Questions and Answers

1 What is antidote for Warfarin ?

Answer Vitamin K

2 What is antidote for paracetamol ?

Answer N-Acetylcysteine

3 What is antidote for morphine

Answer Naloxone

4 What Is treatment of mania ?

Answer Lithium

5 Which the antibiotic safe in pregnant ?

Answer Penicillin, Amoxicillin, Cephalosporines, Clindamycin, Erythromycin

6 What is the medication use in of Hyperthyroidism ?

ANTI THYROID AGENTS ( METHIMAZOLE: TAPAZOLE®,IODINE( I131)),THYROIDECTOMY, B-BLOCKERS FOR RELIEF OF
Answer NEUROLOGIC & CVD SYMPTOMS

7 What is the medication use in Hypothyroidism ?

Answer LEVOTHYROXINE(LT4)

8 What the vaccines are safe in pregnant ?

Answer FLU( INFLUENZA ) & TETANUS ( DIPHTERIA )

9 ‫ﻣﻦ اﻟﻤﺴﺌﻮول ﻋﻦ ﻋﻤﻞ اﻟﺼﯿﺎدﻟﺔ‬

Answer SAUDI COMMISION FOR HEALTH SPECIALITIES & SFDA

10 antidote for diazepam ?

Answer FLUMAZENIL ( ROMAZICON & ANEXATE BRAND NAME )

11 what’s phospholipids ?
 CLASS OF LIPIDS THAT ARE A MAJOR COMPONENT OF CELL MEMBRANE, THEY CAN FORM LIPID BILAYERS BECAUSE OF
THEIR AMPHIPHILIC CHARACTER CONSIST OF TWO HYDROPHOBIC FATTY ACIDS JOINED BY GLECEROL GROUP. THE
Answer FIRST PHOSPHOLIPID IDENTIFIED IN BIOLOGICAL TISSUES WAS LECITHIN OR PHOSPHATIDYLCHOLINE IN THE EGG YOLK

12 vaccines for deep wounds and not deep wounds?

Answer TETANUS TOXOID (TT) & TETANUS + DIPHTERIA ( TD 0

13 What are minoxidil side effects ?

HYPERTRICHOSIS (80%), ABNORMAL ECG ( 60% ), PERICARDIAL EFFUSION (3%), HIRSUTISM, TACHYCARDIA,
Answer HYPOTENSION, ANGINA
14 What is MOA of Digoxin

Answer NA-K ATP ASE INHIBITOR

15 which of the following is positive/ negative inotrops ?

POSITIVE INOTROPES ( DIGOXINE, AMIODARONE, BERBERINE, CALCIUM, DOPAMINE NORADRENALINE, ANGIOTENSIN 2,
Answer INSULIN… ). NEGATIVE INOTROPES (B-BLOCKERS, CALCIUM CHANNEL BLOCKER LIKE VERAPAMIL & DILTIAZEM,
ANTIARRYTHMICS LIKE QUINIDINE & PROCAINAMIDE )

16 fixed dose of vasopresor ?

ANTIHYPOTENSIVE AGENT USED TO INCREASE VASOCONSTRICTION SO INCREASING SVR SO INCREASING MEAN
ARTERIAL PRESSURE MAP SO INCREASING PERFUSION TO ORGANS & CARDIAC CONTRACTILITY IN PATIENTS WITH
SHOCK: LIKE VASOPRESSIN, EPINEPHRIN & NOREPINEPHRIN, DOPAMINE . N.B// INOTROPES INCREASE
Answer CARDIACCONTACTILITY THUS CARDIAC OUTPUT WITHOUT AFFECTING " MAP". REGARDING THE VASOPRESSOR
INITIAL DOSE : 1- DOBUTAMINE 3-5 mcg/kg/min 2- dopamine 2 mcg/kg/min 3-epinephrine .1-1 mcg/kg/min 4- Norepinephrine .2
mcg/kg/min

17 What is chlorothiazide side effects

SCALING ECZEMA, STEVEN JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS, HEPATOTOXICITY, SYSTEMIC LUPUS
Answer ERYTHEMATOSUS, HYPOTENSION, ALOPECIA ,URTECARIA, IMPOTENCE….

18 What is best antibiotics for Pregnant has UTI?

 CEPHALEXIN ( KEFLEX ), ERYTHROMYCIN, NITROFURANTOIN ( MACRODANTIN ), AMOXICLAV , FOSFOMYCIN (
Answer MONURAL ) AS SINGLE DOSE. N.B// SULFISOXAZOLE( GANTRISIN ) IS CATEGORY C, PENICILLIN WAS DOC BUT DUE
TO HIGH RESISTANCE TO E COLI ITS NOT RECCOMENDED ,
19 what is passive immunity ?
TRANSFER OF ACTIVE HUMORAL IMMUNITY OF READY MADE ANTIBODIES & CAN OCCUR NATURALLY WHEN
MATERNAL ANTIBODIES TRANSFERRED TO THE FETUS VIA PLACENTA OR OCCUR ARTIFICIALLY WHEN HIGH LEVEL OF
Answer ANTIBODIES ARE TRANSFERRED TO NON IMMUNE PERSONS THROUGH BLOOD PRODUCTS THAT CONTAIN ANTIBODIES
LIKE IMMUNOGLOBIN THERAPY OR ANTISERUM THERAPY

20 What is lamotrigen side effects ?

BRAND NAME: LAMICTAL ( ANTICONVULSANT ) S.E: DIZZINESS, DIPLOPIA,HEADACHE, ATAXIA, BLURRED VISION,
Answer RHINITIS, SOMNOLENCE, INSOMNIA….

21 What are hypertension Stages ?

ACCORDING TO ACC/AHA:NORMAL < 120/80 ELEVATED 120-129/<80 STAGE 1 SYSTOLIC 130-139 OR DIASTOLIC 80-89
STAGE 2 SYSTOLIC AT LEAST 140 OR DIASTOLIC AT LEAST 90 HYPERTENSIVE CRISIS SYSTOLIC > 180 AND/ OR
Answer
DIASTOLIC >120

22 basel insulin calculation ?

Answer DIVIDE THE TOTAL DOSAGE INTO 40-50% N.B// FOR BOLUS: DIVIDE INTO 50-60%

23 What is test for phenytoin toxicity ?

PHENYTOIN IS USED TO TREAT OR PREVENT THE RECCURENCE OF CERTAIN TYPES OF SEIZURES ( EPILEPSY ) ...THE
Answer TESTS MIGHT BE :PLEURAL FLUID, JOINT FLUID, FLU TEST, MASS SPECTROMETRY

24 What is use of Colchicine

Answer BRAND NAME: ( COLCRYS ) .. FOR GOUT 1.2 mg PO not to exceed 1.8 mg in one hour period

25 Carbamazepine, HLA-B ????

Anticonvulsant ( Tegretol )…HLA-B 1502...Asia population…. HLA-A 3101 ( Japanese, Native American, Southern Indian, Tamil Nadu
Answer & some Arabic ancestry ): Hypersensitivity reaction like Steven Johnson Syndrome & Epidermal Necrosis
 26 What is dose of Enoxaparin

Answer Anticoagulant..1 mg/ kg bid… in inpatient & outpatient treatments initiate Warfarin within 72 hrs of starting Enoxaparin

27 What are classification of heart failure?

ACCORDING TO ACC/AHA: STAGE A PATIENT WITH HIGH RISK FOR HEART FAILURE BUT HAVE NO HEART DISEASE OR
SYMPTOMS FOR HF. STAGE B PATIENT HAS HEART DISEASE BUT NO SYMPTOMS FOR HF STAGE C PATIENT HAS
Answer HEART DISEASE & SYMPTOMS OF HF STAGE D PATIENT HAS REFRACTORY HF REQUIRING SPECIALIZED INTERVENSION

28 why Long acting beta agonist not used as monotherapy ?

