MDS PREP
The most potent narcotic analgesic is
1) Morphine
2) Pethidine
3) Methadone
4) Pentazocine
Pharmacology Answer: 3
Methadone is a synthetic narcotic analgesic The other major synthetic narcotic is meperidine (Demerol). Narcotic analgesics derived from opium are morphine, heroin (diacetylmorphine), and codeine.
The penicillin with the best gram negative spectrum is
1. methicillin
2. phenethicillin
3. ampicillin
4. penicillin V
Pharmacology
Answer: 3
The penicillin with the best gram negative spectrum is ampicillin
All of the following statements are true regarding the cephalosporin
antibiotics except
1). they are bactericidal
2). they are ineffective against gram negative microorganisms
3). they are potentially cross allergenic with penicillin
4). they are resistant to penicillinase
Pharmacology Answer: 2
cephalosporin are bactericidal, are potentially cross allergenic with penicillin, resistant to penicillinase
Morphine can be used in all the following conditions except:
1) Head injury
2) Asthma
3) Hypothyroidism
4) Diabetes
Pharmacology Answer: 1
Morphine is contraindicated in head injury for the following reasons:
Causes carbondioxide retention – this in turn increases intracranial tension
Therapeutic doses can cause respiratory depression in head injury patients Vomiting, miosis and altered mentation caused by morphine can interfere with assessment of neurological status
Morphine should be avoided in those with bronchial asthma as it can precipitate an attack of asthma. But it is not contraindicated
The cause of death with opioid intoxication is
1. respiratory depression
2. cardiac arrest
3. terminal convulsions
4. oxygen apnea
Pharmacology
Answer: 1
The cause of death with opioid intoxication is respiratory depression
Chelating agent contraindicated in iron and cadmium poisoning
1) Penicillamine
2) Des ferroxamine
3) EDTA
4) BAL
Pharmacology Answer: 4
Dimercaprol (British antilewisite; BAL)
1. Poisoning by As, Hg, Au, Bi, Ni, Sb: it is administered i.m., 5 mg/kg stat, followed by 2-3 mg/kg every 4 – 8 hours for 2 days, then once or twice a day for 10 days. It is partly oxidized and glucuronide conjugated, but mainly excreted as such in 4 – 6 hours. Earlier the treatment is instituted, the better it is. Because the dimercaprolmetal complex dissociates faster in acidic urine and the released metal can damage the kidney, urine is alkalinized during dimercaprol therapy.
2. As an adjuvant to Cal. Disod. Edentate in lead poisoning.
3. As an adjuvant to penicillamine in Cu poisoning and in Wilson’s disease – 300 mg/day i.m. for 10 days every second month.
It is contraindicated in iron and cadmium poisoning, because the dimercaprol-Fe and dimercaprol-Cd complex is itself toxic.
The drug of choice for the treatment of thyrotoxicosis during pregnancy is?
1 Carbimazole
2 Iodine therapy
3 Propylthiouracil
4 Metimazole
Pharmacology Answer: 3
Thyroid inhibitors
a) Inhibit hormone synthesis (anti thyroid drugs): Propylthiouracil, Methimazole, Carbimazole
b) Inhibit iodine trapping (ionic inhibitors): Thiocyanates, Perchlorates, Nitrates.
c) Inhibit hormone release: Iodine, NaI, Kl
d) Destroy thyroid tissue: Radioactive iodine
Which of the following antiviral drugs cannot be given orally?
1) Zidovudine
2) Zalcitabine
3) Acyclovir
4) Iodoxuridine
Pharmacology Answer: 4
Idoxuridine acts as an antiviral agent against DNA viruses by inhibiting thymidilate phosphorylase and viral DNA polymerases.
The effect of Idoxuridine results in the inability of the virus to reproduce or to infect/destroy tissue.
This product is available in the following dosage forms:Solution and Ointment