Clinical Pharmacology Final MCQs- 5th Year PMU

Descrição

Clinical Pharmacology Final MCQs- 5th Year PMU
Med Student
Quiz por Med Student , atualizado more than 1 year ago
Med Student
Criado por Med Student mais de 4 anos atrás
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Resumo de Recurso

Questão 1

Questão
Drugs half-life is an index for
Responda
  • 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

Questão 2

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

Questão 3

Questão
Drug surveillance is done by
Responda
  • spontaneous reporting
  • observation studies
  • family doctors
  • population statistics

Questão 4

Questão
Adverse drug reactions are the following types
Responda
  • augmented
  • bizarre
  • chronic
  • delayed

Questão 5

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

Questão 6

Questão
For pharmacokinetics in elderly is true
Responda
  • decreased excretion
  • decreased metabolism
  • decreased volume of distribution
  • increased volume of distribution

Questão 7

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

Questão 8

Questão
First phase of clinical trial can be determinated as
Responda
  • 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

Questão 9

Questão
Monitoring of therapeutic plasma concentrations is necessary for
Responda
  • theophyllin
  • phenobarbital
  • carbamazepin
  • amoxicillin

Questão 10

Questão
Pharmacogenetic differences lead to
Responda
  • decreased effect
  • increased effect
  • development of adverse drug reactions
  • avitaminosis

Questão 11

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

Questão 12

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

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

Questão
Categories of ADRs are
Responda
  • certain
  • probable
  • possible
  • unlikely

Questão 18

Questão
Therapeutic drug monitoring is
Responda
  • 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

Questão 19

Questão
Third phase of clinical trial can be determinated as
Responda
  • 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

Questão 20

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

Questão 21

Questão
Adverse drug reactions of methylxanthines are
Responda
  • arrhythmias
  • headache, fatigue, seizures
  • decreased diuresis
  • bradycardia

Questão 22

Questão
Bronchodilators are
Responda
  • Antimuscarinic drugs
  • β2-mimetics
  • Methylxanthines
  • H2-blockers

Questão 23

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

Questão 24

Questão
Diuretics, used in chronic liver failure are
Responda
  • osmotic diuretics
  • thiazide diuretics
  • loop diuretics
  • aldosterone antagonists

Questão 25

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

Questão 26

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

Questão 27

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

Questão 28

Questão
Drugs preferred for treatment of hypertensive crisis are
Responda
  • Furosemide
  • Clonidine
  • Nitroprusside
  • Pindolol

Questão 29

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

Questão 30

Questão
Which are non-absorbent antacid drugs
Responda
  • sodium salts
  • calcium salts
  • aluminium salts
  • magnesium salts

Questão 31

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

Questão 32

Questão
Which are the therapeutic effects of NSAIDs
Responda
  • analgesic
  • antipyretic
  • anti-inflammatory
  • cough suppressants

Questão 33

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

Questão 34

Questão
Antimicrobial drugs with renal excretion are
Responda
  • Penicillins
  • Quinolones
  • Macrolides
  • Aminoglycosides

Questão 35

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

Questão 36

Questão
Pharmacodynamic changes in elderly are
Responda
  • 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

Questão 37

Questão
Steady-state plasma concentration is
Responda
  • 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

Questão 38

Questão
Bad compliance of the patient may be due to
Responda
  • 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

Questão 39

Questão
Fourth phase of clinical trial can be determinated as
Responda
  • 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

Questão 40

Questão
Drugs clearance is
Responda
  • 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

Questão 41

Questão
β2-mimetics are contraindicated for patients with
Responda
  • diabetes
  • bradycardia
  • thyreotoxicosis
  • hypertension

Questão 42

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

Questão 43

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

Questão 44

Questão
The antibiotics of choice for patients with immune deficits are
Responda
  • bactericidal
  • bacteriostatic
  • carbapenemes
  • glycopeptides

Questão 45

Questão
Corticosteroids for systemic application are
Responda
  • Prednisone
  • Budesonide
  • Methylprednisolone
  • Prednisolone

Questão 46

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

Questão 47

Questão
The most often ADRs of β-blockers are
Responda
  • Tiredness
  • Bradycardia
  • AV block
  • Hypertension

Questão 48

Questão
For treatment of Prinzmetal angina are used
Responda
  • propranolol
  • diltiazem
  • verapamil
  • furosemide