Answer asthma induce death

29 What is treatment of intermittent asthma ?

Answer Inhaler SABA PRN

30 isotretinoin category in pregnancy?

Answer x

31 what is anaerobic / aerobic bacteria ?

Answer ANAEROBIC BACTERIA DOES NOT NEED OXYGEN FOR GROWTH UNLIKE AEROBIC THAT NEED

32 What is vaccines during Hajj ?

Answer MENINGOCOCCAL MENINGITIS, POLIOMYELITIS, SEASONAL INFLUENZA, CORONA, ZIKA

33 What is treatment of H.pylori ?

1-( METRONIDAZOLE+TETRACYCLIN+BISMUTH SUBCITRATE POTASSIUM ) 3 CAPSULES (
375MG,375MG,420MG ) PO Q6HR FOR 10 DAYS INCOMBINATION WITH OMEPRAZOLE 2-
Answer (LANSOPRAZOLE+AMOXICILLIN+CLARITHROMYCIN ) ( 30MG,1GM, 500MG ) PO TWICE DAILY FOR 10-14 DAYS

34 What is treatment of TB ?

Answer ( ISONIZID+ RIFAMPIN+ PYRAZINAMIDE+ EITHER ETHAMBUTOL OR STREPTOMYCIN )

 35 PPI equivalent doses ?
LANZOPRAZOLE 30MG= ESOMEPRAZOLE 40MG LANSOPRAZOLE 15MG=ESOMEPRAZOLE 20MG OMEPRAZOLE
OR PANTOPRAZOLE 40MG=ESOMEPRAZOLE 40MG RABEPRAZOLE 40MG=ESOMEPRAZOLE
Answer
40MG

36 warfarin has ?

Answer Drug food interactions

37 medication errors uploaded to ?

Answer MOH

38 lookalike, sound alike ?

Answer use Tall man Letter

39 examples of primary resources ?

Answer ARCHIEVES, PHOTOGRAPHS, JOURNALS, GOVERNMENT PUBLICATIONS, PUBLISHED BOOKS, MAGAZINES

41 examples of non sedative antihistamines?

Answer LORATIDINE, DESLORATIDINE, FEXOFENADINE, LEVOCETRIZINE

42 examples of cardioselective beta blocker

Answer ATENOLOL, ESMOLOL, METOPROLOL, BISOPROLOL

43 pt has heart failure what is the contraindicated oral anti diabetic for him?

Answer THIAZOLIDINEDIONES( PIOGLITAZONE, ROSIGLITAZONE)

44 first line treatment in depression

Answer SSRI

45 wt gain / lose AED

AED( ANTIEPILEPTIC DRUGS ) : WEIGHT GAIN ( GABAPENTIN, PREGABALIN, VALPROIC ACID), WEIGHT LOSS (
Answer FELBAMATE )

46 pt has elevated liver enzymes and taking methotrexate?

Answer FOLATE SUPPLEMENTS

47 methotrexate category in pregnancy?

Answer X

48 G6PD enzyme ?

Answer Anti malaria

49 What is treatment of Respiratory failure ?

Answer OXYGEN FACIAL MASK

50 What is treatment of pulmonary embolism

Answer ENOXAPARIN, DALTEPARIN, FONDAPARINUX & UNFRACTIONATED HEPARIN

51 What is ph in stomach ?

Answer 1.5-3.5

52 data expire of medication is 2/2017 when last time will be use medication ?

Answer ACCORDING TO DOSAGE FORM ( TABLET, CAPSULE, IV, IM…ETC )

53 Patient takes warfarin 10 mg and INR less than 2 What will be do ?

Answer REDUCE THE DOSE

54 What is adverse effect of phenytoin ?

Answer Gingival Hyperplasia

55 Safest anticonvulsant in pregnancy?

Answer LEVETIRACETAM OR LAMOTRIGINE

56 What is best benzodiazepine for elderly?

Answer OXAZEPAM ( LOW POTENCY )

57 What is medication must be stop before 1 month for woman want to get pregnant

Answer isotretinoin
 58 What is Adverse effect of isosorbide dinitrate ?
REBOUND HYPERTENSION, SYNCOPE, UNSTABLE ANGINA, TACHYCARDIA, NAUSEA & METHEMOGLOBINEMIA
Answer

59 What is fastest route for administration in insulin?

Answer IV INFUSION

60 Pt used phenytoin and conc. Of phenytoin 13.5 what should u do ?

Answer TARGET CONC IS (10-20 MG/L ) SO JUST MONITORING , NOTHING TO TO

61 Pt came to community pharmacy for Nexium but not available what you will give him?
LANZOPRAZOLE 30MG= ESOMEPRAZOLE 40MG LANSOPRAZOLE 15MG=ESOMEPRAZOLE 20MG OMEPRAZOLE
Answer OR PANTOPRAZOLE 40MG=ESOMEPRAZOLE 40MG RABEPRAZOLE 40MG=ESOMEPRAZOLE
40MG

62 Pt. Take warfarin and INR 5 without bleeding ?

Answer OMIT A DOSE, RESUME AT LOWER DOSE, RTC IN ONE WEEK

63 What is antidote for heparin ?

Answer Protamine sulfate

64 What is the antidote for iron ?

Answer DEFEROXAMINE ( DESFERAL )

65 which medication cause peripheral edema

Answer Amlodipine

66 medication cause non Productive cough ?

Answer Captopril

67 USP 797

Answer sterile

68 USP 795
Answer Non sterile

69 What is treatment of myasthenia gravis?

Answer Neostigmine

70 Pt has Stage 2 hypertension … What is the treatment

Answer losartan + amoldipine

71 Antidiabetic agent use as off label use for reduce weight ?

Answer Metformine

72 pt take doxycycline for acne what the best advice you will give him

Answer use protect sunscreen and avoid the sun exposure

73 which medication cause oligohydrosis ?

Answer ZONISAMIDE ( ANTICONVULSANT )

74 Which medication increase prolactin ?

Answer ESTROGEN, VERAPAMIL, THYROID REPLACEMENT THERAPY

75 Which medication decrease prolactin ?

Answer BROMOCRIPTINE ( PARLODEL ) & CABERGOLINE ( DOSTINEX )

76 calculate creatinine clearance?

Answer (( 140-(AGE*WEIGHT)) / ( 72*SERUM CREATININE)

77 What is class of ipratropium?

Answer ANTICHOLINERGIC

78 What is class of Atropine?

Answer ANTICHOLINERGIC, ANTISPASMODIC

79 What is MOA of glipized ?

Answer INCREASE INSULIN SECRETION FROM PANCREATIC BETA CELLS

 80 which of the following not essential amino acid?

Answer ALANIN, ARGININ, ASPARAGINE, CYSTEINE, GLUTAMIC ACID, PROLINE, SERINE

81 which of the following produced by mitochandria ?

