Phamacology Set 2: Page 1 of 24
Phamacology Set 2: Page 1 of 24
Phamacology Set 2: Page 1 of 24
1. Which of the following drugs would most likely be used in the treatment of B
bronschospasm that is associated with COPD?
a. Edrophonium
b. Ipratropium
c. Ambenonium
d. Propantheline
e. Homatropine
2. All of the following adverse effects are manifestations of cholinergic agonists C
except:
a. Bradycardia
b. Bronchoconstriction
c. Xerostomia
d. Lacrimation
e. Myopic accommodation
3. Which of the following drugs is considered to be the agent of choice for C
anaphylactic reactions?
a. Clonidine
b. Isoproterenol
c. Epinephrine
d. Phynylephrine
e. Terbutaline
4. Which of the following neuromuscular blocking agents can cause muscarinic B
responses such as bradycardia and increased glandular secretions?
a. Tubocurarine
b. Succinylcholine
c. Pancuronium
d. Decamethonium
e. Gallamine
5. Which of the following agents would not be appropriate in the treatment of A
glaucoma?
a. Atropine
b. Bilocarpine
c. Physostigmine
d. Timoilol
e. Epinephrine
6. Adverse reactions to atropine include all if the following except: D
a. Photophobia
b. Dry mouth
c. Sedation
d. Diarrhea
e. Tachycardia
7. Which of the following drugs is a volatile substance that is administered by B
inhalation?
a. Thiopental
b. Halothane
c. Alprazolam
d. Buspirone
e. Phenytoin
8. The structure of prochlorperazine is shown below. Which of the following A
medications, because of its chemical relationship to prochlorperazine, would
most likely cause similar side effects?
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PHAMACOLOGY SET 2
S
N
CH2CH2CH2 N N CH3
a. Fluphenazine
b. Thioridazine
c. Alprazolam
d. Buspirone
e. Pentobarbital
9. The brief duration of action of an ultra-short-acting barbiturate is due to a: D
a. Slow rate of metabolism in the liver
b. Low lipid solubility, resulting in a minimal concentration in the brain
c. High degree of binding to plasma proteins
d. Rapid rate of redistribution from the brain due to its high liposolubility
e. Slow rate of excretion by the kidneys
10. Which of the following mechanisms of action is true and most likely contributes B
to the treatment of parkinsonism?
a. The direct-acting dopaminergic agonist amantadine mimics the activity of
striatal dopamine
b. The antimuscharinic activity of diphenhydramine contributes to the
restoration of striatal dopaminergic-cholinergic neurotransmitter balance
c. The ergoline bromocriptine stimulates the release of striatal dopamine from
intact terminals
d. The ability of dopamine to cross the blood-brain allows it to restore striatal
dopaminergic-cholinergic neurotransmitter balance
11. All of the following adverse effects are associated with the use of levodopa E
except:
a. Sialorrhea
b. Orthostatic hypotension
c. Delusion, confusion, and depression
d. Dyskinesia and dystonia
e. Livedo reticularis
12. The activity of which of the following drugs is dependent on a p-phenyl-N- E
alkylpiperidine moiety?
a. Phenobarbital
b. Chlorpromazine
c. Diazepam
d. Imipramine
e. Meperidine
13. Opiods are used as all of the following agents except: C
a. Antitussives
b. Analgesics
c. Anti-innflammatories
d. Antidiarrheals
e. Preanesthetic medication
14. Which of the following agents would not be an alternative to Phenobarbital in A
the treatment of partial seizures?
a. Trimethadione
b. Gabapentin
c. Felbamate
d. Lamotrigine
15. Cholinesterase inhibitors can be used therapeutically C
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PHAMACOLOGY SET 2
b. Imipramine
c. Buspirone
d. Fluoxetine
e. Phenelzine
22. An antidepressant that inhibits serotonin reuptake and may cause adverse effects D
such as impaired memory, akathisia, and menstrual irregularities:
a. Tranylcypromine
b. Imipramine
c. Buspirone
d. Fluoxetine
e. Phenelzine
23. A 32-year-old forklift operator with a past history of cardiac arrhythmias is D
suffering from seasonal rhinitis. Which of the follo0wing choices is the best
recommendation for this patient?
