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

1 Answer

Answer :

A. Ischaemic heart disease patients

Related questions

Description : Radioactive iodine is the treatment of choice for the following category of thyrotoxic patients: A. Children B. Young adults with recent oneset of Grave’s disease C. Elderly patients with ischaemic heart disease D. Pregnant women

Last Answer : C. Elderly patients with ischaemic heart disease

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 : A patient suffers from episodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from: A. Angina pectoris B. Biliary colic C. Esophageal spasm D. Any of the abov

Last Answer : D. Any of the abov

Description : The following calcium channel blocker should not be used in patients with ischaemic heart disease: A. Verapamil sustained release tablet B. Amlodipine tablet C. Nifedipine soft geletin capsule D. Nifedipine extended release tablet

Last Answer : C. Nifedipine soft geletin capsule

Description : Thiazide diuretics are the preferred first line antihypertensives for the following category of patients: A. Young hypertensives B. Physically and sexually active male hypertensives C. Elderly obese hypertensives D. Diabetic hypertensives

Last Answer : C. Elderly obese hypertensives

Description : Angiotensin II plays a key role in the following risk factor for ischaemic heart disease: A. Hypercholesterolemia B. Ventricular hypertrophy C. Carbohydrate intolerance D. Cardiac arrhythmia

Last Answer : B. Ventricular hypertrophy

Description : A patient of bronchial asthma maintained on theophylline developed upper respiratory tract infection. Which antimicrobial if used can increase the risk of developing theophylline toxicity: A. Ampicillin B. Cephalexin C. Cotrimoxazole D. Erythromycin

Last Answer : D. Erythromycin

Description : Morphine analgesia differs from that produced by aspirin in the following respect(s): A. It has a higher ceiling B. It covers both perception as well as psychic processing of the pain C. Visceral and ischaemic pain is relieved better than somatic inflammatory pain D. All of the above are correct

Last Answer : D. All of the above are correct

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 : A patient suffers from spisodic pain diffusely localized over the chest and upper abdomen, which is relieved by sublingual glyceryl trinitrate. He could be suffering from (a) Angina pectoris (b) Biliary colic (c) Esophageal spasm (d) All of the above

Last Answer : Ans: D

Description : Indications for the use of antiplatelet drugs include the following except: A. Secondary prophylaxis of myocardial infarction B. Unstable angina pectoris C. Disseminated intravascular coagulation D. Stroke prevention in patients with transient ischaemic attacks

Last Answer : C. Disseminated intravascular coagulation

Description : The following is true of clopidogrel except: A. It is a GPIIb/IIIa receptor antagonist B. It inhibits fibrinogen induced platelet aggregation C. It is indicated for prevention of stroke in patients with transient ischaemic attacks D. It is a prodrug

Last Answer : A. It is a GPIIb/IIIa receptor antagonist

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 : 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 : Leukotriene antagonists are used in bronchial asthma: A. For terminating acute attacks B. As monotherapy in place of β2 agonists C. As adjuvants to β2 agonists for avoiding corticosteroids D. As nebulized powder in refractory cases

Last Answer : C. As adjuvants to β2 agonists for avoiding corticosteroids

Description : Sodium cromoglycate has a role in the treatment of the following conditions except: A. Chronic bronchial asthma B. Chronic urticaria C. Chronic allergic rhinitis D. Chronic allergic conjunctivitis

Last Answer : B. Chronic urticaria

Description : The following class(es) of drugs are clinically beneficial in bronchial asthma: A. Histamine H1 receptor antagonists B. Platelet activating factor (PAF) antagonists C. Leukotriene ( cys LT1) receptor antagonists D. All of the above

Last Answer : C. Leukotriene ( cys LT1) receptor antagonists

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 : 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 : A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the ... pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration

Last Answer : Answer: a, c, d The use of transnasal feeding catheters for intragastric feeding or for duodenal intubation are popular adjuncts for providing nutritional support by the enteral route. The ... the fourth portion of the duodenum reduces the risk of regurgitation and aspiration of feeding formulas

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 : Which of the following is an idiosyncratic adverse drug reaction: A. Muscle dystonia caused by triflupromazine B. Insomnia after taking pentobarbitone C. Precipitation of asthma by morphine D. Gum hyperplasia caused by phenytoin

Last Answer : B. Insomnia after taking pentobarbitone

Description : Use of morphine in preanaesthetic medication: A. Is routine except in the presence of contraindications B. Is restricted to patients being anaesthetised with ether C. Should be made only in combination with atropine D. Is restricted mostly to patients in pain preoperativel

Last Answer : D. Is restricted mostly to patients in pain preoperatively

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 : The following is not a feature of thiazide diuretics used as antihypertensive: A. They do not cause symptomatic postural hypotension B. The dose has to be titrated over a wide range ... has developed D. They decrease renal calcium excretion which may improve calcium balance in elderly patients

Last Answer : B. The dose has to be titrated over a wide range according to the response

Description : Choose the correct statement about moclobemide: A. It is a reversible inhibitor of MAO-A with short duration of action B. Patients taking it need to be cautioned not to consume tyramine rich food C. It is contraindicated in elderly patients D. It produces anticholinergic side effect

Last Answer : A. It is a reversible inhibitor of MAO-A with short duration of action

Description : The following antiepileptic drug is likely to cause hyponatremia as a side effect, especially in elderly patients: A. Primidone B. Carbamazepine C. Phenytoin D. Sodium valproate