Answer ATP

82 side effect of allopurinol?

Answer AMBLYOPIA, ARTHRALGIA, BRONCHOSPASM, DECREASE LIPIDO…

83 What is adverse drug event

untoward medical occurance in a patient or clinical investigation subject administered a pharmaceutical product which is not necessary
Answer to have a casual relationship with this treatment

84 which of the following more gastrointestinal side effect ?

Answer NSAIDS, SSRIs, CORTICOSTEROIDS, AMOXICILLIN….

85 What is class of cetirizine ?

Answer ANTIHISTAMINE

86 What is class of aliskiren ?

Answer ( TEKTURNA ) RENIN INHIBITOR

87 What is Clinical use of methadone?

Answer MANAGEMENT OF SEVERE PAIN IN WHICH OTHER TREATMENTS LIKE OTHER OPIOIDS ARE INADEQUATE

88 What is MOA tricyclic antidepressant?

Answer INCREASE LEVEL OF NOREPINEPHRIN & SEROTONIN & BLOCK THE ACTION OF ACETYLCHOLINE

89 What is MOA of sitagliptin ?

( ANTIDIABETEC: JANUVIA )… 1-INCREASES & PROLONGS INCRETIN HORMONE ACTIVITY THAT RELEASE & SYNTHESIZE
Answer INSULIN 2- REDUCE GLUCAGON SECRETION FROM PANCREATIC ALPHA CELLS

90 What first line agent in Otitis media in pediatric?

Answer AMOXICILLIN 80-90 MG/ KG/ DAY

91 What is first line agent gestational diabetes ?

Answer INSULIN

92 What is first line agen for hypertension in pregnancy?

Answer METHYLDOPA & LABETALOL

95 What is first line agent in patients with MSSA ?

Answer CEFTRIAXONE

96 What is first line agent in patient with MRSA ?

Answer BACTRIM ( TRIMETHOPRIM+SULFAMETHOXAZOLE )

97 What is anticancer that cause myelosuppression?

Answer AZATHIOPRINE

98 Which drug that decrease mortality in patients with stage 4 HF?

Answer beta blocker

99 calculate child pugh score

USEDTO ASSES THE PROGNOSIS OF CHRONIC LIVER DISEASE … FIVE MEASURES OF LIVER DISEASE: TOTAL BILIRUBIN,
Answer SERUM ALBUMIN, PROTHROMBIN TIME, ASCITES & HEPATIC ENCEPHALOPATHY..EACH MEASURE IS SCORED WITH 1-3
POINTS…3 INDICATES MOST SEVERE CONDITION

100 calculate peptic ulcer risk factor

PAR=( Pe(OR-1)/Pe(OR-1)+1)*100 PAR:POPULATION ATTRIBUTABLE RISK Pe: PREVALENCE OF THE EXPOSURE AT
Answer BASELINE OR:ODDS RATIO……………………level of significance was set at 5%

101 calculate CHADS2 score ?

 CLINICAL RULE TO ESTIMATE THE RISK OF STROKE IN PATIENTS WITH NON-RHEUMATIC ATRIAL FIBRILLATION (
SERIOUS CONDITION OF ARRYTHMIA ) TO DETECT WETHER TREATMENT BY ANTICOAGULANT OR ANTI PLATELET IS
Answer NECESSARY……… C: CONGESTIVE HEART FAILURE ONE POINT H: HYPERTENSION ONE POINT A:AGE>75 TWO
POINTS D:DIABETES MELLITUS ONE POINT S2:PRIOR STROKE TWO POINTS

102 determine severity of asthmatic patient

GRADE 1: INTERMITTENT,MILD:WHEEZING OR ANY COUGH TWO TIMES PER WEEK IN THE DAYTIME OR ONCE
MONTHLY AT NIGHTTIME WITH PEAK FLOW WHILE EXHALING 80% GRADE 2:
Answer CHRONIC/PERSISTANT,MILD: 3-4 TIMES OR 2-4 TIMES WITH PEAK FLOW 80% GRADE3:CHRONIC PERSISTANT
MODERATE:>4 TIMES/WEEK OR >4 TIMES PER MONTH WITH PEAK FLOW 60-80% GRADE 4:CHRONIC
PERSISTANT,SEVERE: CONTINUOUS , FREQUENT WITH PEAK FLOW <60%

103 What is cornerstone for diagnosis of osteoporosis

Answer BONE MINERAL DENSITY

104 What is First line agent for pain associated with osteoarthritis ?

Answer NSAIDS

105 What is first line agent for pain in coronary artery disease patient?

Answer ASPIRIN

106 What is MOA of Morphine induced respiratory depression?

Answer NACROTIC AGONIST-ANALGESIC OF OPIATE RECEPTORS; INHIBITS ASCENDING PAIN PATHWAYS

107 which insulin can be given with IV rout ?

Answer REGULAR, ASPART, LISPRO , GLULISINE

108 which drug that consider contraindicated in breastfeeding ?

Answer Lithium, oral retinoids, iodine, Amiodarone

109 which one of insulin have long acting effect ?

Answer Glargin

110 which one of azol antifungal druge need renal adjustment ?

Answer VORICONAZOLE

111 which one is consider first line in patient with Extra prymidal side effect ?
THIS S.E IS COMMON WITH SECOND GENERATION ANTIPSYCHOTIC DRUGS….TO RECOVER THESE S.E GIVE
Answer ANTICHOLINERGIC

112 What is Role of Histamine ?

LOCAL IMMUNE RESPONSE, REGULATES PHYSIOLOGICAL FUNCTION IN GUT , ACTING AS NEUROTRANSMITTER FOR
Answer BRAIN , UTERUS AND SPINAL CORD, MEDIATER OF ITCHING

113 which one antiasmatic can increase cardiac disease when it used alone

Answer THEOPHYLLIN

114 which one of antibiotic contraindicated in pediatric

Answer DOXYCYCLIN( VIBRAMYCIN )

115 What is maximum dose of prednisone in asthma?

Answer 60 MG / DAY PO SINGLE DOSE OR DIVIDED Q12HR FOR 3-10 DAYS

116 which of the following method used to prepare emulsion?

Answer TRITURATION METHOD & BOTTLE METHOD

117 What is first line part of immune system against microbe

Answer Skin

118 What is first line against chlamydia ?

Answer Doxycycline

119 What is role of lactulose in hepatic encephalopathy

Answer INHIBITS INTESTINAL AMMONIA PRODUCTION

120 What is first line agent for fever in 8 months pediatric patient ?

Answer PARACETAMOL
 121 which vaccine should be given to patient older than 65 years ?

Answer PNEUMOCOCCAL

122 which one of Antihistamine can induce sedation ?

Answer CHLORPHENAMINE, CLEMASTINE, ALIMEMAZINE, HYDROXYZINE, KETOTIFEN

123 All of the following drugs cover psedomonas argues except ?

TREATMENT FOR PSEDOMONUS IS A COMBINATION OF BETA LACTAM & AMINOGLYCOSIDE OR (
Answer CARBAPENEM LIKE IMIPENIM+QUINOLONE )

124 What is first line agent in patient with endocarditis ?

Answer CEFTRIAXONE 2G IV/IM Q24 SINGLE DOSE

125 Births and the first vaccinations they take ?

Answer BIRTH: HEPATITIS B 1-2 MONTHS: HEPATITIS B 2MONTHS:DTaP, HIB, IPV, PCV, RV

126 What type of infection is prevented by vaccination ?

Answer DIPHTERIA, TETANUS, ROTAVIRUS, INFLUENZA TYPE B, POLIOVIRUS, MEASLES, RUBELLA

127 Vaccination prevents pregnant ?

Answer DEPO-PROVERA ( DMPA )

128 Vaccination Prevents Immunodeficiency ?

Answer MMR, VARIVAX( CHICKEN BOX )?