a. Diphenhydramine
b. Meclizine
c. Astemizole
d. Fexofenadine
e. Famotidine
24. Mechanistically, which of the following drugs will decrease stomach acid E
secretion by blockade of H2-histaminic receptors?
a. Pryllamine
b. Hydroxyzine
c. Cisapride
d. Omeprazole
e. Ranitidine
25. Lansoprazole would be effective in the treatment of: D
a. Gastroesophageal disease
b. Peptic ulcer disease
c. Zollinger-Ellison syndrome
d. All of the above
e. None of the above
26. Which of the following agents would decrease the pain associated with C
gastroesophageal reflux disease without appreciably altering gastric pH?
a. Cimetidine
b. Omeprazole
c. Cisapride
d. Ondansetron
e. Sumatriptan
27. Which of the following is an appropriate indication of the drug tegaserod? A
a. A female patient with constipation-related IBS
b. A female patient with diarrhea-related IBS
c. A male patient with Crohn’s disease
d. A male patient with constipation-related IBS
e. A patient with Zollinger-Ellison syndrome
28. Which fo the following prostaglandin analogues is used specifically for the B
treatment of NSAID-induced gastrointestinal (GI) ulceration?
a. Alprostadil
b. Misoprostool
c. Carboprost
d. Dinoprostone
e. Epoprostenol
29. Which of the following compounds is most likely to lower circulating levels of A
leukotrienes?
a. Zilueton
b. Montelukast
c. Carprofen
d. Aspirin
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PHAMACOLOGY SET 2
e. Allupurinol
30. The action of aspirin that results in its greater efficacy as an antithrombotic E
(antiplatelet) drug is its ability to:
a. Inhibit lipoxygenase as well as cycloooxygenase
b. Selective inhibit cyclooxygenase
c. Inhibit leukocyte migration
d. Promote uric acid excretion
e. Acetylate cyclooxygenase
31. Which of the following drugs may be effective in the treatment of gouty arthritis D
by acting by two separate and distinct mechanisms?
a. Allopurinol
b. Probenecid
c. Colchicines
d. Indomethacin
e. Sulfinpyrazone
32. Acute of chronic colchicines toxicity may be identified by which of the D
following signs/symptom?
a. Alopecia
b. Blood dyscrasias
c. Severe GI upset
d. All of the above
e. None of the above
33. Patients taking chronic doses of nonselective NSAIDs should periodically be A
screened for which of the following toxicities?
a. Nephrotoxicity
b. Peripheral neuropathy
c. Cardiotoxicity
d. All of the above
e. None of the above
34. Which of the following medications would represent arthritis therapy that is least E
likely to cause gastric ulceration?
a. Aspirin
b. Acetaminophen
c. Piroxicam
d. Meclofenamate
e. Rofecoxib
35. In addition to their ability to decrease inflammatory prostaglandin synthesis, D
some NSAIDs may owe a part of their effect to their ability to:
a. Inhibit leukocyte migration
b. Inhibit leukotriene synthesis
c. Stabilize lysosomal membranes
d. All of the above
e. None of the above
36. Calcium channel blockers have all the following characteristics except: C
a. They block the slow inward current carried by calcium during phase 21 of
the cardiac action potential
b. They dilate peripheral arterioles and reduce total peripheral resistance
c. They constrict coronary arteries and arterioles and decrease oxygen delivery
to the myocardium
d. They are useful in treating stable angina pectoris and Prinzmetal’s angina
e. Adverse effects include aggravation of congestive heart failure
37. The termination of heparin activity by protamine sulfate is due to D
a. A chelating action
b. The inhibition of gastrointestinal absorption of heparin
c. The displacement of heparin-plasma protein binding
d. An acid-base interaction
e. The prothrombin-like activity of protamine
38. Which of the following cardiovascular agents is classified chemically as a B
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PHAMACOLOGY SET 2
glycoside?
a. Nifedipine
b. Digoxin
c. Flecainide
d. Chloestyramine
e. Warfarin
39. Cardiac glycosides may be useful in treating all of the following conditions D
except:
a. Atrial flutter
b. Paroxysmal atrial tachycardia
c. Congestive heart failure
d. Ventricular tachycardia
e. Atrial fibrillation
40. Ingestion of which of the following vitamins should be avoided by a patient E
taking an oral anticoagulant?