Last Answer : B. Carbamazepine

Description : Paracetamol has the following advantage(s) over NSAIDs: A. It is the first choice analgesic for majority of osteoarthritis patients B. It can be given safely to all age groups from infants to elderly C. It is not contraindicated in pregnant or breast feeding women D. All of the above

Last Answer : D. All of the above

Description : What is true of nimesulide: A. It exerts antiinflammatory action by several mechanisms in addition to cyclooxygenase inhibition B. It is preferred for long-term use in rheumatoid arthritis C. It is contraindicated in aspirin intolerant asthma patients D. All of the above

Last Answer : A. It exerts antiinflammatory action by several mechanisms in addition to cyclooxygenase inhibition

Description : The distinctive feature of nimesulide is: A. It does not inhibit prostaglandin synthesis B. It does not cause gastric irritation C. It is usually well tolerated by aspirin intolerant asthma patients D. It is not bound to plasma proteins

Last Answer : C. It is usually well tolerated by aspirin intolerant asthma patients

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 : 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 : Prophylactic use of antibiotics is not justified in the following condition: A. To prevent secondary infection in common cold B. Thoroughly cleaned contaminated wound C. Rheumatic fever in a child of 10 years D. Catheterization of urethra in an elderly male

Last Answer : A. To prevent secondary infection in common cold

Description : Conversion of testosterone to dihydrotestosterone by the enzyme 5α-reductase is required for the following actions except: A. Formation of male external genitalia in the foetus B. Prostatic hypertrophy in elderly males C. Pubertal changes in the male adolescent D. Spermatogenesis

Last Answer : D. Spermatogenesis

Description : Anti-HIV drug therapy is recommended in the following category of HIV exposed subjects: A. HIV positive symptomatic patients with opportunistic infections B. HIV positive asymptomatic subjects with CD4 cell count ... asymptomatic subjects with CD4 cell count less than 200/μl D. Both 'A' and 'C

Last Answer : C. HIV positive asymptomatic subjects with CD4 cell count less than 200/μl

Description : ifampin + pyrazinamide for initial 2 months followed by isoniazid + rifampin for another 4 months for the following category of tubercular patients: A. New sputum positive cases of ... pulmonary tuberculosis who have interrupted treatment for more than 2 months D. Tubercular meningitis patients

Last Answer : B. New sputum negative cases of pulmonary tuberculosis

Description : Chemoprophylaxis for tuberculosis is recommended in the following category of subjects except: A. Mantoux positive child in the family of a tuberculosis patient B. All Mantoux positive adult ... tuberculosis patient who show Mantoux conversion D. HIV positive subjects with a positive Mantoux test

Last Answer : B. All Mantoux positive adult contacts of tubercular patient

Description : As per WHO guidelines, treatment of failure or relapse (category II) patients of smear positive pulmonary tuberculosis differs from that of new cases in the following respect(s): A. All 5 first line antitubercular drugs ... are given in the continuation phase instead of two (HR) D. Both 'A' and 'C'

Last Answer : D. Both 'A' and 'C'

Description : Bacteriostatic drugs are unlikely to effect cure of bacterial infection in the following category of patients except: A. Diabetic patients B. Patients with allergic disorders C. Patients on corticosteroid therapy D. Subacute bacterial endocarditis patient

Last Answer : B. Patients with allergic disorders

Description : Long-term maintenance therapy with digoxin is the best option in the following category of CHF patients: A. Hypertensive patients B. Patients with hypertrophic cardiomyopathy C. Patients with associated atrial fibrillation D. Patients having cardiac valvular defects

Last Answer : C. Patients with associated atrial fibrillation

Description : Consumption of alcoholic beverages in moderate amounts can be allowed for the following category of subjects: A. Epileptics B. Patients with history of myocardial infarction C. Gastroesophageal reflux patients D. Pregnant women

Last Answer : B. Patients with history of myocardial infarction

Description : Insulin therapy is required for the following category/ categories of type 2 diabetes mellitus patients: A. Patients with ketoacidosis B. Patients undergoing surgery C. Pregnant diabetic D. All of the above

Last Answer : D. All of the above

Description : Insulin therapy is required for the following category/ categories of type 2 diabetes mellitus patients: A. Patients with ketoacidosis B. Patients undergoing surgery C. Pregnant diabetic D. All of the above

Last Answer : D. All of the above

Description : Which of the following processes plays the major role in terminating the action of phenobarbitone: A. Biliary excretion B. Renal excretion C. Hepatic metabolism D. Redistribution

Last Answer : B. Renal excretion

Description : In which range of body mass index (BMI) are patients considered to have increased risk for problems associated with poor nutritional status? a) Below 24 Additionally, higher mortality rates in hospitalized ... considered obese. d) Over 40 Those who have BMI over 40 are considered extremely obese.

Last Answer : a) Below 24 Additionally, higher mortality rates in hospitalized patients and community-dwelling elderly are associated with individuals who have low BMI.

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 : Which of the following patients are at the highest risk of suffering from an adverse drug reaction? a) An 8 month year old infant receiving a prescription for an antibiotic. b) A 22 year old patient ... ACE Inhibitor. d) A 68 year old patient who has oedema receiving a prescription for a diuretic. 

Last Answer : d) A 68 year old patient who has oedema receiving a prescription for a diuretic. 

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 : 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