129 Vaccination prevents immunocompromise?

Answer MMR, MMRV

130 Tdap vaccination is given to any simester for a pregnant woman?

Answer THIRD

131 What is antidote for Organophosphate ?

Answer ATROPINE, DIAZEPAM

 132 Lyme disease and ur infection caused by?

Answer Bacteria

133 Pregnant with HIV and its best treatment?

Answer ANTI RETROVIRAL TREATMENT (ATR) with zidovudine

134 What is better HIV test?

ELISA TEST ( ANTIBODY SCREENING TEST ) & ITS BETTER THAN P24 ( HIV ANTIGEN ); MORE ACCURATE BUT TIME
Answer
CONSUMING
135 What is The most famous antibiotic causes diarrhea?

Answer AMOXICLAV

136 What is appropriate antibody staphylococcus aureus

Answer RABBIT POLYCLONAL

137 In which dose measure the Vancomycin?

VANCOMYCIN CLASS IS GLYCOPEPTIDES…..IV DOSE ( PEAK SERUM TIME IMMEDIATELY AFTER COMPLETION OF
Answer INFUSION )

138 What is use erythromycin eye drop ?

Answer CONJUNCTIVITIS, TRACHOMA

139 drug cancer dextrocin most complication?

Answer NEUTROPENIA

140 What is the drug use in breast cancer?

Answer ABEMACICLIB, ABRAXANE, AFINITOR, AREDIA, AROMASIAN

141 What is mechanism tamoxifen?

SELECTIVE ESTROGEN RECEPTOR MODULATOR & HAS CYTOSTATIC EFFECT RATHER THAN CYTOCIDAL EFFECT
Answer

142 What is MOA atropine?

 ANTIMUSCARINIC, INHIBITS ACTION OF ACETYLCHOLINE AT PARASYMPATHETIC SITES IN SMOOTH MUSCLE,CNS &
Answer SECRETORY GLAND + INCREASE CARDIAC OUTPUT & DRIES SECRETIONS

143 What is most side effect aminoglycoside?

Answer NEUROTOXICITY , NEPHROTOXICITY, OTOTOXICITY

144 What is The most popular medicine causes acute renal failure?

Answer AMINOGLYCOSIDE, ACE INHIBITOR, ..

145 Which A drug that reduces the dose if it has hypoalboneumia?

Answer CALCIUM

146 What is better treatment for child has runny nose

Answer HYPOTONIC NORMAL SALINE

147 case obesity + depression The appropriate drug?

Answer BUPROPION ( ANTIDEPRESSANT )

148 refeeding syndrome in tube feeding ? Read about it

REFEEDING SYNDROME CONSISTS OF METABOLIC DISTURBANCES THAT OCCUR AS A RESULT OF REINSTITUTION OF
NUTRITION TP PATIENTS WHO ARE STARVED..SEVERELY MALNOURISHED O METABOLICALLY STRESSED DUE TO SEVERE
Answer ILLNESS..CARDIAC , PULMONARY & NEUROLOGICAL SYMPTOMS ARE MOST FREQUENT SIGNS....TREATMENT WIL BE TO
REGAIN NORMAL VALUES OF ELECTROLYTES & VITAMINS BY IV ROUTE

149 What is better drug for pt has Parkinson + nausea

Answer LEVEDOPA

150 What is duration otitis?

Answer 10 DAYS TREATMENT

151 What is dose calcium to pregnant?

Answer 1.5-2.0 G DAILY

152 What is dose Calcium for osteoporosis?

Answer 1.2 G DAILY

153 digoxin 2,5 ‫اﻓﻀﻞ ﺗﺼﺮف‬

Answer 2.5 IS A TOXIC LEVEL, NORMAL LEVEL ( .5-2 )..GIVE ANTIDOTE ( DIGIFAB )

154 ‫ﻣﺤﺎدﺛﺔ ﺷﺨﺺ اﻗﻨﻊ اﻟﺜﺎﻧﻲ اﻧﮫ ﯾﺴﺘﺨﺪم ﺗﻄﻌﯿﻢ اﻻﻧﻔﻠﻮﻧﺰا اﯾﺶ ﻧﻮع اﻻﻗﻨﺎع‬

Answer ‫اﻗﻨﺎع ﻣﻨﻄﻘﻲ‬

155 What is duration domperidone ?

Answer not to exceed one week as one tab 10mg up to three times daily

156 what is drug for peptic ulcer?

Answer same for h pylori

157 What is appropriate drug If heparin cause thrombocytopenia?

Answer warfarin

158 which drug in first dose cause orthostatic hypotension ?

Answer prazocin ( alpha blocker ), also might be with sildenafil, ACE inhibitors..

159 Drug class arrhythmia lll

Answer AMIODARONE

160 Drug class arryhemia lc

Answer FLECAINIDE, PROPAFENONE

161 What is herbal safe with warfarin?

Answer FISH OIL, GINGER, BROMELAIN

162 What is mean pregnant category B ?

ANIMAL REPRODUCTION STUDIES HAVE FAILED TO DEMONSTRATE A RISK TO THE FETUS & THERE ARE NO ADEQUATE
Answer & WELL CONTROLLED STUDIES IN PREGNANT WOMAN

163 What is vitamin contraindication pregnant high dose?

Answer VITAMIN A
 164 What is drug use atrial fibrillation + mechanical value?

Answer VITAMIN K ANTAGONIST LIKE WARFARIN

165 What is best drug for Asthma is caused by exercise?

COMBINATION OF INHALED CORTICOSTEROID AND LONG ACTING BETA AGONIST (FLUTICASONE+SALMETEROL ), (
Answer BUDESONIDE+FORMOTEROL: SYMPICORT )

166 type wbc cause inflammation ?

Answer BASOPHILS

167 test to preantral?

Answer GALACTOSE

168 What is drug no take DM have acute renal ?

Answer DAPAGLIFLOZIN

169 Drug DM contraindication contrast?

METFORMIN ( TO AVOID THIS COMPLICATION, METFORMIN SHOULD BE WITHHELD AFTER THE ADMINSTRATION OF
THE CONTRAST AGENT FOR 48 HRS DURING WHICH THE CONTRAST INDUCED RENAL FAILURE BECOMES CLINICALLY
Answer APPARENT. IF RENAL FUNCTION IS NORMAL AT 48 HRS, METFORMIN CAN BE RESTARTED.

170 What is meaning of tolerance ?

Answer REDUCED REACTION TO A DRUG FOLLOWING ITS REPEATED USE

171 What is maximum dose of zolpidem in female ?

Answer (SEDATIVE)… 10MG

172 hypersensitive by food called?