a. Vitamin A
b. Vitamin B
c. Vitamin D
d. Vitamin E
e. Vitamin K
41. The structure show below is characteristic of which of the following agents? C
H
N
Cl
NH
NH2SO2
S
O2
a. Oismotic dieretics
b. Carbonic anhydrase inhibitors
c. Thiazides
d. Loop diuretics
e. Potassium-sparing diuretics
42. Which of the following diuretics is most similar in chemical structure to the E
antihypertensive agent diazoxide?
a. Forsemide
b. Spironolactone
c. Mennitol
d. Acetazolamide
e. Chlorothiazide
43. In the oral treatment of iron-deficiency anemia, iron is preferable administered A
as:
I ferrous iron
II ferric salts
III elemental iron
a. I only
b. II only
c. I and II
d. II and III
e. I, II, III
44. Parenterally administered antihypertensive agents used in treating hypertensive D
emergencies include the:
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PHAMACOLOGY SET 2
e. Acetazolamide
51. Freely filtered, this drug limits tubular reabsorption of water and is useful in D
reducing cerebral edema and intracranial pressure.
a. Furosemide
b. Hydrochlorthiazide
c. Spironolactone
d. Mannitol
e. Acetazolamide
52. The principal site of action of this drug is on the thick ascending limb of Henle’s A
loop; it is useful in treating pulmonary edema and ascites.
a. Furosemide
b. Hydrochlorthiazide
c. Spironolactone
d. Mannitol
e. Acetazolamide
53. The following structure is a hormone. It would be classified best as: A
CH3OH
HO
a. An estrogen
b. A progestin
c. An androgen
d. A gonadotropin
e. An adrenocorticosteroid
54. All of the following substances are endogenous tropic hormones secreted by the B
pituitary gland except:
a. Somatotropin
b. Human chorionic gonadotropin (hCG)
c. Follicle-stimulating hormone (FSH)
d. Thyroid-stimulating hormone (TSH)
e. Adrenocorticotropic hormone (ACTH)
55. Which of the following substances when present in urine is the most likely C
positive sign of pregnancy?
a. Somatotropin
b. Human chorionic gonadotropin (hCG)
c. Follicle-stimulating hormone (FSH)
d. Thyroid-stimulating hormone (TSH)
e. Adrenocorticotropic hormone (ACTH)
56. All of the following hormonal drugs possess a steroidal nucleus except: C
a. Ethinyl estradiol
b. Norethindrone
c. Liothyronine
d. Prednisolone
e. Fluoxymesterone
57. Which of the following glucorticoids produces the least sodium retention? D
a. Cortisone
b. Hydroxortisone
c. Prednisolone
d. Dexamethasone
e. Fludrocortisones
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PHAMACOLOGY SET 2
d. Estradiol
e. Vasopressin
66. Initiates and control male sexual development and maintains the integrity of the A
male reproductive system:
a. Testosterone
b. Insulin
c. Corticotropin
d. Estradiol
a. Vasopressin
67. Promotes the resorption of water at the renal distal convoluted tubule: E
a. Testosterone
b. Insulin
c. Corticotrophin
d. Estradiol
e. Vasopressin
68. Peptic ulceration and gastrointestinal hemorrhage; hyperglycemia, hypertension, C
and edema; “buffalo hump” and “moon face”; psychological disturbances; and
increased susceptibility to infection are the adverse effects of:
a. Antithyroid agents
b. Sulfonylurea oral hypoglycemic
c. Adrenocorticosteroids
d. Progestins
e. Adrogens
69. Agranulocytosis and other blood dyscrasiasm cholestatic jaundice, nausea and B
vomiting hypoglycemia, and photosensitivity are the adverse effects of:
a. Antithyroid agents
b. Sulfonylurea oral phypoglycemics
c. Adrenocoricosteroids
d. Progestins
e. Androgens
70. Hepatotoxicity and jaundice, urinary retention and azoospermia, prostatic E
hypertrophy and priapism, and paradoxical gynecomastia are the adverse effects
of:
a. Antithyroid agents
b. Sulfonylurea oral phypoglycemics
c. Adrenocoricosteroids
d. Progestins
e. Androgens
71. Colchicine is used mainly to treat: A
a. Gout
b. Arthritis
c. Diabetes
d. Carcinomas
e. High blood pressure
72. Dosage of anticonvulsants is adjusted: A
