Pharmacology Questions PDF

1 patient HTN had dry cough what you will give him ? Antitussive drug? Thyme 2 patient planning to be pregnant and she takes levothyroxine 100 what to do? Increase the levothyroxine dose by 30-50% 3 meaning of category D ? 4 patient has acute migraine came to ER with severe mi...

1 patient HTN had dry cough what you will give him ? Antitussive drug? Thyme 2 patient planning to be pregnant and she takes levothyroxine 100 what to do? Increase the levothyroxine dose by 30-50% 3 meaning of category D ? 4 patient has acute migraine came to ER with severe migraine headache what medication will be used ? Ibuprofen 400 mg TID This is for mild to moderate but for severe we will give him Triptans 5 microbiology, image of antibiotic disk , what is the following is sensitive antibiotic to bacteria? 6 which one of the IG is responsible of hypersensitivity? IgE 7 women 23 years old has UTI what is best option for her ? Trimethoprin-sulfamethoxazole 160/800 mg BID for 3 days 8 what will do with warfarin of INR 12 ? Hold warfarin until INR below upper limit of therapeutic range and give vitamin K orally and decrease weekly maintenance dose by 5% to 20% 9 blood pressure in infants ? Low than adult 10 what is mean of polypharmacy ? Use multi medication by patient 11 what is warfarin level in mechanical valve ? 2.5 – 3.5 12 what is ingredient use to prepare suppository? Cocoa butter 13 what is CI vaccine in pregnant? Live vaccines in pregnancy 14 type of CYP interaction between omeprazole and clopidogrel ? CYP2C19 15 type of WBC cause immune defenses ? Neutrophils 16 type of WBC cause antibody production? B-lymphocytes 17 what is best drug for asthma is caused by exercise? SABA 18 which of the following drugs requires dosage reduction in hypoalbuminemia ? Phenytoin. The total phenytoin level will appear artificially low if albumin is low. 19 what type of infections is prevented by vaccination? Varicella 20 what is of the following is CI in pediatric? Tetracycline 21 what is drug most uesd for MRSA when vancomycin not effect ? Linzolide 22 which of the following not essential amino acid ? Essential: try this vip mall 23 using the book USP797 for which product ? Sterile 24 antidote of diazepam ? Flumazenil 25 Pregnant women has hepatitis B when she delivers we must give her baby ? Hepatitis B vaccine + Hepatitis B immunoglobulins 26 Patient 65 years with renal failure? Assess the patient medications for nephrotixics and other 27 pregnant women with pyelonephritis went to hospital given ceftriaxone what is antibiotic to go with ? cefixime 28 Patient 26 years old with athletic foot Treatment? Topical antifungals: terbinafine, azoles (clotrimazole, miconazole), ciclopirox, or tolnaftate) Oral antifungal (Clotrimazole, Miconazole, Terbinafine. Ketoconazole) 29 vit C used for ? Preservative 30 case about drug the pharmacy permit.‫ ﺗﺮﺧﯿﺺ اﻟﺪواء‬it take approve in 2009 ? 2014.‫ﺗﺮﺧﯿﺺ اﻟﺪواء ﯾﻨﺘﮭﻲ ﺑﻌﺪ ﺧﻤﺲ ﺳﻨﻮات ﻣﻦ ﺑﺪأ اﻟﻤﻮاﻓﻘﺔ‬ 31 drug expire in December 2020 what is the last day of use for it ? 31 December  32 When women start folic acid before get pregnant? 1 month before pregnancy 33 women had accident , she used anxiolytic since 5 years with phobia of supermarket , and befroe few days she used cimetidine for acid ? What is the reason of sedation action ? 34 car driver wants antihistamine ? 2nd generation Antihistamine example ( loratidine) 35 which of following is high alert solutions? Dextrose 20% 36 severe case of alzheimer we give ? Donepezil alone or in combination with Memantine 37 Pharmacovigilance definition ? The science and activities relating to the detection, assessment, and prevention of adverse effects or any other drug-related problem. 38 what is your advice for patient take fentanyl patch ? Avoid hot baths, sunbathing and use of heat sources include(tanning beds, heating pads, hot Tubs) and avoid activities like heavy exercise 39 patient take iron what is your advice for him ? Use vitamin C 40 DM patient needs drug for hypertriglycerdemia ? Statin 41 drug mask hypoglycemia? Beta blockers 42 which drug used for glaucoma ? Timolol -first line prostaglandin analogues 43 Nurse received extra vial in the bag what should we do ? Return to pharmacy 44 Dr wants to know about interaction between garlic and drug he should search in ? 1-Hansten and Horn’s Drug Interactions Analysis and Management 2-Drug Interaction Facts 3- micromedex or lexicomp 45 MOA for carpamzpine? Na channel blocker 46 Plant source anticancer? Vinca alkaloids (Vincristine, Vinblastine) & Taxanes (Paclitaxel, Docetaxel) 47 Time for drawn gentamicin? 30 minutes before 4th or 3rd dose 48 Beta blocker antidote? Glucagon or Calcium chloride or Calcium gluconate 49 Enoxaparin for pregnancy? Category B 50 Drug C.I in sulfa allergy? Bactrim SMX/TMP and other medications that contain sulfa 51 Drug C.I in High K? Spironolactone, Eplerenone, ACEs, ARBs 52 Cost effectiveness? To identify, examine, and compare relevant costs and consequences (clinical outcomes) of competing drug regimens and interventions. 53 Calcium give with corticosteroids long use To prevent osteoporosis 54 SE of methotrexate? Warning: Hepatotoxicity, Myelosuppression, Stomatitis/Mucositis. 55 SE of methadone? QT prolongation 56 AF class of rate control Rate Control * Digoxin * β- blockers * Nondihydropyridine calcium channel blockers ( not used. In pt with HF) *Amiodaron 57 Methotrexate category in pregnancy? Category X 58 ACEI in pregnancy? category C in the first trimester and category D in the second and third trimesters. 59 CrCl? 60 Drug of choice in asthma? ICS 61 Prevalence calculation Prevalence: number of persons who have the disease at a specified time divided by the number of persons in population at that specified time 62 Allele definition? Different versions of the same gene are called alleles 63 SE of lamotrigine? Rash 64 Antidote for ACH? Atropine Or if the question means anticholinergics the answer will be (Physostigmine) 65 Drug used for respiratory syncytial virus? RVs? If it’s Rotavirus just need Supportive Care If it’s Respiratory Syncytial virus treated by Pavilizumab 66 Infusion rate? ml/min 67 Cl calculation 68 Vaccine for wounds 69 other name for hospital pneumonia?  Nosocomial pneumonia or Ventilator associated pneumonia 70 vaccine for DM? Influenza vaccine annually, Pneumonia (PPSV23), Hepatitis B 71 Drug has positive int effect on heart Digoxin 72 Aspirin-ibuprofens-quinine structure 73 Warfarin monitoring? And dose? INR Initial 5 mg once daily for most patients or 2.5 mg once daily for sensitive patients 74 Ethics? 1-Beneficence. 2-Autonomy 3-Honesty 4-Informed Consent 5-Confidentiality 6-Fidelity 75 Memorize the schedule and the drugs, imp** 76 What principle ethics? Justice 77 Do the following in order (from top to bottom or vice versa) “Maslow's hierarchy of needs” 78 QRS represent what? P wave represent what?  Depolarization —> Contraction Repolarization / hyperpolarization —> Relaxation of heart chambers. P wave= Atrium depolarization QRS complex= Ventricles depolarization T wave= Ventricles Repolarization 79 Ca dose in pregnancy? 1200 mg/day 1000 mg/day 80 Clozapine structure? 81 Enoxaparin dose? Treatment 1mg/kg SC BID or 1.5mg/kg SC OD PPX: 30mg SC twice daily or 40mg once daily 82 Pneumonia management? 83 Lady has UTI and resistance to penicillin? Ciprofloxacin 84 MOA for carpamzpine? Na channel blocker 85 Plant source anticancer? Vinca alkaloids (Vincristine, Vinblastine) & Taxanes (Paclitaxel, Docetaxel) 86 Time for drawn gentamicin? Before the 4th dose 87 BB antidote? Glucagon or Calcium chloride or Calcium gluconate 88 patient when pregnant was take levothyroxine 100 after pregnant what is the dose ? meaning of category D ? 89 patient has acute migraine came to ER with severe migraine headache what medication will be used ? 90 microbiology, image of antibiotic disk , what is the following is sensitive antibiotic to bacteria? Big circle 91 women 23 years old has UTI what is best option for her ? Trimethoprin-sulfamethoxazole 160/800 mg BID for 3 days 92 blood pressure in infants ? Low than adult 93 - what is mean of polypharmacy ? Use multi medication by patient 94 - what is warfarin level in mechanical valve ? 2.5 to 3.5 95 what is ingredient use to prepare suppository? Cocoa butter 96 - what is CI vaccine in pregnant? 97 - type of CYP interaction between omeprazole and clopidogrel ? CYP2C19 98 Beta blocker for heart failure ? bisoprolol 99 Pseudomonas aeruginosa in gram stain ? A - gram positive cocci B- gram nigative cocci C- gram positive bacilli D- gram negative bacilli 100 Complication of parenteral nutrition ‫ﺟﺎت ﻛﯿﺲ و ﻻب ﺣﻘﺖ اﻟﻤﺮﯾﺾ ﻓﯿﮭﺎ اﻧﺰﯾﻤﺎت اﻟﻜﺒﺪ ﻣﺮﺗﻔﻌﺔ‬ ‫اﻻﺧﺘﯿﺎرات ﻛﺎﻧﺖ‬ Liver cirrhosis Liver cholestasis Pancreatitis Cholestasis 102 Which electrolyte disturbance lead to digoxin toxicity Na K Mg Ca 103 How many phases of drug study until it’s approved? 1 phase 2 phases 3 phases 4 phases 104 Plant with adaptogenic effect ? 105 Plant used for cough relief? Eucalyptus oil 106 Pt. Taking anti TNF should be tested for ? Tuberculosis 107 Plant used to treat sunburn? Aloe Vera 108 Plant used to treat vomiting? Ginger Cinnamon Clove 109 Plant used to increase physical endurance? Ginseng  Ginger ‫واﺧﺘﯿﺎرﯾﻦ ﺛﺎﻧﯿﺔ ﻧﺴﯿﺘﮭﻢ‬ 110 Child one years ago, had immunodeficiency, he took before 4 month IVIg, and now it’s time to take MMR Vaccine A -Give vaccine B- don’t give because he took IVIG C- don’t give because he has immunodeficiency 111 Doxorubicin toxicity on ? Heart 112 ‫اﻋﺮﻓﻮ اﻟﻔﺮق ﺑﯿﻦ‬ Primers , isomers , enantiomers ‫ﺑﺎﻟﺸﻜﻞ ﺿﺮوري‬ ‫ﯾﻌﻨﻲ ﻛﯿﻒ اﻟﻤﺮﻛﺒﯿﻦ ﯾﻜﻮن اﯾﺰوﻣﺮ او اﯾﺒﯿﻤﺮ ﻟﺒﻌﺾ‬ ‫ﺟﺎﻧﻲ ﻣﺮﻛﺒﯿﻦ و اﻟﺴﺆال اﯾﺶ اﻟﻌﻼﻗﺔ ﺑﯿﻦ اﻻﺛﻨﯿﻦ ؟ ھﻞ ھﻢ اﯾﺰوﻣﺮ وﻻ اﺑﯿﻤﺮ‬ ‫ اﺳﺌﻠﺔ ﻣﻦ دا اﻟﻨﻮع‬٣ ‫ﺗﻘﺮﯾﺒﺎ‬ 113 ‫ ﺳﻨﮫ وﻋﻤﺮه ﻛﺒﯿﺮ‬٢٥ ‫ﻣﺮﯾﺾ ﻣﺘﺰوج ﻟﮫ‬ ‫ وﻣﻌﺎه‬rellict dysfunction ‫ راﻓﺾ ﯾﺎﺧﺬ اﻟﻌﻼج ﻋﻦ طﺮﯾﻖ‬، inje and pill ‫ ﻣﻦ ﺿﻤﻦ اﻟﺨﯿﺎرات‬: ‫اﻟﺠﻠﺴﺎت اﻟﻨﻔﺴﯿﮫ‬ ‫ ﯾﺎﺧﺬ‬topical 114 Vision 2030, interested for 3 disease , which are? 115 ‫اﻟﺤﻤﻮﺿﺔ ﻓﻲ اﻟﻤﻌﺪة ﻋﻨﺪ اﻟﻤﻮاﻟﯿﺪ واﻟﻤﻜﺘﻤﻠﯿﻦ اﻟﻨﻤﻮ‬ ‫ ﻣﻦ اﻟﺨﯿﺎرات‬: - ‫ﻧﻔﺲ اﻟﺸﻲ ﻣﺘﺴﺎوﯾﻦ‬ - ‫اﻟﻤﻮاﻟﯿﺪ اﻛﺜﺮ ﻣﻦ اﻟﻤﻜﺘﻤﻠﯿﻦ اﻟﻨﻤﻮ‬ - ‫اﻟﻌﻜﺲ‬ Gram + and Gram – Bacteria 116 Definition passive diffusion ? 117 If late what to do MMR Vaccine? 118 When take MCV4 Vaccine ? 119 Have a relation between MMR and autism? 120 Vitamin D, is beneficial for which Mineral ? Calcium 121 Degree Temperature between 15-35 , which means? Warm 122 Question about Cohort Study 123 Question about primary Resource ? RCT 124 Disadvantage of RCT ? 125 3 question about Cytochrome? tramadol & atomoxiten & atazanavir 126 Definition of confidently? 127 Definition of Justice? 128 Definition of palliative therapy? 129 Interaction between Johns wart with SSRI , what happens ? 130 What is the meaning of Phase 3 in Cardiac Action Potential ? 131 Side effect Amiodaron ? Pulmonary Firbosis 132 Which osmotic diuretic? Mannitol 133 SE Lisinopril? angioedema 134 high intensity statins? Atorva 40 135 Gemfibrazil interaction with what? Statin 136 Which Class is omeprazole? 137 Dual therapy for H,pylori ? 138 Vancomycin which cause ? Red man Syndrome 139 How many drugs are for TB ? 140 Which cause hypoglycemia ? Glipizide 141 Best place for absorption for Acidic drug ? 142 Antiplatelet cause dyspepsia ? Ticagrlor 143 Clozapine side effect? Agenulosystosis 144 When using Clozapine , which monitoring? ANC 145 Side effect Haloperidol? EPS 146 Parkinson drugs? 147 What does STEMI mean? 148 Side effect of Morphine ? Constipation 149 Questions about Drug Class for ( diarrhea & Constipations ) 150 2 question about Trastzimab & Inflexmab 151 3 question about Methtrxate 152 What is the benefit for Bentonite and boric acid in prescription ? 153 Lithium play a role for what? Sodium 154 Question about ( Potency & Efficacy ) 155 which of the followings may cause SJS? 156 Ergot alkaloids used for migraines? A- Dihydroergometerin B- Ergometrin C-Dihydroergotamin D-Ergotamin 157 Active form of vit.d for renal patient.? Calcitirol 158 Which is correct regarding tetanus ? A- tetanus vaccine increase activity of diphtheria vaccine B- tetanus vaccine decrease activity of diphtheria vaccine C- tetanus is exclusively environmental born pathogen D- tetanus is both environmental and transmitted pathogen 159 Pt. Has vaginal infection with Candida albicans, what is the antifungal ? Cloitrmazol Fluconazol 160 Pt. Has surgery after 6 months , which is longest NSAID duration he can take ?  A- Ibuprofen B- diclofenac C- naproxen D- piroxicam longer half life ‫ﺷﮭﻮر‬ ٦ ‫ﻋﺸﺎن ﯾﻜﻮن اﺳﮭﻞ ﻟﻠﻤﺮﯾﺾ ﯾﺎﺧﺪه ﻣﺮة واﺣﺪة ﯾﻮﻣﯿﺎ ﻟﻤﺪة‬ ‫ ﺣﻄﯿﺖ‬piroxicam 161 What is the treatment for TB and for how long ? 162 Vancomycin MRSA ? 163 MSSA ? 164 Sildenafil Which Cause ? 165 Heart attack angina , Cardiology Problem ! 166 Case : Patient Had Dm, HTN, and use Drug ( Gliclized / ARB / Cholestrol drug / Statin / Duritic ) and Still have Hyperglycemia , which will do ? 167 Nitrofurantoin Side effect? brown color of urine 168 Side effect ACEI ? Dry Cough 169 Case : Patient use ACEI and had SE cough , which doing ? Change drug to ARB 170 Antidote for -Paracetamol Morphine Carbamzipine Dapigatran 171 Drug-Drug interaction with Warfarin ( Drug / Food ) 172 Treatment for Multiple Sclerosis ? Fingolimod 173 Sturcutre : Aspirin Amphetamin Clozapine 174 175 Questions about (Asthma , AFib, Dm , HTN ) 176 ‫ “ ﺳﺆال دواء ﻣﻜﺘﺸﻒ ﺟﺪﯾﺪ ﯾﻌﻤﻞ ﯾﻜﻮرﺑﻞ ؟‬Curable “  Hepatitis A Hepatitis B Hepatitis C Hepatitis D Curable ً ‫ﺗﻤﺎﻣﺂ‬ ‫= ﯾﻌ ﻨ ﻲ ﯾﺸ ﻔ ﻲ ﻣ ﻨﮫ‬ Hepatitis C 177 Patient take aspirin as Prophylaxis for Colon Cancer and He had Bleeding , for how long use aspirin ? 6 to 12 months 2 years 5 to 10 years. More than 20 years 178 Acetaminophen Structure, written formula? C8H9NO2 179 When stop using Fingolimod , for pregnancy ? Before 2 month 6 month Safe for Pregnancy Before 6 months 180 Structure question about Natural prodrug for anticoagulation 181 Metronidazole can’t use for what? Smoker patient Drink alcohol 182 Amoxiclin ( Amoxil ) 183 Amoxicillin Structure , and questions about ( Sensitivity group reaction)? 184 Treatment Malaria in Saudi Arabia ? 185 Treatment for pinworm ttt ? Mebendazole, Albendazole, or pyrantel pamoate 186 ٠ ‫ﻟﺰم ﺗﻌﺮف اﻟﻔﺮق ﺑﯿﻦ اﻷﻧﻮاع اﻟﺜﻼﺛﮫ ﻻن ﺟﺎب اﻟﻜﻼم اﻟﻠﻲ ﺗﺤﺖ ﻛﻞ ﺻﻮره و ﻗﺎل ھﺬا ﺗﺒﻊ اﯾﺶ‬ 187 Sturcutre for drug use in Absent Seizure ? Questions 6 in Calculations ? 188 Antidote for Acetaminophen Apixpan BB Codine 189 UTI ttt for pregnant and female ? 190 Which for Herbal decrease Warfarin effect? Green Tea 191 Oral Osteoporosis drug cause Esophageal ulceration? Alendronate, Alendronate, Resindronate 192 side effect of TB medication: Hepatotoxicty 193 Name of B12 ? Cyanocobalamine 194 Patient 75 years old , had atrial fibrillation , DM , HTN , Dyslipidemia , and Use several drug ( Aspirin / Atorva / Captopril / Metformin ) Questions is : Is the drugs satiable for patient ? Answer : when calculate SHAD-Vas Score when had (2) , so : the patients should use anticoagulation 195 act like ondansetron? Clove Ginger Cinnamon Liqurace 196 patient has Atrial fibraltion and has torsade de point? And the question want me to choose from Class 3 anti arrhythmic? 1- Amiodarone 2- verapamil 3- defolitde 4- sotalol 197 drug recently discovered it cause DM? Statin 198 women positive (HCG ) Human chorionic gonadotropin , what medication is appropriate for her? 1- warfarin 2- isoretanoin 3- Tetracycline 4- Levofilaxin 199 Sunburn herbal medicine? Aloe Vera 200 number Hep A vaccine? 2 dose 201 active moiety of fluoroquinolone ? ‫ ﺟﺎب‬structure ‫ وﻧﺤﺪد اﯾﺖ‬Active moiety 202 Recommended Vaccine for HIV patient and CD4>555? 203 ‫ﻛﺎن اﻟﺴﺆال ﻗﻄﺮة ﻣﻀﺎد ﯾﺎﺧﺬھﺎ اﻟﺒﯿﺒﻲ اول ﻣﺎ ﯾﺘﻮﻟﺪ ﻋﺸﺎن وﻗﺎﯾﺔ ﻣﻦ اي ﻧﻮع ﺑﻜﺘﯿﺮﯾﺎ؟‬ gonococal but I’m not Sure 204 patient colonized with MRSA what we will give him? 1- Intranasal Vancomycin 2- Intranasal muprocin 205 Sutucture : Active metabolite of Diclofenac 206 septic shock patient unresponsive to Fluid what will you Give? 1- vasopressin 2- dopamine 3- ephenphrine 207 ‫ﺟﺎ ﺳﺆال اﻧﻮا ﻣﺮﯾﺾ ﯾﺘﻌﺎﻟﺞ ﻓﻲ ﻣﺴﺘﺸﻔﻰ ﺗﻌﻠﯿﻤﻲ وﻛﺎن ﯾﺤﺘﺎج‬ Bronchoscopy chest X-ray ‫ﻗﺎم ﻗﺎل اﻟﻄﺒﯿﺐ ﺧﻠﯿﻨﺎ ﻧﻌﻤﻠﮫ‬ ‫? ﻋﺸﺎن اﻟﻄﻼب ﯾﺘﻌﻠﻤﻮا‬ ١-‫ﻻ ﻣﺎ ﯾﻨﻔﻊ ﻋﺸﺎن ﻣﺎ ﻧﺤﻂ اﻟﺒﯿﺸﻨﺖ ﻓﻲ ﺧﻄﺮ‬ ٢-‫ﻻزم اﻟﻄﺒﯿﺐ ﯾﺸﺮف ﻋﻠﻰ اﻟﺤﺎﻟﺔ‬ 208 What are the five rights? Right patient Right dose Right time Right drug Right route 209 doxorubicin what should we monitor? ECG because it’s cardiotoxic 210 patient has dental procedure doctor prescribed antibiotic (Augmentin), Why ? prosthetic valve replacement 211 Antiepleptic cause Nephrolithiasis? Zonisamide 212 Too many questions about Arrythmia , Important to study it 213 Ibuprofen dose OTC ? 1200 mg 214 athlete..accident while playing football..inj? Ketorlac Not have diclofenac in Answers 215 Beriberi due to difficiency of ? Thiamin 216 Test before clozapine ? ANC : Absolute Neutrophils count 217 case..pt blood pressure 70 / ? Hypertonic 218 OU TID ? Both eye 3 times 219 Status epileptic ? Take phenytoin Increase phenytoin dose Iv lorazepam Carbamezpine 220 Two different eye drops preparation? 5 min 221 Rare disease ? Case control 222 Study with risk factor? Prospective cohort study 223 Study..prevalence? Cross sectional 224 bioavilability defintion? 225 Resource planning? Goals and strategy 226 Case with food allergy? IgE 227 Case with drug allergy? Immediate 228 case.. increase dose of oxycodone? Constipation 229 insomnia Zolpidem 230 traveller insomnia ? zolpidem, Melatonin 231 metronidazole avoid with ? Alcohol 232 case iron toxicity ? Desferoxamine 233 case with boy take bottle of multi vitamin 2 hrs ago? Gastric levage 234 A Girl inhaled white powder..by examination found vit K slow than usual range ? Warfarin in options 235 incedince ? New cases. 236 450 million of people has DM..this called ? Prevalence 237 Spread world wide mean? Pandemic 238 in 1980 average age in saudi people = 60 , in 2010 = 78..this mean ? Decrease mortality. 239 Alzahemier Pt with Rivestigmine..feeling nausea vomiting? - metoclopramide - suppository Don’t know answer 240 pregnant HIV ttt ? Zidno 241 lyme disease? Bacteria 242 Patient had allergy for pencillin , which sturucture should be avoid ? Choose structure with “ S “ 243 codien to morphine ? 244 calcium dose in pregnancy? 1200-1500 245 warfarin ? Take constant level of green leaves 246 anti coagulant cause dyspepsia? Dabigatren 247 pt with DVT..duration for ttt by heparin ? 3 months 248 heparin induce thrombocytopenia use ? Argatoban 249 Norepinephrine is ? 1-Hormone and enzyme 2-Coenzyme and neurotransmitter 3- Hormone and neurotransmitter 250 Atropine belladonna..name due to ? plant 251 Alkaloid cause hepatotoxicity ? ‫“ ﻣﻦ اﻟﺨﯿﺎرات ﻓﯿﮫ‬tropane” 252 plasma volume for man 70 kg ?  3.5 ‫ﻛﺎن ﻓﯿﮫ اﺧﺘﯿﺎرات اﺧﺘﺮت‬ 253 Clopidogrel increase efficacy if taking with ? Chooses Omeprazole, amiodarone erythromycin phynotin 254 trasruzmab MOA ? HER2 inhibitor 255 Bentonite ? Effective emulsifying 256 Lactose with hepatic encephalopathy moa ? Acidfy colon 257 produced in liver and stored in gallbladder? 