Description : Atropine is contraindicated in: A. Pulmonary embolism B. Digitalis toxicity C. Iridocyclitis D. Raised intraocular tension
Last Answer : D. Raised intraocular tension
Description : Topical atropine is contraindicated in: a. Retinoscopy in children b. Iridocyclitis c. Corneal ulcer d. Primary angle closure glaucoma
Last Answer : ANSWER: D
Description : Thrombolytic therapy is indicated in the following conditions except: A. Acute myocardial infarction B. Stroke due to cerebral thrombosis C. Deep vein thrombosis D. Large pulmonary embolism
Last Answer : B. Stroke due to cerebral thrombosis
Description : Potassium therapy tends to counteract the cardiac toxicity of digitalis by: A. Reducing the affinity of sarcolemal Na+ K+ATPase for digitalis B. Suppressing ectopic automaticity enhanced by digitalis C. Promoting A-V conduction D. Both 'A' and 'B' are correct
Last Answer : D. Both 'A' and 'B' are correct
Description : Infusion of potassium chloride is indicated in digitalis toxicity when the manifestation(s) is/are: A. Vomiting, hyperapnoea and visual disturbance B. Pulsus bigeminus with heart rate 110/min ... accidentally ingested 10 digoxin tablets D. 2:1 A-V block with occasional ventricular extrasystoles
Last Answer : B. Pulsus bigeminus with heart rate 110/min in a patient on maintenance digoxin therapy
Description : Heparin is contraindicated in patients suffering from the following diseases except: A. Pulmonary tuberculosis B. Bleeding due to defibrination syndrome C. Subacute bacterial endoc
Last Answer : B. Bleeding due to defibrination syndrome
Description : The characteristic toxicity of doxorubicin is: A. Kidney damage B. Liver damage C. Cardiomyopathy D. Pulmonary fibrosis
Last Answer : C. Cardiomyopathy
Description : Apraclonidine is a clonidine congener which is used: A. To suppress opioid withdrawal syndrome B. To suppress menopausal syndrome C. As Analgesic D. To reduce intraocular tension
Last Answer : D. To reduce intraocular tension
Description : Pilocarpine reduces intraocular tension in open angle glaucoma by: A. Contracting sphincter pupillae B. Increasing tone of ciliary muscle C. Reducing aqueous formation D. Enhancing uveo-scleral outflow
Last Answer : B. Increasing tone of ciliary muscle
Description : The following is true of mannitol except: A. It inhibits solute reabsorption in the thick ascending limb of loop of Henle B. It is contraindicated in patients with increased intracranial tension C. It ... acute left ventricular failure D. It is not used to treat cardiac or hepatic or renal edema
Last Answer : B. It is contraindicated in patients with increased intracranial tension
Description : Morphine is contraindicated in head injury because: A. It does not relieve the pain of head injury B. It can raise intracranial tension C. It can cause constipation D. It is liable to cause addiction
Last Answer : B. It can raise intracranial tension
Description : Is Pulmonary Embolism the same as Pulmonary Hypertension?
Last Answer : A pulmonary embolism is also characterized as central or peripheral, depending on the location or the arterial branch involved. Central vascular zones include the main pulmonary artery, the left and right main ... lobe trunk, the right middle lobe artery, and the right and left lower lobe arteries.
Description : An increase in LDH-5 enzyme is seen in the following except (A) Acute hepatitis (B) Muscular distrophies (C) Breast carcinoma (D) Pulmonary embolism
Last Answer : Answer : D
Description : Which of the following statement(s) is/are true concerning the results of a National Institute of Health Consensus Conference on venous thrombosis and low-dose heparin prophylaxis? a. The odds of ... treated with low-dose heparin d. There was no difference in the incidence of bleeding complications
Last Answer : Answer: a, b, c In a metaanalysis of 70 randomized trials in 16,000 patients comparing low-dose heparin prophylaxis with standard therapy, the odds of developing deep venous thrombosis ... Similarly, the effectiveness of prophylaxis was not influenced by either two or three times daily dosage
Description : When the patient who has undergone laryngectomy suffers wound breakdown, the nurse monitors him very carefully because he is identified as being at high risk for a) carotid artery hemorrhage. The ... poor wound healing and breakdown. d) pneumonia. Pneumonia is a risk for any postoperative patient.
Last Answer : a) carotid artery hemorrhage. The carotid artery lies close to the stoma and may rupture from erosion if the wound does not heal properly.
