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    Pharma

    Uploaded by

    productivek62

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    © All Rights Reserved
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    Pharma

    Uploaded by

    productivek62
    17 views6 pages

    Original Title

    Pharma[1]

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    Pharma

    Uploaded by

    productivek62

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    © All Rights Reserved
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    of 6

    MCQ

    A patient who must take verapamil for hypertension and angina has become constipated. Which of
    the following drugs would be most suitable as a long term laxative?

    A. Aluminum hydroxide

    B. Diphenoxylate

    C. lactulose

    D. Metoclopramide

    E. Mineral oil

    A pregnant woman with 28 weeks gestation complaining of distressing constipation. Which of the
    following drugs can be prescribed safely?

    A. Ondansteron

    B. Lactulose

    C. Senna

    D. Magnesium sulphate salt

    E. Castor oil

    Bisacodyl frequently can cause:

    A. Abdominal cramps

    B. Constipation

    C. Skin rashes

    D. Dizziness

    E. Nauseas
    Castor oil is classified as which type of laxative?

    a- Lubricating laxative

    b- Anthraquinone laxative

    c- Irritant laxative

    d- Stool softening laxative

    e- Bulk producing laxative

    Which one of the folowing drugs is NOT a laxative agent?

    a- Methyl cellulose.

    b- Diphenoxylate.

    c- Liquid paraffin.

    d- Lactulose.

    e- Bisacodyl.

    Apatient who is taking verapamil for hypertension and angina has become constipated. Which of
    the following drugs is an osmotic laxative that could be used ot treat the patient's constipation?

    a- Aluminum hydroxide

    b- Diphenoxylate

    c- Magnesium hydroxide

    d- Metoclopramide

    The bulk laxative is one of the following :

    a) Mg sulfate

    b) Castor oil

    c) Bran

    d) Liquid paraffin

    e) Senna
    Irritant laxative include all the following except :

    a) Castor oil

    b) Bisacody!

    c) Diphenylmethane

    d) Lactulose

    e) Anthraquinone derivative

    70 year old patient presented with weakness, tiredness and ms cramps. the ECG shows QT
    prolongation, Flatting of T wave and occasional A-V block. his serum K was low ( 2.8 mequ/I) . he
    admitted taking laxative every day for the past several months, which laxative could be responsible
    for the above condition:

    a) Bisacodyle

    b) Liquid paraffin

    c) Methycellulose

    d) Bran

    Patient presented with abdominal pain and frequent unsatisfactory bowl movement, for the last
    one year has been using purgative twice weekly to open his bowl, on clonscopy, the colon was
    found to be atonic with bluish pigmentation of mucosa . which of the following the most likely
    purgative that patient has using :

    a) Liquid paraffin

    b) Ispaghula

    c) Senna

    d) Lactulose

    The following laxative lower the blood ammonia level in hepatic encephalopathy :

    a) Biscodyle

    b) Liquid paraffin

    c) Lactulose

    d) Mg sulfate
    All of the following drugs are generally well tolerated for the treatment of constipation except:

    A. Castor oil.

    B. Methylcellulose.

    C. Polyethylene glycol.

    D. Docusate.

    A27-year-old woman who is 34 weeks pregnant is on bed rest and visits her obstetrician. During the
    visit, she informs her physician that she has been experiencing mild constipation. Which of the
    following medications NOT recommended to her?

    A. Castor oil.

    B. Lactulose.

    C. Mineral oil.

    D. Loperamide.

    E. Bisacodyl

    A27-year-old woman who is 34 weeks pregnant is on bed rest and visits her obstetrician. During the
    visit, she informs her physician that she has been experiencing mild constipation. Which of the
    following medications will most likely be recommended to her?

    A. Castor oil.

    B. Lactulose.

    C. Mineral oil.

    D. Loperamide.

    E. Bisacodyl
    Select the mechanism by which stimulant laxatives increase defecation ?

    a) Soak up water and distend the large intestine and so, stimulation of peristalsis.

    b) Irritate the mucosal lining of the intestine and directly stimulate peristalsis.

    c) Coat the fecal matter and prevents water absorption from it.

    d) Facilitate incorporation of water into the intestinal contents and soften the fecal mass

    e) Retain water by their osmotic effect and so, stimulation of peristalsis.

    45-years old patient taking verapamil for hypertension and angina for several months. He
    complains today of constipation manifested by decreased stool frequency and often needs to
    strain to evacuate his bowels. An abdominal radiograph reveals large amounts of stool in the colon
    with no signs of obstruction. The patient try to treat his condition by increasing the fiber in his diet
    but it is no longer effective. Which of the following drugs is an osmotic laxative that could be used
    to treat the patient’s constipation?

    A-Aluminum hydroxide

    B-Diphenoxylate

    C-Magnesium hydroxide

    D-Metoclopramide

    E-Ranitidine.

    Written
    Enumerate the 6 Types of Laxatives

    Mention the mechanism of action and therapeutic uses of:


    1-Senna
    2- Bisacodyl
    3- Castor oil
    4- Bulk laxatives
    5- Saline and osmotic laxatives
    6- Stool softeners

    7- Lubricant laxatives

    8- Chloride channel activators

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