23 1 2020

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The text discusses various medical conditions like hypertension, diabetes, renal failure, etc. and drugs used to treat them like antihypertensives, antidiabetics, diuretics, etc. It also mentions some calculations and guidelines.

Some medical conditions discussed include hypertension, diabetes, renal failure, gout, Parkinson's disease, HIV/AIDS, etc. Some drugs mentioned are antihypertensives, antidiabetics, diuretics, antipsychotics, antivirals, etc.

Some calculations mentioned are related to dosage amounts like mg or ml required. Other numbers mentioned are related to things like weight, bioavailability, half-life etc.

● 23 -1 -2020

REPEATED QUESTIONS(17-8-17 & 15-12-16 & 18/8/16)

CALCULATIONS-12(2 NEW QUESTIONS)


REPEATED QUESTIONS (SAME QUESTIONS)- 2
OTHERS- 80
TOTAL -94 QUESTIONS I COULD RECOLLECT

1. Patient with hypertension and congestive heart failure with ejection fraction 28%
which suitable antihypertensive for him:
a. Clonidine
b. Gaunithidine
c. Diltiazem
d. Nisoldipine​✔
2-normal prescription valid for:
a. no limit
b. 6 month​✔
c. 9 no
d. 1 year
3-how to differentiate between kidney failure and kidney transplant rejection by :
a. glumular filtration rate​✔
b. serum creatinine
c. BiopsY
4-mechanism of action of metformin except :
A-increase insulin sensitivity
B-decrease HDL and increase LDL something like that
C-​inscreaseinsuline secretion​✔
5-Metformin other uses than diabetes:
Polycystic ovary syndrome
6-Which of the following cause hyperinsulinemia:
A-Pioglitazone
B-Glimipride​✔
C-Metfotmin
D-Acarbose
7-Which of the following cause hyperinsulinemia EXCEPT( the least to cause
hyperinsulinemia)
A-Pioglitazone
B-Glimipride
C-Metfotmin
D-Acarbose​✔
8-which of the following is DOC in the treatment of Diabetes Insipidus
A-Vasopressin
B-Desmopressin​✔
C-Gliclazide
9. The metabolic effect of combining glucocorticoid and tacrolimus is:
a. Hypocalcemia
b​. Hyperglycemia​✔
c. Hyperlipidemia
d. Hyponatremia
10- bumetanide true about it :
a. cause Ototoxicity
b. Need potassium treatment with it
c. Contraindicated with sulphonamide sensitivity
d. All of the above​✔
10-Case about a patient took lovastatin all of the following are side effect except:
A-myopathy
B-rhabdomyolysis
C-​renal dysfunction​✔
D-hepatic dysfunction
12. Patient with hypertension and renal failure which diuretic suitable for him:
a. Chlorthiazide
b. Triametrene
c. Furosemide
d. Spironolactone
13. Patient with hypertension and gout which antihypertensive drug suitable for him:
a. Chlorthiazide
b. Torsemide
c. Metolazone
d​. Tenormin​✔​,,,,atenolol ,,,bb
14- sodium lauryl uses:
Wetting agent
15-Erythropiotin known as increase hemoglobin … which following not used in
A-​severe anemia due to acute bleeding ​✔
B- ………….
16- liraglutide is: g
​ lucagon like peptide
17.cholinergic toxicity case work in which receptor:
A.​muscarinic​✔
B.nicotinic
C.adrenergic
D.nor adrenergic
18-All of the following are irreversible anticholinestraseexcept :
A-Malathoin
B-Parathion
C-Echothiophate
D-Neostigmine​✔
19.All irreversible except:
A.Malathion
B.Ecothiophate
C.parathion
D. piperzidine​✔
20-which of the following doesn't cross CNS ;
A-Carbachol
B-Physiotgmine.
C-Neostigmine​✔
D-Bethanecol
21-Phenoxybenzamine is irreversile adrenergic anatagonist used in :
A-HTN
B- BPH
C- Pheochromocytoma​✔
D-all
22-which one of the following is true about botulinum toxicity :
A-Acetylcholieterase receptors blockade
B-Treated with choline infusion
C​- ​occur at preganglionic ends​✔
D- Irreversible toxicity
23. All of the following are uses of cholinergic agonist except:
a. Glaucoma
b. Atony of bladder
c. Megacolon
d​. Sjogrens​✔
24-case about a patient had an organophoshoroustoxicity , all of the following are side
effect except:
A-Cyclopegia​✔
B-Miosis
C-Skeletal muscle weakness
D-GIT disturbance
25-Case about a patient having GERD … the purpose of the question what secrete
gastric acid
A-Histamin
B-Parietal cells ​✔
26 .physiological mediator for acid secretion in stomach :
A.Gastrin​✔
B.histamin
C.Muscurinic
D.vagal response
27-and also a question about where histamin is stored in the GIT
A​-Basophiles​✔
B-Parietal cells
(enterochromaffin like cells not found)
28.How to differentiate between typical and Atypical antipsychotic
A.extrapyramidal Side effects​✔
30.negative symptoms apathy and blunted are benefite with:
A.Respiridone​✔
b.Haloperidol
c.fluphenazine
D.chloropromazine
31 .case parkinsonism All symptoms of anti parkinsons drug are reverse except:
A.Parkinsonism symptoms
B.Dystokiya
C. t​ radive dyskinesia​✔
32. Clozapine blocks which receptor (s):
a. Serotonin
b. Dopamine
c​. Serotonin and dopamine​✔
d. Dopamine and norepinephrine
33- atorvastatin10mg=​20 mg simvastatin
34. All of the following drugs cause postural hypotension except:
a. Clonidine
b. Carvedilol​✔
c. Sildenafil
d. Clozapin
35-Pregnant woman having UTI which of the following drugs can be used
A-Nitrofurinatoin
B-CO-amoxiclav​✔
C-Sulfamethoxazole
D-Trimethoprim