258 IG in colostrum? ‫ ﻣﻜﻨﺶ ﻓﯿﮫ‬A ‫وﻛﺎن ﺟﺎﯾﺐ ﻛﻞ اﺗﻨﯿﻦ ﻣﻊ ﺑﻌﺾ‬ ‫ اﺧﺘﺮت‬G,M 259 hypothyroidism..hormones ? TSH high , thyroid hormone low. 260 Case : High TSH , low T3 , which Treatment ? Leveothyroxine 261 case..pt hyperkalemia ? spironlactone , lisnopril , insulin ‫ ﻛﺎن ال‬insulin ‫ اﻟﺤﺎﺟﺔ اﻟﻮﺣﯿﺪة ﻓﯿﮭﻢ اﻟﻠﻲ ﺑﺘﻌﻤﻞ‬hypokalemia 262 case..pt DM symptoms....wt lose..HTN ,heart failure..drug choice for DM ? Insulin liraglutide metformin Glypuride 263 Deep wound + unknown history ? Td+ TIG 264 Minor wound + unknown history? TD 265 live vaccine? MMR 266 herpes simplex..vaccine? Vareicelal Zoster 267 Dental : Streptococcus mutans. 268 Avoided in nursing mother :  Aspirin 269 Contraindicated in breastfeeding: Lithium 270 insulin take single dose in day : Glargine 271 Asthma..exircise : salmetrol corticosteroid inhalation, ipratipum NO “ SABA “ in Choosse 272 Intermitten asthma : 273 18 month boy with cold symptoms : Fluids 274 old pt with depression : All options TCA with duloxtine 275 Atenolol MOA : Selective B blocker 276 antibiotic used with surgical prophylaxis? 277 women with acute migraine? Triptan ibuprofen paracetamol 278 Adverse drug reactions..reported to ? SFDa 279 Role of therapeutics and drug committee? Drug formualy 280 Who is responsible for immunity (vaccination) in saudi ? MOH 281 2 drugs equivalent..we will choose one of them according to ? Cost minimization. 282 2 drugs..we wanna choose one that decrease mortality of cancer ? Cost effectiveness or cost utility 283 drug interact with food and antacid ? Doxycycline 284 case..baby..choose suitable antibiotic ? Flouroquinolone tetracycline TMP amoxicillin/ clavunic acid 285 drug causes brown urine color ? 286 vancomycin trough ? before 4th dose 287 Vancomycin trough level ? after any dose ? 3th dose 288 which should be do before give vancomycin! ‫ اﺧﺘﺮت‬renal insufficient 289 postural hypotension Prazocin 290 case..pt with HTN take ACE..suffer from coughing ? ‫وﻛﺎن اﻧﺴﺐ ﺣﺎﺟﺔ ﻓﻲ اﻻﺧﺘﯿﺎرات أﻧﮫ ﯾﺎﺧﺪ دوا ﻛﺤﺔ‬ 291 case..women with albicans bacteria? Ttt..fucanzole 292 case pt..DM..take insulin and others drugs..refused to take insulin..he said he cause wt gain ‫ ﻣﺮة ﺟﺎوﺑﺘﮫ ﺑﺄن ﺣﺎﻟﺘﮫ ﻻزم ﺗﺎﺧﺪ‬.. ‫ دي ﺟﺖ ﻣﺮﺗﯿﻦ ﺑﻄﺮﯾﻘﺘﯿﻦ ﻣﺨﺘﻠﻔﯿﻦ‬insulin ‫ و ﻣﯿﻨﻔﻌﺶ ﯾﺒﺪﻟﮫ ﺑﺤﺎﺟﺔ ﺗﺎﻧﯿﺔ‬. ‫ﺑﺄھﻤﯿﺔ اﻻﻧﺴﻮﻟﯿﻦ ﻟﺤﺎﻟﺘﮫ‬.. ‫ وﻣﺮة ﺟﺎوﺑﺘﮫ‬. 293 ‫ﻛﺘﯿﺮ وﻛﺪا‬.. ‫! ﻣﺮﯾﺾ ﺟﯿﻠﻚ ﯾﺼﺮف روﺷﺘﺔ وﺑﯿﺸﺘﻜﻲ ان دي ﺗﺎﻧﻲ ﻣﺮة ﯾﻜﺸﻒ ﺧﻼل ﻓﺘﺮة ﻗﺼﯿﺮة وف ﻛﻞ ﻣﺮة ﺑﯿﺪﻓﻊ ﻓﻠﻮس‬ ‫ وﻻ ﺗﻘﻮﻟﮫ أﻧﮫ اﻛﯿﺪ اﻟﺪﻛﺘﻮر ﺷﺎف ان ﺣﺎﻟﺘﻚ ﺗﺴﺘﺪﻋﻲ ﻛﺪا‬،‫ وﻻ ﻣﺘﺼﺮﻓﺶ اﻟﺪوا‬،‫اﻧﻚ ﺗﻘﻠﻠﮫ اﻟﺠﺮﻋﺔ‬.. ‫ﻛﺎن ﻣﻦ ﺿﻤﻦ اﻻﺧﺘﯿﺎرات‬ 294 ‫ ﻣﯿﻦ اﻟﻤﺮﯾﺾ اﻟﻠﻲ ﻻزم ﻧﺎﺟﻠﮫ ال‬vaccinatin : Patient just finished chemotherapy cycle 295 case..women..DM symptoms..obese ? Meformin 296 case..pt take 850 mg metformin.. 5.5, 6,7, 6.5 ‫ ﻗﯿﺎﺳﺎت ﻛﺎﻧﺖ‬٤ ‫وﺟﺎﯾﺐ آﺧﺮ‬ Increase dose metformin 297 ‫ده اﺳﻤﮫ اﯾﮫ ؟‬.. ‫واﻧﺖ ﺳﻮاء ھﺘﻨﻔﺬ رﻏﺒﺘﮫ او ﻻ‬..‫ﻣﺮﯾﺾ ﺑﻤﺮض ﻣﺰﻣﻦ وﻗﺮر اﻧﮫ ﻣﺶ ﻋﺎﯾﺰﯾﺎﺧﺪ دواء ﺗﺎﻧﻲ‬ velicity, fidelity Autonomy 298 ‫وزوﺟﺘﮫ ﻓﻲ اﻟﻐﺮﻓﺔ اﻟﻠﻲ ﺟﻨﺒﮫ ﺑﺘﻔﮭﻢ ﻋﺮﺑﻲ ؟‬.. ‫ﻣﺶ ﻗﺎدر ﯾﻔﮭﻢ ﻣﻨﻚ ﺣﺎﺟﺔ‬.. ‫ﻣﺮﯾﺾ ھﻨﺪي‬ ‫ھﺘﺠﯿﺒﮭﺎ ﺗﺘﺮﺟﻢ اﻟﻠﻲ ﺑﺘﻘﻮﻟﮫ‬ 299 Isomer sturuce ? 300 Epimer structure ? 301 Dish ? Hypertension 302 What is the meaning of GABA, HMG-CO A abbreviation? 303 Medication That if given by error , Can cause Serious injury ? -look Alike / Sound Alike -High risk medication 304 Side effect of Niacin ? Flushing 305 Amphetamine MoA? 306 drug need Liver monitoring Methotrexate Adalimumab 307 Drug Couse teeth descolroization Tetracycline 308 Case with pneumonia and in 3 days symptoms resolve What is the medical intervention? Stop all drugs Give oral cef and oral azithromycin Give IV cef and IV azithromycin Oral cef and doxycyline 309 Women being treated for ----- and feels like fainting when she stands up what is the drug causing it? _ Bromocriptin 310 Patient complaining of pain, diagnosed with sickle cell, what drug to use? What are Fungi proprieties 311 Pseudo antibiotic treatment 312 Chemical drug resonsible of gas formation in new born babies? 313 Women has signs of vitamin A deficiency, what are its natural forms? Olive oil Liver oil Argan oil 314 Time of vaccine Heptatits A 315 Type of resource ( college of pharmacyactivity about diabetes)? Tertiary 316 Score of atrial fibrillation? 317 Antidote of digoxin? 318 Patient travels to a city with a disease which types of vaccine to take? Heptitis A or with immunoglobulin? 319 Mechanism of cipro? 320 Case… Give folate to which drug? 321 Bacteria catalase which types? 322 Validity definition? 323 Cost benefit anaylysis? Monetary untis 324 Cost effectiviness anaylysis? Natural units 325 Cost utility analysis? QALY 326 Ig in asthma? IgE 327 Calculation: Infusion rate and rate of flow LD Calculate paracetamol dose for child ‫ ﺑﺲ ﻣﺎدة ﺛﺎﻧﯿﮫ ﻧﺴﯿﺘﮭﺎ‬٪٠.٩ ‫وﻣﻌﺎدﻟﺔ ﻛﺎﺗﺐ اﺳﻢ اﻟﻤﺮﻛﺐ ﻛﯿﻤﺎﺋﻲ واﻧﺘﻲ ﺗﻌﺮﻓﯿﻦ وش ﺗﺮﻛﯿﺰه وﺗﻌﻮﺿﯿﻦ زي اﻟﺼﻮدﯾﻮم ﻛﻠﻮراﯾﺪ‬ Which anticoagulant need parental administration before oral administration? Dabigatran , rivaroxaban , abixaban , ‫ودواء راﺑﻊ ﻧﺴﯿﺘﮫ‬ Warfain , Minimum 5 day Meaning Question is : drug need Bridging , jet lag treatment ? Melatonin Two different eye drop ? Wait 5 minut before add second Which Anticoagulation Direct – thrombin inhibt ? Dabigatrin Argatroban Both are coorrect  Which meaning 800 ? Hazard drug ‫اﻻ ﺳﺆال واﺣﺪ وﷲ ﺗﺬﻛﺮﺗﮫ وش ﻟﻮن اﻟﺒﻮﻛﺲ ﺣﻖ اﻟﻨﻔﺎﯾﺎت‬ Yellow Sturcutre for Parbitorate , and Select the Short acting ? “ without Name , only Structure “ Short acting is : Hexobarbitone Pentobarbitone Secobarbital Amobarbital ‫اﺑﺤﺜﻮا ﻋﻦ ﺳﺘﺮﻛﺸﺮز ھﺎﻷدوﯾﮫ‬ Aspirin Structure? Is Covalent bond is responsible for antiplatelt Isomer Ipemer For acyclover to des..lover Patient had paint and GI bleeding , I think had HTN , DM. which analgesic will gave ? Ibuprofin Methadon ? Hydro codon Analgesic for patient using warfarin and have heart disease ? Statine give with ? Co-enzym plasmin in bacteria responsible for ? Drug for Lice ? When drug A increase a Therapeutic action of D B ? -increase metabolite -decrease metabolite For travel insomnia ? Patient use warfarin and SGLT2 inhibitors drug , which is serious/ danager will happen ? Liver function weight Case for patient , had COPD ‫وﯾﻌﻄﯿﻚ ﺻﻔﺎﺗﮫ‬ Q : which COPD Category for the patient ? Pharmacophore definition? Pharmacovigilance definition ? Pharmacosoioly definition ? Counseling for Asthmatic Patient ? -reduce weight - - Cases / Ashmatic patient and obesity what management for their thereby ? 1-dose of aldoronate in postmenopausal ? 2-Anticogulant safe pregnant? 3-clincal trial to approve drug ? 3-MRSA tratment ? 4-Aminoglycosid affect any organ montring ? 4-drug increase warfaring ? ‫ﻛﻞ اﻟﺨﯿﺎرات ﻛﺎﻧﺖ ﻣﻦ اﻻﻧﺘﻲ ﺑﯿﻮﺗﻚ‬ 5- benzodizpam MOA? 6- aspirin pka 3.2 absorb in acidic ?6-54-3 7-mechinal valal which drag anticogulant ? 8-streptococcus and absence O2? 9-s.j and serotenin ? 11-pandemic ? Prevlence ? 12- ondasetron like ? 13-mRNa? Transcripition – Translation – Transportion Transcriptase if RNA to DNA 14-Vaccin..... autism ? 15-Live viccination ? 16- ‫ اﻋﻄﺎه ﻓﯿﺘﺎﻣﯿﻦ‬k..... ‫ وﻗﺎﻟﻲ ﻛﻢ‬INR ? 17- drug antibotitc time depanted ? 18-drug antibiotic conc depanted ? 19- lamotrigine side effect ? 20- niacin side effect ? 21- B12 ‫? ﻧﻘﺼﺎﻧﮫ ﯾﺴﺒﺐ‬ 22-‫ ﺷﻮﻓﻮا اﻧﻮاع ﻛﻠﮭﺎ‬.. ‫ﺟﺎب ﻛﯿﺴﺲ وﻗﺎﻟﻲ اﯾﺶ ﻧﻮع اﻻﻧﯿﻤﯿﺎ ﻋﻨﺪدو‬ 23- ‫ ﻛﯿﻒ ﺗﺘﺠﻨﺒﻲ‬error medication ? 24- codine enzyme to morphine? ‫ اﻻﺧﺘﺼﺎرات ﺟﺎﺑﻮھﺎ ﻛﺜﯿﺮ زي‬o.u ‫رﻛﺰو ﻋﻠﻰ اﻟﻌﯿﻦ واﻻذن‬ ‫ﻛﯿﺲ ﺟﺎت واﺣﺪ ﺟﺎ ﯾﺸﺘﻜﻲ اﻟﻢ ﻓﻲ ﻧﺎﺣﯿﮫ اﻟﯿﻤﯿﻦ اﯾﺶ ﺗﺘﻮﻗﻌﻲ ﻋﻨﺪه وﻣﺎﺟﺎب وﻻ ﺗﺤﻠﯿﻞ وﻻ اﻋﺮاض ؟‬ ‫ھﺬي ﻛﺎﻧﺖ ﺧﯿﺎراﺗﮫ‬ Liver Cholestasis pancreatitis ? Patient with Ostoprosis which need for Diagnosis X-ray – MRI – CT ‫ وﺟﺎ ﻛﻤﺎن ﺻﻮره ﻗﻠﺐ وﻛﺎﺗﺐ ﻋﻠﯿﮭﺎ ﺑﯿﺎﻧﺎت اﻟﻘﻠﺐ وﺟﻤﺒﮭﺎ ﻣﺨﻄﻂ اﻟﻘﻠﺐ وﻛﺎﺗﺐ اﺑﻐﺎ‬PR When take Omeprazole ? -Monring with meal -Night before sleep -As need - stimulate adrenergic ‫ اﻟﻐﺪد اﻟﺪرﻗﯿﮫ وﺗﻘﺮﯾﺒﺎ اﻏﻠﺐ اﻻﻣﺮاض ﯾﺒﻐﻰ ﻓﯿﺘﺎﻣﯿﻦ ﯾﺘﺎﺧﺬ ﻣﻌﺎھﺎ ﻛﻢ ﻛﯿﺲ ﺟﺎء ﻣﻨﮭﺎ‬- ‫ اﻟﻀﻐﻂ‬- ‫اﻧﻲ اﻣﺮاض اﻟﺴﻜﺮ‬ Women plan for Pregnance and she use methimazole ? - ‫ ﺗﺎﺟﻞ اﻟﺤﻤﻞ ﻟﻐﺎﯾﮫ ﻣﺎﺗﺘﻌﺎﻓﻰ‬- ‫ ﻧﻮﻗﻔﮫ ﻟﮭﺎ ﺑﺎﻟﺘﺪرﯾﺞ وھﻮا اﻣﻦ ﻓﻲ اول ﺷﮭﻮر ﺣﻤﻠﮭﺎ او‬- ‫اﻟﺨﯿﺎرات ﻛﺎﻧﺖ ﺗﻮﻗﻒ اﻟﺪواء اول ﻣﺎﺗﺤﻤﻞ او‬ ‫وﻧﺴﯿﺖ اﻟﺮاﺑﻊ ﺑﺲ ﻣﻊ دواء ﺗﺎﻧﻲ‬ ‫ ﺟﺎء ﻛﻤﺎن ﺳﻮال ﻋﻦ‬Athletes ‫? اﯾﺶ اﻋﻄﯿﮫ‬ Pseudo antibiotic treatment Lamotrigine side effect ? Not “ Rash “ in option amphetamine MoA ? I think increase noradrenaline *drug need Liver monitoring ? Methotrexate Adalimumab For ECG : *QRS action *TV action *Drug for control rythym *Antiboiotoc contraindicated in pregnant 🤰 *Drug Couse teeth descolroization Tetracycline Case with pneumonia and in 3 days symptoms remove: What the medical intervention -stop all drugs -Give oral Cef.. and oral azithromycin -Give IV Cef + IV azithromycin -oral cef doxycycline Case with status epilecy , Take phenytoin _increase phenyton dose _iv lorazepam _carbaamezapine Patient with Multiple sclerosis disease, and feel dizziness with stand up, which drug should be take? Bromocriptin Patient Suffer from pain form Sikle cell disease , which drug should take ? Morphin Fungi proprieties ? ‫ﻣﺮﻛﺐ ﻛﯿﻤﺎﺋﻲ ﻣﺴﺆول ﻋﻦ ﺗﻜﻮن اﻟﻐﺎزات ﻋﻨﺪ اﻟﻤﻮاﻟﯿﺪ‬ Patient have defiiecny frim Vitamin A , when should be take Vitamin A from Natural ? olive oil _liver oil Organ oil Herbal treatment for Vomiting ? Clove Ginger Cinnamon Antidote for apixapan? andexent Type of resource (collage of pharmacy activity about Diabetes Tertiary Times of Vac Hip A? 2 Pelletierine traditional use in what? 2- ‫?? ﻋﻠﻰ أي اﺳﺎس ﯾﺘﻢ ﺗﺴﻤﯿﺔ اﻻدوﯾﺔ اﻟﻠﻲ ﺗﻜﻮن ﻣﻦ ﻧﺒﺎﺗﺎت طﺒﯿﻌﯿﮫ ا‬ ‫و ﻋﻠﻰ اﺳﻢ اﻟﻌﺎﻟﻢ اﻟﻠﻲ اﻛﺘﺸﻔﮭﺎ‬ ‫او اﻻﻛﺘﯿﻒ ﻛﻮﻧﺴﺘﯿﺘﻮﻧﺖ‬ 3-‫ﻣﺮﯾﺾ ﻋﻨﺪه ﺣﺴﺎﺳﯿﺔ ﻣﻦ اﻟﺒﻨﺴﻠﯿﻦ و اﻻﺧﺘﯿﺎرات ﺳﺘﺮﻛﺸﺮز و اﻟﺠﻮاب ﻛﺎن ﻋﻨﺪي ﺳﺘﺮﻛﺸﺮ اﻟﻜﻮﯾﻨﻮﻟﻮن‬ Q: Amphotericin B Stucture , and Ask about What it’s ? Hydrolysis or Oxidation Answer : ( Hydrolysis )| Q: Same questions about Warfarin? (conjugation) doxorubicin class ? 