Pharmacology Quiz: Drug Effects and Indications
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Questions and Answers

What is the primary mechanism of action of sulfonamides?

  • Inhibition of protein synthesis
  • Inhibition of bacterial cell wall synthesis
  • Disruption of DNA replication
  • Blocking the synthesis of folic acid (correct)

What is a characteristic of macrolides?

  • Broad-spectrum on Gram-negative bacteria
  • Effective against mycoplasma, Legionella, and Chlamydia (correct)
  • Effective against Staphylococcus
  • Inhibit viral replication

Which statement regarding a drug's therapeutic margin is accurate?

  • It is the same as the drug's half-life
  • It is the difference between minimum toxic and maximum therapeutic dose
  • It is the difference between maximum effective and minimum effective dose
  • It is the difference between minimum toxic and minimum therapeutic dose (correct)

What therapeutic effects do glucocorticoids have?

<p>Anti-inflammatory, immunosuppressive, and antiallergic effects (B)</p> Signup and view all the answers

Which drug is considered a known enzyme inhibitor?

<p>Topiramate (A), Sodium valproate (D)</p> Signup and view all the answers

What is a potential adverse drug reaction (ADR) of paracetamol?

<p>Interstitial nephritis/hepatotoxicity (C)</p> Signup and view all the answers

During pregnancy, which of the following antibiotics is generally considered safe?

<p>Penicillin (A)</p> Signup and view all the answers

What is the mechanism of action of Levetiracetam (Keppra)?

<p>Binding of SV2A protein in synaptic vesicles (A)</p> Signup and view all the answers

Which of the following is an adverse drug reaction of tricyclic antidepressants?

<p>Anticholinergic effects (C)</p> Signup and view all the answers

What is a primary indication for the use of cholinolytics?

<p>Atropine intoxication (D)</p> Signup and view all the answers

Which of the following accurately describes the mechanism of action of atypical antipsychotics?

<p>Blockade of 5-HT2 and postsynaptic dopamine receptors (D)</p> Signup and view all the answers

Which of the following is a common adverse effect of tetracycline antibiotics?

<p>Hepatotoxicity (B)</p> Signup and view all the answers

What is the antidote for benzodiazepine overdose?

<p>Flumazenil (C)</p> Signup and view all the answers

What is an adverse effect of non-DHP calcium channel antagonists?

<p>Hypotension (C)</p> Signup and view all the answers

Which of the following drugs is effective in treating neuropathic pain?

<p>Pregabalin (C)</p> Signup and view all the answers

Which drug has the unique side effect of producing an orange-red urine discoloration?

<p>Rifampicin (B)</p> Signup and view all the answers

Which class of medications is primarily used for the treatment of an angina attack?

<p>Nitrates (A)</p> Signup and view all the answers

What is a potential side effect of Clonidine?

<p>Dry mouth (A)</p> Signup and view all the answers

Which antibiotic is specifically used for intracellular organisms?

<p>Macrolides (B)</p> Signup and view all the answers

What describes the therapeutic index?

<p>Ratio between lethal and mean effective doses (B)</p> Signup and view all the answers

Which antiepileptic drug is known to be an enzyme inducer?

<p>Phenytoin (C)</p> Signup and view all the answers

Which diuretic is commonly used as a combined drug for treating hypertension?

<p>Hydrochlorothiazide (B)</p> Signup and view all the answers

What is a common adverse drug reaction (ADR) associated with SSRIs?

<p>Serotonin Syndrome (C)</p> Signup and view all the answers

Which of the following statements is true about antipyretic analgesics?

<p>They provide relief from pain, fever, and inflammation. (D)</p> Signup and view all the answers

Which drug is known for its antiseptic and hemostatic effect?

<p>Hydrogen peroxide dilute solution (C)</p> Signup and view all the answers

What is the primary indication for the use of antimuscarinic drugs?

<p>Chronic pulmonary obstructive diseases (D)</p> Signup and view all the answers

Which of the following is not an adverse effect of Aspirin?

<p>Hypotension (C)</p> Signup and view all the answers

Which agent is considered a mucolytic?

<p>Acetylcysteine (D)</p> Signup and view all the answers

What pharmacological effect does Chlonidine have?

<p>Antihypertensive (C)</p> Signup and view all the answers

Which adverse reaction is associated with dihydropyridine calcium antagonists?

<p>Swelling of the ankles (B)</p> Signup and view all the answers

What action do cardiac glycosides perform?

<p>Inhibition of Na⁺/K⁺-ATPase (A)</p> Signup and view all the answers

Which medication is a selective COX-2 inhibitor?

<p>Celecoxib (D)</p> Signup and view all the answers

What is the mechanism of action of ACE inhibitors?

<p>Decrease angiotensin II and increase bradykinin levels (B)</p> Signup and view all the answers

Which of the following is a potential adverse drug reaction of nitrous oxide?

