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 B. He can be given ampicillin safely C. He can be given oral phenoxymethyl penicillin safely D. All natural and semisynthetic penicillins are contraindicated for him

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
B. He can be given ampicillin safely
C. He can be given oral phenoxymethyl penicillin safely
D. All natural and semisynthetic penicillins
are contraindicated for him
by

1 Answer

Answer :

D. All natural and semisynthetic penicillins
are contraindicated for him
by

Related questions

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 (b) He can be given ampicillin safely (c) He can be given oral phenoxymethyl penicillin safely (d) All natural and semisynthetic penicillins are contraindicated for him

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 : Ans: D

Select the semisynthetic penicillin which is not acid resistant: A. Phenoxymethyl penicillin B. Ampicillin C. Carbenicillin D. Cloxacillin

Description : Select the semisynthetic penicillin which is not acid resistant: A. Phenoxymethyl penicillin B. Ampicillin C. Carbenicillin D. Cloxacillin

Last Answer : C. Carbenicillin

Choose the semisynthetic penicillin which has an extended spectrum of activity against many gram negative bacilli, is acid resistant but not penicillinase resistant: A. Cloxacillin B. Amoxicillin C. Phenoxymethyl penicillin D. Piperacillin

Description : Choose the semisynthetic penicillin which has an extended spectrum of activity against many gram negative bacilli, is acid resistant but not penicillinase resistant: A. Cloxacillin B. Amoxicillin C. Phenoxymethyl penicillin D. Piperacillin

Last Answer : B. Amoxicillin

An intradermal penicillin sensitivity test has been performed on a patient and found to be negative. This indicates that: A. Penicillin antibodies are not present in his body B. He will not develop any reaction when full dose of penicillin is injected C. He will not develop anaphylactic reaction when full dose of penicillin is injected D. He is unlikely to develop immediate type of hypersensitivity reaction when full dose of penicillin is injected

Description : An intradermal penicillin sensitivity test has been performed on a patient and found to be negative. This indicates that: A. Penicillin antibodies are not present in his body B. He will ... He is unlikely to develop immediate type of hypersensitivity reaction when full dose of penicillin is injected

Last Answer : D. He is unlikely to develop immediate type of hypersensitivity reaction when full dose of penicillin is injected

Which of the following is not a semisynthetic penicillin: A. Procaine penicillin B. Ampicillin C. Cloxacillin D. Carbenicillin

Description : Which of the following is not a semisynthetic penicillin: A. Procaine penicillin B. Ampicillin C. Cloxacillin D. Carbenicillin

Last Answer : A. Procaine penicillin

Features of phenoxymethyl penicillin include the following: A. It is acid stable and orally active B. Its antibacterial spectrum is similar to that of benzyl penicillin C. It is used for less serious penicillin G sensitive infections D. All of the above are correct

Description : Features of phenoxymethyl penicillin include the following: A. It is acid stable and orally active B. Its antibacterial spectrum is similar to that of benzyl penicillin C. It is used for less serious penicillin G sensitive infections D. All of the above are correct

Last Answer : D. All of the above are correct

The most frequent side effect of oral ampicillin is: A. Nausea and vomiting B. Loose motions C. Constipation D. Urticaria

Description : The most frequent side effect of oral ampicillin is: A. Nausea and vomiting B. Loose motions C. Constipation D. Urticaria

Last Answer : B. Loose motions

Semisynthetic penicillins developed so far have overcome the following drawbacks of benzylpenicillin except: A. Lack of efficacy against gram negative bacilli B. Susceptibility to bacterial penicillinase C. Inactivation by gastric acid D. Potential to cause hypersensitivity reactions

Description : Semisynthetic penicillins developed so far have overcome the following drawbacks of benzylpenicillin except: A. Lack of efficacy against gram negative bacilli B. Susceptibility to bacterial penicillinase C. Inactivation by gastric acid D. Potential to cause hypersensitivity reactions

Last Answer : D. Potential to cause hypersensitivity reactions

Which of the following is not a semisynthetic penicillin ? (a) Procaine penicillin (b) Ampicillin (c) Cloxacillin (d) Carbenicillin

Description : Which of the following is not a semisynthetic penicillin ? (a) Procaine penicillin (b) Ampicillin (c) Cloxacillin (d) Carbenicillin

Last Answer : Ans: A

The most frequent side effect of oral ampicillin is (a) Nausea and vomiting (b) Loose motions (c) Constipation (d) Urticaria