36-case about a patient came to emergency with high blood pressure and they gave
him minoxidil what the Mechanism Of Action :
A-decrease HR and decrease contractility
B-​decrease arterial pressure and increase contractility​✔
C-Increase HR and increase contractility
‫اﻻﺧﺘﯿﺎراﺗﮫﻨﺎﻛﺎﻧﺘﻤﺤﯿﺮةﺟﺪاﻻزﻣﺘﻌﺮﻓﻮا‬
MoA of minoxidil :
_1_decrease arterial pressure
2_increase heart rate
3_increase contractility

37. case about tamoxifen, can be used in all of the following except:
advanced stage of breast cancer

38-Which of the following if used for long term can increase acetaminophen toxicity:
A-Verapamil
B-Cimitidine
C -ethanol​✔
39-Which part of the component considered as the heart of the can ?
A.valve​✔
B.propalent
C.tube
Ans,,,,A
40. Which part in aerosolyou press to get aerosol:
a. Actuator​✔
b. House
c. Dip tube
41-Which of the following gases are used as a propellant in aerosol container?
A.​carbon dioxide
B. Hydrocarbon
C.trifluromethane
d.all​✔
42.case about patient has difficulty in breathing at the last 30 minute , his family is
asthamatic and he has experienced asthma ,what is used for decreasing difficuty
A.salbutamol
B.Albuterol​✔
C terbutaline
D corticosteroid
43. which used in treatment chronic asthma:
A.salbutamol
B.Albuterol
C terbutaline
D ​corticosteroid​✔
44-Case of a patient asked for an OTC for her constipation, she said that she
experienced painful defecation .you decided to transfer her to a physician because you
think she have
a​.Anal fissure ✔​
b.Anal fistula
c.Rectal fissure
d.Rectal abscess
45-Lady came to a pharmacy having dysmenorrhea , complaining about severe pain ,
and her period came week later than she expected , the pharmacist decided to refer her
to doctor because of :
A-Ectopic pregnancy
B-Fibromyositis
C- Pelvic inflammation
D-Endometriosis​✔
46-Case of a child having diarrhea , he had 2 bowel movements within 3 hours , what
should you give?
a.loperamide
b.ors​✔
c.antibiotic
47-patient came to pharmacy and bought a UTI kit indicator test, as apharmacist what
should you know about it
A.it’s a test that convert dietary nitrate to nitrous​✔
B. it’s a test that indicate anaerobic bacteria only
C.it’s a case that indicate gram positive bacteria only
D.it’s a kit that contains 30 dipstick in a packet
48-Which of the following is true?
A.Aspirin used as anti inflammatory, antipyretic , and as a prophylaxis for
secondary MI​✔
B-paracetamol is used as an analgesic, antipyretic, and as an antiplatelet in small
cocentrations
C-diclofenac is used as analgesic , antipyretic , used as antiplatelet in small
concentrations

49-pateint come to pharmacy asked about itchy fingers , his hand he have gray
burrow's on web ......
a​.scabies​✔
B.psoriasis

50-A Patient havingvarcillazoster which of the following doses is true :


A)ACYCLOVIR 200 mg 5 times daily
B)ACYCLOVIR 400 mg 5 times daily
C​)ACYCLOVIR 800 mg 5 times daily​✔
D)ACYCLOVIR 100 mg 5 times daily