Answer ANAPHYLAXIS

173 What is Test before taking drug infliximab

Answer TUBERCULOSIS, HEPATITIS

 174 Which medication for PArkinson cause dizziness?

Answer DOPAMINE AGONIST LIKE AMANTADINE, , LEVEDOPA, SINEMET

175 ‫وﺣﺪة اﺧﺬت ﻗﻄﺮة ﻛﻮرﺗﯿﺰون وﺳﺒﺒﺖ ﻟﮭﺎ ﻣﺸﺎﻛﻞ وطﻠﻊ اﻟﺴﺒﺐ ﺳﺎﯾﺐ اﻟﻘﻄﺮه ﻣﻔﺘﻮﺣﺔ وﻣﺎﺗﻨﺘﮭﻲ وﺗﺴﯿﺐ ﻣﺸﺎﻛﻞ‬

Answer ?

176 What is duration supervision control medication?

Answer 28

177 What is duration no control medication?

Answer 6 MONTHS

178 Which type headache cause bilateral headache with increase tension ?

Answer Tension

179 esophageal ulcer drug cause?

Answer DOXYCYCLIN

180 What is polysaccharide ?

Answer Starch

181 What is mechanism oxybutynin?

EXSERTS ANTISPASMODIC EFFECT BY INCREASING BLADDER CAPACITY AND DECREASING UNINHIBITED CONTRACTION
Answer AND URGENCY

182 use to icu acute kidney ?

Answer DESMOPRESSIN ( VASOPRESSIN )

183 ‫ﻣﻦ ﺗﺨﺎطﺐ اذا ﺣﺪث ﻧﻘﺺ دواء‬

Answer SFDA

184 DM + have allergic of sulfa what drug contraindication?

Answer ETHANOL, GEMFIBROZIL, METHYL AMINOLEVULINATE

185 The bacteria of its outer membrane?

Answer IN GRAM NEGATIVE, CONSISTS OF LIPOPOLYSACCARIDE

186 What is side effect may cause from Vancomycin

Answer Red Man Syndrome

187 What is laxative Contraindication in pregnant woman?

Answer Sena and Castor oil

188 The genetic material of HIV?

Answer RNA

189 Case with acute gout due to use

Answer furosemide

190 What is First dose of MMR vaccine

Answer at 12 to 15 months of age and 2nd dose at 4 - 6 years of age

191 What is effect of smoking in theophylline metabolism

Answer induce CYP1A2

192 What is drug of choice for severe Alzheimer ?

Answer Donepezil

193 Side effect of Trimethoprim-Sulfamethoxazole?

Answer Jaundice

194 Example of tertiary resource ?

Answer Textbook

195 Epileptic patient has skin rash after use of Oxcarbazepine what is alternative therapy

Answer GABAPENTIN ( NEURONTIN )……

196 What is strongest evidence based study ?

Answer CLINICAL PRACTICE GUIDELINES>SYSTEMIC REVIEW> META ANALYSIS>RANDOMIZED CONTROLLED TRIAL…

 197 Type cyp Interaction between omeprazole + clopidogrel ?

Answer CYP2C19

198 What is best way use Salbutamol by device ?

Answer neubilizer ( 5mg/2.5ml )

199 Patient use metformin have side effect GIT what best time to take it ?

Answer a- with meal b- after meal c- before meal

200 Female deficiency iron?

Answer a- take iron with coffee b- with juice c- with antacid

201 drug dyslipidemia high intensity ?

Answer a- Simvastatin 60mg b- Atorvastatin 20mg c- Rsouvastatin 20 mg

202 What is symptom of hyperthyroidism ?

Answer PALPITATION, NERVOUSNESS, HEAT INTOLERANCE, HYPERACTIVITY

203 When you want convert captopril to losratan how many days stop captorpil to start losartan

Answer RENAL DYSFUNCTION, IMMEDIATELY

204 What is best primary to position emergency ? ( Drug info question )

Answer PRESERVE LIFE, PREVENT FURTHER INJURY & PROMOTE RECOVERY

205 What is ingredient use to prepare suppository ?

Answer COCCOA BUTTER, POLYTHYLENE GLYCOL, HYDROGEL, GLYCERINATED GELATIN

206 Which of the following are from communication Skill

Answer VERBAL , NON VERBAL , VISUAL & INTERPERSONAL COMMUNICATION

207 What is treatment Child with non productive cough and fever ?

Answer PARACETAMOL OR IBUPROFEN WITH A LOT OF WARM LIQUIDS & HONEY

208 What is Contraindication vaccine in pregnant ?

Answer MEASLES, MUMPS, RUBELLA (MMR)

209 The Creatine release from where ?

Answer MUSCLE

210 What happen interaction between TMZ-SMZ and warfarin?

TMZ( TRIMETHOPRIM:ANTIBIOTIC), SMZ( SULFAMETHOXAZOLE:ANTIBIOTIC)- INCREASE EFFECT OF WARFARIN BY
Answer INCREASING PROTEIN BINDING & DECREASING METABOLISM

211 Mention the CYP of Codeine?

Answer CYP2D6 ( CODEINE TO MORPHINE)

212 What is Natural product for burning ?

Answer ALO VERA, HONEY

213 When we give a child MMR vaccine ?

Answer FIRST DOSE ( 12-15 MONTHS ) SECOND DOSE ( 4-6 YEARS )

214 What is treatment of ringworm ?

Answer ANTIFUNGAL LIKE CLOTRIMAZOLE( LOTRIMINE AF) & TERBINAFINE( LAMISIL AT)

216 What is important monitoring for Lisinopril

Answer RENAL FUNCTION

217 What is important monitoring for metformin

Answer LACTIC ACIDOSIS, RENAL FUNCTION, LIVER FUNCTION

218 What is Absolute bioavailability?

AMOUNT OF THE DRUG AVAILABLE TO THE BODY.. RATIO BETWEEN AUC AFTER IV & AUC AFTER ORAL & SHOULD BE
Answer <1…….Fabs= 100*( AUC po* D iv/ AUC iv*D po) …...D:( Dose)

219 What is Calculation of osmolarity ?

 osmolarity is the sum of molarities of the dissolved particles of a solution.. osmol=( # of moles
Answer of dissolved particles) / (# of liters of soln) … example ; 4 moles NaCl in one liter H2O… osmol=(4 mole Na ions + 4 mole
Cloride / 1)=8/1=8 osmol

220 What is Shelf life efficacy ?

length of time that product may be stored without becoming unfit for use, sale … calculated by entering the product name & expiry date
Answer

221 What is treatment of AF with Heart Failure

Answer electrical cardio version, oral anticoagulant, b-blocker

222 What is medication has Qunindine similar mechanism of action with ?

anti malaria, antiarrythmic……procainamide ( Pronestyl )…class IA (membrane stabilizing) that decrease myocardial excitability &
Answer conduction velocity

223 What is Uses of acetylecystiene ?

pulmonary disease, diagnostic bronchography & antidote for acetaminophin
Answer

224 What is Drug Contraindicated in pregnant with UTI?

Answer quinolone……

225 Air bubbles in injection ? ?????

leads to air embolism because air bubbles enter the vein or artery & block it; that cause heart attack, stroke or respiratory failure
Answer

226 What is Refrigerator temp? ???

Answer < 40F or < 4C

227 What is Warfarin level in mechanical valve ?

Answer 2.5

228 What is Anticoagulation in valve replacement ?

Answer 50-100 mg/day

 229 Bridging of warfarin to enoxaprin and level ? ???

Answer INR<2

230 What medication Contraindication in asthmatic patient?

Answer NSAIDS

231 Calculate 97% bound level ? ???????

Answer ?