Description : The most frequent side effect of oral ampicillin is (a) Nausea and vomiting (b) Loose motions (c) Constipation (d) Urticaria

Last Answer : Ans: B

The preparation of penicillin preferred for treatment of syphilis is: A. Sodium penicillin G B. Benzathine penicillin G C. Penicillin V D. Ampicillin

Description : The preparation of penicillin preferred for treatment of syphilis is: A. Sodium penicillin G B. Benzathine penicillin G C. Penicillin V D. Ampicillin

Last Answer : B. Benzathine penicillin G

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

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

Select the antibiotic which is equally effective whether injected 8 hourly or 24 hourly, provided the total daily dose remains the same: A. Gentamicin B. Sod. penicillin G C. Cefazolin D. Vancomycin

Description : Select the antibiotic which is equally effective whether injected 8 hourly or 24 hourly, provided the total daily dose remains the same: A. Gentamicin B. Sod. penicillin G C. Cefazolin D. Vancomycin

Last Answer : A. Gentamicin

The most likely explanation of differing sensitivities of different bacteria to various penicillins is: A. Differing susceptibilities of the various penicillins to β-lactamases produced by different bacteria B. Differing affinities of penicillin binding proteins present in different bacteria towards various penicillins C. Differing penetrability of various penicillins into different bacteria D. Differing rates of cell wall synthesis by different bacteria

Description : The most likely explanation of differing sensitivities of different bacteria to various penicillins is: A. Differing susceptibilities of the various penicillins to β-lactamases produced by different ... into different bacteria D. Differing rates of cell wall synthesis by different bacteria

Last Answer : B. Differing affinities of penicillin binding proteins present in different bacteria towards various penicillins

he dominant pharmacokinetic feature of penicillin G is: A. It is equally distributed extra- and intracellularly B. It is rapidly secreted by proximal renal tubules C. It has low oral bioavailability due to high first pass metabolism in liver D. It does not cross blood–CSF barrier even when meninges are inflamed

Description : he dominant pharmacokinetic feature of penicillin G is: A. It is equally distributed extra- and intracellularly B. It is rapidly secreted by proximal renal tubules C. It has low oral bioavailability ... pass metabolism in liver D. It does not cross blood-CSF barrier even when meninges are inflamed

Last Answer : B. It is rapidly secreted by proximal renal tubules

A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable: A. Sublingual B. Oral C. Intravenous bolus injection D. Slow intravenous infusion

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Last Answer : D. Slow intravenous infusion

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 be done to the oral prednisolone medication after starting inhaled beclomethasone: A. It should be stopped immediately B. Its dose should be tapered from the next day C. It should be given at the same dose for one week and then tapered D. Its dose should be doubled for one week and then tapered (p. 2

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Last Answer : C. It should be given at the same dose for one week and then tapered

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

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A premature neonate suffered respiratory distress and was given an antibiotic 100 mg/kg/day orally. Over the next two days his condition worsened, he become dull, stopped feeding, developed abdominal distention and an ashen gray appearance. Which is the most likely antibiotic given to him: A. Ampicillin B. Chloramphenicol C. Erythromycin D. Ciprofloxacin

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Which of the following penicillins are readily destructed by stomach acid: A. Methicillin B. Cloxacillin C. Phenoxy methyl D. Penicillin G

Description : Which of the following penicillins are readily destructed by stomach acid: A. Methicillin B. Cloxacillin C. Phenoxy methyl D. Penicillin G

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Benzathine penicillin injected once every 4 weeks for 5 years or more is the drug of choice for: A. Agranulocytosis patients B. Prophylaxis of bacterial endocarditis in patients with valvular defects C. Prophylaxis of rheumatic fever D. Treatment of anthrax

Description : Benzathine penicillin injected once every 4 weeks for 5 years or more is the drug of choice for: A. Agranulocytosis patients B. Prophylaxis of bacterial endocarditis in patients with valvular defects C. Prophylaxis of rheumatic fever D. Treatment of anthrax

Last Answer : C. Prophylaxis of rheumatic fever

A patient of congestive heart failure was being treated with furosemide and digoxin. He developed urinary tract infection. Which of the following antimicrobials should be avoided: A. Ampicillin B. Gentamicin C. Norfloxacin D. Cotrimoxazole

