Description : Instead of depressing, morphine stimulates (a) Vasomotor centre (b) Edinger westphal nucleus (c) Temperature regulating centre (d) Cough centre
Last Answer : Ans: B
Description : Inhibition of the Edinger-Westphal nucleus: a. causes relaxation of the iris sphincter b. causes contraction of the iris dilator c. occurs in deep sleep d. occurs with narcotics
Last Answer : causes contraction of the iris dilator
Description : The following are true about pupillary reaction to light: a. it is impaired in damage of the Edinger-Westphal nucleus b. it is impaired in damage of the ciliary ganglion c. it is impaired in ... cervical ganglion d. the pupil does not respond to light with a frequency of greater than 5 H
Last Answer : the pupil does not respond to light with a frequency of greater than 5 H
Description : The light reflex involves the following structures: a. Edinger-Westphal nucleus b. ciliary ganglion c. lateral geniculate body d. oculomotor nerve
Last Answer : Edinger-Westphal nucleus
Description : The ciliary ganglion: a. is found between the optic nerve and the medial rectus b. contains sympathetic nerve that supplies the sphincter pupillae c. is a parasympathetic relay ganglion for fibers from ... nucleus d. contains sensory nerve e. has a motor nerve that goes to the inferior oblique
Last Answer : is a parasympathetic relay ganglion for fibers from the Edinger-Westphal nucleus
Description : Morphine induced fall in blood pressure involves the following factors except: A. Direct cardiac depression B. Direct reduction of vascular tone C. Vasomotor centre depression D. Histamine release
Last Answer : A. Direct cardiac depression
Description : Rapid intravenous injection of clonidine causes rise in BP due to: A. Stimulation of vasomotor centre B. Release of noradrenaline from adrenergic nerve endings C. Agonistic action on vascular α2 adrenergic receptors D. Cardiac stimulation
Last Answer : C. Agonistic action on vascular α2 adrenergic receptors
Description : Morphine affords symptomatic relief of dyspnoea in acute left ventricular failure by the following mechanisms except: A. Bronchodilatation B. Depression of respiratory centre C. Reduction in cardiac preload D. Shift of blood from pulmonary to systemic circuit
Last Answer : A. Bronchodilatation
Description : The following drug has been used to stimulate respiratory and vasomotor centres as an expedient measure, because it has the least propensity to induce convulsions: A. Pentylenetetrazole B. Doxapram C. Bicuculline D. Amphetamine
Last Answer : B. Doxapram
Description : Vasomotor reversal phenomenon after administration of an α adrenergic blocker is seen with: A. Adrenaline B. Noradrenaline C. Isoprenaline D. All of the above drugs
Last Answer : A. Adrenaline
Description : Codeine acts as a cough sedative by (a) Producing mild nausea (b) Depressing bronchiolar secretions (c) Depressing pulmonary action (d) Depressing cough center (e) Paralyzing sensory nerves of bronchi
Last Answer : Ans: D
Description : e primary mechanism by which general anaesthetics produce their action is: A. Affecting receptor operated ion channels in cerebral neurones B. Blocking voltage sensitive Na+ channels in neuronal ... activity of cerebral neurones D. Blocking production of high energy phosphates in the brain
Last Answer : A. Affecting receptor operated ion channels in cerebral neurones
Description : Glucocorticoids impair carbohydrate tolerance by: A. Promoting gluconeogenesis in liver B. Depressing glucose uptake into skeletal muscles C. Inhibiting insulin secretion D. Both A and B are correct
Last Answer : D. Both A and B are correct
Description : Which one of the following is the correct statement regarding the particular psychotropic drug specified? (a) Morphine leads to delusions and disturbed emotions. (b) Barbiturates cause ... thought perceptions and hallucinations. (d) Opium stimulates nervous system and causes hallucinations.
Last Answer : (c) Hashish causes after thought perceptions and hallucinations
Description : Select the correct statement from the ones given below. (a) Barbiturates, when given to criminals, make them tell the truth. (b) Morphine is often given to persons, who have undergone surgery, ... pressure and heart rate. (d) Cocaine is given to patients after surgery as it stimulates recovery.
Last Answer : (b) Morphine is often given to persons, who have undergone surgery, as a pain killer.