Description : Digitalis toxicity?
Last Answer : DefinitionDigitalis is a medication prescribed to certain heart patients. Digitalis toxicity is a complication of digitalis therapy, or it may be occur when someone takes more than a large amount of ... with normal blood levels of digitalis if other risks are present.People with heart failure who
Description : Which of the following is the drug of choice for management of cardiac arrhythmias that occur in digitalis toxicity? (a) Amiodarone (b) Lidocaine (c) Propranolol (d) Sotalol (e) Prazosin
Last Answer : Ans: B
Description : Digitalis toxicity is enhanced by co-administration of (A) Potassium (B) Quinidine (C) Diuretics (D) Antacids
Last Answer : Ans. B & C
Description : The most clear cut beneficial results are obtained in the use of anticoagulants for the following purpose: A. Prevention of recurrences of myocardial infarction B. Prevention of venous thrombosis and pulmonary embolism C. Cerebrovascular accident D. Retinal artery thrombosis
Last Answer : A. Prevention of recurrences of myocardial infarction
Description : Atropine is contraindicated in (a) Cyclic AMP (b) Inositol trisphosphate (c) Diacyl glycerols (d) G protein
Last Answer : Ans: D
Description : ignocaine is effective in the following cardiac arrhythmia(s): A. Atrial fibrillation B. Paroxysmal supraventricular tachycardia C. Digitalis induced ventricular extrasystoles D. All of the above
Last Answer : C. Digitalis induced ventricular extrasystoles
Description : Milrinone is best used: A. In a patient of mild CHF B. As an additional drug alongwith conventional therapy to tide over crisis in refractory CHF C. For long-term maintenance therapy of CHF D. To suppress digitalis induced arrhythmias
Last Answer : B. As an additional drug alongwith conventional therapy to tide over crisis in refractory CHF
Description : Choose the correct statement about use of βadrenergic blockers in CHF: A. All β blockers are equally effective in CHF B. They are used as alternative to conventional therapy with ... dysfunction due to dilated cardiomyopathy D. They are indicated only in asymptomatic left ventricular dysfunction
Last Answer : C. They are most useful in mild to moderate cases with systolic dysfunction due to dilated cardiomyopathy
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 : Digitalis induced increase in refractory period of myocardial fibres is most consistent and pronounced in the: A. Atria B. Ventricles C. A-V node D. Purkinje fibres
Last Answer : C. A-V node
Description : The electrophysiological effects of digitalis on Purkinje fibres include the following except: A. Enhancement of resting membrane potential B. Decrease in the slope of phase-0 depolarization C. Increase in the rate of phase-4 depolarization D. Abbreviation of action potential duration
Last Answer : A. Enhancement of resting membrane potential
Description : Digitalis slows the heart in congestive heart failure by: A. Increasing vagal tone B. Decreasing sympathetic overactivity C. Direct depression of sinoatrial node D. All of the above
Last Answer : D. All of the above
Description : Digitalis in creases the force of contraction of ventricles by: A. Increasing the duration of systole B. Increasing the rate of contraction without affecting the duration of systole C. Increasing the rate ... of systole D. Increasing both the rate of contraction as well as the duration of systole
Last Answer : C. Increasing the rate of contraction, but reducing the duration of systole
Description : Which of the following statements most closely describes the current status of angiotensin converting enzyme inhibitors in congestive heart failure: A. They are the first choice drugs unless contraindicated B. ... substitute for digitalis D. They are to be used as adjuncts only in resistant cases
Last Answer : D. They are to be used as adjuncts only in resistant cases
Description : Choose the correct statement about osmotic diuretics: A. They are large molecular weight substances which form colloidal solution B. Their primary site of action is collecting ducts in the ... C. They increase water excretion without increasing salt excretion D. They can lower intraocular pressure
Last Answer : D. They can lower intraocular pressure
Description : The following is an α2 adrenergic agonist used as eyedrops to lower intraocular pressure: A. Brinzolamide B. Bambuterol C. Brimonidine D. Latanoprost
Last Answer : C. Brimonidine
Description : The following is an α 2 adrenergic agonist used as eyedrops to lower intraocular pressure: A. Brinzolamide B. Bambuterol C. Brimonidine D. Latanoprost
Description : Valsalva manoeuvre causes: a. increased peripheral resistance b. raised in intraocular pressure c. drop in blood pressure
Last Answer : increased peripheral resistance
Description : The effects of topically applied anticholinesterase on the eye include: a. conjunctival hyperaemia b. raised intraocular pressure c. ciliary muscle contraction d. sphincter pupillae muscle relaxation e. retraction of the upper lids
Last Answer : ciliary muscle contraction
Description : Which of the following statement(s) is/are true concerning the treatment of pulmonary interstitial edema? a. Diuresis and blood transfusion is a valuable step b. Salt-poor albumin leaks through the ... a diuretic in this clinical situation d. Isoproterenol is a poor choice as an ionotropic agent
Last Answer : Answer: a Treatment of pulmonary edema has two important goals, the first is to improve oxygenation if it is impaired, and the second is to minimize fibrosis and bacterial infection, which often ... leaks out , the short term effects of expanding blood volume and decrease in edema will appear
Description : Glucose overload results in increased CO 2 production. Which of the following statements are true? A. In patients with respiratory insufficiency, administration of glucose as a principal calorie ... who are supported by respirators in intensive care units and are receiving nutritional support.
