Oral Contraceptive
REVIEw QUESTIONNS
SHORT QUESTIONS
1           What     are   oral contraceptives?
2.          Why we need oral contraceptives2
            What are Combination hormonal
.
                                            contraceptives
            Write names of combination oral
.
                                             contraceptives (COCs), formulations
.           What is mechanism for oral contraceptives
.           Write in short for Mifepristone
7.          Write in short for norgestrel
    LONG QUESTIONS
    .       Explain oral contraceptives with their mechanism, how they control unwanted
2.          Highlight medical uses of Mifepristone with their structure and IUPAC name.          pregnancy?
3.          Explain Choosing a Pill flow chart
    4.      Enumerate importance of Combination hormonal
                                                              contraceptives.
    MULTIPLE CHOICE QUESTIONS
    1.       Mifepristone is
            a)       11-(2-Dimethylaminophenyl-17p-hydroxy-17a-prop-1-ynylestra-4,9-dien-3-one
            b)
                     118-(3-Dimethylaminophenyl)-17p-hydroxy-17a-prop-1-ynylestra-4,9-dien-3-one.
             d)      11-4-Dimethylaminophenyl)-17p-hydroxy-17a-prop-1-ynylestra-4,9-dien-3-one.
                     11p-6-Dimethylaminophenyl)-17p-hydroxy-17a-prop-1-ynylestra4,9-dien-3-one.
    2.       Mifepristone is used for
             a)      Mifepristone is also used for labour induction after intrauterine fetal death
             b)      Mifepristone is used in postcoital contraception.
             c)      Mifepristone is used in treatment for uterine fibroids (leiomyomas)
             d)   All of above
        .    Identify the given structure
             a) Norgestrel                                     b) Levonorgestrol
             c)Mifepristone                                    d) Nonel of above
              GnRH is
              a)b)   Gonadotropin releasing hormone
                     Gonadotropin relaxing hormone
              c)     Gonadotropin refreshing hormone
              d)     Gonadotropin resting hormone
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                                                                   U A Toxt Book of Modlcinal Choms
180                                                                                                mistry-l
5.         POP is
           a)        Pepsin-only pill
           b)        Pregnane-only pil
          c)Progestin-only pill
           d)        Postoperative-only pill
           Choosing a Pill health chart has recommended by
           a) World Healeh Organization only
           b)        World Health Organization and the Food and Drug Administration
                     Indian Health Organization and the Food and Drug Administration
           c)
           d         Pharmacy council of India and the Food and Drug Administration
 7.         Progestin prevents ovulation by
            a)       Suppressing luteinizing hormone secretion
            b)Suppressing estrogen receptors
                      Suppressing gonadotropin releasing hormone
            d)        Suppressing androgen receptor complex
     8.     PMDD is
            a)        Postmenstrual dysphorie disorder
            b)        Premenstrual dysphoric disorder
            c)Premature dysphoric disorder
            d) Premenstrual dysphoric
     9.
                                      depression
                COCs also contain       following progestin's except
                a) Drospirenone
            b)        Levonorgestrel
                      Cortisone
                d)    Norethindrone acetate
     10.        IUD is
                a)     Intrauterine Device
                       intrauterine system
                c)     intrauterine development
                d)      Intrauterine pregnancy detector
                                                         ANSWERS
      1.C                     2.D
      7. A
                                                 3.B              4.A
                              8. B
                                                 9.C              10. A
                                                                               5.C          6. B
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EXPLANATION TYPE QUESTIONS
1.   Write in details of Glucocorticolds
                                              nnd thelr      drug.
                Corticosterolds   with detalln    of   Prednisolone ns   dru8
     Classify                            relationshlp of
                                                             Cortlcosteroids
     Enumerate structure activlty
                              Corticosterolds
     Highlights importance of           for Corticosterolds
     Give details of Blosynthesls process                             for Cortisone.