Description : The gut controls the entry of ingested iron in the body by: A. Regulating the availability of apoferritin which acts as the carrier of iron across the mucosal cell B. Regulating the turnover of ... mucosal cell and is shed off D. Regulating the number of transferrin receptors on the mucosal cell
Last Answer : C. Complexing excess iron to form ferritin which remains stored in the mucosal cell and is shed off
Description : The insulin receptor is a: A. Ion channel regulating receptor B. Tyrosine protein kinase receptor C. G-protein coupled receptor D. None of the above
Last Answer : B. Tyrosine protein kinase receptor
Description : Agonist induced autophosphorylation, internalization and down regulation is a distinctive feature of: A. G-protein coupled receptors B. Intrinsic ion channel containing receptors C. Tyrosine protein kinase receptors D. Receptors regulating gene expression
Last Answer : C. Tyrosine protein kinase receptors
Description : Receptors perform the following function/functions: A. Ligand recognition B. Signal transduction C. Both ligand recognition and signal transduction D. Disposal of agonists and antagonists
Last Answer : D. Disposal of agonists and antagonists
Description : Choose the correct statement about lactulose: A. It stimulates myenteric neurones to enhance gut peristalsis B. Administered orally it acts as a purgative within 2-4 hours C. It is an osmotic laxative that produces soft but formed stools D. All of the above are correct
Last Answer : C. It is an osmotic laxative that produces soft but formed stools
Description : The following purgative stimulates intestinal motility independent of its action on mucosal fluid dynamics: A. Castor oil B. Senna C. Docusates D. Sod.pot. tartrate
Last Answer : B. Senna
Description : Choose the antiulcer drug that inhibits gastric acid secretion, stimulates gastric mucus and bicarbonate secretion and has cytoprotective action on gastric mucosa: A. Misoprostol B. Sucralfate C. Carbenoxolone sodium D. Colloidal bismuth subcitrate
Last Answer : A. Misoprostol
Description : Ethanol is used in methanol poisoning because it: A. Antagonises the actions of methanol B. Stimulates the metabolism of methanol and reduces its blood level C. Inhibits the metabolism of methanol and generation of toxic metabolite D. Replenishes the folate stores depleted by methano
Last Answer : C. Inhibits the metabolism of methanol and generation of toxic metabolite
Description : Choose the correct statement about paracetamol: A. It increases uric acid excretion B. It is the most common drug implicated in causing analgesic nephropathy C. In equianalgesic doses it is safer than aspirin D. It stimulates cellular metabolism
Last Answer : C. In equianalgesic doses it is safer than aspirin
Description : Choose the correct statement about nicotine: A. It selectively stimulates parasympathetic ganglia B. It has no clinical application C. It is used as an aid during smoking cessation D. It is used in Alzheimer's disease
Last Answer : C. It is used as an aid during smoking cessation
Description : 2 In a conscious patient of poisoning, use of an emetic is permissible in case the ingested poison is: A. Ferrous sulfate B. Sodium hydroxide C. Kerosine D. Morphine
Last Answer : A. Ferrous sulfate
Description : The following antihypertensive drug has been found to suppress certain manifestations of morphine withdrawal syndrome and to block postoperative pain when injected intrathecally: A. Prazosin B. Clonidine C. Reserpine D. Ketanserin
Last Answer : B. Clonidine
Description : The following is not true of naltrexone: A. It produces agonistic actions of its own in the absence of morphine B. It is active orally C. It has a long duration of action D. It can reduce craving for alcohol in chronic alcoholics
Last Answer : A. It produces agonistic actions of its own in the absence of morphin
Description : Lower dose of naloxone is required to: A. Antagonise the actions of nalorphine B. Antagonise the actions of pentazocine C. Precipitate withdrawal in mildly morphine dependent subjects D. Precipitate withdrawal in highly morphine dependent subjects
Last Answer : D. Precipitate withdrawal in highly morphine dependent subjects
Description : Which action of morphine is incompletely reversed by naloxone: A. Analgesia B. Respiratory depression C. Sedation D. Miosis
Last Answer : C. Sedation
Description : The following is true of buprenorphine: A. It is an agonist-antagonist type of opioid analgesic B. Its subjective effects are different from those of morphine C. Naloxone is largely ineffective in reversing its effects D. It produces mydriasis
Last Answer : C. Naloxone is largely ineffective in reversing its effects
