Description : A patient has an episode of hematemesis following streptokinase infused for the treatment of deep vein thrombosis. Which of the following drugs would be most effective in controlling the bleeding episode: A. Vitamin K B. Noradrenaline C. Epsilon aminocaproic acid D. Rutin
Last Answer : C. Epsilon aminocaproic acid
Description : Vitamin K is indicated for the treatment of bleeding occurring in patients: A. Being treated with heparin B. Being treated with streptokinase C. Of obstructive jaundice D. Of peptic ulcer
Last Answer : C. Of obstructive jaundice
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 : Intravenous saline infusion is the treatment of choice for the following complication(s) of vigorous furosemide therapy: A. Dilutional hyponatremia B. Acute saline depletion C. Hypokalemia D. All of the above
Last Answer : B. Acute saline depletion
Description : Which of the following adverse effects of levodopa has a delayed onset and increases in severity with continued therapy: A. Nausea and vomiting B. Postural hypotension C. Cardiac arrhythmia D. Abnormal movements
Last Answer : D. Abnormal movements
Description : Which of the following drugs is the drug of choice in anaphylaxis associated with bronchospasm and hypotension ? (a) Cortisone (b) Epinephrine (c) Isoproterenol (d) Norepinephrine (e) Phenylephrine
Last Answer : Ans: B
Description : The most important risk in the use of primaquine is the occurrence of the following reaction in certain recipients: A. Ventricular arrhythmia B. Agranulocytosis C. Haemolysis D. Anaphylaxis
Last Answer : C. Haemolysis
Description : What is true of acid control therapy with H2 blockers: A. It generally heals duodenal ulcers faster than gastric ulcers B. It checks bleeding in case of bleeding peptic ulcer C. It prevents gastroesophageal reflux D. Both ‘A’ and ‘B’ are correct
Last Answer : A. It generally heals duodenal ulcers faster than gastric ulcers
Description : The following is not a valid indication for parenteral iron therapy: A. Inadequate response to oral iron due to patient noncompliance B. Anaemia during pregnancy C. Severe anaemia associated with chronic bleeding D. Anaemia in a patient of active rheumatoid arthritis
Last Answer : B. Anaemia during pregnancy
Description : Addition of a progestin for 10-12 days every month to cyclic estrogen replacement therapy during menopause is recommended because the progestin: A. Prevents osteoporosis B. Prevents irregular bleeding C. Blocks increased risk of endometrial carcinoma D. Both ‘B’ and ‘C’ are correct
Last Answer : D. Both ‘B’ and ‘C’ are correct
Description : Side effects of cyclic progestin therapy include the following except: A. Headache B. Gastroesophageal reflux C. Breast dyscomfort D. Irregular bleeding
Last Answer : D. Irregular bleeding
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
Last Answer : D. All of the above
Description : Choose the correct statement about nonsteroidal antiinflammatory drugs (NSAIDs): A. NSAIDs attenuate hypoglycaemic action of sulfonylureas B. NSAIDs potentiate antihypertensive action of ACE inhibitors C. ... D. Combined therapy with prednisolone and NSAIDs carries higher risk of gastric bleeding
Last Answer : D. Combined therapy with prednisolone and NSAIDs carries higher risk of gastric bleeding
Description : The standard management oral anticoagulant therapy for chronic treatment of venous thromboembolism is with the drug warfarin. Which of the following statement(s) is/are true concerning the administration ... warfarin be continued for at least one year after initial episode of deep venous thrombosis
Last Answer : Answer: a, b Warfarin interferes with the vitamin K dependent clotting factors II, VII, IX and X, protein C, and protein S. An important complication of warfarin is skin ... the benefit from anticoagulant therapy and thus is the basis for discontinuing warfarin administration at this time
Description : What is true of drug therapy of typhoid fever: A. Combination of chloramphenicol with ciprofloxacin is superior to either drug alone B. Ceftriaxone (i.v.) is one of the fastest acting ... C. Prolonged treatment with chloramphenicol eradicates typhoid carrier state D. All of the above are correct