51- epinephrine cause all except:


a- increase systolic pressure
b- hyperglycemia....
c- Lipogenisis​✔
52-the least effect of norepinephrine on which receptor
B1
B2​✔
53_ Not true about pseudoephedrine:
Ans,has short duration of action
54- T 4 binds to:
a- albumin
b- thyroxine binding globulinc.
c- Transthyretine
d- all of the above​ ​✔
55- medicines that are sensitive to light should be put in
Ans,Colored Amber container​✔
56- which fibrinolytic cause hypersensitivity:
a- Altepase:
b- Fondaparinux
c- Streptokinase​✔
d- Urokinase
57- Which of the following will increase the half-life of theophylline?
a): Carbamazepine
b​): Cimetidine​✔
c): Phenobarbital
d): Smoking
58. Droperidol:
A. Substituted phenothiazine
B. Reliably produces mental tranquility
C. Does not act (directly) on CTZ
D. Alpha-blockade with hypotension is not a problem with 2mg dose
E​. Slows alpha rhythm on EEG​✔
59. Benzodiazepines:
A. Are all lipid soluble (OR: None are water-soluble)
B. Are all renally excreted unchanged
C. Causes retrograde amnesia
D. Lorazepam is more lipophilic than midazolam
E. Block GABA receptors
F. H​ ave high therapeutic index​✔
60. All of the following drugs should be avoided with azathioprine except:
a. Propranolol​✔
b. Allopurinol
c. Enalapril
d. mycophenolate mofetil
61. How to differentiate between cholinergic crisis and Myasthenia crisis
a. CT scanning and MRI
b. Ice Pack Test
c. ​Edrophonium test​✔
d. atropine test
62. If drug is taken by incorrect route, what will happen:
a. Ineffective
b. Toxicity
c. Drug interaction
d. Omission of doses
1acd
2bcd
3 bcd
4 a b c d​✔

63. Patient with G6PD deficiency and UTI, which suitable antibiotic for him:
cefuroxime
64. Which antiplatelet cause agranulocytosis, thrombocytopenia and aplastic anemia:
​a. Ticlopedine​✔
b. Clopidogril
c. Aspirin
d. Abciximab

65. Patient has HIV, which NRTI cause lactic acidosis and hepatic steatosis:
a. Zidovudine
b.stavudine​✔
66-In filteration ophthalmic atrophy due to :
A.Hyperthyroiditis
B.Toxic unilateral goiter
C.toxic bilateral goiter ‫دھﺴﺆاﻟﺠﺪﻳﺪ‬
D​. Graves disease​✔
67.case for Tb and leprosy he had big wound in his hand with very thick skin and no
sensation
In the wound ..he can use all these drug except :
A.rifambcin
B​.Inz​✔
C.OFLOXACIN
D.minocyclin

68_ refrigatir temp: 2


​ _8 c
69_drug which is poorly absorbed,has analgesic activity,antidiarreal and controlled
drug:
a.mophine
b.naproxen.
c.loperamide​✔

70_ used to treat hyper capnia


Ans,,,,doxapram​✔

21_pt. has pain in his left eye and he sees halo around light
A. Glaucoma ​✔
B.cataract
Ans,,,,,, A
Cataract ,,,,,blurred vision
Glaucoma ,,,,,pain
72- Contoroled drug …. ​CDB GP 5
73 – tazobactam​>>>> b lactamase inhibitor
74 – patient take theophylline as ttt , what is your advice:
Donot crush
75 – propranolol is contraindicated in :
Partial arterioventricular block
76 – for treatment of impetigo what is used:
Muprocin + fusidic acid
77- .JG has been taking metoclopramide 20 mg, This morning, she forgot to take her
morning dose. The pharmacist should advise JG to:
a. take the missed dose immediately when she gets home and continue as scheduled.
b. take two doses at lunchtime to make up for the missed dose.
c. skip the missed dose and take the next scheduled dose at lunchtime.​✔
d. skip today’s medication and resume her normal schedule tomorrow. e. space 4 doses
into the remaining hours between when JG gets home and her bedtime.
78- about junior pharmacist asked to refill prwsception of morphine
A-it ​need controlled prescptionshould be written with liscneced prescriber.​✔
B-no limit for dispense other prescription

Calculations

1(no.24) dopamine----- 360 ml


2(no.32) Clindamycin-----150 mg
3(no,36)wt of child 3 ib +7 oz------
4(no.98) Bioavailability 60%-70%
5(no.8) oral suspension------- 15 day
6(no.39) dose 75mg ,how ml need from 125\5ml
7(no.110) heparin --------- 22.5
8 Calc .no. 99
9 –no.103
10 - no.106
11 –no.110
12-NEW

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