232 Child had nail injury what bacteria he might have?

Answer staph.aureus

233 Osteomyelitis caused which organism ?

Answer staph.aureus, pseudomonus, E coli, serratia marcescens

234 What is treatment of endocarditis in icu ?

Answer vancomycin

235 What is treatment CAP in ward unit?

Answer cap( community aquired Pneumonia ): Vibramycin: ( Doxycyclin )

236 Calculate loading dose? ??????

Loading Dose= ( Cp* Vd ) / ( F*S )…Cp:peak conc….Vd: volume of distribution…..F: bioavailability … S: fraction of drug salt that is
Answer active drug
237 Calculate infusion rate and flow rate ? ????
1 L = 1000 ml, for example if an iv infusion drug administered as 1 L/ 10 hrs so infusion rate is : 1000/ 10= 100 ml/ hr flow rate ( Y ) =
Answer ( volume(ml) / time (min ) ) * drop factor= ( 1000 / 600 ) * df ( will be provided ) = gttn / min
238 When we increase dose of theophylline?
if coadministration of drugs reduce its metabolism applied like:Acebutalol, Rifampin, B- blocker… Acute bronchospasm…Smokers….
Answer

240 What is Natural product used in stress ?

Answer kava root, lemon palm, chamomile, lavender

 241 Bond interaction in aspirin ?

Answer hydrogen bond with 10kcal/mol

242 Most risk factor in using warfarin ?

Answer severe bleeding

243 What is dose of enoxaprain ?

Answer 1 mg/kg SC q12hr ( inpatient+outpatient )

244 What is pharmaceutical sociology ?

termonology describes how various theoritical frameworks and concepts of sociology can explain the workings of pharmacy and use of
Answer medicine

245 What is the type of medication error ?

Answer treatment process failure that leads to or has the potential to lead to harm the patient

246 What is non-adherence ?

Answer the patient does not iniate or does not continue the recommended care ( device, medicine,.. )

247 What is mean Polypharmacy ?

Answer using of multiple drugs by a patient, especially elderly

248 Which medication is dose dependent ?

Answer phenytoin, Aspirin, ethanol…

249 Which medication need renal adjustments in antipsychotic?

Answer clozapine, paliperidone, risperidone

250 First line prophylaxis in dental procedures ?

Answer amoxicillin

251 When measure to phenytoin level ?

Answer 2-4 hrs after iv loading or top-up dose 12-24 hr for oral dose.. All levels should then be monitored every 24 hr

252 What is antidote for Snake bites ?

Answer antivenom; antivenin;

253 What is Vaccine for Minor wound

Answer no need

254 What is vaccine for Major wound

Answer d tap; tetanus;

255 What is Side effect of captopril

Answer hyperkalemia, angioedema, cough

256 What is Levothyroxine counseling?

store in a cool and dry place, take it atleast 30 min before breakfast, dry your hand before opening the bottle, do not change the brand
Answer name unless advised by your doctor..

257 What is Alndronate prevention dose ?

Answer calcium metabolism modifier……prevention of osteoporosis 5mg po /day or 35 mg po/week

258 What is Nitroglycerin counseling ?

may cause severe headache and gradually becomes less, do not stop the medication, do not use if you have severe anemia or taking
Answer
medicines for erectile dysfunction….
259 What is Calculation of child dose from adult dose ?

Answer child dose= adult dose * ( weight in LBs/ 150 )…. Kg=2.2 lb

260 Which Vaccine considered Live attenuated vaccine ?

Answer MMR, Rotavirus, Smallpox, Chickenpox,yellow fever

261 What is Tertiary information resources ?

Answer Encyclopedia, dictionary, textbook,handbook

263 What is monitoring Warfarin ?

Answer pt: prothrombin time

264 What will do with warfarin if INR 12 ?

Answer hold warfarin, monitor INR then readjust the dose

265 What are Types of study design ?

systematic review, meta analysis, randomized controlled trial, observational studies ( cohort, case control, cross sectional ), sequential,
Answer pilot.

266 what is the possible complications if Phenytoin level 200

Answer coma, seizure

267 Blood pressure in children, is more or less than in adult?

Answer less

268 10 day ?

Answer A- old baby B- Neonate,C- infant D- child

269 What to use to prevent recurrence uti in females?

Answer cranbery, topical estrogen

270 What is Contraception in breastfeeding?

Answer progestin

271 What is pharmacokinetics?

Answer the study of the way that drug moves in the body, including: absorption , distribution, metabolism & excretion

272 What is Example of adverse drug reaction ?

Answer GI DISTURBANCE, COMA, ARRYTHMIA, HYPERKALEMIA,…….

273 What is Cost-minimization ?

TOOL IN PHARMACOECONOMICS TO COMPARE THE COST PER COURSE OF TREATMENT WHEN ALTERNATIVE HAVE
Answer
EQUIVALENT CLINICAL EFFECTIVENESS
274 Cost-effectiveness
ECONOMIC ANALYSIS THAT COMPARES THE RELATIVE COSTS AND OUTCOMES OF DIFFERENT COURSES OF ACTION
Answer
 275 P.value is used to determine?
WHETHER THE NULL HYPOTHESIS FORMULATED BEFORE PERFORMING THE MAIN STUDY IS TO BE ACCEPTED OR
Answer REJECTED

276 Set 11 numbers which number Is the median? ????

Answer 5.5

277 Which drug to avoid in patient with penicillin allergy ?

Answer AMOXICYLLIN, AMOXICLAV, CEPHALOSPORINES

278 Which drug to be avoided in patient with sulfa allergy ?

Answer TRIMETHOPRIM, ERYTHROMYCIN

279 Woman 23 years old has UTI What is best option for her ?

Answer CEPHALOSPORINE , QUINOLONES

What will do in the Pharmacy if patient want antibiotic with symptoms sore throat productive cough and greenish yellow phlegm?
280

Answer ADVISE HIM TO REFER TO ENT DOCTOR ( ANTIBIOTIC SHOULD BE AS PER PRISCRIPTION, NOT OTC )

281 What is Example of Direct cost ?

Answer COMMISSION, DIRECT LABOR, MANUFACTURING SUPPLIERS

282 What is Example of InDirect cost ?

Answer ADMINISTRATIVE EXPENSES, PRODUCTION SUPERVSION, SALARIES,QUALITY CONTROL

283 Questions regarding plasma conc ?????

A MEASURE OF DRUG AMOUNT PRESENT IN A SAMPLE OF PLASMA, SHOULD BE MAINTAINED WITHIN NARROW
Answer THERAPEUTIC WINDOW OF SOME DRUGS LIKE ANTIEPILEPTICS DUE TO DOSE RELATED ADVERSE EVENTS

284 Pt take IV zolpidem … how many time do refill ? ZOLPIDEM ( AMBIEN ) IS SEDATIVE

Answer A- No refill b- up to 5 days C- up to 10 days D-?

