Clinical Pharmacology Final MCQs- 5th Year PMU

Beschreibung

Clinical Pharmacology Final MCQs- 5th Year PMU
Med Student
Quiz von Med Student , aktualisiert more than 1 year ago
Med Student
Erstellt von Med Student vor fast 5 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
Drugs half-life is an index for
Antworten
  • the route of administration of the drug
  • the duration of the drug effect when there is a relationship between it and plasma concentrations
  • time to reach steady-state plasma concentration after repeated administration
  • determination of dose interval

Frage 2

Frage
Irrational ready-made drug formulations contain
Antworten
  • drugs withdifferent half-life
  • drugs for etiotropic and symptomatic treatment
  • drugs with narrow therapeutic window
  • drugs affecting different pathogenic mechanisms

Frage 3

Frage
Drug surveillance is done by
Antworten
  • spontaneous reporting
  • observation studies
  • family doctors
  • population statistics

Frage 4

Frage
Adverse drug reactions are the following types
Antworten
  • augmented
  • bizarre
  • chronic
  • delayed

Frage 5

Frage
Drugs contraindicated in the first half of pregnancy are
Antworten
  • Erythromycin
  • Sex steroids
  • Penicillins
  • Oral anticoagulants

Frage 6

Frage
For pharmacokinetics in elderly is true
Antworten
  • decreased excretion
  • decreased metabolism
  • decreased volume of distribution
  • increased volume of distribution

Frage 7

Frage
Reasons for inadequate pharmaceutical availability are
Antworten
  • chronic renal failure
  • improper use of the drug formulation
  • bad quality of the drug substance
  • participating in treatment

Frage 8

Frage
First phase of clinical trial can be determinated as
Antworten
  • first application of a new substance to healthy volunteers
  • first application of a new substance to patients
  • efficacy and safety in a large number of patients
  • post-marketing surveillance in thousands of patients

Frage 9

Frage
Monitoring of therapeutic plasma concentrations is necessary for
Antworten
  • theophyllin
  • phenobarbital
  • carbamazepin
  • amoxicillin

Frage 10

Frage
Pharmacogenetic differences lead to
Antworten
  • decreased effect
  • increased effect
  • development of adverse drug reactions
  • avitaminosis

Frage 11

Frage
Placebo is
Antworten
  • allergic drug reaction
  • drug form, without active substance
  • method for treatment of acute pain
  • drug tolerance

Frage 12

Frage
Nocebo effect is
Antworten
  • Allergic drug reaction
  • Analgesic method
  • Adverse drug reaction, caused by placebo
  • CNS depression

Frage 13

Frage
When patient and doctor are aware of the contents of the formulation, the trial is defined as
Antworten
  • open trial
  • blind trial
  • placebo trial
  • double blind trial

Frage 14

Frage
Binding of drugs with plasma proteins is important for
Antworten
  • half- life
  • drugs interactions
  • bioavailabillity
  • the value of the pharmacological effect

Frage 15

Frage
Adverse drug reactions lead to
Antworten
  • increased pharmacological effect
  • decreased risk of toxicity
  • decreased efficacy of the treatment
  • development of unpredictable drug effects

Frage 16

Frage
Tobacco smoking
Antworten
  • increases drugs metabolism
  • decreases drug metabolism
  • decreases plasma concentrations of methylxanthines
  • doesn’t change drugs metabolism

Frage 17

Frage
Categories of ADRs are
Antworten
  • certain
  • probable
  • possible
  • unlikely

Frage 18

Frage
Therapeutic drug monitoring is
Antworten
  • method for neuroleptanalgesy
  • used, when there is relationship between plasma concentrations and drug effect
  • used for drugs with narrow therapeutic window
  • used for drugs with long half- live

Frage 19

Frage
Third phase of clinical trial can be determinated as
Antworten
  • first application of a new substance to healthy volunteers
  • first application of a new substance to patients
  • efficacy and safety in a large number of patients
  • post-marketing surveillance in thou-sands of patients