                                                  mechanism of action
     Explain G-Protein Coupled receptor
MULTIPLE CHOICE QUESTIONS
                                    Is
1.   Long acting corticosteroid
     a) Tricenolone
     b)   Betamethasone
     cHydrocortisone
     d)   Prednisolone
                    mineralocorticoids       is
     Most potent
     a)   Aldosterone
     b)DOCA
     c)Fludrocortisone
     d)   Triamcelone
3.   Steroid with   max   mineralocorticoid       activity
     a)   Fludrocortisone
     b)   Prednisone
          Trimcenolone
     d)   DOCA
4.   In Addison's disease     drug to be given is
     a)   Hydrocortisone
     b)   Prednisone
     cDOCA
     d)Betamethasone
     Corticosteroid with max sodium retaining potential
     a)   Dexamethasone
     b)Prednisone
     c)Aldosterone
     d)Betamethasone
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           Corticosteroid which         is   given by inhalatlon
                                                                 route
           a)        Prednisolone
                     Beclomethasone                         b) Dexamethasone
           c)
                                                            d) Hydrocortisone
           Oc-fluoro-16a-methyl-11p, 21-trihydroxypregna- 1, 4-dlen-3,20-dlone
           a)        Prednisolone
                                                17,
                                              b) Dexamethason
                     Beclomethasone
                                                           d)   Hydrocortlsone
           Cortisoneis
8.
                     17a, 21-dihydroxypregn-4-en-3,11,20-trione
           b)9a-fluoro-16a-methyl-11ß, 17,21-trihydroxypregna- 1, 4-dien-3,20-dione
                     9a
                          floro-16   -hydroxy prednisolone
           d)        17a, 21-dihydroxypregn-4-en-3,11,dione
9.         In the steroid nucleus, there are
           a) 6 chiral centres with nucleus 13,8,9,10, 11 &e 12]
           b) 6 chiral centres with nucleus
                                            5,79,10,13, & 161
              7 chiral centres with nucleus
                                            13,8,9,10, 11, 12, & 14]
           d)6 chiral centres with nucleus [ 5,79,10,13 &e 14]
 10. 19-Nor steroids means
            a)       Lackmethyl group at C-19 position
            b)       Have methyl group at C-19 position
            c)       Lack chloro group at C-19 position
            d)       Have chloro group at C-19
                                                position
.            Choose the correct statement about estrogen
            a)Ring D is benzenoid &-OH gp at C7 is phenolie
            b)        Ring A is quinonoid & -OH gp at C3 is alcoholic
                      Ring A is benzenoid &-OH gp at C3is phenolic
           d          Ring D is quinonoid & - OH at C17 is alcoholic
     12.        Which is natural steroid
                a)  Oestradiol
                6)    Halotestin
                      Testosterone
                d)     Betamethasone
                                                           ANSWERS
      1. B                      2. A                3. A             . A          5. C          6. C
      7.B                       8. A                9.D             10 A          11.C           12. A
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      MULTIPLE CHOICE QUESTIONS
      .             TSH is
                    a)     Thyroid stimulating hormone
                    b)     Thyroid stop hormone
                    cThyroid standard hormone
                    d)     None of the above
                    TSH consist of                     amino acld
                a)         310
                b)         210
                c)         410
                d)   510
                Tick the correct serial order of the
                a)
                                                                   biosynthesis of thyroid hormone
                     lodide uptake oxidation and ,
                                                                 iodination, coupling, storage and release , peripheral conversion
                          of   Ta    to   Ta
               b)         oxidation and          iodination, lodide uptake, coupling, storage   and   release, peripheral
                           T to T                                                                                         conversion of
               c)peripheral conversion of Ta                     to   T, oxidation and iodination, lodide uptake, coupling,