285 Who the person has responsible about Hazardous and High alert medication ?
Answer COMPOUNDING SUPERVISOR

286 Who is responsible for the equivalence of pharmaceutical certificate from foreign universities

Answer DATA FLOW

287 What is Characteristics of chemical cholesterol?

WAXY SUBSTANCE PRESENTS IN ALL ANIMAL TISSUES AND BLOOD PLASMA, STEROID FAMILY, C27H46O, ODOURLESS,
Answer TASTELESS, WHITE IN PURE STATE
288 What is principle of human cell membrane ?
SELECTIVE PERMEABILITY TO IONS AND ORGANIC SUBSTANCES AND CONTROLLING THEIR MOVEMENT IN AND OUT OF
Answer CELLS, CONSISTS OF PHOSPHOLIPID BILAYER WITH EMBEDED PROTEINS

290 When you have the right to pharmacist you refuse prescription

Answer NOT MENTIONING PATIENT NAME, EXCEEDING THE DATE LIMIT, ………

291 which hormone release from posterior pituitary gland

OXYTOCIN ( INCREASE UTERINE CONTRACTION), ANTI DIURETIC HORMONE (ADH):INCREASE REABSORPTION OF
Answer
WATER BY TUBULES OF THE KIDNEY
292 Where is synthesis HDL ?

Answer LIVER AND SMALL INTESTINE

293 What is MOA Allopurinol ?

XANTHINE OXIDASE INHIBITOR; INHIBITS CONVERSION OF HYPOXANTHINE TO XANTHINE TO URIC ACID; DECREASE
Answer PRODUCTION OF URIC ACID WITHOUT DISRUPTING SYNTHESIS OF VITAL PURINES

294 What is MOA aliskiren ?

Answer RENIN INHIBITOR

295 MOA CHLORAMPHENICOL

Answer INHIBITS BACTERIAL PROTEIN SYNTHESIS BY BINDING TO 50S RIBOSOMAL SUBUNIT

296 What is properties of amphetamine?

Answer POTENT CNS STIMULANT, RACEMIC FREE BASE, HIGH BIOAVAILABITY ,

 297 What is MOA glycerol trinitrate ?
NITROGLYCERIN: SYSTEMIC VENODILATION, DECREASING PRELOAD, ACTIVATION OF cGMP and vasodilation, relaxing
smooth muscle via dose dependant dilation of arterial and venous beds to reduce both preload and afterload, increases HR, reduces BP,
Answer
improves coronary collateral circulation

298 Which Diuretic increase excretion of sodium , potassium , magnesium and promote reabsorption of uric acid ?

Answer FUROSEMIDE ( LASIX )

299 What is side effects of doxorubicin

ANTINEOPLASTIC……NEUTROPENIA, ANEMIA, LEUKOPENIA, PRURITIS, STOMATITIS, CHF, ALOPECIA, ANOREXIA
Answer

300 What is first line therapy for treatment of esophagus candidiasis?

Answer FLUCONAZOLE 200MG ON FIRST DAY, THEN 100MG DAILY FOR 21 DAYS

301 What is safest anticoagulant for pulmonary embolism during pregnancy?

Answer heparin

302 What will happen if Pt take Citalopram and take linezolid ?

Answer increase seratonin level…CNS TOXICITY

303 What is Class Doluexitine ?

Answer SNRI ( SELECTIVE SEROTONIN AND NOREPINEPHRIN REUPTAKE INHIBITOR )

304 What is Anxiolytic has slow onset action?

Answer NON-BENZODIAZEPINES ( BUSPAR, BUSPIRONE, MEPROBAMATE…)

305 What is structure of quinine?

Answer ANTI MALARIAL….C20H24N2O2

306 What is lead compound?

CHEMICAL COMPOUND THAT HAS PHARMACOLOGICAL OR BIOLOGICAL ACTIVITY LIKELY TO BE THERAPEUTICALLY
Answer
USEFUL
 307 Which is the following is fatty acid ?

Answer PALMITIC ACID, LINOLEIC ACID, OLEIC ACID

308 Which is one of the characterestics of fungi ?

EUKARYOTIC, DECOMPOSERS, NO CHLOROPHYL, NON MOTILE, MORE RELATED TO ANIMALS THAN PLANT KINGDOM,
Answer MOST MULTI CENTER( HYPHAE ), SOME UNICELLULAR ( YEAST), CELL WALL MADE OF CHITIN INSTEAD OF CELLULOSE
LIKE IN PLANT

309 Which is the following is composition of membrane wall of fungi?

Answer CHITIN

310 Which is one of the IGs is responsible of hypersensitivity?

Answer IgE

311 Which is one of the IGs is responsible of ? IGs functions ( IGE, IGA, IGM , Ect)
IgE: hypersensitivity…..IgG: Infection…….IgA:mucosal membrane( GI )….IgM:B cells activation….Ect: treat severe depression (
Answer Electroconvulsive Therapy )

312 Which is of the following responsible of pricing of drugs?

Answer MOH

313 Questions about cytochrome p 450 branches ?????????

Answer CYP5, CYP8, CYP74A

314 Questions about bacteria ????????????

Answer ?

315 Which is the following is triazole azole ( chemical structures )?

Answer FIVE MEMBERED AROMATIC RING…

316 Which is the following is responsible of binding between OH and Nitrogen ( Chemical structures )?

Answer HYDROGEN BOND…HYDROXYLAMINE NOH3…

317 Which is the following is class III antiarrythmia ?

Answer AMIODARONE, BRETYLIUM, IBUTILIDE, SOTALOL, DOFETIDINE, VERNAKALANT, DRONEDARONE

318 Questions about antiplatelet ????????

CARDIOVASCULAR ( ASPIRIN, ABCIXIMAB, AGGRASTAT),HEEMATOLOGIC( ASPIRIN, ANAGRELIDE" AGRYLIN" )
Answer

319 Which is the following is used when warfarin is stop or contraindicated ?

Answer Dabigatran .

320 Question about median ( a group of ages or weights ) EX: 64+70+35+80+75/ 5????????
MEDIAN NUMBER IS THE NUMBER THAT HALFWAY INTO THE SET,OR TAKING THE AVERAGE OF OF THE TWO
Answer MIDDLEMOST NUMBERS IF THE SET IS EVEN
321 Calculate of Median ?
MEDIAN NUMBER IS THE NUMBER THAT HALFWAY INTO THE SET,OR TAKING THE AVERAGE OF OF THE TWO
Answer
MIDDLEMOST NUMBERS IF THE SET IS EVEN
322 Equation about Specific gravity ?????
THE RATIO OF THE DENSITY OR MASS OF SUBSTANCE TO THE DENSITY OF THE REFERENCE SUBSTANCE….
Answer
323 Equation about Equeavelent ????
EQUIVALENT EQUATIONS ARE SYSTEM OF EQUATIONS THAT HAVE THE SAME SOLUTION…..EXAMPLE: 3+2=5 4+1=5
Answer
5+0=5 X=4…2X=8… -2X=-8…
324 Which is the following is derived of belladona

Answer Atropine

325 Which is the following leucocyte produce antibodies

Answer T- Lymphocyte
Question in microbiology .. An image . antibiotics in disks . Which is the following is sensitive antibiotic to bacteria ????
326

Answer ?

327 Which is hormone responsible of contraction of uterus during in delivery ?

 OXYTOCIN ( INCREASE UTERINE CONTRACTION), ANTI DIURETIC HORMONE (ADH):INCREASE REABSORPTION OF
Answer
WATER BY TUBULES OF THE KIDNEY… RELEASES PROSTAGLANDIN HORMONE
328 Monophase of estrogen contain ?