Frage 20

Frage
Clearence is an index for
Antworten
  • drugs excretion
  • determination of maintaining dose of the drugs
  • drugs absorption
  • effects of the drugs on the heart

Frage 21

Frage
Adverse drug reactions of methylxanthines are
Antworten
  • arrhythmias
  • headache, fatigue, seizures
  • decreased diuresis
  • bradycardia

Frage 22

Frage
Bronchodilators are
Antworten
  • Antimuscarinic drugs
  • β2-mimetics
  • Methylxanthines
  • H2-blockers

Frage 23

Frage
Drugs, used for treatment of chronic heart failure are
Antworten
  • Cardiac glycosides
  • ACE- inhibitors
  • Calcium channel blockers
  • Diuretics

Frage 24

Frage
Diuretics, used in chronic liver failure are
Antworten
  • osmotic diuretics
  • thiazide diuretics
  • loop diuretics
  • aldosterone antagonists

Frage 25

Frage
Anti-angina effect of β-blockers is due to
Antworten
  • bradycardic effect
  • coronary vessels dilation
  • reduced oxygen demand of the heart
  • inhibition of platelet aggregation

Frage 26

Frage
Adverse drug reactions of dihydropyridine calcium channel antagonists are
Antworten
  • tachycardia
  • bradycardia
  • swelling of ankles
  • flushing and headache

Frage 27

Frage
Withdrawal syndrome is observed in treatment with
Antworten
  • Calcium channel blockers
  • β-blockers
  • Organic nitrates
  • Metabolotropic drugs

Frage 28

Frage
Drugs preferred for treatment of hypertensive crisis are
Antworten
  • Furosemide
  • Clonidine
  • Nitroprusside
  • Pindolol

Frage 29

Frage
Which are the main drug groups for treatment of ulcer disease
Antworten
  • antacids drugs
  • anti-secretion drugs
  • gastro-duodenal protectors
  • drugs against HP infections

Frage 30

Frage
Which are non-absorbent antacid drugs
Antworten
  • sodium salts
  • calcium salts
  • aluminium salts
  • magnesium salts

Frage 31

Frage
Point out the correct statement for opioid analgesics
Antworten
  • binds to specific opioid receptors
  • cause dependence and abuse
  • in high doses suppress the respiratory center
  • showed withdrawal in long term therapy

Frage 32

Frage
Which are the therapeutic effects of NSAIDs
Antworten
  • analgesic
  • antipyretic
  • anti-inflammatory
  • cough suppressants

Frage 33

Frage
In patients with Gram (-) infections are preferred
Antworten
  • Ureidopenicillins
  • Narrow spectrum penicillins
  • Macrolides
  • First generation cephalosporins

Frage 34

Frage
Antimicrobial drugs with renal excretion are
Antworten
  • Penicillins
  • Quinolones
  • Macrolides
  • Aminoglycosides

Frage 35

Frage
Surrogates in rational pharmacotherapy are
Antworten
  • clinical- laboratory indexes
  • instrumental investigations - ECG: EMG; MRT etc
  • disease improvement
  • decreased mortality rate

Frage 36

Frage
Pharmacodynamic changes in elderly are
Antworten
  • increased sensitivity to drugs suppressing central nervous system
  • decreased sensitivity to drugs suppressing central nervous system
  • paradoxal reactions are observed
  • adverse drug reactions are more frequent

Frage 37

Frage
Steady-state plasma concentration is
Antworten
  • blood concentration of the drug 2 hours after administration
  • blood concentration of the drug after repeated administration when there is a balance between absorbtion and excretion
  • blood concentration of the drug after it has been ceased
  • blood concentration of the drug during its absorbtion

Frage 38

Frage
Bad compliance of the patient may be due to
Antworten
  • dose regimen with many drugs with frequent administration
  • a large number of drugs
  • lack of information for the treatment
  • the drug must be taken once daily

Frage 39

Frage
Fourth phase of clinical trial can be determinated as
Antworten
  • first application of a new substance to healthy volunteers
  • first application of a new substance to patients
  • efficacy and safety in a large number of patients
  • post-marketing surveillance in thousands of patients

