MDS PREP
Local anaesthetic used as an antiarrhythmic agent is:
1) Bupivacaine
2) Lignocaine
3) Cocaine
4) Chlorprocaine
Pharmacology Answer: 2
It is also used to treat ventricular tachycardia and to perform nerve blocks
Dosage Of Local Anesthesia:
1) Safety dose of 2% Lignocaine is 4.5mg/kg without a Vasoconstrictor
Without a Vasoconstrictor 300 mg (maximum dose)
2) Safety dose of 2% Lignocaine is 7mg/kg with a Vasoconstrictor
With a Vasoconstrictor – 500 mg (maximum dose)
3) As 1ml of 2% Lignocaine contains 20mg – Where the Maximum safety dose being 300 mg
So 15 ml of Drug can be given safely
4) 1:1,00,000 concentration means 1 part of Adrenaline is 1,00,000 parts of Solution
Safety Dose of Adrenaline for Dental Use in normal patients is 0.2 mg – which means 20 ml of LA can be given to normal patients containing Adrenaline
For cardiac Patients the safety dose of Adrenaline is 0.04mg – Which means 4ml of LA can be given to Patients with cardiac problems containing Adrenaline
5) If the concentration of LA is 1:50,000 – 10 ml of LA can be given safely
Which of following statement about drug action is false ?
1) Competitive antagonist has no intrinsic activity but affinity
2) Competitive antagonist has intrinsic activity and affinity
3) Partial agonist has submaximal intrinsic activity and affinity
4) Inverse agonists have affinity but minus intrinsic activity.
Pharmacology Answer: 2
Competitive antagonists bind to receptors but do not activate them, meaning they have no intrinsic activity. They have affinity for the receptor, allowing them to compete with agonists for binding.
The antibiotic of choice in acute epiglottitis culture sensitivity report is -
1. Erythromycin
2. Rolitetracycline
3. Doxycycline
4. Ampicillin
Pharmacology
Answer: 4
Ampicillin is the antibiotic of choice for acute epiglottitis based on culture sensitivity.
Which of the following statements is not true regarding sulfonamides:
1) Sulfasalazine is absorbed well from GIT
2) Crystalluria can occur with sulfonamide administration
3) Sulfonamide administration to Newborn may cause Kernicterus
4) Sulfonamides are of value in treatment of infections due to Norcardia species
Pharmacology Answer: 1
Sulfasalazine is absorbed well from GIT
Sulfasalazine is poorly absorbed (10-20%) from the GIT .
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 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
A medication that is associated with gingivitis
1) phenytoin
2) carbamazepine
3) propranolol
4) diazepam
Pharmacology Answer: 1
Gingivitis is a form of periodontal disease. Periodontal disease is when inflammation and infection destroy the tissues that support the teeth, including the gingiva (gums), the periodontal ligaments, and the tooth sockets (alveolar bone Malocclusion of teeth (misaligned teeth), rough edges of fillings, and ill fitting or unclean mouth appliances (such as orthodontic appliances, dentures, bridges, and crowns) can irritate the gums and increase the risk of gingivitis.
Medications such as phenytoin and birth control pills, and ingestion of heavy metals such as lead and bismuth are also associated with gingivitis.
Which of the following drugs have a narrow therapeutic index?
1) Lithium
2) Diazepam
3) Penicillin
4) Desipramine
Pharmacology Answer: 1
Other drugs with narrow therapeutic index:
Digoxin Gentamicin Amphotericin B Levothyroxine Prazosin Theophylline Quinidine Warfarin Valproic acid