6- cyclophosphamide Side effect ? Too many question about Cancer Disease ( Use / Sied effect / MOA ) 7- G+ve and G-ve Different in layers and components 8- cimetidine dicreased metabolism of drug X 9- which intracellular and extracellular elctrolyte 10- amylase and lipase Responsibilities 11- aspirin ? ‫رواﺑﻂ ﺗﺴﺎھﻤﯿﺔ‬ 12- PR interval and ST segment in ECG 13- anti arrhythmia classes ‫اش اﻟﺨﻠﯿﺔ اﻟﻠﻲ ﻋﻠﻰ ﺳﻄﺤﮭﺎ اﻻﻧﺘﯿﺒﻮدي‬ T helper cell > CD4 + IF any one give the sample for pharmacis ,what the pharmacist should do ? patients refuse to use insulin due to weight gain ‫اش اﻟﺘﺼﺮف‬ ‫ﺻﻮره اﻟﻠﯿﺜﺎل دوز و ﯾﻘﻠﻲ ﻛﻢ ﺗﺴﺎوي‬ potency and efficacy pic 20- ‫ ﺳﻮال ﯾﻘﻠﻚ‬HCG + ‫ﻓﻤﻌﻨﺎﺗﮫ اﻟﻤﺮﯾﺾ ﺣﺎﻣﻞ ﻣﻦ دون ﻣﺎ ﯾﻘﻠﻚ ھﻮ ﻣﯿﻞ او ﻓﯿﻤﯿﻞ ﺑﺲ ﺧﻼص داﻣﮫ اﯾﺠﺎﺑﻲ ﻛﻌﻨﺎﺗﮫ ﻧﺪور اﻻدوﯾﺔ‬ ‫اﻟﺴﯿﻒ ﻟﻠﺤﺎﻣﻞ‬ 21- UGT1A1 enzyme for which drug ? 22- enoxaparin doses 23- definitions of management 26- candida albican ttt Calculation : Correct Calcium Correct Phenytoin LD – CrCl – displasment Bioavailability difinitions fraction (%) of an administered drug that reaches the systemic circulation. bioavailability calculation AUC (oral)/AUC iv X 100 specific gravity Mass / volum calculation 10%W/W ,V/V cost minimization analysis disease or illness direct medical *Direct nonmedical cost *non direct cost lost productivity for patient non direct cost o.u t.i.d Both eyes three times a day a.c Befor meal cimetidine decreas excreation decreas metabolism gentamycin liver _adptive tissue , systemic circulation * adptive tissue _liver _ systemic circulation antidote iron Defroxamine Antidote digoxin NORMAL range phenotin 10-20 Quinlon ___ Quinidine antiarrhthmias veracity * etical principle ferros does 100 tid ‫ ﺣﺒﺎت وﺟﺊ ﺑﻌﺪھﺎ ﻣﻌﺼﺐ ﯾﺒﻐﻰ اﻛﺜﺮ واﻟﺪواء ﻣﻮ ﻣﺼﺮح ﻟﻠﺼﺮف ﻏﯿﺮ ﺛﻼث ﺣﺒﺎت‬3 ‫ﺟﺎﻧﻲ ﺷﺨﺺ ﺗﻢ ﺻﺮف ﻟﮫ ﻣﻦ ادوﯾﮫ ﻧﺎرﻛﻮﺗﻚ‬ ‫واﻻﺟﻮﺑﮫ‬ ‫وﺗﻄﻠﻌﮫ ﻣﻦ اﻟﺼﯿﺪﻟﯿﮫ‬ ‫ﺗﺪاﻓﻊ ﻋﻦ ﻧﻔﺴﻚ‬ ‫ﺗﻄﻠﺐ ﻣﻦ ﺳﻜﯿﺮﺗﻲ ﯾﻄﻠﻌﻮه‬ ‫اوه ﺗﺴﻤﻊ ﻟﮫ وﺑﻌﺪﯾﻦ ﺗﻌﻠﻤﮫ ﺳﯿﺎﺳﺎت‬ ‫ﺷﺨﺺ ﺷﻜﺮ واﺣﺪ ﺑﻌﺪ اﻟﻤﯿﺘﻨﻖ واﻻﻧﺘﺮﻓﯿﻮ‬ Verbal Non verbal warm plase 20-25 diabetic vaccination Pneumococcal person Hepatitis A vaccine of endmic plase HAV+HIM folic acid 1 month before pregnancy om salah )‫ﺗﺒﯿﻊ ﻣﻨﺘﺠﺎت ﻋﺸﺒﯿﮫ وﻋﻤﯿﻞ اﺷﺘﻜﻰ ﻋﻠﯿﮭﺎ‬ ‫ﻟﺘﺮﺧﯿﺺ اﻟﻤﻨﺘﺠﺎت ﻋﻨﺪھﺎ‬# ‫ﺗﻌﻤﻞ ﻟﯿﮭﺎ ﺗﺼﺮﯾﺦ‬ ‫ﺗﻔﺘﯿﺶ‬# TSH 👆L3👇 Levothyroxin atomoxcin cyp450 disease of niacin Phellegra ‫ﺷﺨﺺ ﺟﺎي وطﺎﻟﺐ دواء ﺣﻖ‬Premature ejaculation ‫ﺗﻜﻠﻤﯿﮫ ﻋﺎدي ﻗﺪام ﻧﺎس‬ ‫ﻟﻮ ﺗﺼﺮﻓﯿﮫ ﻋﺎدي‬ ‫ﻟﻮ ﺗﻜﺎﺑﻲ رﺷﺘﮫ وي اﻟﻌﻠﺒﮫ‬ ‫ﻟﻮ ﺗﺎﺧﺪﯾﮫ ﻣﻨﻄﻘﮫ ﺧﺎﺻﮫ وﺗﺴﺄﻟﯿﮫ‬ Vit definite cause hair loss Biotin Iso 7 -10 -100 -1000 -10000 ‫ﺟﺎﻧﻲ ﺳﺆال وﺣﺪه ﻋﻨﺪھﺎ‬hypothyroidism ‫ﺟﺎت ﺗﺎﺧﺬ‬levothyroxine ‫واﺳﺘﺸﺎرت اﻟﻔﺎرﻣﺴﺴﺖ ﻋﻦ اﻋﺸﺎب ﺗﺎﺧﺬھﺎ ﺑﺪل اﻟﻌﻼج‬ ‫وش اﻟﻤﻔﺮوض ﯾﻜﻮﻧﻦ اﻟﺮد اﻟﺼﺢ‬ ‫ اﻻﻋﺸﺎب ﻣﺎﻟﮫ ﻣﻮاد ﻛﯿﻤﯿﺎﺋﯿﮫ ﻓﻌّﺎﻟﮫ ﻣﺜﻞ اﻻدوﯾﮫ‬- ‫ اﻻﻋﺸﺎب ﻣﻮ ﻣﻌﺮوف ﻣﻜﻮﻧﺎﺗﮭﺎ‬- ‫ اﻻﻋﺸﺎب ﺗﺘﻌﺎرض‬- drug mask hypoglycemia? B blocker Nurse received extra vial in the bag what should we do ? Return to pharmacy high intensity statins? Atrov 40 Ergot alkaloids used for migraines Dihydroergotamin When patient use clozapine what monitoring? “ agranulocytosis “ ‫ﺗﺎﻛﺪو‬ type of WBC cause antibody production Lymphocytes which of the following not essential amino acid Arginine what is warfarin level in mechanical valve ? 2.5 – 3.5 Patient with HIV what monitoring? CD4 “ ‫ﺗﺎﻛﺪو‬ Cost effectiveness? To identify, examine, and compare relevant costs and consequences (clinical outcomes) of competing drug regimens and interventions. ‫ دﯾﺴﻤﺒﺮ ﻣﺘﻰ اﺧﺮ ﻣﺮه ﯾﻨﻔﻊ ﻧﺎﺧﺬه؟‬31 ‫دواء ﺑﯿﻨﺘﮭﻲ ﺗﺎرﯾﺨﮫ ﯾﻮم‬ ‫ اﻛﺘﻮﺑﺮ‬1 ، ‫ دﯾﺴﻤﺒﺮ‬1 ،‫دﯾﺴﻤﺒﺮ‬31 septic shock Dopamine , norepinephrine, epinephrine Patient with hypothyroidism and she becomes pregnant what use dose 20 25 100 125 50 normal creatinine level for male What mean MMR Measles , mumps , rubella How can protect stomach when use metformen Take with antacid After meal Between meals Anti-dote cocaine How many calories in one gram 10 What’s the immunoglobulin in MALT ? igA How is frist one to prevent medaction error?! Pharmacist, patien , nurses what is ingredient use to prepare suppository? Cocoa butter vitC used for Preservative Vitc diafactinsy?! Scurvy car driver wants antihistamine Loratidine Time for drawn gentamicin? 30 minutes before 4th or 3rd dose Women has signs of vitamin A deficiency, what are its natural forms? Olive oil Liver oil Argan oil Health care in pharmacy work and have infaction how the infaction give to patient? Hand Air live vaccine? MMR Avoided in nursing mother : Insline Case..pt DM 2symptoms....whent to lose wieght..HTN ,heart failure..do life style chang and excirses drug choice for DM 2? Insulin liraglutide ✅metformin Glypuride Case..pt DM symptoms....wt lose..HTN ,heart failure..drug choice for DM to be wight gain? Insulin Clopidogrel increase efficacy if taking with Omeprazole?! Cyp c19 women positive (HCG ) Human chorionic gonadotropin , what medication is appropriate for her? 1- warfarin 2- isoretanoin 3- Tetracycline 4- ✅Levofilaxin Which vit use for vomting in pregnncy? B6 Hf and Atrial fibraltion ? Amidorone , dofetolide Treatment Malaria in Saudi Arabia ? Name vit b12 Cyanocobalamine When stop using Fingolimod , for pregnancy ? 2 month Metronidazole can’t use for what? Smoker patient Drink alcohol✔ Depression Cardoovaculer deasise Plant used to treat vomiting? Ginger Child one years ago, had immunodeficiency, he took before 4 month IVIg, and now it’s time to take MMR Vaccine Give vaccine B- don’t give because he took IVIG C- ✅don’t give because he has immunodeficiency Montoring of lithume Cbc Liver fanction Renel fanction How many phases of drug study until it’s approved? 3 phases Pt come to hosptial with lab result AST is high ,ALT high and G high amylase is normal~* bilirubin ia normal*~ A-*✅heptic cirrhosis* B-heptic stenosis C-pancriatitis Bilirubin normal (liver cirrosis) Bilirubin is high(liver stenosis) High enzyme malyse(pancriatitis) Pseudomonas aeruginosa in gram stain ? ✅gram negative bacilli what is warfarin level in mechanical valve ? 2.5-3.5 women 23 years old has UTI what is best option for her ? Trimethoprin-sulfamethoxazole 160/800 mg BID for 3 days Pt have shotage breath and go to emrgancy and have fever and cute cough.what digonose of pt? respiratory syncytial virus‫ﺗﺎﻛﺪو‬ ‫ﻛﯿﺲ وﺳﺄل ﻋﻦ ﻣﻌﻨﻰ‬P wave= Atrium depolarization QRS complex= Ventricles depolarization T wave= Ventricles Repolarization Drug C.I in sulfa allergy? Bactrim SMX/TMP and other medications that contain sulfa Affinity Defenation? What the reseson for deficancy hematocrit Vitamin B12 or ferros sulfate Struturs about pencillin and trizole? Whats antidote for bzd? Antiarrhythmic and hr control? 🔆‫ ﺻﺢ اﻣﺲ ﻛﻤﺎن ﺟﺎﻧﻲ ﺳﺆال ﻋﻦ‬decongestant ‫اﻟﻰ ﻋﻤﺮ ﻛﻢ ﻣﻤﻨﻮع ﻓﻲ اﻷطﻔﺎل‬ What the reason for Raynaud’s Disease ? A person with Raynaud’s disease experiences pain in the extremities, for example, the fingers, when temperatures drop. How to prevent recurrent of UTI fore female? C eprofloxacin Nitrofurination Ceftaxon Metronidazole What the treatment for for Raynaud’s Disease ? Inhaler have 200 puff , and each puff contain 0.135 ml , and Concentration …. Question is :calculate the concentration for one puff ? ‫ ﯾﻌﻨﻲ ﻛﻢ ﺗﺤﺘﻮي‬gram ? ‫طﺮﻓﯿﻦ ف وﺳﻄﯿﻦ ﯾﻌﻨﻲ‬ Cross sealing definition ‫ ﺳﻨﻮات‬٦ ‫ھﯿﺌﺔ اﻟﻐﺬاء و اﻟﺪواء ﻣﻨﻌﺖ اﺳﺘﺨﺪام ادوﯾﺔ اﻟﻜﺤﺔ ﻻﻗﻞ ﻣﻦ‬ Zonisamide induce kidney stones Q: Encapsulated 1- E.coli 2- strept pneumonia Q:What’s the immunoglobulin in MALT ? IgA Q:How is frist one to prevent medaction error?! Pharmacist Naurse Doctor Patient Q: what is ingredient use to prepare suppository? Cocoa butter Q:Pregnant women has hepatitis B when she delivers we must give her baby ? Hepatitis B vaccine + Hepatitis B immunoglobulins Q: vit Cused for? Preservative Q: Vit C diafactinsy?! Sarvay Q:Car driver wants antihistamine ? Lortidine Nurse received extra vial in the bag what should we do ? Return to pharmacy Time for drawn gentamicin? 30 minutes before 4th or 3rd dose(‫)ﻛﺮره ﻣﺮﺗﯿﻦ ﻣﺮه ﺳﻮال ﻋﺎدي وﻣﺮه ﻛﯿﺲ‬ Enoxaparin 80 sc to time dily ‫ﻛﻢ ﺗﻌﻄﯿﮫ ﻣﻦ ﻻﻛﺴﯿﻨﻮ‬٨٠ ‫ﻛﯿﻒ ﺑﺘﻜﻮن ﻣﻜﺘﻮﺑﮫ ﺑﺎﻻوردر وﺟﺎب ﻧﻔﺴﮭﺎ ﺑﺲ ﻛﯿﺲ ان ﺑﯿﺸﻨﺖ وزﻧﮫ‬ ‫ﺑﺮﯾﻦ‬ Drug C.I in sulfa allergy? Bactrim SMX/TMP and other medications that contain sulfa (Pt have shotage breath and go to emrgancy and have fever and cute cough.what digonose of pt?respiratory syncytial virus‫ﺟﺎب ﻛﯿﺲ‬ P wave= Atrium depolarization QRS complex= Ventricles depolarization T wave= Ventricles Repolarization women 23 years old has UTI what is best option for her ? Trimethoprin-sulfamethoxazole 160/800 mg BID for 3 days what is warfarin level in mechanical valve ? 2.5 to 3.5 Pseudomonas aeruginosa in gram stain ? A - gram positive cocci B- gram nigative cocci C- gram positive bacilli D- ✅gram negative bacilli ١-١٠٠٠ ‫ھﺬا ﺳﻮال ﺑﺘﺠﻤﯿﻌﺎت‬ ‫ﺣﺼﮫ‬.‫وﺻﺢ ﻛﻼم د‬ Pt come to hosptial with lab result AST is high ,ALT high and G high amylase is normal~* bilirubin ia normal*~ A-✅heptic cirrhosis B-heptic stenosis C-pancriatitis Bilirubin normal (liver cirrosis) Bilirubin is high(liver stenosis) High enzyme malyse(pancriatitis) How many phases of drug study until it’s approved? 1 phase 2 phases ✅3 phases 4 phases Plant used to treat vomiting? ✅Ginger Cinnamon Clove Child one years ago, had immunodeficiency, he took before 4 month IVIg, and now it’s time to take MMR Vaccine A -Give vaccine B- don’t give because he took IVIG C- ✅don’t give because he has immunodeficiency high intensity statins? Atorva 40 Montoring of lithume Cbc Liver fanction Renel fanction When stop using Fingolimod , for pregnancy ? ✅Before 2 month 6 month Safe for Pregnancy Before 6 months Metronidazole can’t use for what? Smoker patient Drink alcohol Depression Cardoovaculer deasise Treatment Malaria in Saudi Arabia ? Name of B12 ? Cyanocobalamine Which vit use for vomting in pregnncy? Vit 6 Hf and Atrial fibraltion ? 