Frage 40

Frage
Drugs clearance is
Antworten
  • amount of drug, that reaches systemic circulation
  • blood plasma volume from which the drug is eliminated for defined period of time
  • steady- state plasma concentration
  • withdrawal syndrome

Frage 41

Frage
β2-mimetics are contraindicated for patients with
Antworten
  • diabetes
  • bradycardia
  • thyreotoxicosis
  • hypertension

Frage 42

Frage
Pethidine is indicated for
Antworten
  • strong acute pain as some crisis
  • chronic pain in cancer patients
  • toothache
  • headache

Frage 43

Frage
The main mechanism of action of NSAIDs is
Antworten
  • inhibition of COX enzymes
  • inhibition of phosphodiesterase
  • bind to dopamine receptors
  • bind to opioid receptors

Frage 44

Frage
The antibiotics of choice for patients with immune deficits are
Antworten
  • bactericidal
  • bacteriostatic
  • carbapenemes
  • glycopeptides

Frage 45

Frage
Corticosteroids for systemic application are
Antworten
  • Prednisone
  • Budesonide
  • Methylprednisolone
  • Prednisolone

Frage 46

Frage
The therapy of cardiac failure should starts
Antworten
  • As earlier as having diagnose
  • ACE inhibitors are recommended as first line drugs
  • The very low doses are preferred
  • Start with high doses

Frage 47

Frage
The most often ADRs of β-blockers are
Antworten
  • Tiredness
  • Bradycardia
  • AV block
  • Hypertension

Frage 48

Frage
For treatment of Prinzmetal angina are used
Antworten
  • propranolol
  • diltiazem
  • verapamil
  • furosemide

Frage 49

Frage
Adverse drug reactions of ACE inhibitors are
Antworten
  • angioedema
  • dry cough
  • hyperlipidemia
  • hyperglycemia

Frage 50

Frage
Mechanism of antihypertensive drugs are
Antworten
  • decrease of blood volume
  • decreased sensitivity of vessels to vasoconstrictors
  • reduced activity of renin-angiotensin system
  • decreased peripheral vascular tone

Frage 51

Frage
Proton pump inhibitors are
Antworten
  • Omeprazole
  • Rabeprazole
  • Mizoprostol
  • Lansoprazole

Frage 52

Frage
Gastrointestinal mucosa protectors are
Antworten
  • Sucralphate
  • Misoprostol
  • Probiotics
  • Colloidal bismuths salts

Frage 53

Frage
Opioid analgesics are suitable for treatment of
Antworten
  • traumatic shock
  • acute myocardial infarction
  • malignant pain
  • neuropathic pain

Frage 54

Frage
Which are the indications for prescribing NSAIDs
Antworten
  • arthritis
  • toothache
  • radiculitis
  • neuropathic pain

Frage 55

Frage
Triptans are used for treatment of
Antworten
  • acute migraine
  • prevention of migraine
  • cancer pain
  • allergies

Frage 56

Frage
Antimicrobial drugs for hepato-biliary infections are
Antworten
  • Ceftriaxone (Rocephin)
  • Gentamycin
  • Rifampicin (Tubocin)
  • Doxyxyclin (Vibramycin)

Frage 57

Frage
Adverse drug reactions of aminoglycosides are
Antworten
  • ototoxicity
  • nephrotoxicity
  • gastrointestinal problems
  • liver toxicity

Frage 58

Frage
Indications for using cardiac glycosides in the therapy of congestive heart failure are
Antworten
  • early stage of chronic cardiac failure
  • heavy CCF
  • supra-ventricular fibrillations
  • decrease the mortality rate

Frage 59

Frage
Adverse drug reactions of non-dihyropyridine calcium channel antagonists are
Antworten
  • tachycardia
  • bradycardia
  • constipation
  • heart failure

Frage 60

Frage
Anti-angina effects of organic nitrates is done by
Antworten
  • decreased preload of the heart
  • improved oxygen supply
  • reduced afterload of the heart
  • dilation of coronary vessels

