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Flashcards in diagnostic Deck (15)
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1

A patient in OPD was diagnosed as a new case of HPN. Pertinent medical history revealed that the patient is a known diabetic, only on Metformin monotherapy; has history of chronic tophaceous gout, and dyslipidemia. No allergies to food and medications. What antihypertensive drug should you avoid in this patient?

Hydrochlorothiazide

Effects: Hyperglycemia, Hyperuricemia, Hyperlipidemia, Hypercalcemia

2

A patient consulted with chief complaint of dysuria and gross hematuria that has been recurring for about 5 years. Yous suspect nephrolitihiasis. On further investigation, you diagnosed the patient with idiopathic hypercalciuria as the cause of recurrent nephrolitiasis. Aside form managing his present condition, what should you give the patient?

Hydrochlorothiazide

* decreases urinary calcium excretion.

3

A patient with history of 2months of cough, not improved with usual antibiotics and 10% weight loss in 2 months. He was referred to TB-DOTS, was started with Category I treatment. Which of the following drugs included in Category I is bacteriostatic?

Ethambutol

4

Which drug in Category I treatment for TB can cause orange discoloration of the skin?

Clofazimine---for Hansen disease
Rifampicin--- discoloration of body fluids

5

A patient with 3 years history of multiple nodules on the skin, which were insensate. You did a skin biopsy, and confirmed that the patient has Hansen disease. The patient underwent standard regimen. Which of the following drugs included in the said regimen is bacteriostatic?

Dapsone

6

A patient who is on chronic digoxin therapy for heart failure, presents in the ER with DOB. On PE, there were fine crackles on the middle basal fields of both lungs. You gave a particular drugs to address the condition, and the patient had an arrhythmia. What drug is most likely administered?

Furosemide

7

What would be the anti arrhythmic of choice for digoxin-induced arrhythmias?

Lidocaine

8

The anti arrhythmic of choice for digoxin-induced arrhythmia is under what class, in reference to the Vaughan Williams classification?

1b

9

The general anesthetic with lowest minimum alveolar concentration, with the slowest induction and recovery, and is known for its nephrotoxic effects.

Methoxyflurane
* most potent with high partition coefficient, more soluble to blood.

10

The intravenous general anesthetic of choice for patients with limited cardiopulmonary reserve, but is known to cause adrenal insufficiency.

Etomidate

11

A patient was about to undergo surgery, and a particular drug was injected to facilitate ease of intubation. However, the patient suddenly developed seizures, and hypotension. What most likely is the drug injected?

Atracurium

12

What compound is responsible for the hypotension of the patient that was injected with a drug for ease of intubation?

Histamine

13

What is responsible for the seizure after Atracurium injection?

Laudanosine

14

If the patient suffered from non depolarizing neuromuscular blockade, what agent should be administered as antidote?

Neostigmine

15

What class of drug is the antidote of choice for non depolarizing neuromuscular blockade?

Acetylcholinesterase inhibitor