a. When seizures occur frequently
b. Every 2 weeks
c. Every 2 years
d. Occasionally when side effects are seen
e. Seasonally
73. Which of the following symptoms is not present in digitalis intoxication? D
a. AV block
b. Ventricular tachycardia
c. Vomiting
d. Vagal arrest of the heart
e. Visual disturbances
74. Sulfonamides are excreted free and combined as: A
a. The acetyl derivative
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PHAMACOLOGY SET 2
b. Colchicines
c. Allopurinol
d. Na salicylate
e. NOTA
94. All of the following are used in general anesthesia except D
a. Halothane
b. Isoflurane
c. Ethylene
d. Chloroform
e. Thiopental
95. Eryc capsules contain which erythromycin base? A
a. Enteric-coated
b. Microencapsulated
c. Sugar-coated
d. Micronized
e. Crystalline
96. Which of the following is not true of ampicillin? E
a. It is acid resistant
b. It is used to treat genitourinary infections
c. It is a second-generation penicillin
d. It may cause allergic reactions
e. It is quite effective against penicillinase-producing organisms
97. An advantage of amoxicillin over ampicillin is that it A
a. Is more acid stable
b. Is not destroyed by penicillinase
c. Has a broader spectrum
d. Does not cause allergies
e. Has a longer shelf-life
98. Nefazodone is used quite widely to treat E
a. Hypertension
b. Coronary occlusions
c. Rheumatoid arthritis
d. Diabetes
e. NOTA
99. Buspirone is an antianxiety agents whose primary mechanism of action is A
a. Unknown
b. Muscle relaxation
c. Sedation
d. Blocking neuroreceptors
e. Stimulating neuroreceptors
100. :more than other hypnotics, flurazepam tends to produce B
a. Marked ataxia
b. Marked confusion
c. Marked allergies
d. Marked hypertension
e. NOTA
101. Granisetron is a (an) B
a. Β-adrenergic blocker
b. Antiemetic
c. Glucocorticoid
d. Local anesthetic
e. Sunscreen
102. Lotrisone contains betamethasone and is administered C
a. Parenterally
b. Orally
c. Topically
d. In none of the above ways
e. In all of the above ways
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d. Slow absorption
e. Poor oral absorption
122. Nisoldipine exerts its action because it is a(an) D
a. Carbonic anhydrase inhibitor
b. MAO inhibitor
c. Alkaline
d. Calcium channel blocker
e. Acid
123. The principal mechanism of action of penicillins on microorganisms is A
a. Inhibition of cell wall synthesis
b. Destruction of nucleus
c. Bacteriostatic
d. Causing mutations
e. Lysis
124. Epinephrine is not given by the oral route because E
a. It is inactivated in the gastric mucosal
b. Local vasoconstriction inhibits absorption
c. It is rapidly inactivated in circulation
d. Of none of the above
e. Of all of the above
125. Which of the following cardiac glycosides does not occur naturally? D
a. Digoxin
b. Ouabain
c. Digitoxin
d. Amrinone
e. Nitroglycerine
126. Vinorelbine is used to treat D
a. AIDS
b. Hodgkin’s disease
c. Angina pectoris
d. Breast cancer
e. Depression
127. Which of the following is classified as a cholinergic antagonist? C
a. Acetylcholine
b. Neostigmine
c. Atropine
d. Bethanecole
e. Methacholine
128. The action of heparin is terminated by E
a. Coumarin
b. Indanediones
c. Insulins
d. Sulfonamides
e. Protamine SO4
129. Nitroglycerin has a relatively short half-life due to D
a. Its volatility
b. Its chemical instability
c. Its poor absorption
d. First pass metabolism
e. AOTA
130. Various opiates may be used as all of the following, except: B
a. Analgesics
b. Anti-inflammatories
c. Antidiarrheals
d. Aids to anesthesia
e. Antitussives
131. Trhexylphenidyl is used to treat A
a. Parkinsonism
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PHAMACOLOGY SET 2
b. Angina
c. Xerostomia
d. Glaucoma
e. Muscle spasms
132. The prevalent mechanism of action of antihistaminics is that they D
a. Prevent formation of histamine
b. Speed up elimination of histamine