Frage 61

Frage
Typical for mixed type of insomnia are the following features
Antworten
  • the difficulties to fall asleep
  • easy fall asleep
  • awakening during the night
  • early awake

Frage 62

Frage
Which of the following β2-mimetics are used as controllers
Antworten
  • Salbutamol
  • Salmeterol
  • Seretide
  • Terbutaline

Frage 63

Frage
The quality of therapeutic decision (outcomes) can be measured by
Antworten
  • clinical outcomes
  • costs — direct and indirect
  • functional status pf patient
  • overall patient satisfaction

Frage 64

Frage
Method of evaluation of cost/benefits ration are
Antworten
  • cost minimization analysis
  • cost effectiveness analysis
  • cost utility analysis
  • cost consequence analysis

Frage 65

Frage
Diuretics are combined with which of the drugs for treatment of cardiac failure
Antworten
  • ACE inhibitors
  • Cardiac glycosides
  • β-blockers
  • Organic nitrates

Frage 66

Frage
β2-mimetics should not be combined with
Antworten
  • Corticosteroids
  • β-blockers
  • Leukotriene inhibitors
  • MAO inhibitors

Frage 67

Frage
Methylxanthines should not be combined with
Antworten
  • Diuretics
  • β2-mimetics
  • Corticosteroids
  • Leukotriene antagonists

Frage 68

Frage
Characteristic feature of angiotensin receptor blockers (ARB) are
Antworten
  • good tolerability
  • better compliance
  • complex hemodynamic improving effect
  • less tolerated and low compliance in comparison with ACE inhibitors

Frage 69

Frage
Antianginal drugs are
Antworten
  • Cardiac glycosides
  • β-blockers
  • Organic nitrates
  • Calcium channel blockers

Frage 70

Frage
Antihypertensive drugs are
Antworten
  • Diuretics
  • ACE inhibitors
  • Angiotensin receptor blockers
  • β-blockers

Frage 71

Frage
Adverse drug reactions of salt losing diuretics are
Antworten
  • hyperglycemia
  • hyperuricemia
  • hypopotassiemia
  • hyperpotassiamia

Frage 72

Frage
Well known drug interactions of proton pump inhibitors are
Antworten
  • decreased absorption of some antibiotics as tetracyclines, isoniazid, ciprofloxacin
  • decreased absorption of some drugs as digoxin, quinidine, theophylline, NSAIDs
  • increased absorption of some antibiotics as tetracyclines, isoniazid, ciprofloxacin
  • increased absorption of other drugs as digoxin, quinidine, theophylline, warfarin

Frage 73

Frage
Contraindicated during pregnancy or breast feedings drugs are
Antworten
  • Bismuth salts
  • Misoprostol
  • Proton pump inhibitors
  • Antacid drugs

Frage 74

Frage
In which cases step-wise pain killing approach is used
Antworten
  • patients with cancer pain
  • patients with crisis
  • patients with toothache
  • patients with headache

Frage 75

Frage
Which are the ADRs of NSAIDs the selective COX-2 inhibitors
Antworten
  • cardio-toxicity
  • epidermal necrolysis
  • peptic ulcer
  • depressed fertility

Frage 76

Frage
Adverse drug reactions of triptans are
Antworten
  • sleepiness
  • fatigue and dizziness
  • hyperglycemia
  • paresthesias

Frage 77

Frage
In patients with Gram (+) infections are preferred
Antworten
  • Ureidopenicillins
  • Narrow spectrum penicillins
  • Macrolides
  • First generation cephalosporins

Frage 78

Frage
Adverse drug reactions of tetracyclines are
Antworten
  • liver damage
  • ototoxicity
  • nephrotoxicity
  • teeth and bone damage

Frage 79

Frage
Adverse drug reactions of quinolones are
Antworten
  • gastro-intestinal
  • damage of the joints
  • increase of intraocular pressure
  • provoke seizures in patients with epilepsy