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Last Answer : B. Gentamicin

Prolonged oral therapy with the following antibiotic can damage intestinal villi resulting in steatorrhoea and loose motions: A. Ampicillin B. Tetracycline C. Neomycin D. Nystatin

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Last Answer : C. Neomycin

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 anticoagulant effect has a latency of onset of 1-3 days C. Their dose is adjusted by repeated measurement of prothrombin time D. They are contraindicated during pregnancy

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

A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm follwing penicillin V therapy. The cultures now reveal a strain of streptococcus pneumoniae that is sensitive to all of the following drugs. Which of these drugs would be the best choice for this patient? (a) Amoxicillin/clavulanate (b) Erythromycin (c) Ampicillin (d) cefaclor (e) Cyclacillin

Description : A woman has an upper respiratory infection. Six years ago, she experienced an episode of bronchospasm follwing penicillin V therapy. The cultures now reveal a strain of streptococcus pneumoniae that is ... ? (a) Amoxicillin/clavulanate (b) Erythromycin (c) Ampicillin (d) cefaclor (e) Cyclacillin

Last Answer : Ans: B

A patient needs antibiotic treatment for native valve, culture-positive infective enterococcal endocarditis. His medical history includes a severe anaphylactic reaction to penicillin G during the past year. The best approach would be treatment with (a) Amoxicillin/clavulanate (b) Aztreonam (c) Cefazolin plus genatamicin (d) Meropenem (e) Vancomycin

Description : A patient needs antibiotic treatment for native valve, culture-positive infective enterococcal endocarditis. His medical history includes a severe anaphylactic reaction to penicillin G during the past year. ... /clavulanate (b) Aztreonam (c) Cefazolin plus genatamicin (d) Meropenem (e) Vancomycin

Last Answer : Ans: E

A 3-year-old boy gets seizures whenever he develops fever. Which is the most appropriate strategy so that he does not develop febrile convulsions: A. Treat fever with paracetamol and do not give any anticonvulsant drug B. Continuous phenobarbitone prophylaxis till the age of 10 years C. Continuous diazepam prophylaxis for 3 years D. Intermittent diazepam prophylaxis started at the onset of fever

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Last Answer : D. Intermittent diazepam prophylaxis started at the onset of fever

The most common adverse reaction to insulin is: A. Hypoglycaemia B. Lipodystrophy C. Urticaria D. Angioedema

Description : The most common adverse reaction to insulin is: A. Hypoglycaemia B. Lipodystrophy C. Urticaria D. Angioedema

Last Answer : A. Hypoglycaemia

A child presented with polyuria, weakness and fever. On the basis of investigations he was labelled to be suffering from Fancony syndrome. A history of taking some old left over antibiotic capsules was obtained. What could have been the antibiotic: A. Tetracycline B. Chloramphenicol C. Ampicillin D. Cephalexi

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Last Answer : A. Tetracycline

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

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Last Answer : C. Neuropsychiatric reactions are the most important adverse effects of mefloquine

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

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Last Answer : D. Erythromycin

Beta – lactamase production by strains of Haemophilus influenzae, Moraxella catarrhalis, and Neissera gonorrhoeae confers resistance against penicillin G.which one of the following antibiotics is most likely to be effective against all strains of each of the above organisms? (a) Ampicillin (b) Ceftriaxone (c) Clindamycin (d) Gentamicin (e) Piperacillin

Description : Beta - lactamase production by strains of Haemophilus influenzae, Moraxella catarrhalis, and Neissera gonorrhoeae confers resistance against penicillin G.which one of the following antibiotics is most likely to be ... ? (a) Ampicillin (b) Ceftriaxone (c) Clindamycin (d) Gentamicin (e) Piperacillin

Last Answer : Ans: B

In an asthma patient treated with systemic corticosteroids, bronchodilator drugs: A. Are not needed B. Are contraindicated C. May be used on ‘as and when required’ basis D. Are ineffective

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Last Answer : C. May be used on ‘as and when required’ basis

A patient returning from dinner party meets with road accident and has to be urgently operated upon under general anaesthesia. Which drug can be injected intramuscularly to hasten his gastric emptying: A. Methylpolysiloxane B. Promethazine C. Metoclopramide D. Apomorphine

Description : A patient returning from dinner party meets with road accident and has to be urgently operated upon under general anaesthesia. Which drug can be injected intramuscularly to hasten his gastric emptying: A. Methylpolysiloxane B. Promethazine C. Metoclopramide D. Apomorphine

Last Answer : C. Metoclopramide

The segmental level of spinal anaesthesia depends on: A. Volume of the local anaesthetic injected B. Specific gravity of the local anaesthetic solution C. Posture of the patient D. All of the above factors

Description : The segmental level of spinal anaesthesia depends on: A. Volume of the local anaesthetic injected B. Specific gravity of the local anaesthetic solution C. Posture of the patient D. All of the above factors

Last Answer : D. All of the above factors

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

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

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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

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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 : 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

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The following procedure for rapid lowering of BP in hypertensive urgency/emergency has been abandoned: A. Sublingual/oral nifedipine B. Intravenous glyceryl trinitrate infusion C. Intravenous sodium nitroprusside infusion D. Intravenous esmolol injection

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Last Answer : A. Sublingual/oral nifedipine

The most popular form of hormonal contraception is: A. Combined estrogen + progestin oral pill B. Phased estrogen + progestin oral pill C. Postcoital estrogen + progestin pill D. Depot progestin injection

Description : The most popular form of hormonal contraception is: A. Combined estrogen + progestin oral pill B. Phased estrogen + progestin oral pill C. Postcoital estrogen + progestin pill D. Depot progestin injection

Last Answer : A. Combined estrogen + progestin oral pill

Aspirin is contraindicated in children suffering from influenza or similar viral infection because of increased risk of: A. Gastric bleeding B. Thrombocytopenia C. Fancony syndrome D. Reye’s syndrome

Description : Aspirin is contraindicated in children suffering from influenza or similar viral infection because of increased risk of: A. Gastric bleeding B. Thrombocytopenia C. Fancony syndrome D. Reye’s syndrome

Last Answer : D. Reye’s syndrome

The most important reason for highly restricted use of penicillin G injections in present day therapeutics is its: A. Narrow spectrum of activity B. Potential to cause hypersensitivity reaction C. Short duration of action D. Neurotoxicity

Description : The most important reason for highly restricted use of penicillin G injections in present day therapeutics is its: A. Narrow spectrum of activity B. Potential to cause hypersensitivity reaction C. Short duration of action D. Neurotoxicity

Last Answer : B. Potential to cause hypersensitivity reaction

A patient of megaloblastic anaemia was treated with oral folic acid 5 mg daily. After 2 weeks he reported back with cognitive deficit, sensory disturbance, depressed knee jerk, while blood picture and haemoglobin level were improved. What could be the most likely explanation: A. Folic acid was not adequately absorbed resulting in partial response B. Folate therapy has precipitated vitamin B12 deficiency in the neural tissue C. Folate therapy has unmasked pyridoxine deficiency D. Patient has folate reductase abnormality in the nervous system

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Last Answer : D. Patient has folate reductase abnormality in the nervous system

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

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

Penicillins interfere with bacterial cell wall synthesis by: A. Inhibiting synthesis of N-acetyl muramic acid pentapeptide B. Inhibiting conjugation between N-acetyl muramic acid and N-acetyl glucosamine C. Inhibiting transpeptidases and carboxypeptidases which cross link the peptidoglycan residues D. Counterfeiting for D-alanine in the bacterial cell wall

Description : Penicillins interfere with bacterial cell wall synthesis by: A. Inhibiting synthesis of N-acetyl muramic acid pentapeptide B. Inhibiting conjugation between N-acetyl muramic acid and N-acetyl ... cross link the peptidoglycan residues D. Counterfeiting for D-alanine in the bacterial cell wall

Last Answer : C. Inhibiting transpeptidases and carboxypeptidases which cross link the peptidoglycan residues

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

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

A semiconscious patient of haemorrhagic cerebral stroke has been brought to the emergency. His blood pressure is 240/120 mmHg. Select the procedure to lower his blood pressure as rapidly as possible: A. Sublingual nifedipine B. Intramuscular injection of hydralazine C. Intravenous infusion of sodium nitroprusside D. Intravenous injection of clonidin

Description : A semiconscious patient of haemorrhagic cerebral stroke has been brought to the emergency. His blood pressure is 240/120 mmHg. Select the procedure to lower his blood pressure as ... injection of hydralazine C. Intravenous infusion of sodium nitroprusside D. Intravenous injection of clonidin

Last Answer : C. Intravenous infusion of sodium nitroprussid

A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable. (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion

Description : A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/ ... (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion

Last Answer : Ans: D