Questão 1
Questão
The main routes of enteral administration of drugs are:
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oral
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by injection
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rectal
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per mucosa
Questão 2
Questão
Advantages of the oral route of drug administration are:
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easily self-administered
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toxicity and overdose may be overcome with antidotes
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drugs avoid first-pass metabolism
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drugs go directly into the systemic circulation
Questão 3
Questão
Advantages of the rectal route of drug administration are:
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suitable for vomiting patients
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suitable for children
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suitable for unconscious patients
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a way to avoid first-pass metabolism
Questão 4
Questão
Disadvantages of intravenous drug administration are:
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a trained staff is required
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risk of bacterial contamination at the site of injection
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it is painful and stressful for the patient
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drugs undergo first-pass metabolism in the liver
Questão 5
Questão
Point out the correct statements for intravenous drug administration:
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aqueous solutions can be administered i.v.
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oil solutions can be administered i.v.
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has the highest bioavailability
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used for treatment of life-threatening conditions
Questão 6
Questão
The subject of pharmacokinetics is:
Questão 7
Questão
Point out the correct statements for passive diffusion:
Questão 8
Questão
A drug-weak acid will be absorbed
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in a medium with low pH
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in a medium with high pH
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in the stomach
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in the intestine
Questão 9
Questão
The diffusion of Iipid soluble drugs
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depends on the charge of the drug molecule
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does not depend on the charge of the drug molecule
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is penetration through aqueous channels or pores
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is penetration through the biological membranes
Questão 10
Questão
A drug-weak base will be absorbed
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in a medium with low pH
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in a medium with high pH
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in the stomach
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in the intestine
Questão 11
Questão
Point out the correct statements for active drug transport
Questão 12
Questão
Point out the correct statement for drugs bound to plasma proteins
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bound drugs are pharmacologically active
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only the unbound drugs can act on target sites in the tissues
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only the bound drugs are available to the process of elimination
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drugs may displace each other from the binding proteins
Questão 13
Questão
Drug metabolism may
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increase a drug’s pharmacological activity
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decrease a drug’s pharmacological activity
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change the pharmacological effects of a drug
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change the toxicity of a drug
Questão 14
Questão
First phase liver metabolism reactions include
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acetylation
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conjugation
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reduction
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oxidation
Questão 15
Questão
Second phase liver metabolism reactions include
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acetylation
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conjugation
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reduction
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oxidation
Questão 16
Questão
Phase 1 of drug metabolism
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may or may not involve cytochrome P450 system
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phase 1 reactions convert Iipophilic molecules to more polar molecules
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includes alcohol dehydrogenation, amine oxidation, hydrolysis
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consists of conjugation reactions
Questão 17
Questão
Renal excretion of a drug will be reduced if
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the drug is a weak acid and the urine is alkaline
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the drug is a weak acid and the urine is acidic
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the drug is a weak base and the urine is alkaline
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the drug is a barbiturate and the urine is alkaline
Questão 18
Questão
Drug pharmacodynamics includes
Questão 19
Questão
The changes that occur due to the interaction between drug molecules and organism structures are called
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drug effect
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drug action
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adverse drug reaction
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placebo effect
Questão 20
Questão
The organism response as a result of the changes that have occurred due to its interaction with the drug is called
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drug action
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drug effect
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adverse drug reaction
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placebo effect
Questão 21
Questão
What is characteristic for a drug receptor
Questão 22
Questão
Agonists are ligands which
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have affinity
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block receptors
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have intrinsic activity
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bind to the receptor
Questão 23
Questão
Antagonists are ligands which
Questão 24
Questão
Therapeutic margin is the
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difference between minimal toxic and minimal therapeutic doses
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ratio between minimal toxic and minimal therapeutic doses
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difference between mean lethal and mean effective doses
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ratio between lethal and mean effective doses
Questão 25
Questão
Drugs’ therapeutic index is the:
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difference between minimal toxic and minimal therapeutic doses
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ratio between minimal toxic and minimal therapeutic doses
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difference between mean lethal and mean effective doses
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ratio between mean lethal and mean effective doses
Questão 26
Questão
Types of drug interaction are:
Questão 27
Questão
Potentiation can be observed during the concomitant use of:
Questão 28
Questão
Full competitive antagonist of opioid receptors, administered in acute opioid intoxication is:
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Allylnormorphine
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Methadone
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Naloxone
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Flumazenil
Questão 29
Questão
Chemical antagonism or complex formation can be observed in:
Questão 30
Questão
Which of the following are enzyme inducers:
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Phenytoin
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Phenobarbital
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Metamizol
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Metronidazole
Questão 31
Questão
Multiple drug administration could lead to:
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drug tolerance
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drug dependence
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drug accumulation
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allergic reactions
Questão 32
Questão
Drug addiction/dependence involves:
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drug tolerance
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physical dependence
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psychological dependence
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allergy
Questão 33
Questão
Antiseptics are used for:
Questão 34
Questão
Disinfectants are used for decontamination of:
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urine, faeces and other
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mouth
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instruments
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clothing and underwear
Questão 35
Questão
Antiseptics and disinfectants are:
Questão 36
Questão
Mechanism of action of sulfonamide is:
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they are synthetic analogues of p-aminobenzoic acid (PABA) and complete with it for the enzyme dihydropteroate synthetase
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they increase the permeability of the bacterial cell membrane
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they inhibit bacterial wall synthesis
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they inhibit the synthesis of bacterial dihydrofolic acid
Questão 37
Questão
For non-combined sulfanamides is true:
Questão 38
Questão
Combined sulfonamides are:
Questão 39
Questão
Fluoroquinoiones are:
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Gentamycin
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Moxifloxacin
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Ciprofloxacin
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Levofloxacin
Questão 40
Questão
Mechanism of action of quinolones is:
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inhibition of protein synthesis
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inhibition of cell wall synthesis
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inhibition of topoisomerase II and IV
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inhibition of DNA transcription and replication
Questão 41
Questão
Fluoroquinolones have:
Questão 42
Questão
Adverse drug reactions of fluoroquinolones are:
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articular cartilage erosion (arthropathy)
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hypertension
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seizures in patients with epilepsy
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prolongation of QT interval
Questão 43
Questão
Antimicrobials that inhibit bacterial cell wall synthesis are:
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penicillins
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cephalosporins
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monobactams
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tetracyclines
Questão 44
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are bactericidal
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are bacterostatic
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accumulate in tissues- in bones and teeth
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are effective against rickettsiae, mycoplasma, chlamydia
Questão 45
Questão
Macrolide antibiotics are:
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Azithromycin (Azatril)
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Roxithromycin (Rulid)
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Clarithroomycin (Klacid)
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Gentamycin
Questão 46
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bactericidal
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bacteriostatic
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inhibitors of methylxanthines’ metabolism
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effective against mycoplasmas, Legionella, Chlamydia
Questão 47
Questão
Adverse drug reactions of macrolides include:
Questão 48
Questão
Beta-lactam antibiotics are
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penicillins
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cephalosporins
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monobactams
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carbapenems
Questão 49
Questão
Adverse drug reactions of penicillins are:
Questão 50
Questão
Cephalosporins 1st generation are:
Questão 51
Questão
Cephalosporins 3rd generation are:
Questão 52
Questão
Aminoglycoside antibiotics are:
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Gentamycin
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Amoxiclav
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Amikacin
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Tobramycin
Questão 53
Questão
The correct statements of aminoglycoside antibiotics are:
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they block protein synthesis and are bactericidal
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they accumulate in soft tissues and bones
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they are administrated orally for treatment of urinary infections
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they are effective against Gram (-) microorganisms
Questão 54
Questão
Adverse drug reactions of aminoglycosides are:
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nephrotoxicity
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ototoxicity
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myelotoxlcity
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hepatotoxiclty
Questão 55
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are fungistatic
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inhibit cell wall synthesis
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inhibit ergosterol synthesis
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inhibit hepatic CYP450 enzymes
Questão 56
Questão
ADRs of azole antifungals are:
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hepatotoxicity
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endocrine disorders
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nephrotoxicity
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nausea, vomiting
Questão 57
Questão
Point the correct statements for Nystatin
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has fungistatic activity
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causes gastrointestinal disturbances
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is effective against Trichomonas vaginalis
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is effective against Candida species
Questão 58
Questão
Point out the correct statements for Aciclovir
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it inhibits viral DNA polymerase
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it is used for treatment of herpes virus infections
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it inhibits neuraminidase enzyme
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can be applied topically, orally or intravenously
Questão 59
Questão
Mechanism of action of Oseltamivir (Tamiflu) is
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interference with the function of the viral M2 protein
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inhibition of specific neuraminidase enzyme
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inhibition of reverse transcriptases
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inhibition of proteases
Questão 60
Questão
Mechanism of action of Rifampicin (Rifampin) is
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inhibition of cell wall synthesis
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inhibition of 50 S ribosomal subunit
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inhibition of DNA-dependent RNA polymerase
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increased cell membrane permeability
Questão 61
Questão
ADRs of Rifampicin (Rifampin) are:
Questão 62
Questão
What are the effects of benzodiazepines?