c. Destroy histamine
d. Competitively inhibit histamine
e. Speed up biotransformation of histamine
133. Isotretinoin is commonly used to treat E
a. Lie infestations
b. Fungal infestations
c. Ringworm
d. Burns
e. Acne
134. Endorphins play a significant role in A
a. Pain perception
b. Absorption
c. Duiresis
d. Hypertension
e. Glaucoma
135. The most effective substance in treating acute attacks of gout is E
a. Allopurinol
b. Probenecid
c. Aspirin
d. PABA
e. Colchicines
136. Nystatin is used to treat C
a. Trichomonas infestations
b. Staphylococcurs aureus infections
c. Candidiasis
d. Escherichia coli infections
e. Rickettsial infections
137. The least bound of the penicillins in blood serum is A
a. Ampicillin
b. Penicillin G
c. Penicillin V
d. Penicillin VK
e. Penicillin G procaine
138. Muscle relaxant are seldom used for more than 2 to 3 weeks because C
a. Of toxicity
b. Of instability
c. Of short duration of need
d. Of tolerance being developed
e. They are no longer used commonly
139. Chloramphenicol is used against infections that do not respond to other D
antibiotics because
a. It has the broadest spectrum
b. It is highly bactericidal
c. It is absorbed the best
d. It may cause blood dyscrasias
e. Of none of the above
140. Glipzide stimulates the release of A
a. Insulin
b. Epinephrine
c. Glucose
d. Glucagon
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PHAMACOLOGY SET 2
e. Norepinephrine
141. Propoxyphene napsylate has the advantage over the hydrochloride in that it C
is
a. More potent
b. Less toxic
c. More stable
d. More readily absorbed
e. More readily eliminated
142. Verapamil has the primary action of antagonizing D
a. Caloric intake
b. Caloric uptake
c. Caloric elimination
d. Calcium influx
e. Calcium elimination
143. Enalapril is used to treat C
a. Glaucoma
b. Angina
c. Hypertension
d. Flatulence
e. Diabetes mellitus
144. Ocular timolol is used primarily in A
a. Glaucoma
b. Pink eye
c. Conjunctivitis
d. Eye infections
e. Eye cleansers
145. Sucralfate is used for short-term therapy of A
a. Ulcers
b. Hypertension carcinomas
c. Calcium depletion
d. Dental caries
146. Lorezepam is classified as a (an) D
a. Loop diuretic
b. MAO inhibitor
c. Thiazide diuretic
d. Dibenzazepine
e. Polycyclic amine
147. Propantheline is contraindicated in patients with E
a. Glaucoma
b. Myasthenia gravis
c. Obstructive disease of GI tract
d. Ulcerative colitis
e. AOTA
148. Antiepileptic as a group are noted for developing or causing C
a. Rashes
b. Atrial tachycardias
c. Tolerance
d. Spasms
e. Headache
149. Selenium sulfide is used B
a. Orally
b. Topically
c. By injection
d. By none of the above
e. By all of the above
150. Clindamycin exhibits an antibacterial spectrum that is quite similar to D
a. Penicillin G
b. Ampicilllin
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PHAMACOLOGY SET 2
c. Erythromycin
d. Lincomycin
e. Kanamycin
151. Which of the following is not a stimulant laxative? E
a. Cascara sagrada
b. Senna
c. Castor oil
d. Bisacodyl
e. Docusate
152. Which of the following actions is not seen with sympathomimetics? A
a. They constrict the pupil of the eye
b. They increase the heart rate
c. They stimulate sweat glands
d. They dilate bronchioles
e. They constrict systemic blood vessels
153. Baclofen is used primarily as a (an) C
a. Sympathomimetic
b. Antianxiety agent
c. Muscle relaxant
d. Antispasmodic
e. Tranquilizer
154. Beta-interferon is used to treart D
a. Adult onset of diabetes
b. Hypertension
c. Cardiac insufficiency
d. Multiple sclerosis
e. Ulcers
155. A prevalent side effect of propylthiouracil is D
a. Hearing loss
b. Visual impairment
c. Acidosis
d. Leucopenia
e. Muscular spasm
156. Zolpidem is used as a (an) C
a. Diuretic
b. Antihypertensive
c. Hypnotic
d. Sedative
e. Antidepressant
157. The pharmacologic actions of sulindac include E
I. anti-inflammatory properties
