ok guys here is some from me ,this is phermacology questions form "Weifang me. collage".
Hope it will be little help.to . all----->
Type A choice questions:
1. All of the following produce a significant decrease in peripheral resistance EXCEPT: answer: D
A. chronic administration of diuretics
B. hydralazine
C. ACE inhibitors
D. β-R blockers
E. Calcium channel blockers
2. Which of the following most directly describes the mechanism of action of digitalis? answer: C
A. Increases the intracellular level of ATP
B. Stimulates production of cAMP
C. inhibits sodium-potassium ATPase
D. decreases intracellular sodium concentration
E. Decreases release of calcium from the sarcoplasmic reticulum
3. All of the following are useful in the treatment of digitalis overdose EXCEPT: answer: E
A. anti-digoxin Fragments
B. dietary potassium supplements for patients being treated concomitantly with diuretics
C. lidocaine
D. phenytoin
E. quinidine
4. Which one of the following statements concerning congestive heart failure is correct? answer: C
A. Digitoxin is more widely used than digoxin because it has a shorter half-life
B. Serum levels of digoxin can be decreased by quinidine
C. Loop diuretics are used in patients with renal insufficiency
D. Digoxin is eliminated primarily in the bile
E. Congenital heart defects are the most common cause of congestive heart failure
5. Which one of the following aggravates a digitalis induced arrhythmia? answer: D
A. Decreased serum calcium
B. Decreasing heart rate with propranolol
C. Decreased serum sodium
D. Decreased serum potassium
E. Decreased serum angiotensin
6. Which one of the following drugs decrease de novo cholesterol biosynthesis by inhibiting the enzyme HMG CoA reductase? answer: C
A. Niacin
B. Gemfibrozil
C. Lovastatin
D. Colestyramine
E. Probucol
7. Which one of the following is the most serious main side effect of statins and this effect would be increased if a statin is taken with gemfibrozil, ciclosporin or nicotinic acid. answer: B
A. Gastrointestinal problems
B. Rhabdomyolysis
C. Elevated blood pressure
D. Migraine headaches
E. palpitations
8. All of the following measures can be used in the treatment of digoxin-induced arrhythmia EXCEPT answer: B
A. stopping digoxin administration
B. diuretic agents such as furosemide are used to promote the excretion of digoxin
C. phenytoin administration
D. atropine administration
E. lidocaine administration
9. Among the following anti-hypertensive drugs, which can cause dry cough?
answer: B
A. verapamil
B. captopril
C. losartan
D. propranolol
E. nifedipine
10. The mechanism of anti-hypertensive effect of losartan is answer: C
A. decrement of renin activity
B. inhibition of angiotensin converting enzyme
C. blockade of the angiotensin Ⅱ receptors
D. increment of kinin synthesis
E. causing vasodilation directly
11. Which of the following hypertensive patients is most suited for primary therapy with hydrochlorothiazide? answer: E
A. patients with gout
B. patients with hyperlipidemia
C. young hypertensive patients with rapid resting heart rate
D. patients with impaired renal function
E. elderly patients
12. Which of the following drugs acts at central imidazoline (I1) recptors?
answer: E
A. verapamil
B. enalapril
C. hydralazine
D. minoxidil
E. clonidine
13.All of the following statements concerning nitroglycerin are correct EXCEPT:
A.It cause an elevation of intracellular cGMP
B.It undergoes significant first-pass metabolism in the liver
C.It may cause significant reflex tarchycardia
D.It significantly decreases AV conduction=
E.It can cause postual hypotention
14.The pharmacological effects of nitroglycerin are correct EXCEPT:
A. decreasing the preload
B. contracting smooth muscle=
C. decreasing the afterload
D. dilating the coronary artery
E. reducing platelet adhesion and aggregation
15.Which group of the following drugs is the first choice for variant angina pectoris:
A. calcium channel blockers =
B. β-blockers
C. nitrate
D.NSAIDs
E.anticoagulants
16.Which group of the following drugs can NOT be used in variant angina pectoris:
A. calcium channel blockers
B. β-blockers =
C. nitrate
D.NSAIDs
E.anticoagulants
17.Which one of the following adverse effects associated with nitroglycerin is CORRECT:
A.hypertention
B.throbbing headache=
C.brandycardia
D.sexual dysfunction
E.anemia
18.All of the following mechanism of action correctly match a drug EXCEPT:
A.quinidine: Block Na+ channel
B.amiodarone: Block K+ channel
C.veripamil: Block Ca++ channel
D.propranolol: Block β-adrenoceptor
E.lidocaine: Block CL channel=—
19.Which one of the following classification of antiarrythmic drugs is INCORRECT:
A.Class IB moderate potency =
B.Class IC high potency
C.Class II β-blocker
D.Class III the drugs prolonging APD
E.Class IV calcium channel blocker
20.Which one of the following statements of quinidine is INCORRECT:
A.depress conduction in atria, ventricles and His-Purkije system
B. depress pacemaker rate of ectopic pacemakers
C. increase excitability=
D. anticholinergic effect
E.α-receptor blocking effect
21.Which one of the following statements about arrythmatic drug is CORRECT:
A. They may reduce abnormal automaticity=
B. They may reduce afterdepolarization=
C. They may abolish reentry=
D. They all affect Na+ channels in the cell membrane
E. They are equally useful in artrial and ventricular arrythmias
24.Which one of the following statements about calcium channel blockers is CORRECT:
A. They mainly relax arterial smooth muscle and have little effects on venous beds=
B. The effects of diltiazem are intermediate between the dihydropyridines and verapamil=
C. Nifedipine do not have direct effects on conduction or automaticity =
D. Nifedipine can cause reflex increases in heart rate =
E. Verapamil has direct negtive effects to the heart=
25.The calcium channel blockers can be used in :
A. Arrhythmias=
B. Angina=
C. hypertension=
D. brandycardia
E. hypotension
Assay Questions
1. Why are the ACEI used as regular therapeutic drugs in the treatment of CHF at present?
2. Which drugs used in CHF would reverse myocardial remodeling and reduce overall mortality in patients with heart failure?
3. Which drugs belong to the first-line drugs therapy for mild congestive heart failure in current?
4. What is the benefits of Combined use of nitrates with Propranolol in angina pectoris
5.What is the mechenism of action of nitrates in treating agina pectoris?
6. Please describe the adverse reaction of nitroglycerin.
7.Why a patient with variant agina pectoris can not useβ-blocker?
8.Please describe the machenism and clinical use of HMG CoA reductase inhibitor.
9.Why the bile-binding resin can decrease cholestol in the blood?
10.How many classes of the first-line antihypertensive drugs used currently?
11.Please describe thme mechanism if antihypertisive effect of ACEI, β-blocker, diuretics, calcium channal blocker.
enjoy....there are lots of part i will be posting in subsequent days later when i am free ok. see u all later
