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Pharmacy Exam (Ibb)


Aminoglycosides are poorly absorbed from the gut and must therefore be delivered via parenteral routes.

A. True                                                                    B. False

Aminoglycosides are most effective against which kind of microorganism?

Aerobic gram-negative bacteria

Anaerobic gram-negative bacteria

Aerobic gram-positive bacteria

Anaerobic gram-positive bacteria

Ototoxicity is more likely if aminoglycosides are administered with which of the following drug classes?

Loop diuretics

Metformin

Vancomycin

Cephalosporins

Which of the following statements about aminoglycosides is false?

They have short half-lives

They are bactericidal

They exacerbate weakness in myasthenia gravis patients

None of the Above

Which of the following beta-blockers also has additional alpha-blocking activity?

Nadolol

Pindolol

Labetalol

Esmolol

Which of these beta-blockers is a Class III antiarrhythmic agent?

Metoprolol

Esmolol

Sotalol

Bucindolol

Which of the following NSAIDs is a selective COX-2 inhibitor?

Indomethacin

Meloxicam

Etoricoxib

Mefenamic acid

Pernicious anemia results from a deficiency of which of these vitamins?

Vitamin C

Vitamin D

Vitamin B9

Vitamin B12

N-acetyl-p-benzoquinone imine levels rise in response to what state of drug toxicity?

Codeine

Acetazolamide

Acetaminophen

Diazepam

All these antihypertensive drugs are safe in pregnancy, except which?

Labetalol

Ramipril

Nifedipine

Methyldopa

Mesna is used to reduce the risk of hemorrhagic cystitis from which drug?

Heparin

Warfarin

Busulfan

Cyclophosphamide

Pyridoxine is an effective antidote for which of the following drugs?

Methotrexate

Anticholinergics

Isoniazid

Benzodiazepines

According to the Vaughan-Williams classification of antiarrhythmic drugs, which class works as potassium-channel blockers?

Class I

Class II

Class III

Class IV

Which of these antiviral drugs works by targeting NS5A?

Sofosbuvir

Paritaprevir

Ledipasvir

Dasabuvir

Which of these drugs should be avoided 48-hours before/after use of IV contrast media?

Phenytoin

Metformin

Voriconazole

Pyridostigmine

Which of these drug combinations is most effective at treating fulminant C. difficile infection?

Clarithromycin / doxycycline

Linezolid / metronidazole

Doxycycline / benzylpenicillin

Vancomycin / metronidazole

Which of these antifungal drugs works by inhibiting the enzyme, squalene epoxidase?

Amphotericin B

Caspofungin

Terbinafine

Griseofulvin

Terbutaline, magnesium sulfate, nifedipine, and indomethacin are all examples of which of these kinds of drug?

Beta-2 agonist

Tocolytic

NSAID

Eugeroic

Which of these antidotes is used to reverse opioid toxicity?

Octreotide

N-acetylcysteine

Naloxone

Flumazenil

Which drug works as a competitive reversible inhibitor of DPP-4, reducing enzymatic inactivation of the incretin hormones, GLP-1 and GIP?

Metformin

Pioglitazone

Nateglinide

Sitagliptin

Carbonic anhydrase inhibitors  work by acting at which part of the nephron?

Proximal tubule

Loop of Henle

Distal tubule

Collecting duct

Which of the following drugs works by inhibiting the enzyme catechol-O-methyltransferase?

Entacapone

Rasagiline

Orphenadrine

Tetrabenazine

Which of the following drugs works by irreversibly inhibiting the H+/K+-ATPase pump in order to reduce acid secretion?

Aluminium hydroxide

Cimetidine

Omeprazole

Metoclopramide

Rhabdomylosis and myopathies are notable side effects of which drug class?

Alpha-blockers

5-alpha reductase inhibitors

Statins

Loop diuretics

“Red man syndrome” is an adverse effect of ________________.

Chloramphenicol

Phenytoin

Vancomycin

Lithium

All these drugs are known to cause hyperkalemia, except?

Trimethoprim

Lisinopril

Spironolactone

Albuterol

Which of these oral hypoglycemic drugs can cause weight loss?

Pioglitazone.

Exenatide

Gliclazide

Metformin

Which of these drugs causes Reye’s syndrome?

Acetaminophen

Ibuprofen

Aspirin

Tramadol

Tendon rupture / damage is a known side effect of which antimicrobial drug class?

Macrolides

Aminoglycosides

Oxazolidinediones

Fluoroquinolones

The enzyme system responsible for the metabolism of most drugs is

P-glycoprotein.

Alkaline Phosphatase

Creatine kinase.

Cytochrome P-450.

A patient was admitted to the hospital because of an acute episode of bronchial asthma. Theophylline was administered to the patient as an iv loading dose of 300 mg followed immediately by a constant rate iv infusion of 45 mg/hr. The theophylline steady-state concentration achieved is 15 mg/L  ( k is 0.1 hr-1) calculate the volume of distribution

20 L

30 L

40 L

50 L

35-year-old woman is being started on lamotrigine for newly diagnosed epilepsy. She is otherwise healthy and is not taking any medications except for acetaminophen for an occasional headache. Which of the following will be most important to monitor as she starts lamotrigine? 

Vision 

Blood count 

Rash 

Heart rhythm

A new patient with Parkinson disease comes to the pharmacy with a prescription for pramipexole 0.25 mg at bedtime. Which of the following is the most common adverse effect of pramipexole? 

Obsessive behavior 

Livedo reticularis 

Nausea 

Thickening of heart valves

Which of the following is NOT action of digoxin?

positive chronotropic effect

positive inotropic effect

increase in renal blood flow

decrease in preload

Which molecule should not recommended in DM type 2 and heart failure stage c:

Glibenclamide

Pioglitazone

Metformin

b and c












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