responsiveness to sympathomimetic bronchodilators
Description : Select the antiasthma drug which cannot be administered by inhalation: A. Theophylline B. Ipratropium bromide C. Budesonide D. Terbutaline
Last Answer : A. Theophylline
Description : Which of the following drugs inhibits theophylline metabolism and raises its plasma concentration: A. Phenytoin B. Ciprofloxacin C. Levofloxacin D. Rifampicin
Last Answer : B. Ciprofloxacin
Description : Caffeine is more powerful than theophylline in exerting the following action: A. Bronchodilatation B. Cardiac stimulation C. Diuresis D. Augmentation of skeletal muscl contractility
Last Answer : D. Augmentation of skeletal muscl contractility
Description : Select the correct statement about salmeterol: A. It is a long acting selective β2 agonist bronchodilator B. It is a bronchodilator with anti-inflammatory property C. It is a β blocker that can be safely given to asthmatics D. It is an antihistaminic with mast cell stabilizing property
Last Answer : A. It is a long acting selective β2 agonist bronchodilator
Description : Which of the following ingredients has neither specific antitussive nor expectorant nor bronchodilator action, but is commonly present in proprietary cough formulations: A. Ambroxol B. Chlorpheniramine C. Guaiphenesin D. Noscapine
Last Answer : B. Chlorpheniramine
Description : The following antitussive is present in opium but has no analgesic or addicting properties: A. Noscapine B. Codeine C. Pholcodeine D. Ethylmorphine
Last Answer : A. Noscapine
Description : Which of the following is not an antitussive: A. Oxeladin B. Clophedianol C. Dextropropoxyphene D. Dextromethorphan
Last Answer : C. Dextropropoxyphene
Description : Dextromethorphan is an: A. Analgesic B. Antitussive C. Expectorant D. Antihistaminic
Last Answer : B. Antitussive
Description : Antitussives act by: A. Liquifying bronchial secretions B. Raising the threshold of cough centre C. Reducing cough inducing impulses from the lungs D. Both ‘B’ and ‘C’ are correct
Last Answer : D. Both ‘B’ and ‘C’ are correct
Description : Mucokinetic is a drug which: A. Reduces airway mucus secretion B. Increases airway mucus secretion C. Makes respiratory secretions more watery D. Stimulates mucociliary activity of bronchial epithelium
Last Answer : C. Makes respiratory secretions more watery
Description : Codeine is used clinically as: A. Analgesic B. Antitussive C. Antidiarrhoeal D. All of the above
Last Answer : D. All of the above
Description : Bromhexine acts by: A. Inhibiting cough centre B. Irritating gastric mucosa and reflexly increasing bronchial secretion C. Depolymerizing mucopolysaccharides present in sputum. D. Desensitizing stretch receptors in the lungs
Last Answer : C. Depolymerizing mucopolysaccharides present in sputum.
Description : The following expectorant acts both directly on the airway mucosa as well as reflexly: A. Potassium iodide B. Guaiphenesin C. Terpin hydrate D. Bromhexine
Last Answer : A. Potassium iodide
Description : Systemic corticosteroid therapy is not used routinely and is reserved only for severe cases of (a) Exfoliative dermatitis (b) Posterior uveitis (c) Acute rheumatic fever (d) Hodgkin’s disease
Description : An acute disease becomes _____ when the body is incapable of ridding itself of the pathogen, while a local disease becomes ______ when it disseminates to deeper organs and tissues. a. Contagious; Systemic b. Contagious; Secondary c. Chronic; Systemic d. Chronic; Secondary
Last Answer : c. Chronic; Systemic
Description : Glyceryl trinitrate is used in CHF for: A. Routine treatment of mild to moderate chronic heart failure B. Rapid symptom relief in acute left ventricular failure C. Arresting disease progression D. Both 'A' and 'B'
Last Answer : D. Both 'A' and 'B
Description : According to the American Society of Anesthesiology Physical Status Classification System, a patient with severe systemic disease that is not incapacitating is noted to have physical status ... normal healthy patient d) P2 Classification P2 reflects a patient with mild systemic disease
Last Answer : a) P3 Classification P3 patients are those who have compensated heart failure, cirrhosis, or poorly controlled diabetes, for example.
Description : 15.47 The following component of management protocol of status asthmaticus has now been shown to be useless: A. Intravenous aminophylline B. Intravenous hydrocortisone C. Nebulized salbutamol D. Nebulized ipratropium bromid
Last Answer : ntravenous aminophylline
Description : The primary goals of asthma therapy include all of the following except (a) maintain normal activity levels (b) maintain control of symptoms (c) avoid adverse effects of asthma medications (d) prevent acute exacerbations and chronic symptoms (e) prevent destruction of lung tissue
Last Answer : Ans: E
Description : A 55-year-old renal transplant patient has been hospitalized in a Surgical Intensive Care Unit, receiving a prolonged course of antibiotics following an attack of acute cholecystitis. The ... suggest a dosage reduction in immunosuppressive agents until the infection can be adequately controlled
Last Answer : Answer: a, d Infections due to fungal pathogens have become increasingly common during the past decade, frequently occurring in patients undergoing prolonged hospitalization in the Surgical ... agents should be discontinued until evidence of infection is absolutely controlled or is eradicated
Description : Inhaled ipratropium bromide has the following advantages except: A. It does not alter respiratory secretions B. It does not depress airway mucociliary clearance C. It has faster onset of bronchodilator action than inhaled salbutamol D. It only rarely produces systemic side effects
Last Answer : C. It has faster onset of bronchodilator action than inhaled salbutamol
Description : All the following are employed in inhalation therapy of asthma except (a) Beclomethasone (b) Budesonide (c) Dexamethasone (d) Triamcinolone
Description : Drugs used in asthma that often cause tachycardia and tremor include (a) Beclomethasone (b) Cromolyn sodium (c) Ipratropium (d) Metaproterenol (e) All of the above
Last Answer : Ans: D
Description : Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the ... have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and gallbladder necrosis.
Last Answer : Answer: E DISCUSSION: Gallstones have been found to be very prevalent in patients with type II (non-insulin-dependent) diabetes mellitus, perhaps related to the dyslipoproteinemia in ... added mortality associated with it. There is no causal relationship between diabetes and pancreatic cancer
Description : Acute or chronic colchicine toxicity may be identified by which of the following signs/symptoms? (a) Alopecia (b) Blood dyscrasias (c) Severe gastrointestinal upset (d) All of the above (e) None of the above
Description : Which phase of the trajectory model of chronic illness is characterized by the gradual or rapid decline in the trajectory despite efforts to halt the disorder? a) Dying The dying phase ... symptoms worsen or the disability progresses despite attempts to control the course through proper management.
Last Answer : a) Dying The dying phase is characterized by stoppage of life-maintaining functions.