Description : Pentazocine differs from morphine in that: A. It is inactive by the oral route B. It does not produce physical dependence C. It has a lower ceiling of analgesic effect D. Its action is not blocked by naloxone
Last Answer : C. It has a lower ceiling of analgesic effec
Description : Choose the correct statement about pentazocine: A. It causes bradycardia and fall in blood pressure B. Its subjective effects are pleasurable at low doses but turn unpleasant at high doses C. It induces vomiting frequently D. It substitutes for morphine in dependent subjects
Last Answer : B. Its subjective effects are pleasurable at low doses but turn unpleasant at high doses
Description : Nalorphine is nearly equipotent analgesic as morphine, but is not used clinically as an analgesic because: A. It causes more marked respiratory depression B. It has higher abuse potential C. It antagonises the action of morphine D. It produces prominent dysphoric effects
Last Answer : D. It produces prominent dysphoric effects
Description : Morphine has high affinity for the following opioid receptor(s): A. μ (Mu) B. κ (Kappa) C. δ (Delta) D. All of the above
Last Answer : A. μ (Mu
Description : The distinctive feature(s) of methadone compared to morphine is/are: A. High oral bioavailability B. High plasma protein and tissue binding C. Delayed and milder withdrawal symptoms in dependent subjects D. All of the above
Last Answer : D. All of the above
Description : Indicate the opioid analgesic that is used as transdermal patch for chronic and cancer pain: A. Morphine B. Pentazocine C. Fentanyl D. Tramadol
Last Answer : The distinctive feature(s) of methadone compared to morphine is/are: A. High oral bioavailability B. High plasma protein and tissue binding C. Delayed and milder withdrawal symptoms in dependent subjects D. All of the above
Description : The following opioid is more potent than morphine: A. Pethidine B. Fentanyl C. Dextropropoxyphene D. Tramadol
Last Answer : B. Fentanyl
Description : The following is true of pethidine except: A. At equianalgesic doses it causes less respiratory depression than morphine B. It is less constipating than morphine C. It is a poor antitussive D. In overdose it often produces excitatory effect
Last Answer : A. At equianalgesic doses it causes less respiratory depression than morph
Description : Choose the correct statement about codeine: A. It has a lower oral: parenteral activity ratio than morphine B. It is devoid of abuse liability C. It is a weaker analgesic than morphine D. It is a more potent antitussive than morphine
Last Answer : C. It is a weaker analgesic than morphine
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 : Use of morphine in the following category of patients does not carry any special risk: A. Ischaemic heart disease patients B. Bronchial asthma patients C. Elderly male patients D. Biliary colic patients
Last Answer : A. Ischaemic heart disease patients
Description : Morphine dependence is characterized by: A. Marked drug seeking behaviour B. Physical dependence without psychic dependence C. Physical as well as psychic dependence D. Both ‘A’ and ‘C’ are correc
Last Answer : D. Both ‘A’ and ‘C’ are correc
Description : What is true of tolerance occurring in regular opium abusers: A. Tolerance develops to all actions of morphine B. No tolerance occurs to euphoric and sedative actions of morphine C. No ... to constipating and miotic actions of morphine D. Lethal dose of morphine is not significantly increased
Last Answer : C. No tolerance occurs to constipating and miotic actions of morphine
Description : The antidote of choice for morphine poisoning is: A. Nalorphine B. Nalbuphine C. Naltrexone D. Naloxone
Last Answer : D. Naloxone
Description : The following is not true of morphine: A. Its 2-glucuronide metabolite is an active analgesic B. Its active metabolite penetrates blood-brain barrier better than morphine C. Its oral: parenteral activity ratio is 1:4 D. It undergoes enterohepatic cycling
Last Answer : B. Its active metabolite penetrates blood-brain barrier better than morphine
Description : In a comatose patient suspected of poisoning, which of the following findings would be against the drug being morphine: A. Mydriasis B. Marked respiratory depression C. Cyanosis D. Fall in blood pressure
Last Answer : A. Mydriasis
Description : Morphine induced constipation involves the following mechanisms except: A. Increase in tone and decrease in propulsive activity of intestinal muscles B. Antivagal action C. Spasm of gastrointestinal sphincters D. Reduction of gastrointestinal secretions
Last Answer : B. Antivagal action
Description : Actions of morphine include the following except: A. Vagal stimulation B. Miosis C. Antiemetic D. Postural hypotensio
Last Answer : C. Antiemetic