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hypnotic effect
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anxiolytic effect
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muscle-relaxing effect
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anticonvulsant effect
Questão 63
Questão
How do benzodiazepines exert their effects?
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they enhance the effectiveness of GABA
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they inhibit the phosphodiesterase
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they are positive allosteric modulators of the GABA-mediation
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they block D2 receptors in the CNS
Questão 64
Questão
Nonbenzodiazepines hypnotics that act at GABA-recptor are
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Phenobarbital
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Melatonin
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Zolpidem (Stilnox)
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Zopiclone (Imovan)
Questão 65
Questão
Adverse drug reaction of Zopiclone (Imovan) are
Questão 66
Questão
Magnesium sulfate has sedative effects when administered
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orally
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parenterally
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subcutaneously
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by inhalation
Questão 67
Questão
Mechanism of action of antiepileptic drugs includes
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enhancing GABA synaptic transmission
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blocking D2 receptors
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reducing cell membrane permeability to calcium T-channels
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reducing cell membrane permeability to sodium channels
Questão 68
Questão
Drugs reducing cell membrane permeability to voltage-dependent sodium channels are
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Carbamazepine
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Benzodiazepines
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Lamotrigine
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Valproate
Questão 69
Questão
Cell membrane permeability to calcium T-channels is reduced by
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Valproate
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Ethosuximide
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Phenobarbital
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Levetiracetam
Questão 70
Questão
What are the clinical indications for prescribing Carbamazepine?
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It is a drug of first choice or focal and secondary generalized epilepsy
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It is appropriate for treatment of absence seizures
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It is used in the treatment of insomnia
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It is useful for treatment of trigeminal neuralgia
Questão 71
Questão
What is characteristic of Phenytoin?
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It reduces cell membrane permeability to voltage-dependent sodium channels
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It increases GABA synaptic transmission
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It is a potent enzyme inducer
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It is also used as an antiarrhythmic drug
Questão 72
Questão
Adverse drug reactions of Valproates are
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constipation
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weight gain
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hair loss
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hepatotoxicity
Questão 73
Questão
Which antiepileptic drugs can be used for treating status epilepticus?
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Benzodiazepines
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Carboxamides
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Valproates
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Barbiturates
Questão 74
Questão
Muscarinic cholinergic receptors are located in:
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skeletal muscles
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bronchial smooth muscles
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heart
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smooth muscles of GIT
Questão 75
Questão
Nicotinic cholinergic receptors are located in:
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autonomic ganglia
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adrenal gland medulla
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heart muscle
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skeletal muscles
Questão 76
Questão
Pharmacological effects of Acetylcholine are:
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bradycardia
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tachycardia
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increased digestive (abundant saliva), bronchial, cutaneous, (sweat) and lacrimal secretions
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increased tone and peristaltic contractions of GIT
Questão 77
Questão
M-receptor agonist used for treatment of glaucoma is:
Questão 78
Questão
What are the effects of Pilocarpine after eye application?
