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MULTIPLE CHOICE QUESTIONS

T-4.8.5 Pharmacology-IV 


1)  Identify dermatological disorders from followings:

A. Erythema Multiforme       

B. Lyell’s Syndrome

C. Hirsutism                           

D. All of the above

 

2)  Limitation of TDM is___________________.

A. Laboratory variability in reporting

B. Procedure is toxic

C. Not useful to society

D. All of the above

3) What is IND?

A. Investigational New Drug

B. Insisted New Drug

C. International New Drug

D. Inhibited New Drug

 

4) What term is used to signify a preparation that appears identical to the preparation of an active drug but which has no biological activity?

A. Dummy drug              

B. Peptidomimetic drug

C. Gazebo                      

 D. Placebo

5) On what does Phase 2 clinical trials test?

A. Widespread differentiated population     

B. Animals: only rats/mice

C. Healthy human volunteers

D. Large scale tests in people having target disease condition

 

 6) Drugs such as nitrofurantoin or triamterene induces__________________.

A. Cardiac toxicity

B. Acute hemolytic states can result in ARF

C. Liver toxicity

D. Ocular toxicity

7) All of the following are known adverse effects of thalidomide, except:

A.Diarrhoea

B.Teratogenicity

C.Deep Vein Thrombosis

D.Peripheral Neuropathy


8) What is informed consent in a clinical trial?

A. The subjects do not know which study treatment they receive

B. Patients injected with placebo and active doses

C. Fake treatment

D. Signed document of the recruited patient for the clinical trial procedures

 

9) What type of medication error is forgetting to give the patient the medication?

A. Documentation Error     

B. Prescription Error

C. Dispensing Error            

D. Administration Error

10) The drug whose activity is affected by drug interaction is called as _______________.

A. Object drug           

 B. Precipitant drug

C. Both A and B         

D. None of the above

11) On what does Phase 3 trials test?

A. Animals

B. Healthy Human volunteers

C. Randomized trial with group of patients

D. None of the above

 

12) Pharmacovigilance is applicable for_________________.

A. Drugs in clinical trial

B. Drugs in clinical trial and in market

C. Only for phase III trial

D. None of the above

13) The goal of TDM is to ensure the__________________.

A. Minimum therapeutic benefits

B. Maximum toxic effects

C. Maximum therapeutic benefits

D. None of the above

14) Pharmacovigilance is related with __________________.

A. Detection                         

B. Assessment

C. Prevention of ADR       

D. All options are correct

15) Drug interactions can be managed by________________.

A. Avoiding the combinations        

B. Avoiding the drugs at all

C. Avoiding the physician                

D. All of the above

 

16) ANDA is for_____________.

A. Generic drug approval      

B. Clinical trial

C. Pre-clinical trial                  

D. All of the above

 

17) A medication error is_________________.

A. May cause or lead to inappropriate medication use

B. May be preventable event

C. Option A and B is correct

D. Both A and B is incorrect

18) Otitis media is______________.

A. Infection of external ear

B. Infection of inner ear

C. Infection of middle ear

D. Infection of eye

19) What is the purpose of Investigational New Drug (IND) Application?

A. Permission to administer a new drug to humans

B. Permission to administer a new drug to animals

C. Permission to market a new drug

D. Permission to manufacture the new drug

 

20) Identify the correct statement about phase-II clinical trial.

A. Used for the study of drug absorption & metabolism in human

B. Used for the study of drug effectiveness in treating the disease & short term side effects in

patients

C. Used for the study of drug safety (Benefits v/s risk analysis) & long term side effects in

patients

D. Used for the study of drug safety and effectiveness after the launching of drug in the market

21) Identify the aim of new drug development.

A. Develop clinically efficacious & safer drugs

B. Develop economically viable drug

C. Discover entirely new class of drugs

D. All options are correct


22) Select the number of volunteers or patients usually involved in Phase-III clinical trial.

A. 20 to 100              

B. 100 to 300

C. 1000 to 3000       

D. More than 50000


23) Find the Non-beneficial drug interaction from the followings:

A. Antipsychotic drug + Antiparkinson drug

B. Antihypertensive drug + Diuretic drug

C. Bacteriostatic drug + Bactericidal drug

D. High ceiling diuretic + Potassium sparing diuretic

 

24) Select the mechanism of pharmacokinetic drug interaction that is related with or influenced by the factor hypoalbuminemia.

A. Absorption           

B. Distribution

C. Metabolism         

D. Excretion


25) Identify the factor which is NOT responsible for the alteration of GIT absorption and subsequent  drug interaction.

A. Alteration of intestinal pH

B. Complexation

C. Displacement from protein binding sites

D. Alteration of GIT motility


26) The term tinnitus belongs to which type of iatrogenic condition?

A. Nephrotoxicity          

B. Carcinogenicity

C. Ototoxicity               

D. Teratogenicity

 27) Identify the drug induced hematologic disorder in which the clinical manifestations are usually related with hemorrhage like ecchymosis, epistaxis & petechiae.

A. Agranulocytosis                    

B. Thrombocytopenia

C. Megaloblastic anemia        

D. Aplastic anemia


28) Select the pharmacodynamic drug interaction (synergism) from the followings:

A. Folic acid deficiency anemia in patients receiving phenytoin

B. Risk of hemorrhage in patients taking phenylbutazone and warfarin

C. Use of disulfiram in the treatment of alcohol addiction

D. Excessive CNS depression after the use of alcohol and sedatives

 

29) Drug induced agranulocytosis is which type of iatrogenic disease?

A. Haematological          

B. Dermatological

C. Teratogenic                 

D. Carcinogenic


30) Which of the following is an iatrogenic condition?

A. Plague                              

B. Cancer

C. Corona virus disease      

D. Leishmaniasis

 

31) Detect the statement that is NOT CORRECT with respect to TDM.

A. Process of ensuring drug concentration within the therapeutic range

B. Aims at optimizing the dose for large number of patients

C. Establishes safety and effectiveness of therapy

D. Process that assess concentration of drug in plasma


32) Select the condition that needs TDM.

A. Drug following linear kinetics

B. Drugs with wide therapeutic range

C. Hit and run drugs like MAO inhibitors

D. Drugs following saturation metabolism


33) In TDM, if the sample is obtained just prior to the next dose at steady-state conditions it is referred  as _______.

A. Peak concentration

B. Trough concentration

C. Random concentration

D. Biological concentration


34) Select the appropriate source for the recommended therapeutic ranges of drugs that need TDM.

A. Physician desk reference

B. Product inserts

C. Physician desk reference & product inserts

D. All options are incorrect

 

35) Which of the following is NOT the type of medication error?

A. Process based errors

B. Knowledge based errors

C. Rule based errors

D. Action based errors

 

36) Inaccurate medication history taking primarily leads to which type of medication error?

A. Dispensing error          

B. Administration error

C. Prescribing error          

D. Compliance error

37) Tall Man lettering (mixing upper and lower case letters in the same word) can be used to avoid  which types of errors.

A. Knowledge based errors        

B. Action based errors

C. Rule based errors                    

D. Memory based errors

 

38) NDA is for?

A. Approval from FDA for sale and marketing

B. Approval from FDA for Clinical trial

C. Approval from FDA Pre-clinical trial

D. All of the above


39) Drugs such as nitrofurantoin or triamterene induces_____________.

A. Cardiac toxicity

B. Acute hemolytic states, can result in ARF

C. Liver toxicity

D. Ocular toxicity

 

40) The interaction between penicillin and probenecid is example of___________.

A. Desirable drug-drug interaction

B. Undesirable drug-drug interaction

C. Timely drug interaction

D. None of the above

 

41) What is ANDA?

A. Abbreviated New Drug Application

B. Anything as New Drug Application

C. All New Drug Application

D. None of the Above

 

42) Toxic epidermal necrolysis (TEN) is a type of____________.

A. Drug induced kidney diseases

B. Drug induced skin diseases

C. Drug induced liver diseases

D. Drug induced ocular diseases


43) Whole blood can be used as a sample for a process of TDM because____________.

A. There are large shifts of drug between red cells and plasma with temperature change

B. It is more convenient

C. It is easy to collect

D. All of the above


44) Drugs liable for enzyme induction are prone to______________.

A. Increase metabolism

B. Decrease metabolism

C. Do nothing with metabolism

D. Increase absorption


45) What is phase-III clinical trial?

A. The subjects do not know which study treatment they receive

B. Patients injected with placebo and active doses

C. Randomized control trial with group of patients

D. Clinical trial procedures on normal individuals

 

 46) The agent which precipitates the drug-drug interactions called as _____________.

A. Object drug             

B. Precipitant drug

C. Both A and B           

D. None of the above


47) What type of medication error is forgetting to give the patient the medication?

A. Documentation Error      

B. Prescription Error

C. Dispensing Error             

D. Administration Error


48) Lead optimization in drug discovery is__________________.

A. Alter the structure of lead candidates to improve its properties

B. Change the properties of compound without structural alterations

C. Optimize the methodology

D. None of the above


49) Pharmacist has to remember while delivering a medication_____________.

A. Right dose            

B. Right time

C. Right person         

D. All of the above

 

50) Preclinical study denotes which of the following:

A. Experiments on humans

B. Experiments on animals

C. Experiments using softwares

D. Experiments using simulations

 

51) Drug interactions can be managed by__________________.

A. Avoiding the physician

B. Avoiding the combinations

C. Avoiding the drugs at all

D. All of the above


52) Steven-Johnsons syndrome is_______________.

A. Liver necrolysis

B. Skin disorder

C. Tubules problem of drug induced kidney diseases

D. Myocardial tissue necrosis


53) Therapeutic drug monitoring is applicable to______________.

A. High therapeutic index

B. Drugs are in clinical trial

C. Narrow therapeutic Index

D. All options are correct

 

54) Select the common secondary effect (side effect) of antipsychotic, antiparkinson and antidepressant  drugs.

A. Antiadrenergic effect            

 B. Anticholinergic effect

C. Antihypertensive effect        

D. Antidiuretic effect

 

55) Which phase of the clinical trial is referred as pharmacovigilance?

A. Phase-I           

B. Phase-II

C. Phase-III         

D. Phase-IV


56) The interaction between penicillin and probenecid belongs to which type of drug interaction.

A. Over The Counter (OTC) drug interaction

B. Drug food interaction

C. Drug laboratory test Interaction

D. Prescription drug interaction


57) Which of the following statement is suitable for the term placebo in clinical trials?

A. Substances that are similar to drugs + do not contain any pharmacologically active drug

B. Substances that are different to drugs + contain pharmacologically active drug

C. Substances that are similar to drugs + contain pharmacologically active drug

D. Substances that are different to drugs + do not contain any pharmacologically active drug


58) The goal of TDM is to ensure the________________.

A. Maximum therapeutic benefits

B. Minimum therapeutic benefits

C. Maximum toxic effects

D. None of the above


59) A medication error is________________.

A. A preventable event cause or lead to inappropriate medication use

B. Medical Emergency

C. Pharmacist is responsible for the event

D. None of these

 

60) With respect to the drug development process the NDA means__________________.

A. New Document Application

B. National Drug Application

C. New Drug Application

D. Novel Drug Application

 

1. A

2.   A

3. A

4. D

5.   A

6.  B

7.  A

8.  D

9.  B

10.  A

11.  B

12. C

13. C

14.  D

15.  A

16. B

17.  C

18.  C

19.  A

20.  C

21.  D

22.  C

23.  A

24. C

25. D

26.  C

27.  D

28.  C

29. B

30. B

31.  B

32.  D

33. B

34.  A

35.  A

36.  C

37. B

38.  B

39. B

40.  C

41.  A

42. B

43.  D

44.  A

45.  A

46. B

47. B

48. A

49. D

50. B

51. B

52. B

53. C

54. B

55. D

56. D

57. A

58. A

59. A

60. C

 

 

 

 

 


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