                          and release                                                                                         storage
               d)         None of Above
               Thyroxine hormone is used in
               a)         Hyperthyroidism
               b)         Hypothyroidism
           c)Heart
           d) None
                   burn
                                    of the above
 5.            IUPAC           name       of
           a)                       L-Thyroxine             is
                          (S-2-amino-3-(4-(4-hydroxy-3,5-diiodophenoxy)-4,5-diiodopheny)propanoic acid
           b)             (R-2-amino-3-(4-(4-hydroxy-3,5-diiodophenoxy)-4,5-diodophenyl)propanoic acid
6.        c)(S)-2-amino-3-(4-(4-hydroxy-3,5-di odophenoxy)-3,5-di odopheny)propanoic acid
           d)
           TUPAC
                          (R-2-amino-3-44-(4-hydroxy-3,5-diiodophenoxy-3,5-diiodophenyl)propanoic acid
                               name   of       given structure is
          a)             2,4-Dihydro-6-propyl-2-thioxopyrimidin-4(1H)-one
      b)                 2,3-Dihydro-6-propyl-2-thioxopyrimidin4(1H)-one
      c2,3-Dihydro-6-propyl-2-thioxopyrimidin-2(1H-one
      d)                 3,3-Dihydro-6-propyl-2-thioxopyrimidin-2(1H)-one
hyroidandAntithyroid Drugs                                                                        205
     Levothyroxine having physical properties like
         White or slightly brownish-white fine, crystalline hygroscopic powder
     b)          White or slightly blackish-yellow fine, crystalline hygroscopic powder
     c)
                 White or slightly greenish-yellow fine, crystaline hygroscopic powder
       d)        White or slightly brownish-yellow fine, crystalline hygroscopie powder
       Deficiency of thyroid hormone in the body is known           as
       a)         Hyperthyroidismn
       b)         Hypothyroidism
     cHeart burn
                  None of the above
       d)
9.
          1-Methylimidazole-2-thiol       drug is used in
                   Hyperthyroidism conditions
          b)       Hypothyroidism conditions
                   Both a andb
            d)     None of above
 10.        TRH mean
            a)
                    Thyrotropin-releasing hormone
                    Thyroid-releasing hormone
            b)       Thyroxine -releasing hormone
             d)      Thyroid-stimulating hormone
                                                   ANSWERS
                                                                                            9.A    10.A
                                                                    6.B      7.D      8.B
                                                  4.B       5.D
                                2.B      3.A
                       1.A
                                      Review Questions
 MULTIPLE CHOICE QUESTIONS
       Clinical   use   of   clonidine:
 Q.1
       a)Analgesic
       b)    Antihypertensive
       c)Both
       d) Neigther
Q.2 p-blockers adverse effects:
   a)Bronchoconstriction
   b)Bradycardia
   c)Depression
  d)        Mask hypoglycemia
   Jame    of the drug contraindicated with     digoxin.
   a)Captopril
                                                     c)Furosemide
   b)    Atenolol                                    d) Laartan
   .hich one will cause heart failure when combined with verapamil?
Q.4 Which
   a)Captopril                                      cAllskiren
   b)    Atenolol                                    d)    Furosemide
This hypertension drug is the first choice for diabetic and renal failure pts.
   a)     Ksparing diuretics
   b)     ACE inhibitors
  Loop         diuretics
   d)     Calcium channel blockers
06 Impotence is most commonly caused by which antihypertensive agent.
   a) Calcium channel blocker
   b) ACE inhibitors
   c)AT1 receptor antagonist
   d) Beta blockers
Q.7 Which drug
                    inactivates   bradykinin.
    a) Lisinopril
    b) Losartan
    c)Gaunethedin
    d) Reserpine
Q.8 Hydralazine works on hypertension by:
    a) Decrease in sympathetic response
    b)     Peripheral vasodilation
        )Directly inhibits renin
                                              wall
        d) Block Cat* from stimulating muscle
                                                 Answers
                                                                        Q6-d, Q7-a, Q8-b.
                                  Q.1-c,Q2-a, Q.3-c, Q4-b, Q.5-c,