MDS PREP
Dry mouth during antidepressant therapy is caused by blockade of:
1) Muscarinic acetylcholine receptors.
2) Serotonergic receptors.
3) Dopaminergic receptors.
4) GABA receptors.
Pharmacology Answer: 1
Anticholinergic side effect of antidepressant leads to dry mouth in the patients on these drugs.
Dry mouth is due to the Muscarinic acetylcholine receptor antagonism of these drugs.
Clinically significant drug interaction occurs between pyridoxine and all the following drugs except?
1) Isoniazid
2) Cyclosporine
3) Levodopa
4) Hydralazine
Pharmacology Answer: 2
Pyridoxine – drug interactions :
INH – induces a pyridoxine deficiency state
Levodopa – pyridoxine promotes peripheral conversion of levodopa to dopamine – thus it decreases therapeutic action of levodopa in the brain
Oral contraceptive pills – decrease pyridoxine levels in some females
Hydralazine – impairment of pyridoxine utilisation
4-deoxy pyridoxine – pyridoxine antagonist
One of the side-effects of prilocaine is
1) Gastric bleeding
2) Porphyria
3) Photophobia
4) Methemoglobinemia
Pharmacology Answer: 4
Methemoglobinemia is a condition in which the iron within hemoglobin is oxidized from the ferrous (Fe2+) state to the ferric (Fe3+) state, resulting in the inability to transport oxygen and carbon dioxide. Clinically, this condition causes cyanosis, often posing a diagnostic dilemma
usually results from exposure to oxidizing substances (such as nitrates or nitrites, aniline dyes, or medications, including lidocaine, prilocaine, phenazopyridine hydrochloride (Pyridium], and others)
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
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.
The following prevent re-uptake of noradrenaline
1) isoprenaline
2) dopamine
3) clomipramine
4) propranolol
Pharmacology Answer: 3
Is a TCA- block neuronal uptake of noradrenaline and serotonin. and thus increase its conc. at synapse. they also block muscarinic, histaminergic, and adrenergic receptor
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.
MAO inhibitors are contraindicated in a patient taking?
1) Pethidine
2) Buprenorphine
3) Morphine
4) Pentazocine
Pharmacology Answer: 1
first choice pethidine
Use of MAO inhibitors in patient taking pethidine / pentazocine can precipitate serotonin syndrome.