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USMLE Pharmacology

Card Set Properties
Title: USMLE Pharmacology
Description: USMLE Pharmacology
Number of Cards: 351
Author: Matthew J Swenson
Created: 2007-01-08
Tags: 351 drug fc medicine mjs pharm pharm-swenson pharm2 pharma pharma07 pharma1 pharmacology q's swenson ultimo usmle usmle_pharmacology_351_cards
Private: No
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Question Answer Note/Hint
True or false? Hyperkalemia increases the effect of digoxin. False. hyperkalemia decreases digoxin's activity, while hypokalemia, hypomagnesemia, and hypercalcemia all increase digoxin toxicity.
Which antispasmodic blocks the release of Ca 2+from the SR and is used in the treatment of malignant hyperthermia? Dantrolene
Which overdose carries a higher mortality rate, that of benzodiazepines or barbiturates? Barbiturate overdose and benzodiazepine withdrawal carry the highest mortality rates.
What antiviral agent is used in the treatment of drug-induced Parkinson's disease? Amantadine
Are the following responses associated with histamines H1 or H2 receptor activation?
• Edema
H 1
Are the following responses associated with histamines H1 or H2 receptor activation?
• Gastric acid secretion
H 2
Are the following responses associated with histamines H1 or H2 receptor activation?
• SA nodal activity
H 2
Are the following responses associated with histamines H1 or H2 receptor activation?
• Pain and pruritus
H 1
Are the following responses associated with histamines H1 or H2 receptor activation?
• Bronchial smooth muscle activity
H 1
Are the following responses associated with histamines H1 or H2 receptor activation?
• Inotropic action and automaticity
H 2
True or false? The lack of dopamine production in the substantia nigra leads to the extrapyramidal dysfunction, characteristically seen in patients with Parkinson's disease. True. The lack of dopamine leads to an excess of ACh, hence extrapyramidal dysfunction.
Which PG maintains patency of the ductus arteriosus and is used in the treatment of primary pulmonary HTN? PGI 2
Which CNS ACh receptor or receptors are excitatory? Inhibitory? M 1 and nicotinic receptors are excitatory in the CNS and M 2 receptor is inhibitory.
True or false? Beta2-Adrenergic agents are used in the management of an acute asthmatic attack. True. They are useful in the early-phase response to an asthmatic attack.
Do local anesthetics bind to the activated or inactivated sodium channels? Inactivated
What is the drug of choice for treating Tourette syndrome? Pimozide
What mosquito is responsible for the transmission of malaria? Anopheles mosquito
What enzyme is inhibited by disulfiram? Acetaldehyde dehydrogenase
Which diuretic is used as an adrenal steroid antagonist? Spironolactone
What drug is given transdermally for chronic pain but can cause chest wall rigidity if given IV? Fentanyl
What is the drug of choice for penicillin-resistant gonococcal infections? Spectinomycin
What is the DOC for treating torsade de pointes? Magnesium
Is heparin contraindicated in pregnancy? No. Heparin is safe in pregnancy, but warfarin is contraindicated in pregnancy because of its ability to cross the placenta.
What oral antifungal agent is used to treat dermatophyte infections by disrupting microtubule structure and depositing keratin? Griseofulvin
Which anticonvulsant can cause teratogenic craniofacial abnormalities and spina bifida? Carbamazepine
What are the three Beta-lactamase inhibitors? 1. Clavulanic acid
2. Sulbactam
3. Tazobactam
Which anticonvulsant used in the treatment of bipolar disorder is refractory to lithium? Carbamazepine
Are antineoplastic agents that work on actively proliferating cells schedule or dose dependent? Schedule dependent; antineoplastic agents that work on nonproliferating cells are dose dependent
Which class of diuretics is used to treat metabolic alkalosis, acute mountain sicknesses, and glaucoma and to aid in the elimination of acidic drug overdoses? Carbonic anhydrase inhibitors (acetazolamide and dorzolamide)
What estrogen receptor agonist in bone is used in the treatment and prevention of osteoporosis? Raloxifene
Which tetracycline is used in the treatment of SIADH? Demeclocycline
How is the eye affected by use of opioids? With opioid use the pupils become pinpoint (miosis) because of increased cholinergic activity.
Name the antimicrobial agent whose major side effect is listed.
• Grey baby syndrome
Chloramphenicol
Name the antimicrobial agent whose major side effect is listed.
• CN VIII damage (vestibulotoxic)
Aminoglycosides
Name the antimicrobial agent whose major side effect is listed.
• Teratogenicity
Metronidazole
Name the antimicrobial agent whose major side effect is listed.
• Cholestatic hepatitis
Erythromycin
Name the antimicrobial agent whose major side effect is listed.
• Hemolytic anemia
Nitrofurantoin
Name the antimicrobial agent whose major side effect is listed.
• Dental staining in children
Tetracycline
Name the antimicrobial agent whose major side effect is listed.
• Altered folate metabolism
Trimethoprim
Name the antimicrobial agent whose major side effect is listed.
• Auditory toxicity
Vancomycin
Name the antimicrobial agent whose major side effect is listed.
• Cartilage abnormalities
Quinolones
What are the two side effects of opioids to which the user will not develop tolerance? Constipation and miosis
Which anticonvulsant is also used in the treatment of bipolar disorder and for migraine headaches? Valproic acid
What antitubercular agent causes loss of red-green visual discrimination? Ethambutol
Name the insulin preparation based on the peak effect and duration of action.
• Peak, 8 to 16 hours; duration, 24 to 36 hours
Ultralente
Name the insulin preparation based on the peak effect and duration of action.
• Peak, 0.5 to 3 hours; duration, 5 to 7 hours
Regular insulin
Name the insulin preparation based on the peak effect and duration of action.
• Peak, 8 to 12 hours; duration, 18 to 24 hours
Lente or NPH insulin (neutral protamine Hagedorn insulin)
Name the insulin preparation based on the peak effect and duration of action.
• Peak, 0.3 to 2 hours; duration, 3 to 4 hours
Lispro insulin
Is digoxin or digitoxin renally eliminated? Digoxin is renally eliminated; digitoxin is hepatically eliminated.
What is the drug of choice for steroid-induced osteoporosis? Alendronate
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