1- ✅Amiodarone 2- verapamil 4- sotalol women positive (HCG ) Human chorionic gonadotropin , what medication is appropriate for her? 1- warfarin 2- isoretanoin 3- Tetracycline 4- ✅Levofilaxin Clopidogrel increase efficacy if taking with Omeprazole?! Cyp c19 Case..pt DM symptoms....wt lose..HTN ,heart failure..drug choice for DM to be wight gain? ✅Insulin liraglutide metformin Glypuride Case..pt DM 2symptoms....whent to lose wieght..HTN ,heart failure..do life style chang and excirses drug choice for DM 2? Insulin liraglutide ✅metformin Glypuride live vaccine? MMR Avoided in nursing mother : Insline Health care in pharmacy work and have infaction how the infaction give to patient? Hand Aire ‫ﻣﺎذﻛﺮ اﻟﺒﺎﻗﻲ‬ Women has signs of vitamin A deficiency, what are its natural forms? Olive oil Liver oil Argan oil if prescription from Emergency Q- Which of the following set the rules and regulations for pharmacy practice in Saudi Arabia? A. SFDA B. ✅MOH C. SCFHS D. Saudi Pharmaceutical Association Q- Which of the following is responsible for medication regulation? A. ✅SFDA B. MOH C. SCFHS D. Pharmacy and Therapeutics Committee Validity of diazepam prescription is ? 7 days Patient is using Metformin + Sitagliptin +pioglitizen What is the most appropriate monitoring for him? A) Pulmonary function test B) Renal function test C) ✅Liver function test ypi furosemide infusion in heart failure pt NYHA class 4, I guess the dose was 120 not sure ? A- ✅30 mintues B- 40 mintues C- 10 minutes D- 5 mintues Natural product used with alzahimer disease: Gingko biloba Student whant to do sreash Googl Upto dat Med Pharmacy coll doctor for now reasrch about asmtha and urine retantion. Pharmacotharpy Med Gidline Google Since insulin is directly involved in the uptake of glucose into tissue, and that glucose uptake by muscle can increase seven- to twentyfold during exercise insulin concentration decreases during exercise of increasing intensity. - Aim of krebs cycle? ATP production - Exercise induced asthma treatment - Thiazides durtics effect in low renal functions? Has no effect - Case about women having constipation and dark stool due to what medication? Ferrous sulphate - Cyclophosphamide SE? Hemorrhagic cystitis - Lots of questions about EGC - LD calculation - Naloxon pediatric dose - Treatment of uti in pregnancy - What vaccines are contraindicated during pregnancy? - Natural triglycerides lowering agent - B12 name? - Vincristine label—-> don’t administer interathecal - Covid-19 infection control first line preventing transmission: (wearing surgical mask-n95mask- wearing gloves-hand washing) DNA to mRNA? -Trancraption -Transltion -Trancraption 1-Plant source for treatment of malaria falciparum? 2. Aspirin structure 3. Patient needs the highest degree of care in MOH which insurance card to choice? Gold card? Altamayoz card? 4.Quinidine structure? 5. Community pharmacist notices that there is a relation btw asthmatic patients and obesity and he wants to make a research about this! collect information from where?? 6.antidote for methotrexate 7. Long case, the pt was use 4 antiviral +floconazol and he UGT1A1 +ve which drug should draw out? ‫ ﻣﺎﻓﻲ‬Irinotecan ! 8. ‫ﻗﺼﺔ طﻮﯾﻠﺔ ﻧﮭﺎﯾﺘﮭﺎ اﻧﻮ اﻟﺒﯿﺸﻨﺖ ﺟﺎ ﺻﺮخ واﻧﻔﻌﻞ ﻓﻲ ﺻﯿﺪﻟﻲ وھﻮ طﻠﺐ اﻷﻣﻦ ﻋﺸﺎن ﯾﺠﻮ ﯾﺎﺧﺪوه! اﻟﺴﺆال اﯾﺶ ﻛﺎن ﻣﻔﺮوض‬ ‫اﻟﺘﺼﺮف اﻟﺼﺤﯿﺢ ﻟﻠﺼﯿﺪﻟﻲ؟‬ ٩. ‫اﺳﺘﺮﻛﺸﺮ ﻏﺮﯾﺐ اﯾﺶ ﻧﺰود ﻋﺸﺎن ﻧﺰﯾﺪ اﻻﻣﺘﺼﺎص؟‬ ١٠. Which one need dose increase in elderly? Levothyroxine? Chloropromazine ? ‫وﺧﯿﺎرﯾﻦ ﻛﻤﺎن‬ ١١. Pt have asthma came to hospital for something else, normal lab results except high potassium! Which one cause this? SABA? Ipratropium? budesonide? 12. Primidone pro drug for? 13. Baby with toothache, which one is Blackbox for babies to use! Lidocaine gel? Clove oil? And two more options 14. Child with growth retardation and ‫ﻛﺴﺎح‬ and low calcium what vitamin to use? 15. Obese pt wants to use Orlistat ‫اﻋﻄﯿﮫ واﻛﻠﻤﻮ ﯾﺎﺧﺪ ﻓﯿﺘﺎﻣﯿﻨﺎت؟‬ ‫ﻣﺎ اﻋﻄﯿﮫ واﻧﺼﺤﮫ ﯾﺨﻔﺾ وزﻧﮫ ﺑﻄﺮق ﺛﺎﻧﯿﮫ؟‬ ‫ﻣﺎ اﻋﻄﯿﮫ واﻧﺼﺤﻮ ﯾﻌﻤﻞ ﺗﻜﻤﯿﻢ؟‬ ١٦. Alcohol percent in USP? ‫ﻓﻲ اﻟﺨﯿﺎرات ﻓﻲ ﻧﻮﻋﯿﻦ اﻟﻜﺤﻮل ﻣﻊ ﻧﺴﺒﮭﻢ‬ ١٧. Accepted potency in shelf life? ١٨. If you want to make a Compounding where to search? ‫ ﻓﻲ ﺧﯿﺎر‬USP ١٩. The safest way to write prescription? Omeprazole 20 mg Bid? and 3 other options ‫ﻓﻲ ﺧﯿﺎرات اﻟﺘﺮﻛﯿﺰ‬ ‫ﺑﺎﻟﻤﺎﯾﻜﺮو وﺑﺎﻟﯿﻮﻧﺘﺲ‬ ٢٠. Chid took a steroid for 5 days and now the vaccine time? Take or not? ٢١. Which IG appears after recent infection? No Ig M in options also no Ig G! ‫اﺧﺘﺮت ال‬D ‫ ﻻﻧﻮ ﺗﻘﺮﯾﺒﺎ ﯾﺸﺘﻐﻞ ﻣﻊ ال‬M ‫وﷲ اﻋﻠﻢ‬ ٢٢. ‫ اﻋﺮﻓﻮا ﺟﺮﻋﺎت اﻷدوﯾﺔ ﻓﻲ ال‬Heart failure ‫ﻻﻧﻮ ﺑﻌﻄﯿﻜﻢ اﻷدوﯾﺔ واﻟﺒﯿﺸﻨﺖ ﻣﺎ ﺑﺘﺤﺴﻦ ﻣﻔﺮوض ﯾﺰﺑﻂ اي ﺟﺮﻋﺔ ﻓﯿﮭﻢ ؟‬ ٢٣. Pt on stage 4 heart failure still not controlled and all drugs doses are OK what is next step? Add spironolactone? ٢٤.which drug use in both ventricular and supra ventricular arrhythmia? Dofetilid?sotalol? No amiodarone in choices ٢٥. Graph of Pka where is the highest absorption of drug ٢٦. Pt use pioglitazone should monitor what? ٢٧. Diabetics should check for micro vascular damage every? ٢٨.women HCG + should avoid? ٢٩. Minor and deep injury vaccine ٣٠. Long case and at the end pt have severe hypotension what is the initial therapy? Hypertonic saline ٣١. Long case and all drugs are OK but there is no drug prescribed for arrhythmia! ٣٢. Women with osteoporosis and heart burn what will benif for both? Ca carbonate ٣٣.‫ ﺑﯿﺸﻨﺖ ﺟﺎ ﯾﺤﻜﻲ ﻟﺼﯿﺪﻟﻲ اﻧﻮ ﺑﯿﺴﺘﺨﺪم ﻣﻊ زوﺟﺘﻮ ال‬lorazepam ‫ وﺗﻘﺮﯾﺒﺎ ادﻣﻨﻮ وﻗﺎم اﻟﺼﯿﺪﻟﻲ ﻋﻤﻞ‬documentations ‫ﻟﻠﺤﺎﺟﮫ‬ ‫دي! اﯾﺶ رأﯾﻚ ﻓﻲ ﺗﺼﺮﻓﻮ؟ ﻓﻲ اﻟﺨﯿﺎرات اﻧﻮ اﻟﺼﯿﺪﻟﻲ ﻣﻔﺮوض ﯾﺤﺘﺮم ﺧﺼﻮﺻﯿﺔ اﻟﻤﺮﯾﺾ وﻣﺎ ﯾﺤﻜﻢ ﻋﻠﯿﮫ‬ ٣٤. Abstract of a research, read the result and what you recommend? ‫ﺧﻼﺻﺔ اﻟﺒﺤﺚ ﻛﺎن اﺳﺘﻄﻼع ﻟﻠﺒﯿﺸﻨﺘﺲ ﻋﻦ رأﯾﮭﻢ ﻓﻲ ﻣﻮت اﻟﺮﺣﻤﺔ وﺗﻘﺮﯾﺒﺎ اﻷﻏﻠﺒﯿﮫ اﺧﺘﺎرو اﻧﻮ اﻟﻄﺒﯿﺐ ﯾﺨﺘﺎر ﻟﮭﻢ وﯾﻨﻮب ﻋﻨﮭﻢ‬. ‫ اﻟﻤﮭﻢ اﺧﺘﺮت‬more patients education. ٣٥. Pt came to hospital with severe renal failure ‫ﻣﻔﺮوض ﯾﻮﻗﻒ ﺣﺎﻻً اﯾﺶ؟‬ ‫اﺧﺘﺮت ال‬metformin ٣٦. Before dye contrast stop what drug? ٣٧.‫ﻣﻮاﺻﻔﺎت ﻣﻮﻗﻊ اﻟﺼﯿﺪﻟﯿﺔ اﻟﻤﺜﺎﻟﻲ؟‬ ٣٨. ‫ ﺻﺎﺣﺐ ﺳﻠﺴﻠﺔ ﺻﯿﺪﻟﯿﺎت ﻋﺎﯾﺰ ﯾﻌﯿﻦ ﺻﯿﺎدﻟﺔ ﻗﺎم ﺳﺄﻟﻚ ﻓﻲ اﻻﻧﺘﺮﻓﯿﻮ اﻧﻮ ﺗﻀﻊ ﺧﻄﺔ ﻣﻨﺎﺳﺒﺔ ﻟﻞ‬budget ‫او ﺣﺎﺟﺔ زي ﻛﺪه‬ ٣٩. Which drug counteracts the respiratory depression after anathesia? ‫ ﻓﻲ ﺧﯿﺎر‬picrotoxine ٤٠. Structures with different in 2 chiral center? Isomer ٤١. Patient use heparin and aPTT 140 seconds? What to do? ٤٢. Calculation of phenytoin normal level and in lab results low albumin? ٤٣. Pt on vancomycin 1 g every 12 hrs and the trough less than 10 what to do? Increase dose? Increase frequency of dose? ٤٤.Case pt have MI, ‫ ﯾﺎﺧﺪ‬aspirin 81 bid + ticagrelor Or aspirin once +ticagrelor bid ‫ واﻟﺨﯿﺎرﯾﻦ اﻟﺜﺎﻧﯿﯿﻦ ﻧﻔﺲ اﻟﻔﻮق ﺑﺲ ﻣﻊ ال‬prasugrel ‫ﻣﻊ اﻟﺠﺮﻋﺎت‬ ٤٥. Which one is evidence based? ‫وﺟﺎﯾﺐ اﺳﺘﺨﺪاﻣﺎت اﻷﺳﺒﺮﯾﻦ ﻓﻲ ﺣﺎﻻت ﻣﺨﺘﻠﻔﺔ‬ ٤٦. Long St segment in ECG indicate what? ٤٧. ‫ أﻋﻄﺎﻧﻲ ﺗﺎرﯾﺨﯿﻦ واﺣﺪ اﻛﺴﺒﯿﺮي ﺣﻖ اﻟﺪواء واﻟﺘﺎﻧﻲ اﻟﯿﻮم اﻟﻠﻲ ﺑﺴﻮي ﻓﯿﮫ‬unit dose ‫اﺣﺴﺐ‬ A researcher gathered all studies from the past ten years. Vitamin E was used for a variety of condition. The populations studied as well as the vitamin E formulations and doses were all different. The researcher compared the incidences of cardiovascular-related mortality in those taking vitamin E.supplements versus those that did not Which of the following best describe this type of study : A. Meta-analysis ✅ B. Cohort study C. Observational study D. Controlled clinical trial -23year's old female didn't exposed to the sun two months ago, when she exposed for 2min she got her face sun burn, doctor prescribed her sun block and when she applied it for 18 min she got the same degree of sun burn but in her back. What's the calculated sun block SPF? _SPF 7 _SPF 9 _SPF 10 _SPF 15 ‫ﺳﺒﻖ وﺷﻔﺖ ھﺎﻟﺴﺆال ع اﻟﻘﺮوب وﻛﺘﺒﺘﮫ ﺑﺎﻟﻨﻮت ﻻن ﻓﻌﻼ ﺟﺎﻧﻲ وﻻاﻋﺮف اﺟﺎﺑﺘﮫ ﻟﻸﻣﺎﻧﺔ‬ -antidote for (paracetamol, organophosphate insecticide, sevelamer for hyperphosphatemia, ) -structures(1-which structure should be avoided in allergies penicillin patient,2-which one of structure is non dihydropyridine of CCB , 3- structure about Epimer ) ‫ ﺣﺎﻟﯿﺎ اﺗﺬﻛﺮ ﺑﺲ ھﺬي وﻓﻲ اﺳﺌﻠﺔ ﺗﺠﯿﺐ ﺳﺘﺮﻛﺘﺸﺮ واﺳﻢ اﻟﺪواء ﺛﻢ ﯾﺴﺎل ﻋﻠﯿﮫ اﻣﺎ ﻓﻲ‬S/E ‫او اي ﻣﻌﻠﻮﻣﺔ ﯾﺨﺺ اﻟﺪواء‬ -unit of cost utility : QALY✅ -scenario of cost effectiveness ✅ , scenario of cost binifit , which one is use in natural units -defined planning , organization -which one is as quantitive research : A)analytical research ✅ B)describtive research C)clinical trial D)RCT -which one of Antibiotics is high sensitivity (by plate of microorganisms) -which one of drugs cause increase of warfarin effect or INR effect -which one of disease cause Atherosclerosis (I choose hypothyroidism) ،duration of monitor levothyroxin -dose of iron in anemia: A)100 mg TID/daily ✅ B)325 mg TID/daily ‫اﺣﺘﺮت ﺑﯿﻨﮭﻢ ﺻﺮاﺣﺔ‬ -S/E of ciprofloxacin in child (other anemia):A)osteoporosis, B)Athropathy C) tendonitis ✅ ‫اﻟﺒﺎﻗﻲ ﻧﺴﯿﺘﮫ وﻣﺎﻋﺮﻓﺖ ﺻﺮاﺣﮫ ﺑﺲ اﺧﺘﺮت اﻟﺜﺎﻧﯿﺔ وﺗﺎﻛﺪوا‬ -scenario about Autonomy(‫) ﻣﺎﻛﺎﻧﺖ ﺻﺮﯾﺤﺔ ﺣﺘﻰ ﺑﺎﻻﺟﺎﺑﮫ‬and justices -disease : ‫ ﻛﺎن ﺷﺎﻣﻞ ﺻﺮاﺣﺔ ﻣﺎﻛﺎن ﻣﺤﺪد ع ﺷﻲء ﻣﻌﯿﻦ ﻛﺎن ﻓﻲ ﻛﺎﻧﺴﺮ و‬ACS ‫ و اﻋﺮاض‬COPD ‫و‬UTI ، ‫ﺑﺲ رﻛﺰوا اذا اﻟﻜﯿﺲ ﺣﺎﻣﻞ او ﻻ‬ ‫ وﺟﺎب ﻛﯿﺲ ﺗﺒﻊ‬hepatic cirrhosis ‫ﺑﻤﺎ ﻛﺎﻧﺖ ف ﯾﻮﺣﺪه ﺗﺸﺮﺣﮭﺎ ﺑﺎﻟﺜﺮوب اذا اﻧﺰﯾﻤﺎت اﻟﻜﺒﺪ ﻣﺮﺗﻔﻌﮫ ﺑﺤﺎﻟﮭﺎ اﯾﺶ ﯾﻌﻨﻲ واذا ﻣﺮﺗﻘﻌﮫ‬ ‫ ﻣﻌﺎھﺎ‬bilirubin ‫اﯾﺶ ﺗﻌﻨﻲ‬ - when use medications in ACs , which one of drug need to monitor ?aspirin , clopidogrel , statin ✅, lisinopril , BB ‫ ھﻲ ﻧﻔﺲ اﻻدوﯾﺔ ﺗﺒﻊ‬STEMI -angina - case about disease: ‫اﻟﺨﯿﺎرات ﻛﺎﻧﺖ اﻧﻮاع اﻟﺬﺑﺤﺔ اﻟﺼﺪرﯾﺔ اي وﺣﺪه ﻣﻨﮭﻢ ﻛﺎن اﻟﻤﺮﯾﺾ ﯾﻌﺎﻧﻲ ﻣﻨﮭﺎ‬ -temperature (mesophiles for M.O , Refeagitator room , Room temperature, biological product is storage in what ? (2-8) , which one is considered as bacteria ? D -vaccine(which the one is Live vaccine ? , other name of HPV vaccin (Gradasil ) , when the Baby delivered with mom has Hap B what to give him ?, which type of cell produce lymphocytes? B- lymphocyte -which one as ondanerserton MOA : I choose ginger -calculation : different infusion rate , one of correction phenytoin level ‫ﺻﺮاﺣﺔ ﺑﻌﻀﮭﺎ وﷲ ﻣﺎﻋﺮﻓﺖ اﺣﻠﮭﺎ ﻣﺎھﻲ واﺿﺤﺔ وﻻﻣﺒﺎﺷﺮة ﻟﻜﻦ ان ﺷﺎءﷲ ﺧﯿﺮ‬ -medication used in Respiratory..? Pavalisuzumab -dose of methotrexate and how to take with folic acid -abbreviation of O.U gtt. BID (about drops Eyes , Ears ) ‫ﯾﺠﯿﺐ ﻣﺜﻞ ﻛﺬا ﻣﺜﺎل وﺻﻔﺔ وﯾﻘﻮل وش ﻣﻌﻨﺎھﺎ ﺑﺎﻟﺠﻤﻠﺔ‬ -primary function about golgi in human : A)produce ATp B) transportion.. phases arrhythmia (P wave , QRS complex ) -different scenario about practice and regulations, I cannot remember them -which one of drug contraindicated to pregnant : atenolo ✅, amlodipin ‫اﻟﺒﺎﻗﯿﻦ ﻣﺎاذﻛﺮھﻢ‬ -MOA dantrolen I -norepinephrine (hormone , neurotransmitter) -‫ﻓﻲ ﺻﻮرة ع اﻟﻘﺮوب ﺗﺒﻊ اﻻﺳﮭﻢ ﻻدوﯾﺔ اﻟﻀﻐﻂ‬ ٪١٠ ‫ ﻟﻜﻦ ﻻﺗﺸﯿﻠﻮن ھﻤﮫ ﺑﻤﺎ ان ﻧﺴﺒﺘﮫ‬، ‫ﻟﻼﻣﺎﻧﮫ‬-‫ﻓﻲ ﻓﺴﯿﻮﻟﻮﺟﻲ وﻣﯿﻜﺎﻧﯿﺴﻢ ﻟﻜﻦ ﻣﻮ ﻣﺘﺬﻛﺮﺗﮭﻢ‬ ‫ ﺳﯿﻨﺎرﯾﻮا ﻋﻦ‬.