Questão 49

Questão
Adverse drug reactions of ACE inhibitors are
Responda
  • angioedema
  • dry cough
  • hyperlipidemia
  • hyperglycemia

Questão 50

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

Questão 51

Questão
Proton pump inhibitors are
Responda
  • Omeprazole
  • Rabeprazole
  • Mizoprostol
  • Lansoprazole

Questão 52

Questão
Gastrointestinal mucosa protectors are
Responda
  • Sucralphate
  • Misoprostol
  • Probiotics
  • Colloidal bismuths salts

Questão 53

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

Questão 54

Questão
Which are the indications for prescribing NSAIDs
Responda
  • arthritis
  • toothache
  • radiculitis
  • neuropathic pain

Questão 55

Questão
Triptans are used for treatment of
Responda
  • acute migraine
  • prevention of migraine
  • cancer pain
  • allergies

Questão 56

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

Questão 57

Questão
Adverse drug reactions of aminoglycosides are
Responda
  • ototoxicity
  • nephrotoxicity
  • gastrointestinal problems
  • liver toxicity

Questão 58

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

Questão 59

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

Questão 60

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

Questão 61

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

Questão 62

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

Questão 63

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

Questão 64

Questão
Method of evaluation of cost/benefits ration are
Responda
  • cost minimization analysis
  • cost effectiveness analysis
  • cost utility analysis
  • cost consequence analysis

Questão 65

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

Questão 66

Questão
β2-mimetics should not be combined with
Responda
  • Corticosteroids
  • β-blockers
  • Leukotriene inhibitors
  • MAO inhibitors

Questão 67

Questão
Methylxanthines should not be combined with
Responda
  • Diuretics
  • β2-mimetics
  • Corticosteroids
  • Leukotriene antagonists

Questão 68

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

Questão 69

Questão
Antianginal drugs are
Responda
  • Cardiac glycosides
  • β-blockers
  • Organic nitrates
  • Calcium channel blockers

Questão 70

Questão
Antihypertensive drugs are
Responda
  • Diuretics
  • ACE inhibitors
  • Angiotensin receptor blockers
  • β-blockers

Questão 71

Questão
Adverse drug reactions of salt losing diuretics are
Responda
  • hyperglycemia
  • hyperuricemia
  • hypopotassiemia
  • hyperpotassiamia

Questão 72

Questão
Well known drug interactions of proton pump inhibitors are
Responda
  • 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

Questão 73

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

Questão 74

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

Questão 75

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

Questão 76

Questão
Adverse drug reactions of triptans are
Responda
  • sleepiness
  • fatigue and dizziness
  • hyperglycemia
  • paresthesias

Questão 77

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

Questão 78

Questão
Adverse drug reactions of tetracyclines are
Responda
  • liver damage
  • ototoxicity
  • nephrotoxicity
  • teeth and bone damage

Questão 79

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

Questão 80

Questão
Mechanisms of drug interactions are
Responda
  • unpredictable
  • pharmacokinetic
  • pharmacodynamic
  • pharmaceutical

Questão 81

Questão
Pharmacokinetic defects are
Responda
  • acetylation
  • oxidation
  • hydrolysis
  • red cells enzyme defects

Questão 82

Questão
Adverse drug reactions of β2-mimetics are
Responda
  • tachycardia
  • hyperglycemia
  • hypoglycemia
  • headache

Questão 83

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

Questão 84

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

Questão 85

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

Questão 86

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

Questão 87

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

Questão 88

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

Questão 89

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

Questão 90

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

Questão 91

Questão
Metabolic effects of glucocortcosteroids are
Responda
  • hypoglycemia
  • hyperglycemia
  • reduced calcium absorption
  • increased protein catabolism

Questão 92

Questão
Drugs decreasing myocardial hypertrophy are
Responda
  • β-blockers
  • Angiotensin receptors blockers
  • Diuretics
  • α-blockers

Questão 93

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

Questão 94

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

Questão 95

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

Questão 96

Questão
Which corticosteroids are used by inhalation in asthma attacks
Responda
  • Budesonide
  • Dexamethasone
  • Fluticasone
  • Beclomethasone

Questão 97

Questão
Antihypertensive drugs with direct vasodilating effects are
Responda
  • Diazoxide
  • Nitroprusside
  • Propranolol
  • Methyldopa

Questão 98

Questão
Antihypertensive drugs are
Responda
  • α2-agonists
  • α1-blockers
  • M-cholinolytics
  • Antihistamine drugs

Questão 99

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

Questão 100

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

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