Last Answer : B. Ceftriaxone (i.v.) is one of the fastest acting and most dependable treatment
Description : Combination therapy with two (or more) antimicrobials is superior to monotherapy with any single effective drug in case of the following diseases except: A. Typhoid fever B. Leprosy C. AIDS D. Subacute bacterial endocarditis
Last Answer : A. Typhoid fever
Description : ystemic 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
Last Answer : C. Acute rheumatic feve
Description : Choose the correct statement about aspirin: A. In an afebrile patient acute overdose of aspirin produces hypothermia B. Aspirin suppresses flushing attending large dose of nicotinic acid C. Aspirin ... acute rheumatic fever D. Long term aspirin therapy increases the risk of developing colon cancer
Last Answer : B. Aspirin suppresses flushing attending large dose of nicotinic acid
Description : In an anaesthetized dog, repeated intravenous injection of ephedrine shows the phenomenon of: A. Anaphylaxis B. Tachyphylaxis C. Idiosyncrasy D. Drug resistance
Last Answer : B. Tachyphylaxis
Description : The preferred route of administration of streptokinase in acute myocardial infarction is: A. Intravenous B. Subcutaneous C. Intracoronary
Last Answer : A. Intravenous
Description : Which fibrinolytic agent(s) selectively activate(s) fibrin bound plasminogen rather than circulating plasminogen: A. Urokinase B. Streptokinase C. Alteplase D. Both ‘A’ and ‘C
Last Answer : C. Alteplase
Description : Select the fibrinolytic drug(s) that is/are antigenic: A. Streptokinase B. Urokinase C. Alteplase D. Both ‘A’ and ‘B’
Last Answer : A. Streptokinase
Description : Malignant hyperthermia is a rare complication of use of the following anaesthetic: A. Ketamine B. Thiopentone sodium C. Halothane D. Ether
Last Answer : D. Ether
Description : The most likely complication of prolonged use of nasal decongestant drops is: A. Atrophic rhinitis B. Hypertrophy of nasal mucosa C. Naso-pharyngeal moniliasis D. Blockage of eustachian tubes
Last Answer : A. Atrophic rhinitis
Description : Which one of the folowing is a complication of streptococcal pharyngitis? a. Rheumatic Fever b. Pseudomembrane Blockage c. Strawberry Tongue d. Chest, Back, And Leg Pain
Last Answer : a. Rheumatic Fever
Description : Fibrinolytic therapy is based on activation of plasminogen, the inactive proteolytic enzyme of plasma that binds to fibrin during the formation of thrombosis. Activation of plasminogen to plasmin results ... TPA all exceed 30 minutes d. Streptokinase is significantly cheaper than urokinase or TPA
Last Answer : Answer: a, b, d Streptokinase is a bacterial protein produced by group C b-hemolytic streptococci. It is therefore antigenic in humans and can be associated with allergic reaction in ... one agent over the other. Streptokinase however, is markedly less expensive than either urokinase or TPA
Description : A patient is admitted to the emergency room with orthostatic hypotension and evidence of marked GI bleeding. Which of the following most accurately describes the probable autonomic response to this ... constricted pupils, increased bowel sounds (e) Rapid heart rate, constricted pupils, warm skin
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 : 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 : Lignocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because: A. It has a rapidly developing and titratable antiarrhythmic action B. It causes ... atrial as well as ventricular arrhythmias D. Both A' and B' are correct
Last Answer : D. Both ‘A’ and ‘B’ are correct
Description : The limitations of quinidine in the treatment of cardiac arrhythmias include the following except: A. It has narrow spectrum antiarrhythmic activity B. It is not tolerated by many patients C. It can precipitate myocardial decompensation D. It can cause marked hypotension
Last Answer : A. It has narrow spectrum antiarrhythmic activity
Description : Enalapril differs from captopril in that: A. It blocks angiotensin II receptors B. It does not produce cough as a side effect C. It is less liable to cause abrupt first dose hypotension D. It has a shorter duration of action
Last Answer : C. It is less liable to cause abrupt first dose hypotension
Description : Which of the following adverse effects of neuroleptic drugs is positively correlated to the antipsychotic potency of the different compounds: A. Sedation B. Extrapyramidal motor disturbances C. Postural hypotension D. Lowering of seizure threshold
Last Answer : B. Extrapyramidal motor disturbances
Description : Actions of chlorpromazine include the following except: A. Indifference to external stimuli B. Postural hypotension C. Hypoprolactinemia D. Hypothermia in cold surroundings
Last Answer : C. Hypoprolactinemia
Description : The following factor is not involved in the causation of hypotension due to spinal anaesthesia: A. Histamine release B. Reduced sympathetic vasoconstrictor tone C. Decreased venous return from the lower limbs D. Bradycardia
Last Answer : A. Histamine release
Description : While undergoing a surgical procedure a patient deve- lops hypotension. Which drug can be injected intramuscularly to raise his BP: A. Noradrenaline B. Isoprenaline C. Mephentermine D. Isoxsuprine
Last Answer : C. Mephentermine
Description : While undergoing a surgical procedure a patient develops hypotension. Which drug can be injected intramuscularly to raise his BP: A. Noradrenaline B. Isoprenaline C. Mephentermine D. Isoxsuprine
Description : Atropine does not antagonise the following feature of anticholinesterase poisoning: A. Hypotension B. Central excitation C. Muscle paralysis D. Bronchoconstriction
Last Answer : C. Muscle paralysis
Description : The nonselective α adrenergic blockers produce the following actions except: A. Postural hypotension B. Bradycardia C. Miosis D. Inhibition of ejaculation
Last Answer : B. Bradycardia
Description : If fever is accompanied by ________, drug toxicity is more likely than allergy and is much more serious. a) Granulocytopenia b) Thrombocytopenia c) Histamine d) Leukopenia e) Hypotension
Last Answer : Ans: A
Description : A 36-year-old woman recently treated for leukemia is admitted to hospital with malaise, chills and high fever. Gram stain of blood reveals the presence of gramnegative bacilli. The initial diagnosis is ... (b) Aztreonam (c) Cefazolin (d) Imipenem plus cilastatin (e) Ticarcillin plus clavulanic acid
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 : True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. ... test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.
Last Answer : Answer: AD DISCUSSION: Shock due to acute adrenocortical insufficiency is relatively uncommon but must be considered when shock refractory to volume replacement and pressor therapy is present. ... and it is the corticosteroid of choice while the ACTH stimulation test is being performed
Description : Acute renal failure (ARF) may be caused by all of the following except (a) Acute tubular necrosis (ATN) due to drug therapy (e.g., aminoglycosides, contrast media) (b) Severe hypotension ... (c) Decreased cardiac output, as from congestive heart failure (d) Hemolysis, myoglobinuria (e) Hyperkalemia
Last Answer : Ans: E
Description : Which of the following interventions is the single most important aspect for the patient at risk for anaphylaxis? a) Prevention People who have experienced food, medication, idiopathic, or ... alert bracelet will assist those rendering aid to the patient who has experienced an anaphylactic reaction
Last Answer : a) Prevention People who have experienced food, medication, idiopathic, or exerciseinduced anaphylactic reactions should always carry an emergency kit containing epinephrine for injection to prevent the onset of the reaction upon exposure.
Description : The β-lactam antibiotic(s) that prolong(s) bleeding time by altering surface receptors on platelets is/are: A. Carbenicillin B. Piperacillin C. Cefotaxime D. Both `A’ and `B’ are correct
Last Answer : A. Carbenicillin
Description : Ceftriaxone has all the following attributes except: A. It has a long plasma half life of 8 hours B. It can cause bleeding by prolonging prothrombin time C. It has attained high cure rates in multiresistant typhoid infection D. It penetrates CSF poorly and therefore not effective in meningitis
Last Answer : D. It penetrates CSF poorly and therefore not effective in meningitis