Frage 80

Frage
Mechanisms of drug interactions are
Antworten
  • unpredictable
  • pharmacokinetic
  • pharmacodynamic
  • pharmaceutical

Frage 81

Frage
Pharmacokinetic defects are
Antworten
  • acetylation
  • oxidation
  • hydrolysis
  • red cells enzyme defects

Frage 82

Frage
Adverse drug reactions of β2-mimetics are
Antworten
  • tachycardia
  • hyperglycemia
  • hypoglycemia
  • headache

Frage 83

Frage
For treatment of stable angina are preferred
Antworten
  • Calcium channel blockers
  • Organic nitrates
  • Diuretics
  • β-blockers

Frage 84

Frage
Adverse drug reactions of nitrates used for acute attacks are
Antworten
  • tachycardia
  • tolerance
  • hypertension
  • headache and flushing

Frage 85

Frage
Which are contraindications for NSAIDs non-selective COX inhibitors
Antworten
  • asthma
  • peptic ulcer
  • liver insufficiency
  • kidney insufficiency

Frage 86

Frage
The benzodiazepines and some barbiturates exert the following ADRs
Antworten
  • hypertension
  • drug tolerance and dependence
  • slowed reflex time and myorelaxation
  • morning sleepiness for the drugs which form active metabolites

Frage 87

Frage
Which of the following drugs are used to treat headache
Antworten
  • Beta-blockers
  • Triptans
  • Opioid analgesics
  • NSAIDs

Frage 88

Frage
The rational drug combinations for treatment of headache are between the following drugs
Antworten
  • NSAIDs and spasmolytics
  • NSAIDs and coffein
  • Opioid analgesics and NSAIDs
  • Analgesics and calcium channel antagonists

Frage 89

Frage
Quinolones are contraindicated for
Antworten
  • pregnant women
  • breast feeding mothers
  • children under 12 years of age
  • patients with kidney failure

Frage 90

Frage
Adverse drug reactions of sulfonamides are
Antworten
  • bone-marrow suppression
  • allergy
  • kidney damage in high doses
  • heart failure

Frage 91

Frage
Metabolic effects of glucocortcosteroids are
Antworten
  • hypoglycemia
  • hyperglycemia
  • reduced calcium absorption
  • increased protein catabolism

Frage 92

Frage
Drugs decreasing myocardial hypertrophy are
Antworten
  • β-blockers
  • Angiotensin receptors blockers
  • Diuretics
  • α-blockers

Frage 93

Frage
Rational drug combinations for treatment of hypertension are
Antworten
  • β-blocker + α-blocker
  • β-blocker + diuretic
  • α-blocker + ACE inhibitor
  • Calcium channel antagonists + Diuretic

Frage 94

Frage
Adverse drug reactions of α1-blockers are
Antworten
  • tachycardia
  • flush syndrome
  • dry mouth
  • orthostatic hypotension

Frage 95

Frage
Opioid analgesics are suitable for treatment of
Antworten
  • traumatic shock
  • acute myocardial infarction
  • malignant pain
  • neuropathic pain

Frage 96

Frage
Which corticosteroids are used by inhalation in asthma attacks
Antworten
  • Budesonide
  • Dexamethasone
  • Fluticasone
  • Beclomethasone

Frage 97

Frage
Antihypertensive drugs with direct vasodilating effects are
Antworten
  • Diazoxide
  • Nitroprusside
  • Propranolol
  • Methyldopa

Frage 98

Frage
Antihypertensive drugs are
Antworten
  • α2-agonists
  • α1-blockers
  • M-cholinolytics
  • Antihistamine drugs

Frage 99

Frage
Which are anti-secretion drugs
Antworten
  • Proton pump inhibitors
  • H2-histamine blockers in stomach mucosa
  • M3-cholinergic blockers in stomach mucosa cells
  • COX inhibitors

Frage 100

Frage
Which drugs are used for eradication of Helicobacter pylori infections
Antworten
  • proton pump inhibitors
  • colloidal bismuthi salts
  • histamine blockers
  • antibacterial drugs
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