‫ رﻛﺰوا ع اﻻھﻢ ﻻن اﻏﻠﺒﮫ‬social /administrator ‫واﻟﺜﯿﺮاﺑﻲ واﻟﻤﺴﺎﺋﻞ ﻗﻠﯿﻞ اﻟﻠﻲ داﯾﺮﻛﺖ اﻏﻠﺒﮭﺎ ﯾﺒﻲ ﻟﮭﺎ ﺗﺮﻛﯿﺰ‬ -‫ وﻓﻲ ﺳﺆال ﻋﻦ‬enzume inducer and inhibitors by cimitidine ‫اﯾﺶ ﺗﺎﺛﯿﺮ ع اﻟﺪواء اﻟﻔﻼﻧﻲ وھﻜﺬا‬ -which drug cause dyspepsia (dabigatran ) ✅ -‫ ﺟﺎء ﺳﺆال واﺣﺪ ﻋﻦ‬SFDA ‫ﻟﻜﻦ ﻣﺎاذﻛﺮه‬ -Disadvantages of primary literature -defined drug advers events -which type of vit D is good for renal failure patient ? Calcitirol -question about expiration date of approval drug product after 1996( i think after 20years , i choosed 2016 , but there are othe option is 2024) i am not sure Elongation and termination in cells ‫ﺟﺎء ﻋﻠﯿﮭﻢ ﺳﺆال ﻓﻲ اﻟﺨﻠﯿﮫ وﻗﺎل اﯾﺶ اﺳﻢ اﻟﻌﻤﻠﯿﺔ وﻛﺎﻧﺖ ﺑﯿﻦ اﻟﺜﻨﺘﯿﻦ ھﺬي ﻻﺑﺪ ﻣﻦ ﻣﻌﺮﻓﺔ ﻣﻌﻨﺎھﻢ‬ ‫ اﺗﻮﻗﻊ اﻧﮭﺎ ﻛﺎﻧﺖ‬penetration of cell wall ‫ واﻟﻌﻤﻠﯿﺔ‬Elongation ‫ﺑﺲ ﺗﺎﻛﺪوا‬ Type alcohol in USP pharmacopoeia Metabolite of diclofenac by structure Question about INR, A person with INR of 12 and given 10 mg of vitamin K when will you measure INR? Encapsulated bacteria? E.coli Narcotic addiction treatment? Methadone What is the medication that is safe in pregnant women with eplipsy? Lamotrigine Drug treatment of Pylori? PPP + Amoxicillin + Clarithromycin Clopidogrel stop before surgery? 5 days Vaccine contraindicated in pregnancy? MMR Live attenuated vaccine? Rubella Side effect of isosorbide dinitrate? Orthostatic hypotension Drug that is beta blocker and partial beta agonist? Pindolol Content of stone in gall bladder? Cholesterol Definition of planning strategy? Patient in her 20s has not taken a vaccine for 11 years, what vaccine would you give her? Tdap Meningitis Flu Structure of acyclovir? Choose a drug ( structure) for patient with sulfa allergy? Azole structure? Patient with constipation, lab values are normal except for Hct and has dark stool. What is the cause vitamin B12 or ferrous sulfate? Structure of SNRI, what to add on SNRI to make it more selective? Case… Hyperthyroidism: Elevated TSH, increased T4 Increased T4, elevated TSH Elevated TSH, decreased T4 Elevated T4, decreased TSH Phase 2 metabolism conjugation? Structure, which racemic mixture contain chiral center? Oxacillin and 4 structures, what is added to the structure that make it b-lactamase resistant? Structure, which has anti pseudomonal activity? Structure antivirals, marked 4 area on structure and asked about which part to remove that make the antiviral drug not effective? N3 CH3 C=O Which has double bond? CO2 C2H4 Medication require amber glass? Case patient with GERD what is patient education? Contact physician if you have flu like symptoms Stop if you have hypoglycemia Follow up regularly to check electrolyte Take it for 1 month Diabetics patient with heartburn, what to give him? Patient with Isoniazid patient education? Ondansetron acts as anti-emetic, which from these substances can exhibit same effect? ginger clove cinnamon black liquorice use for dyslipidemia? Fish oil best ttt of antacid for patient with osteoporosis ? Calcium carbonate ‫ ﺳﺘﺮﻛﺸﺮز وﺳﺄل وش‬٤ ‫ ﺟﺎب‬H1 blocker ? ‫ﺑﺲ ﻓﻲ اﻟﺨﯿﺎرات ﻛﺎن ﻛﺎﺗﺐ اﺳﻢ اﻷدوﯾﺔ‬ ‫ و اﻟﺠﻮاب ﻛﺎن‬..‫ ﻣﺮﻛﺒﯿﻦ‬epimers ‫ ﺟﺎب ﻛﯿﺲ و ﺳﺄل وش ﻧﻮع اﻻﻧﯿﻤﯿﺎ ﻋﻨﺪ اﻟﻤﺮﯾﺾ؟ ﻛﺎن ﺣﺎط اﻟﻼب ﻓﯿﮭﺎ‬.. Case patient with pneumonia. and +ve H1N1..what to give ? - Acyclovir - Oseltamivir What drug that increases prolactin? flaccid paralysis? patient with AF and MI.. what anti arrhythmic medication that is contraindicated? - sotalol - Amiodarone - Domperidone Case hyperlipidemia.. ‫ و اﻟﺸﻲ اﻟﺰاﯾﺪ ﻋﻨﺪه ھﻮ‬..‫ و ﻛﺎن ﺣﺎط اﻟﻼب ﺣﻖ اﻟﻤﺮﯾﺾ‬TG.. ‫و اﻟﺴﺆال وش ﻧﺴﺘﺨﺪم ﻟﻠﻤﺮﯾﺾ؟‬ ‫ ﻛﺎن ﻣﻦ اﻟﺨﯿﺎرات‬cholestyramine If we give the patient live attenuated vaccine.. the the patient will develop which immunity? Natural active immunity Artificial active immunity Passive immunity patient is taking orlistat to decrease her weight. What to advice her ? Take multivitamins Take with isoniazid ? Pyridoxine decrease CVD in DM ? ‫ ﻛﺎن اﻟﺠﻮاب دواء ﻣﻦ ﻣﺠﻤﻮﻋﺔ‬SGLT-2 inhibitor ‫ دراﺳﺔ ﻋﻦ‬cacagliflozin.. 12.4 ‫ و اﻟﺒﻼﺳﯿﺒﻮ‬11.7 ‫و ﻛﺎن ﻣﻦ ﺿﻤﻦ اﻻرﻗﺎم ان اﻟﺪواء ھﺬا ﻧﺴﺒﺔ اﺻﺎﺑﺘﮫ ﺑﺄﻣﺮاض اﻟﻘﻠﺐ‬ ‫و ﺣﻂ ﺧﯿﺎرات‬ - canagliflozin cause CVD - canagliflozin is protective against CVD. ‫ دراﺳﺔ ﻋﻦ ﻣﺮﺿﻰ ﺳﺮطﺎن ﻓﻲ ال‬Stage ‫اﻻﺧﯿﺮ‬.. ‫ و ﻛﺎن ﯾﺴﺄل ﻋﻦ ال‬conclusion ‫وش ھﻲ؟‬ Case.. DM , A1c 7.. on metformin 825 BID and not controlled.. what to do next? Aspirin is not safe to give to children : Less than 2 Less than 6 safest route for administration for infants ? ‫ و ﻛﺎﻧﺖ اﻻﺧﺘﯿﺎرات ان ﻧﻌﻄﯿﮫ اﻟﺪواء ﺑﺎﻟﻤﻠﻌﻘﺔ او اﻟﻜﻮب او‬syringe 1-month year is : - neonate - infant 4-year-old girl with sore throat. She denies fever, or any other symptoms. What to give her ? - gargle with salt and warm water - Amoxil. -Augmentin - Ciprofloxacin ‫ ﻛﯿﺲ ﻟﻤﺮﯾﺾ ﯾﺎﺧﺬ‬methadone.. ‫ و اﺧﺬ ﺑﻌﺪھﺎ ادوﯾﺔ‬X ‫ و‬Y ‫ و‬Z.. ‫ و ﻋﻄﺎﻧﻲ ﻓﻲ اﻟﻜﯿﺲ وش ﺳﻮا ﻛﻞ دواء‬.. ‫ اﻻﺧﺘﯿﺎرات ﻛﺎﻧﺖ ﻛﻠﮭﺎ ان‬X ‫ ھﻮ ﻣﻮرﻓﯿﻦ‬.. * ‫ ال‬Y ‫ ﻛﺎن اﻣﺎ‬naloxone ‫ او‬naltrexone.. ‫ وﻛﺎن ﻛﺎﺗﺐ ﻋﻦ ال‬withdrawal *‫اﻣﺎ ال‬Z..‫ ﻣﺮﻛﺐ ﺛﺎﻟﺚ ﻛﺎﻧﺖ اﻟﺨﯿﺎرت‬pentazocin ‫او دواء ﺛﺎﻧﻲ‬ 5 alpha reductase inhibitor is ? Finasteride ‫ ﻛﺎن اﻟﺴﺆال ﻋﻦ اﺛﻜﺲ و اﻟﻤﻔﺮوض اﻟﺠﻮاب‬beneficence. ‫ﻟﻜﻦ ﻓﻲ اﻟﺨﯿﺎرات ﻛﺎﺗﺐ‬ - Ethics and beneficence - beneficence and nonmaleficence Best BDZ for patient >75? Alprazolam which is best for risk reduction ? - Rules and policies - Forcing functions lipid soluble vitamins? KEDA loperamide is? opioid agonist on intestine diagnosis of STEMI ? - elevated ST segment with increased troponin ✔ - elevated ST segment with increased bnp - elevated ST segment with increased CK ‫ ﺟﺎ ﺳﺆال ﻋﻦ‬BPH ‫وش ﻧﻌﻄﻲ اﻟﻤﺮﯾﺾ‬ GFR 50 , the patient is in which stage ? Stage 3 cytotoxic hypersensitivity? Anemia Calculate therapeutic index ‫ اﻧﻚ ﺗﺸﺘﻐﻞ ﻓﻲ‬، ‫ ﺳﯿﻨﺎرﯾﻮ‬community pharmacy..‫ وش ﺗﺮاﻋﻲ ؟‬، ‫و ﺟﺎي ﺑﺘﺸﺘﺮي ﻣﻨﺘﺞ ﺟﺪﯾﺪ‬ - brand and generic - the needs for the people that the pharmacy serve. ‫ ﺟﺎب ﻛﯿﺲ و ﻧﻔﮭﻢ ﻣﻨﮭﺎ ان اﻟﻤﺮﯾﺾ ﻋﻨﺪه‬septic shock.. Which fluid we should give ? - ringer's lactate ✔ - hypertonic saline Poor oral bioavailability? Vancomycin decreased bioavailability: decrease absorption decrease distribution to brain Patient is taking vancomycin and his level is 23 (normal 10-20) , ‫و ﻗﺎل ان اﻟﻤﺮﯾﺾ ﺑﺎل‬level ‫ و اﻟﺴﺆال وش ﻧﺴﻮي ؟‬.. ‫ذا ﻋﻨﺪه اﻓﻜﺖ‬ - decrease the vanco dose - increase Vanco dose - do not change the dose - change the drug ‫ ﻣﺜﻼ ﯾﻘﻮل ان اﻟﻤﺮﯾﺾ ﯾﺎﺧﺬ‬.. ‫ ﻓﻜﺮة اﻻﺳﺌﻠﺔ‬vanco..‫ف وش ﻧﺴﻮي ؟‬.. ‫و ان اﻟﻤﺮﯾﺾ ﻟﺴﻰ ﻣﻮ ﻛﻨﺘﺮوﻟﺪ‬ -‫ﻧﺰود اﻟﻔﺮﯾﻜﻮﻧﺴﻲ ﻟﻠﻔﺎﻧﻜﻮ‬ -‫ او ﻧﺨﻠﯿﮫ‬extended release - ‫او ﻧﺰود اﻟﺪوز‬ ‫ اﺧﺘﺮت ﻧﺰود اﻟﻔﺮﯾﻜﻮﻧﺴﻲ ﻻﻧﮫ‬time-dependent Question about toxicity, patient came with non-productive cough , dyspnea, fever: Which one of the following is most likely to be the cause ? Amiodarone Uniformity test applied to determine the content of the ingredient in tablets: -Bioequivalence -Dissolution -Purity -Potency UGT1A1 allele; - Fluconazole -...Navir - ‫ اﻟﺸﻲ اﻟﻠﻲ ﯾﺨﻠﻲ اﻟﻤﺮﯾﺾ ﯾﺴﮭﺐ و ﯾﺘﻜﻠﻢ ؟‬/ -Close ended questions -face expressions -body posture Contraindicated together? Aliskiren and lisinopril The test coagulase is to differentiate between? S. aureus and S.epidermidis ‫ ﺳﺄل ﻋﻦ اﻟﺒﻜﺘﯿﺮﯾﺎ اﻟﻠﻲ ﺗﺴﻮي‬hemolysis.. ‫ ﺑﺲ ﻣﺎ اﺗﺬﻛﺮ اذا ﻛﺎن‬alpha or beta ‫ﺳﺆال ﻋﺎم ﻋﻦ ال‬ staining to gram positive bacteria " staph aureus" : ‫واﻟﺨﯿﺎرات ﻛﺎﻧﺖ ان‬ - purple because the thick layer retains the crystal violet stain - purple because the capsule Pneumonitis is side effect of ? Bleomycin which antibiotic cause hyperkalemia - ciprofloxacin - Norfloxacin - Trimethoprim/sulfamethoxazole - Amoxicillin ‫ اﯾﺶ اﻟﺪواء ﻣﻦ ادوﯾﮫ‬osteoporosis ‫ﯾﻨﺄﺧﺬ ﻣﺮه وﺣﺪه ف اﻟﺸﮭﺮ‬ Calculate prevalence? ‫ ﺟﺎﻧﻲ ﺳﺆال‬DM type 1 ‫ او‬%. %75‫ ﯾﺼﯿﺮ ﺑﻌﺪ‬after complete destruction ‫ﺑﺼﺮاﺣﮫ اﺣﺘﺮت ﻓﯿﮭﺎ‬ Anticoagulant in cancer patient ‫ اﻟﻌﺎﻣﻞ اﻟﻠﻲ ﯾﺄﺛﺮ ﻋﻠﻰ اﻣﺘﺼﺎص‬vitb12 ‫ اﻟﻠﻲ ھﻮ‬intrinsic factor ‫ﺟﺎب ﻛﯿﺲ اﻧﻮ اﻟﻤﺮﯾﺾ طﻠﻊ ﻋﻠﯿﮫ اﻋﺮاض ﻏﺮﯾﺒﮫ ﻣﻦ دواء ﻣﻌﯿﻦ ﻣﻊ اﻧﮫ ﻣﺎﯾﺎﺧﺬ اي دواء ﻣﻌﺎه وﯾﺒﻲ ﯾﺒﺤﺚ ﻋﻦ اﻟﺴﺒﺐ وﯾﻦ ﯾﺒﺤﺚ‬ ‫ ﺣﻄﯿﺖ‬myler ‫ ﺟﺎء ﻛﯿﺲ اﻧﻮ اﻟﻤﺮﯾﺾ ﺻﺎر ﻟﮫ‬red man syndrome 1000 ‫اﻟﻔﺎﻧﻜﻮ ﻛﺎن‬mg in 30min ‫اﯾﺶ اﻟﻤﺎﻧﻨﺠﻤﻨﺖ ھﻨﺎ‬ Dec dose Dec infusion time Inc infusion Inc the dose ‫ ﺟﺎﻧﻲ ﻣﺎﯾﻜﺮواورﻗﺎﻧﺰم‬anaerobic obligations Statin taken in the night? Simvastatin Amino acid in Rheumatoid arthritis ‫ﻣﺎﻧﻲ ﻣﺘﺄﻛﺪه ﻣﻨﮫ‬ Obese pt with DVT what is the treatment? pregnant pt with DVT? Enoxaparin Calculate allegation. Natural products work as anticough? Calculate Iv bolus? ‫ اﯾﺶ ﻣﻦ أدوﯾﺔ‬DM ‫ﯾﺴﻮي‬ Hepatoxicity? Pioglitazone Metformin DM 1 patient, give what? Sulfonylurea GLP1 DDP Pioglitazone No insulin option which phase has minium people 2- phase that conduct the unexpected adver drug reaction 3-infection phase prodrome defintion 4- om salm sale herbal medcin for dm and pepole complaine 5- Theraputic index aim to ? 6-variation between drug freqancy and potency 7-emulsion and suspsion defintion 8- morbity defintion 9- ‫ ﺟﺎء ﻛﺜﯿﺮ ﻣﻦ‬cost ‫ اﺳﺌﻠﺔ‬10 ‫ﺗﻘﺮﯾﺒﺎ‬ 10 - toxidrom defintion 11- minor injury with unknow history 12 deep injury with unknow history 13 - patinet eats penute and have swelling face deficult to breath which type of reaction ? Hypersensvtie 14- in hypersnsvite which appers ? Histamin 15-non esstional amino acid 16 - vit k adminstration route for infant 17 - look alike soud alike solution ? Tall man letter 18 -‫ ﺟﺎء ﻛﺜﯿﺮ ﻣﻦ‬Ig ‫ ﻣﺜﻞ‬which one cross the placenat 19 - have gamma chain ? Ige 20- which one appers in hypersensvti ? Ige 21 - codien to morphen sar 22- ‫ ﺟﺎب وش ﻧﻐﯿﺮ ﻓﻲ‬SNRI ‫ ﻋﺸﺎن ﯾﺼﯿﺮ‬selective Serotene inhbitor 23- asprin sar 24- T - lymphod ‫ﺗﺘﺼﻨﻊ وﯾﻦ‬ 25 - what hormone secreted from antior pituitory gland ‫ﺟﺎء ﺳﻮاﻟﯿﻦ ﻧﻔﺲ اﻟﻄﺮﯾﻘﺔ‬ 26-clostirduim ? Gram + Rod anarobic or arobic 27- ‫ ﺗﻌﺮﯾﻒ‬catacory c for preganat 28- p value ? Answers was > siganficant clincal or statically ‫ﯾﻌ ﻨ ﻲ ا ذ ا ﻛ ﺎ ﻧ ﺖ ﻛ ﺒ ﯿ ﺮ ه ﺗ ﻌ ﺘ ﺒ ﺮ ﺳ ﻘ ﻨ ﻔ ﻜ ﺎ ﻧ ﺖ ا و ا ذ ﻛ ﺎ ﻧ ﺖ ﺻ ﻐ ﯿ ﺮ ه ﺗ ﻌ ﺘ ﺒ ﺮ ﺳ ﻘ ﻔ ﻨ ﻜ ﺎ ﻧ ﺖ‬ ‫ وﺧﯿﺮات ھﻞ ﺗﻌﺘﺒﻰ‬clincal or statical 29-‫ ﺟﺎء ﻋﻦ‬scfhs ‫ھﻲ اﻟﻠﻲ ﺗﻌﻄﻲ اﻟﺮﺧﺺ ﻟﻠﻤﮭﻨﮫ‬ 30 - drug inhibtor prolactin 31- woman with hypertension what is proper oral contrrceptive for her 32- carbidopa function in levadopa drug ? 33- which drug when we give we montering the heart 6 houre later ?‫ اﺧﺘﺮت‬fingolimed 34- NISAD ACTION ON STOMACH ? 35- captopril SE ? Defect in test 36- captopril SE ? DRY COUGH 37- Direct inhibtor of thrombin ? 38 -chlamydia treatment ? Azithromycin 39- which one can displace the spironlacton ? K or Na or mg 40 -warfaren was add ob levoflocxine for Respirtory infection ? Drug -drug interaction or drug - food interaction 41- metoformine SE ? lactic 42- to treat patient with tb what is the bast way ? DOT DIRCTe observation treatment 45 -which can increase risk of heart dises when take alone ? Short actin B agonst or long acting antichloinrgic or corticosroid 46- heparin antidote 47-benzodiazpen antidote 48- which antibiotic cause c.deffic ? ‫ اﺧﺘﺮت‬clindmycin 49- ethamutaol TB Drug SE ‫ﺟﺎء ﻣﺮﺗﯿﻦ ﻣﺮا ﺑﺴﺆال ﻟﺤﺎﻟﮫ وﻣﺮا‬ ‫ﺑﻜﯿﺲ‬ 50- dispens of diltazam for ? ‫ اﺧﺘﺮت‬one month 51- isotonic solution ? Ringer 52- anemia low MCA and low hemoglobin which type ? Iron or B12 anamia 53- which one of the TB drug interaction with most of the drugs ? 54-warfarin test ? INR 55- ‫ ﺟﺎء ﻛﯿﺲ ﻣﺮﯾﺾ ﯾﺎﺧﺬ‬codien ‫ ﺟﺎء ﻟﻠﻄﻮارى ﯾﺸﺘﻜﻲ ﻣﻦ‬tchycardia palpation what the causa ‫؟‬ Rapid motbloizer of c2d6 ‫اﺧﺘﺮت‬ 56- drug interact with st john wort ? ‫ ﻣﻦ اﻻﺧﺘﯿﺎرات دواء‬setralin 57- case patient 3 y.o with fever and cough with no tonsilit enalargment the docter said it could be viral infection what give ? a- paractamol b- osaltamivir 58- pregnant with HIV what treament ? 59- trament of malignant hypertenstion ? 60- ‫ ﺟﺎب ﻛﯿﺲ ﻣﺮاه ﻣﻌﺎھﺎ اﻛﺘﺌﺎب وﺳﻤﻨﺖ وش اﻟﺴﺒﺐ او اﻟﺪواء اﻟﻤﺴﺒﺐ ؟‬bupropion ‫اﺧﺘﺮﺗﮫ‬ 61 - ‫ ﺟﺘﻨﻲ اﻟﺼﻮره ﺣﻘﺖ‬ACE ‫ و‬ARB ‫ و‬Rennin 62- antiplatlat cauase dypensia 63 - ‫ ﻣﺮﯾﺾ ﺟﺎء ﻟﻠﺼﯿﺪﻟﯿﮫ ﻣﺎﻛﺎن ﯾﻘﺪر ﯾﺘﻜﻠﻢ ﻣﻦ اﻟﻜﺤﮫ وﻛﺎن ﯾﺎﺧﺬ دواء ﺿﻐﻂ‬linsopril ‫ ؟ اﺧﺘﺮت ﻧﺴﻮي‬refill to doctor bec maybe the dry cough from the ACEI 64- WHICH one is correct about vit D ? ‫ اﺧﺘﺮت‬D2 and D3 inactive 65- iso 7 which room ? ‫ اﺗﻮﻗﻊ‬buffer room 66- treatment vomtiong in preganat ? B6 67-‫ ﺟﺎء ﻛﯿﺲ ان ﻓﯿﮫ ﻣﺮﯾﺾ ﻣﻌﮫ‬candiadas ‫وش اﻟﺪواء‬ a- some antibiotic treat fungl infection b- give iv antifungl ‫ﻧﺎﺳﯿﮫ اﻟﺒﺎﻗﻲ‬ 68 - what the vit c do ? A- Decress the severtiy of the disese B- decrese the duratoin of disese 69- ‫ ﻣﺮﯾﺾ ﺗﺠﯿﮫ اﻻﻧﻔﻠﻮﻧﺰا داﯾﻢ وش ﻧﻌﻄﯿﮫ ﻋﺸﺎن ﻧﻤﻨﻌﮭﺎ او وش ﯾﺎﺧﺬ ﻋﺸﺎن ﯾﻤﻨﻌﮭﺎ ؟ اﺧﺘﺮت‬influanza vaccine anually ‫ﺳﻨﻮﯾﺎ‬ 70 - ‫ ﻣﺮﯾﻀﮫ ﺗﺎﺧﺬ‬methotrxate ‫ ؟ اﻻﺟﺎﺑﺎت ﻛﺎﻧﺖ‬give the patient immunaztion after 2 weeks of methotraxte ‫ او ﻧﻌﻄﯿﮭﺎ اﻣﯿﻮﻧﺰﺷﻦ ﻗﺒﻞ ﻻﺗﺎﺧﺬ‬methotraxt 71 - ‫ ﻣﺮﯾﻀﮫ ﻋﻨﺪھﺎ‬HIV ‫( وﺗﺒﻲ ﺗﺎﺧﺬ ﺗﻄﻌﯿﻢ‬vaccine ) ‫ اﺧﺘﺮت‬no vaccine for her becauss she have crtical illnss 72- Rate control treatment ? 73-what is the drugs we do not give old people ? A - amlodpine B- metoprolol C- metocpramid 74- which is corect about B- lactamses ? ‫ اﺧﺘﺮت‬most dose dpentent mic 75- ‫ ﻣﺮﯾﻀﮫ ﻋﻨﺪھﺎ‬ostoprosis and hypotherod ‫وﺟﺎﯾﮫ ﺗﺎﺧﺬ ادوﯾﮫ ﺳﻜﺮ وﻻﺣﻆ اﻟﺼﯿﺪﻟﻲ ھﺬا واﻗﺮت اﻧﮭﺎ ﻣﺎﺗﺎﺧﺬ وﻻ‬ ‫دواء واﻧﮭﺎ ﻣﻠﺘﺰﻣﮫ ﺑﺎدوﯾﺘﮭﺎ‬ A- refill to doctor untreat patinet B- NON adherens C - do nothing 76- ‫ ام ﺣﺎﻣﻞ وﻣﻌﮭﺎ‬Hiptits B ‫وﻟﺪت وش ﻧﻌﻄﻲ اﻟﻤﻮﻟﻮد ﺗﻄﻌﯿﻢ ؟‬ 77- what is the least important for breast feeding woman ? A- prematuer infant B- wight of the baby C - drug freqancy D- drug theraputic rang ‫اﺣﺘﺮت ﻓﯿﮭﺎ ﻣﺪري وش اﻟﺠﻮاب‬ 78 - xalant ‫اﺗﻮﻗﻊ ﻛﺬا اﺳﻢ اﻟﺪواء وﻛﺎﺗﺐ وش ﯾﻌﺎﻟﺞ ؟‬ 79 - high intnstiy stant ROS 20 80- statn need montering 81- samvastatin best time take it ? At bedtime 82- ‫ وﺑﺮﺿﻮا ﺟﺎﺗﻨﻲ ﻛﯿﺲ وﻓﯿﮭﺎ ﺗﺤﺎﻟﯿﻞ اﻻ ﺗﺤﻠﯿﻞ‬phenytoin ‫ﻣﻮ طﺎﻟﻊ‬ ‫ وﻣﻌﻄﯿﻨﻲ ﺑﺎﻟﺘﺤﺎﻟﯿﻞ‬albumin ‫ ﻧﺎزل ﯾﻌﻨﻲ وش اﺳﺘﻨﺘﺞ ؟‬20 ‫ﻗﻠﯿﻞ‬ A- phenytoin increase in plasma becuses decrese albumin B- phenytoin decres becuses the decress of albumin C- ‫ﯾﻘﻮل ان اﻟﺪواء ﻣﺎﻟﮫ دﺧﻞ ﺑﺎﻟﺒﻮﻣﯿﻦ‬ Which is the drug can adminstration intrathecal ? Vincrstine Vinblastin ‫ ﺑﺮﺿﻮا ﺟﺎﺗﻨﻲ ﻛﯿﺲ وﻓﯿﮭﺎ ﺗﺤﺎﻟﯿﻞ اﻻ ﺗﺤﻠﯿﻞ‬phenytoin ‫ﻣﻮ طﺎﻟﻊ‬ ‫ وﻣﻌﻄﯿﻨﻲ ﺑﺎﻟﺘﺤﺎﻟﯿﻞ‬albumin ‫ ﻧﺎزل ﯾﻌﻨﻲ وش اﺳﺘﻨﺘﺞ ؟‬20 ‫ﻗﻠﯿﻞ‬ A- phenytoin increase in plasma becuses decrese albumin B- phenytoin decres becuses the decress of albumin C- ‫ﯾﻘﻮل ان اﻟﺪواء ﻣﺎﻟﮫ دﺧﻞ ﺑﺎﻟﺒﻮﻣﯿﻦ‬ ‫ اﻟﺨﯿﺎرات ﻛﺎﻧﺖ ﻛﻠﮭﺎ‬reduction A-reduction analgesic B- reduction antitussive ‫ واﺛﻨﯿﻦ ﻧﺎﺳﯿﮭﻢ ﺑﺲ ﺑﻌﺪ‬reduction 13/ which drug if given intrathecal fetal ? 14/ case pt taking ferrous sulphate and black stool 15/ calculation 5 questions one of them flow rate ??? 16/ what does cover the bitter taste of tablet 17 / what does make the tablet disintegrate 18/pt have toxicity and given pyridoxine ? INH 19 / definition of incidence ? 20/ pt came screaming pharmacist called the police ? 21/ Picture with ACE and ARB and determine the action 22/ drug used for HTN induce dieresis 23/ pt came and said he is using his wife diazepam Pharmacists documented this as the pt abusing Whats wrong ?? 24/ clinical trial phase with less number of individuals? Phase 1 25/ elimination rate constant 26/ phase of clinical trial after aproval ? 4 27/ pharmacoeconimcs study use monitory units ? CBA 28/ Ethics and health regulation 29/ Almost 15-20 questions calculation in the first and second sections 30/Question about anti arrhythmic used in heart failure 31/ Calculate CHAD VAS score 32/Question about anti arrhythmias rate control 33/Live vaccine 34/ Pregnant lady with hep B what to give the child on delivery 35/ Isomer structure 36/ Creatinine clearance for female (‫)ﻧﻔﺲ اﻟﻠﻲ ﺑﺎﻟﺰﺗﻮﻧﺔ‬ 37/ Patient with face swelling , side effect of which medication ? ACE 38/ When to adjust drugs renaly elemenated Choices: 120 100 70 30 39/ patient with heart failure and DM what to avoid ? Pioglitazone 40/ elderly what to give from diazepams ? Alprazolam 41/ PR interval represents 42/ QRST represents 43/ pre diabetic whats the intervention ? LifeStyle modification 44/ dose of calcium in pregnancy? 45 / patient with elplipcy want to get pregnant she is on vampiric acid, what to do? Change it a slowly to levetiracetam ‫ ﺟﺎ ﺣﺴﺎب‬trough of vancomycin Another question when you draw vancomycin ? After the 3rd dose What happen for Clopidogrel if CYP2C19 not available COPD category for FEV % Calcularion incidence ‫وﺻﻔﺔ ﯾﺴﺎل ﻋﻨﮭﺎ اﻟﻤﺮﯾﺾ وﯾﻘﻮل اﺷﺮﺣﮭﺎ ﻟﻲ‬ ‫ال‬high volume distribution Calculation Medazolam antidote Which drug cause brown in urin ‫ﺑﺲ ﯾﻌﻨﻲ ﺗﺮى ﯾﺠﯿﺐ ﻟﻚ اﻟﺴﺘﺮﻛﺸﺮ و ﺗﺤﺘﮫ اﺳﻤﮫ‬ ‫و ﯾﺴﺄﻟﻚ اﻧﻮ اﯾﺶ اﻟﻠﻲ ﯾﺨﻠﯿﮫ ﻛﺬا ﻛﺬا ﯾﻌﻨﻲ ﺗﻜﻮن ﻛﻞ اﻻﺟﻮﺑﺔ ﻛﯿﻤﯿﺎﺋﯿﺔ‬ ‫ ﻗﻮﻟﻚ ﻓﯿﻤﯿﻞ ﻋﻨﺪھﺎ‬UTI ‫ وﻟﻤﺎ اﻟﻔﺎرﻣﺴﺴﺖ ﻋﻤﻞ‬cheak ‫ﻋﻠﻰ اﻟﺒﺮﺳﻜﺮﺑﺸﻦ ﻟﻘﻰ اﻧﻮ اﻟﺒﯿﺸﻨﺖ ﻋﻨﺪھﺎ ﻣﺸﻜﻠﺔ ﻣﺮﺿﯿﺔ ﻣﻊ اﻟﺪواء اﻟﻠﻲ‬ ‫اﻟﺪﻛﺘﻮر ﻛﺎﺗﺒﮫ ف اﯾﺶ اﻓﻀﻞ دواء ﻟﮭﺎ‬ ‫ وﻛﺎﻧﺖ اﻟﺨﯿﺎرات‬cephalaxin ‫ و‬bactrim ‫ و‬nitrofurantoin ‫ و‬ciprofloxacin ‫و ﻣﻮ ﻛﺎﺗﺐ اﯾﺶ اﻟﻤﺸﻜﻠﺔ اﻟﻠﻲ ﻋﻨﺪھﺎ وﻻ اﯾﺶ اﻟﻠﻲ اﻟﺪﻛﺘﻮر ﻛﺘﺒﮫ ﻟﮭﺎ‬ ‫ﺟﺎء ﻛﻤﺎن ﺳﺆال ﻓﻲ دﻛﺘﻮر ﯾﺒﻐﻰ ﯾﺸﻮف اﻻﻧﺘﺮاﻛﺸﻦ ﺑﯿﻦ اﻟﻮراﻓﺎرﯾﻦ و اﻟﮭﯿﺮﺑﺎل ف اﯾﺶ اﻓﻀﻞ ﻣﺮﺟﻊ‬ ‫=و اﻻﺟﻮﺑﺔ اﻟﻠﻲ ﺟﺎﺗﻨﻲ ﻛﻠﮭﺎ ادوﯾﺔ ‪ finasteride‬ﺟﺎء ﺳﺆال ﻣﻦ اﻟﺘﺠﻤﯿﻌﺎت اﯾﺶ اﻟﺪواء اﻟﻠﻲ ﻣﺎﺗﻤﺴﻜﮫ اﻟﺤﺎﻣﻞ ﻛﺎن ﺑﺎﻟﺘﺠﻤﯿﻌﺎت اﻟﺠﻮاب‬ ‫=‬ ‫اﻟﻠﻲ ﺗﺴﺘﺨﺪﻣﯿﮭﺎ ‪ key-word‬اء ﻛﻤﺎن ﻛﯿﺲ و ﯾﻘﻮﻟﻚ ﻟﻤﺎ ﺗﺒﺤﺜﻲ اﯾﺶ ال‬ ‫ﻧﺴﯿﺖ ھﻮا ﯾﺒﻐﻰ اﻟﺴﯿﺮب وﻻ اﻟﺴﺴﺒﻨﺸﻦ ‪ phenytoin‬ﺟﺎء ﻛﻤﺎن اﯾﺶ اﻟﻤﺎﻛﺴﯿﻤﻢ دوز ﻣﻦ ال‬ ‫‪ protein 97%‬اﻟﻮارﻓﺮﯾﻦ ارﺗﺒﺎطﮫ ﺑﺎل‬ ‫‪ volum of distribution‬ف ﻛﻢ ال‬ ‫ﺑﺲ ﻛﺬا ﻣﻮ ﺟﺎﯾﺐ ﺣﺎﺟﺔ ﺛﺎﻧﯿﺔ ف ﻣﺎادري ﻟﮫ ﻗﺎﻧﻮن وﻻ‬ ‫وﻛﺎﻧﺖ اﻻﺧﺘﯿﺎري ﻣﻦ ‪ 5-3‬او ‪ 50-40‬و ﻛﺬا‬ ‫‪Patient use warfarin 5.5 , INR = 9.1 , No bleeding‬‬ ‫وﻗﻔﻲ اﻟﻮارﻓﺮﯾﻦ و ﺗﺤﻮﻟﯿﮭﺎ ﻋﻠﻰ رﯾﻔﺎروﻛﺴﺒﺎن‬ ‫ﺗﻘﻠﻠﻲ اﻟﺪوز ‪2-‬‬ ‫ﺗﻮﻗﻔﻲ و ﺗﻌﻄﯿﮭﺎ اﻧﺘﻲ دوت ‪3-‬‬ ‫ﺗﺨﻠﯿﮭﺎ ﺗﻜﻤﻞ و ﺗﺴﻮي ﻟﮭﺎ ﻣﻮﻧﺘﯿﺮوﻧﻖ ﺑﻌﺪ ﯾﻮﻣﯿﻦ )) اﻟﺼﺢ اﻟﻤﻔﺮوض ﻧﻮﻗﻒ ﻛﻢ دوز و ﺑﻌﺪﯾﻦ ﻟﻤﺎ ﯾﺼﯿﺮ ﻧﻮرﻣﺎل ﻧﺮﺟﻌﮭﺎ ﻋﻠﻰ ‪4 -‬‬ ‫اﻟﻮراﻓﺎرﯾﻦ ﺑﻌﺪ ﺗﻘﻠﯿﻞ اﻟﺪوز < ﺑﺲ ﻣﺶ ﻣﻮﺟﻮد اﻟﺨﯿﺎر‬ ‫ﺟﺎت اﻧﻮ ﻟﻤﺎ ﻛﻠﯿﺔ اﻟﺼﯿﺪﻟﺔ ﺗﺴﻮي ﺣﺎﺟﺔ ﺗﻮﻋﻮﯾﺔ اﯾﺶ ﻧﻮع اﻟﺒﺮﯾﻔﯿﻨﺸﻦ ذَا‬ ‫اﯾﺶ ﯾﺼﯿﺮ ﻓﯿﮫ ﺑﺎﻟﺤﺎﻣﻞ ‪ volume of distribution‬ال‬ ‫اﯾﺶ ﯾﺼﯿﺮ ﻓﯿﮫ ﺑﺎل ‪ volume of distribution‬ال‬ ‫‪ adult‬ﻣﻘﺎرﻧﺔ ب ‪premature infants‬‬ ‫ﻛﯿﺲ اﻧﻮ ﺑﻨﺖ ﺻﻐﯿﺮة ﺗﺼﯿﺮ ﻟﮭﺎ ﻧﻮﺑﺎت ﺻﺮع ﻣﺮة ﻛﺜﯿﺮ و ھﯿﺎ ﻣﺎﺷﯿﺔ ﻋﻠﻲ‬ ‫و اﻟﺪﻛﺘﻮر زود ﻟﮭﺎ اﻟﺠﺮﻋﺔ ‪valporic acid‬‬ ‫ف اﯾﺶ اﻟﺘﺎرﻗﺖ ﻋﻨﺪي اﻧﻨﺎ ﻧﻮﺻﻞ ‪ ٪0‬وﻻ ‪ ٪25‬وﻻ ‪ ٪50‬وﻻ اﻧﻮ اﻟﻨﻮﺑﺔ ﺗﺠﻲ ﻟﮭﺎ ﻣﺮة ﺑﺎﻻﺳﺒﻮع‬ ‫ا ﻛﻤﺎن اﻧﻮ ﻓﻲ ﻧﯿﺮس طﻠﺒﺖ دواء ﻣﻦ اﻟﺼﯿﺪﻟﯿﺔ وﻛﺎن اﻻوردر ﺳﺘﺎت وﻗﻠﮭﺎ اﻟﻔﺎرﻣﺴﺴﺖ اﻧﻮ ﺗﺮﺟﻊ ﺗﺄﺧﺬو ﺑﻌﺪ رﺑﻊ ﺳﺎﻋﺔ‬ ‫ﻟﻤﺎ رﺟﻌﺖ ﻟﻘﯿﺖ ﻓﺎرﻣﺴﺴﺖ ﺛﺎﻧﻲ و ﻗﺎل ﻟﮭﺎ اﻧﻮ ﻣﺎﯾﻌﺮف ﻋﻦ ذَا اﻻوردر واﻧﮭﺎ ﺗﺠﯿﺐ ﻟﮫ اﻻوردر ﻣﺮة ﺛﺎﻧﯿﺔ ف أﺗﺄﺧﺮ ﺗﺤﻀﯿﺮ اﻻوردر‬ ‫‪ 90‬دﻗﯿﻘﺔ‬ ‫و ﻛﺎن اﻟﺴﺆال اﻧﻮ اﯾﺶ ﺳﺒﺐ ذي اﻟﻤﺸﻜﻠﺔ‬ ‫ﻓﻲ اﻟﻔﺎرﻣﺴﻲ ﺳﺘﺎف ‪ poor communication‬اﻧﺎ ﺣﻄﯿﺖ اﻧﻮ‬ ‫اﻟﺜﯿﺮاﺑﻲ ‪ update‬ﺟﺎء ﻛﻤﺎن دﻛﺘﻮر اﻣﺮاض ﻗﻠﺐ ﺳﺄﻟﻚ ﯾﺒﻐﻰ اﻓﻀﻞ ﻣﻜﺎن ﯾﻼﻗﻲ ﻓﯿﮫ‬ ‫‪ guideline‬اﻧﺎ ﺣﻄﯿﺖ ال‬ ‫اﯾﺶ ﻧﻌﻄﯿﮫ ؟ ‪ status asthma‬ﺑﯿﺸﻨﺖ ﻋﻨﺪو‬ Type stuructue : ‫ ﯾﻜﻮن اﻟﺠﻮاب‬Disterioisomer phase that conduct the unexpected adver drug reaction -Phase 4 (post markting) 3-infection phase prodrome defintion -early symptom that signals the onset of an illness or disease 4- om salm sale herbal medcin for dm and pepole complaine -inspection 7-emulsion -emulsion is a mixture of two or more liquids that are normally immiscible suspsion defintion -suspension is a liquid with small pieces of drug. The drug is not complete dissolved in the solution. 8- morbidty defintion -Refers to disease states 9- ‫ ﺟﺎء ﻛﺜﯿﺮ ﻣﻦ‬cost ‫ اﺳﺌﻠﺔ‬10 ‫ﺗﻘﺮﯾﺒﺎ‬ 10 - toxidrome defintion -syndrome caused by a dangerous level of toxins in the body. 11- minor injury with unknow history TD 12 deep injury with unknow history TIG +TD 13 - patinet eats penute and have swelling face deficult to breath which type of reaction ? - Hypersensvtie 14- in hypersnsvite which appers ? - Histamin 15-non esstional amino acid Cysteine 16 - vit k adminstration route for infant -Intramuscular (IM) 17 - look alike soud alike solution ? - Tall man letter 18 -‫ ﺟﺎء ﻛﺜﯿﺮ ﻣﻦ‬Ig ‫ ﻣﺜﻞ‬which one cross the placenat 19 - have gamma chain ? IgG 20- which one appers in hypersensvti ? Ige 24- T - lymphod ‫ﺗﺘﺼﻨﻊ وﯾﻦ‬ -migrate to the thymus gland in the neck, where they mature and differentiate into various types of mature T cells and spleen 25 - what hormone secreted from antior pituitory gland - The anterior pituitary gland secretes 7 hormones: follicle -stimulating hormone, luteinizing horomone, adrenocorticotropic horomone, thyroid -stimulating horomone, prolactin, endorphins, and growth hormone 26-clostirduim ? Gram + Rod anarobic - Clostridium difficile is a Gram-positive, spore-forming obligate anaerobe 27- ‫ ﺗﻌﺮﯾﻒ‬catacory c for preganat -Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, 28- p value ? A- > signficant clinical B- < signficant statical ▫ C- >signficant statical D - < signficant clinical 29-‫ ﺟﺎء ﻋﻦ‬scfhs ‫ھﻲ اﻟﻠﻲ ﺗﻌﻄﻲ اﻟﺮﺧﺺ ﻟﻠﻤﮭﻨﮫ‬ 30 - drug inhibtor prolactin 31- woman with hypertension what is proper oral contrrceptive for her 32- carbidopa function in levidopa drug ? - decarboxylase inhibitors. 33- which drug when we give we montering the heart 6 houre later ?‫ اﺧﺘﺮت‬fingolimed 34- NISAD ACTION ON STOMACH ? - blocking the Cox-1 enzyme and disrupting the production of prostaglandins in the stomach, 35- captopril SE ? -Defect in test 36- captopril SE ? - DRY COUGH 37- Direct inhibtor of thrombin ? -Dabigatran 38 -chlamydia treatment ? -Azithromycin 40 -warfaren was add ob levoflocxine for Respirtory infection ? Drug -drug interaction▫ drug - food interaction 41- metoformine SE ? lactic acidosis 42- to treat patient with tb what is the bast way ? - DOT DIRCTe observation treatment 46- heparin antidote Protamin 47-benzodiazpen antidote Flumazenil 48- which antibiotic cause c.deffic ? clindmycin 49- ethamutaol TB Drug SE Effect eyes vision 50- dispens of diltazam for ? one month 51- isotonic solution ? Ringer 52- anemia low MCA and low hemoglobin which type ? Iron deficiency 53- which one of the TB drug interaction with most of the drugs ? Rifampen 54-warfarin test ? INR 55- ‫ ﺟﺎء ﻛﯿﺲ ﻣﺮﯾﺾ ﯾﺎﺧﺬ‬codien ‫ ﺟﺎء ﻟﻠﻄﻮارى ﯾﺸﺘﻜﻲ ﻣﻦ‬tchycardia palpation what the causa ‫؟‬ Rapid metoblar of c2d6 56- drug interact with st john wort ? ‫ ﻣﻦ اﻻﺧﺘﯿﺎرات دواء‬setralin (SSRI) 57- case patient 3 y.o with fever and cough with no tonsilit enalargment the docter said it could be viral infection what give ? a- paractamol b- osaltamivir 58- pregnant with HIV what treament ? zidovudine 59- trament of malignant hypertenstion ? -nitroprusside sodium 60- ‫ ﺟﺎب ﻛﯿﺲ ﻣﺮاه ﻣﻌﺎھﺎ اﻛﺘﺌﺎب وﺳﻤﻨﺖ وش اﻟﺴﺒﺐ او اﻟﺪواء اﻟﻤﺴﺒﺐ ؟‬bupropion ‫اﺧﺘﺮﺗﮫ‬ 61 - ‫ ﺟﺘﻨﻲ اﻟﺼﻮره ﺣﻘﺖ‬ACE ‫ و‬ARB ‫ و‬Rennin 62- antiplatal cauase dypensia ticagrelor 63 - ‫ ﻣﺮﯾﺾ ﺟﺎء ﻟﻠﺼﯿﺪﻟﯿﮫ ﻣﺎﻛﺎن ﯾﻘﺪر ﯾﺘﻜﻠﻢ ﻣﻦ اﻟﻜﺤﮫ وﻛﺎن ﯾﺎﺧﺬ دواء ﺿﻐﻂ‬linsopril ‫؟‬ ‫ ﻧﺴﻮي‬refill to doctor bec maybe the dry cough from the ACEI 64- WHICH one is correct about vit D ? ‫ اﺧﺘﺮت‬D2 and D3 inactive 66- treatment vomtiong in preganat ? B6 69- ‫ﻣﺮﯾﺾ ﺗﺠﯿﮫ اﻻﻧﻔﻠﻮﻧﺰا داﯾﻢ وش ﻧﻌﻄﯿﮫ ﻋﺸﺎن ﻧﻤﻨﻌﮭﺎ او وش ﯾﺎﺧﺬ ﻋﺸﺎن ﯾﻤﻨﻌﮭﺎ ؟‬ influanza vaccine anually ‫ﺳﻨﻮﯾﺎ‬ 71 - ‫ ﻣﺮﯾﻀﮫ ﻋﻨﺪھﺎ‬HIV ‫( وﺗﺒﻲ ﺗﺎﺧﺬ ﺗﻄﻌﯿﻢ‬vaccine ) - no vaccine for her becauss she have crtical illnss 72- Rate control treatment ? Bb 75- ‫ ﻣﺮﯾﻀﮫ ﻋﻨﺪھﺎ‬ostoprosis and hypotherod ‫وﺟﺎﯾﮫ ﺗﺎﺧﺬ ادوﯾﮫ ﺳﻜﺮ وﻻﺣﻆ اﻟﺼﯿﺪﻟﻲ ھﺬا واﻗﺮت اﻧﮭﺎ ﻣﺎﺗﺎﺧﺬ وﻻ دواء واﻧﮭﺎ‬ ‫ﻣﻠﺘﺰﻣﮫ ﺑﺎدوﯾﺘﮭﺎ‬ A- refill to doctor untreat▫ patinet B- NON adherens C - do nothing 76- ‫ ام ﺣﺎﻣﻞ وﻣﻌﮭﺎ‬Hiptits B ‫وﻟﺪت وش ﻧﻌﻄﻲ اﻟﻤﻮﻟﻮد ﺗﻄﻌﯿﻢ ؟‬ Vaccine hib and immubglobine 78 - xalant ‫اﺗﻮﻗﻊ ﻛﺬا اﺳﻢ اﻟﺪواء وﻛﺎﺗﺐ وش ﯾﻌﺎﻟﺞ ؟‬ Glaucoma 79 - high intnstiy stant ROS 20 81- samvastatin best time take it ? At bedtime 82- ‫ وﺑﺮﺿﻮا ﺟﺎﺗﻨﻲ ﻛﯿﺲ وﻓﯿﮭﺎ ﺗﺤﺎﻟﯿﻞ اﻻ ﺗﺤﻠﯿﻞ‬phenytoin ‫ﻣﻮ طﺎﻟﻊ‬ ‫ وﻣﻌﻄﯿﻨﻲ ﺑﺎﻟﺘﺤﺎﻟﯿﻞ‬albumin ‫ ﻧﺎزل ﯾﻌﻨﻲ وش اﺳﺘﻨﺘﺞ ؟‬20 ‫ﻗﻠﯿﻞ‬ A- phenytoin increase in plasma becuses decrese albumin ▫ B- phenytoin decres becuses the decress of albumin ow can coronavir trans : ‫ ﺣﻄﯿﺖ‬respirator ‫واﻟﺨﯿﺎرات ﻛﻮﻧﺘﺎك وذ ﻓﻮد واﻟﺒﺎﻗﻲ ﻧﺴﯿﺖ‬ ❇limited vaccine for infants pneumococcal rota ‫ﺣﻄﯿﺖ‬ bcg mmr ❇amlodipine and warfarin CI plant not use: grapefruit ❇Structure drug ppi ❇2 Struc to phynatoin /add OH mining : Ox or reduc or carbox or.. ❇drug toxic metabolic acidosis: spironolactone ❇Patient came with greenish yellow sputum which drug to give? Guaifenesin ❇Antiviral to treat H1N1 ? oseltamivir ❇ ‫ﺳﻮال ﯾﺸﺎﺑﮭﮫ ﺑﺎﻟﻔﻜﺮه‬Which one carry high risk for IV admixture? Preparing IV admixture from non-sterile products ❇ The synthesis of glycogen from glucose called? Glycogenesis ❇ ‫ﺳﻮال ﯾﺸﺎﺑﮭﮫ‬What is apoptosis ? programmed cell death ❇One came to you in the pharmacy and told you she opened the eye drop 45 days ago what should she do? Discard the medication ( expiry date 28 days after open) ❇ High intensity statin ? Rosuvastatin 20 ❇midazolam antidote : Flumazenil ❇Antimalarial medicines : Quinine ❇Second drug mlaria :Artesunate ‫اﺧﺘﺮت‬ ❇Which TB drug most likely to interact with HIV drug : Rifampicin ❇ Tamoxifen ? selective estrogen receptor modif ❇ ferrous sulfate or ferrous gluconate ‫ واﺣﺪ ﻣﻨﮭﻢ اﻟﻤﮭﻢ ﯾﺴﺒﺐ‬Black or dark stools ❇Iron is stored in the liver : ferritin ❇Sickle cell pain crises ? Morphine ❇PATIENT TAKE VANCOMYCIN AND GOT RED MAN SYNDROME WHAT TO DO ? stop immediately ❇WHAT IS THE FIRST CHOICE WITH SYMPATHETIC SYMPTOMS OS SNAKE BITE Antidote ? Antivenom‫ﻧﻌﻄﯿﮫ اﻧﺘﻲ دوت ﻟﻠﻌﻀﮫ ﻣﺸﺎﺑﮫ ﻟﮫ اﻟﻤﮭﻢ ﻣﺎﻧﻌﻄﯿﮫ ﺷﺎرﻛﻮل‬ ❇TTT of pregnant with UTI ? nitrofurantoin ❇Prazocin MOA ? selective alpha 1-adrenergic blocking antagonist ❇CHADS2 vasc score ‫اﺣﺴﺐ‬ ❇ Which help with addiction to codeine ? Methadone ❇ What is monitor clozapine ? ANC ❇ first-or zero order kinetics ‫ﺟﺎب ﺗﻌﺮﯾﻒ اﻟﺪوس دﺑﻨﺪﻧﺖ وﻗﺎل اﯾﮭﻢ ﯾﺘﺒﻌﮫ زﯾﺮو او ﻓﯿﺮﺳﺖ‬ ❇ The standard treatment of H. Pylori? Clarithromycin, Amoxicillin,PPI ❇ Garlic and warfarin interaction ? Increased warfarin effect ❇ treatments dose start enoxaparin? Enoxaparin 40 mg sc once daily‫🤷اﺧﺘﺮﺗﮫ‬ 1‫ﻣﺎﻛﺎن ﻓﯿﮫ‬mg ❇ A student print artical.. which ? Pubmed🤷 ❇ complications of liver cirrhosis: Ascites ❇ Patient is use Metformin + Glibenclamid, what is the most appropriate monitoring for him?Liver function test ❇ Empty morphine vials are discarded after: 6 months ❇ The drug in the market 2009 when expire ? After 20 years2029 High affinity picture A more high B affinity L glu ti D glu Pharmacogenom ‫‪ TPN :‬ﺳﺄل اﯾﺶ اﻟﺤﺎﻟﮫ اﻟﻠﻲ ﻻزم ﻧﻌﻄﯿﮭﺎ‬ ‫‪Brain hemorrhage‬‬ ‫‪Gastric..‬‬ ‫وراﺑﻊ ﻧﺴﯿﺘﮫ ‪Bowel cancer‬‬ ‫‪ spironolactone‬ﺟﺎب ﻛﯿﺲ وﻛﺎﺗﺐ ادوﯾﺘﮫ وﺟﺎب اﻟﺘﺤﺎﻟﯿﻞ ﻣﻦ ﺿﻤﻨﮭﺎ اﻟﺒﻮﺗﺎﺳﯿﻮم ﺷﻮي ﻋﺎﻟﻲ وﺳﺄل ﻣﯿﻦ ﻣﻤﻜﻦ ﯾﻜﻮن ﺳﺒﺒﮫ ؟‪-‬‬ ‫ﺟﺮﻋﺔ اﻟﻜﺎﻟﺴﯿﻮم ؟ ‪-1200‬‬ ‫‪ patient weight‬ام ﺟﺎت اﻟﺼﯿﺪﻟﯿﮫ ﺗﺒﻐﻰ ﻣﺴﻜﻦ ﻟﻮﻟﺪھﺎ ‪،‬اﯾﺶ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻠﻲ اﻟﻤﻔﺮوض ﻧﺴﺄل ﻋﻨﮭﺎ ؟اﺧﺘﺮت‪-‬‬ ‫؟ ‪ ATP‬اﻟﺠﻠﻮﻛﻮز اﻟﻮﺣﺪه ﻛﻢ ﺗﻌﻄﻲ‪-‬‬ ‫‪12،20،48‬‬ ‫ﻣﺮﯾﻀﮫ ﻗﺮرت ﺗﻮﻗﻒ ادوﯾﺘﮭﺎ ﺑﻌﺪ ﻣﺎﻧﻘﻠﺖ اﻟﺒﯿﺖ اﻟﺠﺪﯾﺪ وﺑﻌﺪﯾﻦ ﺷﺎﻓﻮھﺎ ﺗﻠﻮم زوﺟﮭﺎ ﻻﻧﮫ ﻣﺎﻣﻨﻌﮭﺎ ﻋﻦ ﻗﺮارھﺎ اﯾﺶ اﻓﻀﻞ ﺗﺼﺮف ‪-‬‬ ‫ﺑﮭﺎﻟﺤﺎﻟﮫ ؟‬ ‫اﻟﺨﯿﺎرات ﻛﺎﻧﺖ ﻧﺠﺒﺮ زوﺟﮭﺎ ﯾﺠﯿﺒﮭﺎ ﻣﻮاﻋﯿﺪه ‪،‬ﻧﺒﺤﺚ ﻋﻦ اﻟﻤﺸﺎﻛﻞ اﻻﺟﺘﻤﺎﻋﯿﮫ اﻟﻤﺘﻌﻠﻘﮫ ﺑﺎﻟﻨﺘﺎﺋﺞ ‪ ،‬او اﻟﻤﺸﺎﻛﻞ اﻟﺒﯿﻮﻟﻮﺟﯿﮫ وﺧﯿﺎر ﺛﺎﻟﺚ‬ ‫ﻧﺴﯿﺘﮫ‬ ‫‪، ppsv‬ﺑﻌﺪﯾﻦ ﻛﯿﻒ ﻧﺤﻤﻲ ﻣﻨﮫ ؟ اﻟﺠﻮاب ﻓﺎﻛﺴﯿﻦ ‪ meningitis‬ﻣﺮﯾﻀﮫ ﺟﺎھﺎ‪-‬‬ ‫وﺑﺘﺎﺧﺬ ﻻﯾﻒ ﻓﺎﻛﺴﯿﻦ ﻧﻌﻄﯿﮭﺎ واﻻ ﻻ وﻟﯿﺶ؟ ‪ Iv Acyclovir‬ﻣﺮﯾﻀﮫ اﺧﺬت‪-‬‬ ‫ﺣﺴﺎﺑﺎت ﻟﻠﻜﺮﯾﺎﺗﯿﻨﯿﻦ ﺗﻘﺮﯾﺒﺎ ً ﺟﺎﺗﻨﻲ ﺳﺘﮫ او ﺳﺒﻌﮫ ﺗﻌﻮﯾﺾ ﻣﺒﺎﺷﺮ‪-‬‬ ‫اﯾﺶ ھﻮ ؟ ‪ A‬ﺟﺪول اﻷدوﯾﮫ ﺟﺎ ﺑﺮﺿﻮ ‪،‬ﯾﺠﯿﺐ اﻟﺠﺪول ودواء‪-‬‬ ‫‪-H.pylori treatment‬‬ ‫‪ ،‬اﯾﺶ اﻟﺨﻄﺄ اﻟﻠﻲ ﺳﻮاه ‪ documents‬ﻣﻊ زوﺟﺘﮫ واﻟﺼﯿﺪﻟﻲ ﻛﺘﺐ ‪ diazepam‬ﻣﺮﯾﺾ ﻧﻔﺴﻲ ﺟﺎ اﻟﺼﯿﺪﻟﯿﮫ وﻗﺎل ﻟﻠﺼﯿﺪﻟﻲ اﻧﻮ ادﻣﻦ‪-‬‬ ‫اﻟﺼﯿﺪﻟﻲ ؟‬ ‫! ﺟﺎب ﻛﯿﺲ ﻣﺮﯾﺾ ﻋﻨﺪه ﻋﺪوى ووﺻﻒ ﻛﺎﻣﻞ ﺑﻌﺪﯾﻦ اﻟﺴﺆال اﯾﺶ اﻟﺸﺠﺮه اﻟﻠﻲ اﺧﺬﻧﺎ ﻣﻨﮭﺎ ﻋﻼج اﻟﺤﺎﻟﮫ‪-‬‬ ‫‪ benzodiazepines‬ﺳﺘﺮﻛﺸﺮ‪-‬‬ ‫ف ﻋﻼج ﻧﻮع ﻣﻌﯿﻦ ﻣﻦ اﻟﺴﺮطﺎن ﻟﻤﺎ ﺑﺤﺚ اﻟﺼﯿﺪﻟﻲ ﻟﻘﻰ ﺣﺎﻟﮫ وﺣﺪه ‪ monoclonal antibody‬دﻛﺘﻮر اﺗﺼﻞ ع اﻟﺼﯿﺪﻟﻲ وﺳﺄﻟﮫ ﻋﻦ‪-‬‬ ‫ﻓﻘﻂ ﺗﺨﺺ اﻟﻤﻮﺿﻮع اﯾﺶ اﻟﻤﻔﺮوض ﯾﺴﻮي ؟‬ ‫‪ iv omeprazol‬اﯾﺶ ﻧﻌﻄﯿﮫ ؟ ‪duodenum‬ﻣﺮﯾﺾ ﻋﻨﺪه اﻟﻢ ﺷﺪﯾﺪ ف اﻟﺒﻄﻦ وﺑﺎﻷﺷﻌﮫ طﻠﻊ ﻋﻨﺪه ﺗﻘﺮح ب‪-‬‬ ‫‪1. Bentonite is added as:‬‬ ‫‪A) Suspending agent‬‬ ‫‪B) Vehicle‬‬ ‫‪C) Preservative‬‬ ‫‪D) Emulsfying agent‬‬ ‫‪2. MOA of Dipyridmole:‬‬ ‫)‪( I don’t remember the choices‬‬ ‫)‪3. UTI in pregnant ( Many questions‬‬ ‫‪4. Enoxaparin treatment dose‬‬ ‫‪5. MOA of Amphetamine‬‬ ‫‪6. Status Asthmatics treatment‬‬ ‫‪7. Plant for Burn ➡ Aloe vera‬‬ ‫‪8. MOA of Losartan‬‬ ‫‪9. Definition of Management :‬‬ ‫‪- The art of increasing Profitability‬‬ ‫‪- The art of increasing Possibilities‬‬ ‫‪- The art of increasing Productivity‬‬ 10. ADRs reported to ? SFDA 11. Vaccination are regulated from? MOH 12. Phase 2 Enzymes are mainly focused in which part? - Endoplasmic reticulum - Nucleus - C