Last Answer : Answer: C DISCUSSION: Few papers have excited as much interest as that by Askanazi, Kinney, and co-workers, which demonstrated that glucose calories given to patients with severe respiratory ... the caloric requirement and glucose for the remainder, without much fear of excessive CO 2 production
Description : Beta adrenergic blockers lower intraocular tension by: A. Down regulating adenylyl cyclase in ciliary body through reduced activation of β2 adrenoceptors B. Constricting ciliary blood vessels ... action on trabecular meshwork D. Reducing aqueous formation unrelated to beta adrenoceptor mediation
Last Answer : A. Down regulating adenylyl cyclase in ciliary body through reduced activation of β2 adrenoceptors
Description : The following is true of mefloquine: A. P. falciparum does not develop resistance to mefloquine B. Concurrent use of β blockers with mefloquine is contraindicated C. Neuropsychiatric reactions are the most important adverse effects of mefloquine D. All of the above
Last Answer : C. Neuropsychiatric reactions are the most important adverse effects of mefloquine
Description : Choose the drug whose single oral dose affords clinical cure of uncomplicated malaria caused by chloroquine sensitive/resistant P.falciparum as well as P. vivax: A. Quinine B. Mefloquine C. Artesunate D. Proguanil
Last Answer : B. Mefloquine
Description : Corticosteroids are absolutely contraindicated in the following type of tuberculosis: A. Miliary B. Meningeal C. Intestinal D. Renal
Last Answer : C. Intestinal
Description : Indicate the disease in which penicillin G continues to be used as first line treatment in all cases (unless contraindicated), because the causative organism has not developed resistance so far: A. Gonorrhoea B. Syphilis C. Staphylococcal abscess D. Haemophillus influenzae meningiti
Last Answer : B. Syphilis
Description : If a patient gives history of urticaria, itching and swelling of lips following injection of penicillin G, then: A. He will develop similar reaction whenever penicillin is injected ... oral phenoxymethyl penicillin safely D. All natural and semisynthetic penicillins are contraindicated for him
Last Answer : D. All natural and semisynthetic penicillins are contraindicated for him
Description : Stimulant purgatives are contraindicated in the following: A. Bed ridden patients B. Before abdominal radiography C. Spastic constipation D. Atonic constipation
Last Answer : C. Spastic constipation
Description : As an antacid, sodium bicarbonate has the following disadvantages except: A. It causes acid rebound B. In ulcer patients, it increases risk of perforation C. It has low acid neutralizing capacity D. It is contraindicated in hypertensives
Last Answer : C. It has low acid neutralizing capacity
Description : Streptokinase therapy of myocardial infarction is contraindicated in the presence of the following except: A. Peptic ulcer B. Ventricular extrasystoles C. History of recent trauma D. Severe hypertension
Last Answer : B. Ventricular extrasystoles
Description : The following statements are true of oral anticoagulants except: A. They interfere with an early step in the synthesis of clotting factors B. Irrespective of the dose administered, their ... dose is adjusted by repeated measurement of prothrombin time D. They are contraindicated during pregnancy
Last Answer : A. They interfere with an early step in the synthesis of clotting factors
Description : Digoxin is contraindicated in: A. Angina pectoris patients B. Ventricular tachycardia C. Hypertensive patients D. Complete heart-block
Last Answer : B. Ventricular tachycardia