II. analgesic properties
III. antipyretic properties
a. I only
b. III only
c. I and II
d. II and III
e. I, II, III
158. Sertraline is used to treat symptoms of A
a. Depression
b. Parkinsonism
c. Gout
d. Petit mal epilepsy
e. NOTA
159. Ofloxacin is classified as a (an) C
a. Antifungal
b. Antiviral
c. Broad spectrum antibiotic
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PHAMACOLOGY SET 2
a. Kidney infections
b. Burns
c. Muscle injuries
d. Sinus headache
e. Trigeminal neuralgia
170. Methylphenidate is used to treat B
a. Fatigue
b. Hyperkinesis disorder
c. Anxiety
d. Depression
e. Obesity
171. Doxorubicin is used to treat E
a. A wide variety of infections
b. Gram-positive infections
c. Gram-negative infections
d. Viral infection
e. Carcinomas
172. A drug that is useful in treating potentially fatal fungal infections is C
a. Nystatin
b. Propionic acid
c. Amphotericin B
d. Griseofulvin
173. The used of thyroid hormones in the treatment of obesity is B
a. Widely accepted
b. Unjustified
c. Acceptable in combination with other drugs
d. Only acceptable if other treatments fail
e. Acceptable if the patient is closely monitored
174. An advantage of dextromethorphan over codeine as an antitussives is that it D
a. Is twice as effective
b. Is more stable
c. Has no side effects
d. Produces very little depression of the CNS
e. Has better analgesic properties
175. Nonselective 2-adrenoreceptor antagonists are used primarily in A
a. Peripheral vascular disorders
b. Tachycardia
c. Migraine headache
d. Atherosclerosis
e. Renal insufficiency
176. All of the following statements about propranolol are true, except E
a. The oral route of administration is preferred
b. Propranolol penetrates into the CNS
c. Propranolol is primarily biotransformed in the liver
d. Propranolol causes rashes and sore throat
e. It is a nonselective alpha antagonist
177. Antimuscarinic drugs are contraindicated in E
a. Narrow angle glaucoma
b. Paralytic ileus
c. Pyloric or intestinal obstruction
d. A and B
e. A, B and C
178. Halazone is used primarily for D
a. Wound irrigation
b. Treating acne
c. Burn debridement
d. Disinfection of drinking water
e. Cold sores
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PHAMACOLOGY SET 2
c. Androestrogen
d. Testosterone
e. Thyroid hormone
189. Bacitracin is NOT usually given parenterally because of its E
a. Insolubility
b. Lack of stability
c. Pain at the injection site
d. Lack of potency
e. Nephrotoxicity
190. Beriberi is associated with a deficiency of B
a. Vitamin D
b. Thiamine
c. Vitamin C
d. Niacin
e. Riboflavin
191. A drug used to treat delirium tremens is A
a. Chlordiazepoxide
b. Haloperidol
c. Disulfiram
d. Methadone
e. None of the above
192. Cromolyn sodium acts by D
a. Destroying histamine
b. Releasing histamine
c. Biotransforming histamine
d. Preventing the release of histamine
e. None of the above
193. The anti-inflammatory action of aspirin is due to E
a. Analgesic
b. Inhibition of clotting
c. Antipyretic effect
d. Degradation of prostaglandins
e. Inhibition of prostaglandin synthesis
194. Castor oil is classified as which type of laxative? C
a. Lubricating
b. Anthraquinone
c. Irritant
d. Stool softening
e. Bulk producing
195. Penicillamine is most commonly used to treat B
a. Parkinsonism
b. Wilson’s disease
c. Neoplasm
d. Reynaud’s disease
e. Gram-positive infections
196. Probenecid is used in combination with ampicillin to A
a. Prolong high blood levels
b. Give a broader spectrum
c. Lessen allergic responses
d. Increases absorption
e. Slow absorption
197. Simvastatin is used to treat D
a. Hypertension
b. Edema
c. Aplastic anemia
d. Hypercholesteremia
e. Arthritis
198. An advantage of nortriptyline in treating depression is that it is B
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PHAMACOLOGY SET 2
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