<p>Hypotension (B)</p> Signup and view all the answers

What is the typical therapeutic dosage for Digoxin?

<p>0.25 mg (D)</p> Signup and view all the answers

Which of these agents is known as a drug enzyme inducer?

<p>Phenytoin (A)</p> Signup and view all the answers

Which of the following is NOT an effect of prolonged nitroglycerin intake?

<p>Hypotension (A)</p> Signup and view all the answers

Which reaction is involved in Phase I drug metabolism?

<p>Oxidation (A)</p> Signup and view all the answers

What is a common adverse effect associated with morphine?

<p>Constipation (D)</p> Signup and view all the answers

Which adverse reaction is commonly associated with penicillin?

<p>Anaphylactic shock (A)</p> Signup and view all the answers

Study Notes

Beta Blockers

  • Used to treat angina attacks
  • Can be used for other indications
  • Have several side effects including sedation, dry mouth, fatigue, and dizziness

Cholinolytics

  • Have two major indications

Pethioline

  • Has spasmolytic effect on smooth muscle
  • Has shorter action than morphine

Tetracyclines

  • Have several ADRs
  • Hepatotoxicity
  • Can affect bone growth in children
  • Can lead to yellow-brown teeth

Atypical Antipsychotics

  • Mechanism of action is blocking 5-HT2 receptors and blocking postsynaptic DA receptors (more than D2).

Benzodiazepine Antidote

  • Flumazenil

4th Generation Cephalosporins

  • Include Cefepim and Cefpirom

Clonidine

  • Used to treat hypertension
  • Has some adverse reactions

Acetylcholine

  • Has two major indications
  • Paralytic ileus
  • Atropine intoxication

Rifampicin

  • Can lead to orange-red urine and hepatotoxicity

Neuropathic Pain

  • Drugs that can be used: Pregabalin and Gabapentin

Non-DHP Calcium Channel Antagonists

  • Have some side effects including bradycardia, constipation and heart failure

M-Cholinolytics

  • Stimulate bronchial fibers of the vagus nerve
  • This can lead to broncoconstriction and secretion of mucus

Solutio Hydrogeni Peroxydi Diluta

  • Has antiseptic and hemostatic effects

Macrolides

  • Effective against mycoplasma, Legionella and Chlamydia

Antimuscarinic Drugs

  • Main indication is chronic broncho-obstructive diseases

Adverse Effects of Aspirin

  • Hypotension is NOT a common adverse effect

Mucolytic Agent

  • Aceytlcysteine

Pharmacological Effect of Clonidine

  • Antihypertensive

Dihydropyridine Calcium Antagonists

  • Can lead to swelling of the ankles

Drug Induced Parkinson's

  • Can be caused by: Methyldopa, Amiodarone, and Haloperidol

Local Anesthetics

  • Have peripheral effects
  • Not specified in text

Validproate

  • Has mechanism of action:
    • Decreases cell membrane permeability to calcium T-channels
    • Enzym inhibitor
  • Can lead to hair loss, weight gain, and hepatotoxicity

Neurotropics

  • Increase cognitive functions
  • Augment the effect of opioids

Cardiac Glycosides

  • Mechanism of action is inhibiting the Na+/K+ATPase

Selective Cox2 Inhibitors

  • Include: Aspirin, Celecoxib, and Indomethacin

Nitric Oxide

  • Can lead to hypotension, tolerance, flashing, headache, and tachycardia

Estrogen Deficiency Signs

  • Includes diabetes or insulin resistance

Phenytoin

  • Can lead to headaches and drowsiness

ACE Inhibitors

  • Mechanism of action:
    • Decrease angiotensin II
    • Increase bradykinin Levels

Digoxin Dosage

  • 0.25 mg

Nitrous Oxide

  • Can lead to hypotension, tolerance, flashing, headache, and tachycardia

Antiemetics

  • Prochlorperazine

Toxicity

  • Overdose

Phase I Drug Metabolism

  • Involves cytochrome P450 system
  • Converts lipophilic molecules to more polar ones
  • Includes alcohol dehydrogenation, amine oxidation, and hydrolysis

Penicillin

  • Can lead to allergic reactions, anaphylactic shock, and dysbacteriosis

NSAIDs

  • Selective inhibitor

Valproate

  • Does not affect IT
    • This is not accurate. Valproate is indeed an IT.

Peripheral Effects of Morphine

  • Constipation

Drug Enzyme Inducers

  • Includes:
    • Phenytoin
    • Phenobarbital
    • Ketoconazole
    • Metronidazole
    • Rifampicin
    • Carbamazepine

Adenosine

  • Class V

Prolonged Nitroglycerin Intake

  • Tolerance

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Test your knowledge on various pharmacological agents, including beta blockers, atypical antipsychotics, and tetracyclines. This quiz covers their indications, mechanisms of action, and potential side effects. Sharpen your understanding of drug classifications and their therapeutic uses.

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