Questão 79
Questão
Acetylcholine esterase inhibitors (anticholinesterases) are:
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lpratropii bromidum
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Galantamine bromidum
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Neostigmine methylsulfas
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Pyridostigmine bromidum
Questão 80
Questão
Anticholinesterases are contraindicated in:
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bronchial asthma
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paralytic ileus
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epilepsy
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bradycardia
Questão 81
Questão
Antimuscarinic receptor antagonists are:
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Atropini sulfas
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Butylscopolamine
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Atracurium besilas
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Ipratropium bromidum
Questão 82
Questão
Pharmacological effects of antimuscarinic drugs are:
Questão 83
Questão
Clinical indications for prescribing antimuscarinic drugs are
Questão 84
Questão
Adverse drug reactions of Atropine are:
Questão 85
Questão
Adverse drug reactions of non-depolarizing muscle relaxants are:
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histamine release
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hypotension
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hypertension
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allergic reaction
Questão 86
Questão
Which of the following drugs will antagonise the effect of the non-depolarizing neuromuscular blockers?
Questão 87
Questão
What are the main features of Suxamethonium chioridum:
Questão 88
Questão
α1-adrenoceptors are located on:
Questão 89
Questão
β1-adrenoceptors are located on:
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postsynaptic neuronal endings
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presynaptic neuronal endings
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myocardial cells
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juxtaglomerular apparatus in the kidney
Questão 90
Questão
β2-adrenoceptors are located on:
Questão 91
Questão
Indications for the clinical use of Epinephrine are:
Questão 92
Questão
Pharmacological effects of the selective β2-agonists are:
Questão 93
Questão
Which of the following drugs are selective β2-agonists?
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lsoprenalini sulfas
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Orciprenalini sulfas
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Salbutamol
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Salmeterol
Questão 94
Questão
β2-agonists are indicated in:
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bronchial asthma
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digitalis intoxication
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arterial hypertension
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threatening abortion
Questão 95
Questão
Adverse drug reactions of β2-agonists are:
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finger tremor
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bronchial dilatation
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hyperglycemia
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tolerance
Questão 96
Questão
Which of the following drugs act as agonists of the presynaptic α2-adrenoceptors?
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Salbutamol
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Clonidini hydrochloridum
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α-Methyldopum (Dopegyt)
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Sotalol
Questão 97
Questão
Adverse drug reactions of Clonidin are:
Questão 98
Questão
For Methyldopa is true:
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has antihypertensive effect
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it is safe in pregnancy
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could cause drug-induced parkinsonism
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used to treat threatening abortion
Questão 99
Questão
Which of the following drugs are selective β1-blockers?
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Atenolol
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Pindolol
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Propranolol
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Metoprolol
Questão 100
Questão
β-blockers are indicated in case of:
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hypertension
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bronchial asthma
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arrhythmia
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ischaemic heart disease
Questão 101
Questão
β-blocker approved for topical use in treatment of glaucoma is:
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Bisoprolol
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Metoprolol
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Timolol
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Propranolol
Questão 102
Questão
Potential adverse drug reactions of β-blockers are
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hypoglycaemia
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bronchoconstriction
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hyperglycaemia
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nightmares
Questão 103
Questão
Effects of methylxanthines on the cardio-vascular system are:
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positive inotropic effect
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negative inotropic effect
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increased cardiac output
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cranial vessels constriction
Questão 104
Questão
Adverse drug reactions of methylxanthines are:
Questão 105
Questão
Therapeutic uses of Methylehenidaie are:
Questão 106
Questão
Antidepressants, selective serotonin reuptake inhibitors are:
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Fluoxetine
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Clomipramine
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Paroxetine
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Amitriptyiine
Questão 107
Questão
Mode of action of antidepressants involves:
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Inhibition of serotonin reuptake
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Inhibition of norepinephrin reuptake
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Stimulation of serotonin reuptake
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MAO inhibition
Questão 108
Questão
In treatment with MAOIs should be avoided the intake of: