Sample 2:1 Flashcards

1
Q

What safety tests should be performed for oral glucocorticoids long-term therapy?

A

Monitoring of gastrointestinal adverse drug reactions, Peripheral blood glucose test
Blood lipid profile test

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2
Q

Please name the main directions of future of pain pharmacotherapy

A

Development of new pharmaceutical formulations of analgesics, Stem cell preparations, Development of new pain mechanisms/receptors

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3
Q

What is the use of hydrocortisone replacement therapy?

A

To reduce hypothalami-pituitary-adrenal suppression in stressful situations during long-term glucocorticoid therapy

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4
Q

Please state correct indication for the use of nimesulide?

A

A secondary medicine if other medicines are ineffective and only in the presence of acute or dysmenorrheal pain for up to 15 days

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5
Q

Which oral NSAID has the highest risk of hepatic adverse drug reactions?

A

Nimesulide 100mg

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6
Q

The analgesic effect of NSAIDs depends on

A

General analgesic potency depends on NSAID dose

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7
Q

What is the most common adverse drug reaction of vasoselective calcium channel blockers?

A

Peripheral edema - “ankle edema”

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8
Q

Which calcium channel blocker has cardio depressive action?

A

Verapamil

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9
Q

What safety test are mandatory to prevent ACE inhibitor side effects?

A

Monitoring of dry cough, Potassium test in the blood, Kidney function test, Monitoring of blood pressure for possible hypotension

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10
Q

What safety tests are mandatory to prevent statin side effects?

A

Creatine phosphokinase test, Liver enzymes test

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11
Q

Which calcium channel blocker is vasoselective?

A

Amlodipine

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12
Q

What adverse effect can be caused by long term use of antipsychotics?

A

dyskinesia and dystonia

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13
Q

Which of the following bezodiazepine can be used for anaesthesia induction?

A

midazolam

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14
Q

Which benzodiazepines should not be recommended for the older patient?

A

diazepam, clonazepam

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15
Q

What interaction can occur when amitriptyline and clemastine are used concomitantly?

A

increased anticholinergic effect and sedation

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16
Q

Which of the following drugs can cause psychosis?

A

dopamine receptor agonists, MAO inhibitors and sympathomimetics

17
Q

Which of the following drug effect can be increased by benzodiazepines?

A

amlodipine

18
Q

Which of the following antidepressants are considered least sedative?

A

sertraline and citalopram

19
Q

Which of the following best describes “atypical” antipsychotics?

A

They rarely cause extra pyramidal effects and are more suitable to treat negative symptoms of schizophrenia

20
Q

Which classes of antidepressants are associated with increased risk of sudden death due to possible arrthythmias?

A

tricyclic antidepressants, Some SSRIs

21
Q

Which of the following drugs can decrease the effect of clopidogrel?

A

fluconazole, clarythromycin

22
Q

Which drug increases the risk of hyperkalaemia when used concomitantly with heparin?

A

perindopril

23
Q

How should the switching from rivaroxaban to warfarin be done?

A

Rivaroxaban and warfarin used concomitantly until INR is more than 2, then rivaroxaban can be discontinued.

24
Q

Which of the following can decrease the effect of warfarin?

A

spironolactone, carbamazepine

25
The patient has been on unfractionated heparin therapy. What is the shortest period of time which is considered safe to undergo elective surgery?
2-6 hours
26
What laboratory tests should be monitored if the patient takes ticagrelor?
Monitoring of APTT and INR is not required
27
What laboratory tests should be monitored if the patient takes low molecular weight heparin?
Routine lab tests are not necessary
28
Which of the following drugs is considered [rst line for focal epilepsy?
carbamazepine
29
The patient is prescribed with levodopa/carbidopa and oral ferric sulphate. How would you recommend to take these drugs?
Ferric sulphate should be taken 2 hours after levodopa/carbidopa is taken
30
Which of the following cannot be used as monotherapy to treat Parkinson disease?
carbidopa, entacapone