MDS PREP
A 30 year old pregnant woman developes tuberculosis. Which of the following antitubercular drugs should not be used:
1) INH
2) Rifampicin
3) Streptomycin
4) Ethambutol
Pharmacology Answer: 3
Streptomycin is contraindicated in pregnant women because of fetal ototoxicity.
Heparin
1) is a glycosaminoglycan
2) potentiates thrombin
3) has a half life of 3-4 hours
4) is normally given IM
Pharmacology Answer: 1
GlycosaminoglycAnswer (GAGs) are heteropolysaccharides. These molecules are long unbranched polysaccharides containing a repeating disaccharide unit. The disaccharide units contain either of two modified sugars N-acetylgalactosamine (GalNAc) or N-acetylglucosamine (GlcNAc) and a uronic acid such as glucuronate or iduronate. The specific GAGs of physiological significance are hyaluronic acid, dermatan sulfate, chondroitin sulfate, heparin, heparan sulfate, and keratan sulfate.
Ethohepatazine is a chemical derivative of
1. codeine
2. morphine
3. meperidine
4. papaverine
Pharmacology
Answer: 3
Ethohepatazine is a chemical derivative of meperidine
Albendazole is effective against infection with all of the following except-
1. Ascariasis
2. Neurocysticercosis
3. Echinococcus granulosus
4. Schistosomiasis
Pharmacology
Answer: 4
Albendazole is not effective against Schistosomiasis, which is caused by a parasitic worm.
A medication that reduces the rate of aqueous humor formation in acute glaucoma
1) phenothiazines
2) amphotericin B
3) Isoniazid
4) carbonic anhydrase inhibitors
Pharmacology Answer: 4
Carbonic anhydrase is found in erythrocytes, kidney, gut, ciliary body, choroid plexus, and glial cells.
Carbonic anhydrase inhibitors are used primarily as probes for studying renal transport mechanisms and in the treatment of glaucoma
When used to treat glaucoma, carbonic anhydrase inhibitors diminish the transport of HCO3 - and Na+ by the ciliary process, which limits intraocular pressure.
This reduces the formation of aqueous humor by up to 50%, thereby reducing the intraocular pressure. These agents can also limit CSF and endolymph formation.
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.
Rapid induction of anaesthesia occurs with which of the following inhalational anaesthetics
1. Isoflurane
2. Halothane
3. Desflurane
4. Sevoflurane
less solublity in blood means more rapid induction, however quicker emergence after discontinuing depends upon solublity and redistribution in lipids of body as well
Which receptors are implicated in anti emetic effects:
1) D2
2) V2
3) MU2
4) GABA
Pharmacology Answer: 2
CTZ rich in D2 and 5HT receptors