Answer progesterone and estrogen only

329 PC abbreviation what does it mean ?

Answer POST CIBUM: AFTER MEAL

330 Which is the following medication or drug used in hyperthyroidism ?

Answer RADIOACTIVE IODINE, ANTI THYROID ( METHIMAZOLE:TOPAZOLE, PROPYLITHIOURACIL, B-BLOCKERS

331 ibebrufen vs warfarin doses

Answer REDUCE THE DOSE OF NSAIDS ( BLEEDING )

332 dose of naloxone

Answer OPIOID ANTAGONIST….. .4-2 MG IV/IM/SC REPEAT Q2-3 MIN PRN NOT TO EXCEED 10MG ( .01 MG/ KG)

333 route of administration for vit k in newborn

PROPHYLAXIS OF HEMORRHAGIC DISEASE ( .5-1 MG IM ONE HOUR AFTER BIRTH )….TREATMENT ( 1 MG/DOSE/DAY
Answer
SC..MAY BE HIGHER IF MOTHER HAS BEEN RECEIVING ORAL ANTICOAGULANT )

334 which exacerbate heart failure

METFORMIN, SELECTIVE & NON SELECTIVE COX INHIBITORS, CLASS 1 & 2 ANTIARRYTHMICS, DIHYDROPYRIDINE
Answer
CALCIUM CHANNEL BLOCKERS )
335 meaning of aerobic intolerance

Answer DIE IN PRESENCE OF O2

336 EGG SENSTIVITY ttt by vaccine

Answer ttt: tilt table test; medical procedure to diagnose dysautonomia or syncope….. MMR

337 pt liver function elevate cause vit

Answer KEDA

338 what is the action for pt ttt by digoxin but EGFR 55

Answer AS I KNOW CREATINE CLEARANCE SHOULD BE USED TO MONITOR NOT GFR?

339 antidote of methotrexate

Answer ACTIVATED CHARCOL

340 smoke inducer or inhibitor and which enzyme

Answer inducer… P450 ( CYP1A1, CYP1A2, CYP2E1 )

341 enzyme inducer and inhibitor

INDUCERS ( BARBITURATES, CARBAMAZEPINES, PHENYTOIN, RIFAMPIN,… ) INHIBITORS ( METHOTRXATE,
Answer
ALLOPURINOL, PENICILLIN, ACYCLOVIR )

342 pt acute migrain came to emergency what the ttt

ERGOTAMIN 2MG SUBLINGUAL FOLLOWED BY 1-2 MG Q30MIN UNTIL ATTACK ABATED, DIHYDROERGOTAMIN
Answer INTRANASAL SOLUTION .5 MG IN EACH NOSTRIL,REPEAT AFTER 15-30 MIN,NOT TO EXCEED 6 SPRAYS( 3 ) MG/ 24
HR………..SEROTONIN RECEPTOR AGONIST ( TRIPTAN )

343 first line ttt falciparium malaria

Answer QUININE

347 hydrocortisone cream 2% from soln for inj 100mg/ml

Answer 2%= 2* 100%= 2 G… SO THE PREPRATION NEEDS 2 G….SO .1 G IN 1 ML .. 2 G IN X ML…SO X= ( 1*2 ) / .1= 20ML

348 hydrocortisone cream 2% from two conc 2.5 % and 1%

2%= 2* 100%= 2 G….SO THE PREPRATION NEEDS 2 G….SO 2.5 G IN 100 ML…2 G IN X ML…SO X= 80 ML ( FROM CONC 2.5 )
Answer
& 200 ML ( FROM CONC 1% )

349 soln prep 250 ml it contain 5% dextrose and 45% nacl how many from dextrose you need

Answer 5 G IN 100 ML…SO X IN 250 ML?......X= (250*5) / 100 = 12.5

351 antidote for pyridoxine

PYRIDOXINE IS VITAMIN B6….USED AS ANTIDOTE FOR ISONISIDE, MUSHROOM, HYDRAZINE, ETHYLENE GLYCOL
Answer
POISONING..
 352 anti dote aceto aminophen

Answer N-ACETYLCYSTEINE

353 what is the leader ship

RESEARCH AREA AND PRACTICAL SKILLS IN WHICH INDIVIDUAL OR ORGANIZATION CAN LEAD OR GUIDE OTHER
Answer
INDIVIDUALS, TEAMS OR ORGANIZATIONS….. PROPER UTILIZATION OF RESOURCES….( MANY DEFINITIONS )

354 advers event of phenytoin

Answer DROWSINESS, SLURRED SPEECH, NYSTAGMUS, VERTIGO, PARASTHESIA, GINGIVAL HYPERPLASIA……..

355 sever romatoid arthritis to the patient one month ago best medication

Answer NSAIDS

356 sulfasalazine medication for

Answer rheumatoid arithritis, ulcerative colitis, crohn disease

357 benzodiazepine antidote

Answer FLUMAZENIL ( ROMAZICON & ANEXATE BRAND NAME )

359 ttt prephral edema

Answer FUROSEMIDE ( LASIX )

364 drug for h1n1

Answer TAMIFLU ( OSELTAMIVIR ), ZANAMIVIR ( RELENZA ), RAPIVAB ( PERAMIVIR ), XOFLUZA ( BALOXAVIR )

366 new born baby has sedation which mediction mother take it during pregnancy

Answer ZOLPIDEM ( AMBIEN )…. ALSO CAN DEVELOPS RESPIRATORY DEPRESSION

367 naloxone dose in pedia

opioid ANTAGONIST….. For post anesthesia ( acute opioid reversal: .01 mg/kg iv / im/ sc )…..for reversal of respiratory depression (
Answer
.001-.015 mg/kg/dose iv…titrate to effect )
368 anti dote methemoglobinemia
Answer methylene blue

370 name of vit b6

Answer pyridoxine

371 vit defincy cause stomatitis

Answer vitamin B2 ( RIBOFLAVIN ), B6, B3 ( NIACIN ), IRON, B9( FOLIC ACID ), B12 ( COBALAMINE )

372 propranolol class

Answer NON SELECTIVE B-BLOCKER, CLASS 2 ANTIARRYTHMIC,

373 carvidelol class

Answer NON SELECTIVE BETA AND ALPHA ONE-BLOCKER…NO INTRINSIC ACTIVITY FOR USE IN CHF OR HTN

375 when you measure vancomycin concentration in blood

Answer ACTIVE C. DEFFICILE DIARREAH

377 digoxin electrolyte monitoring

Answer POTASSIUM AND CALCIUM

378 drug with warfarin cause bleeding

Answer ABCIXIMAB, ANAGRELIDE, TICLOPIDENE, ESTRADIOL, …

379 table spoon ful volume

Answer 15 ML

380 ratio furosmide and spironolactone

Answer 100:40 ( TO MAINTAIN NORMOKALEMIA )

382 type of headche

Answer TENSION, CLUSTER, MIGRAIN, CAFFIENE, HYPERTENSION, REBOUND, HORMONE

383 decrease milk

Answer PSEUDOEPHIDRENE
 384 kidny function use

Answer GLOMERULAR FILTRATION RATE

385 safest laxative in chronic constipation

Answer FIBERS LIKE ( METAMUCIL, CITRUCEL )

386 pharmacovigillance in which phase

Answer 4

387 post markitng in which phase

Answer 4

388 benefit of drug formulary

DRUG FORMULARY IS A LIST OF PRESCRIPTION DRUGS THAT INCLUDES GENERICS & TRADE NAMES THUS THE
Answer
PHYSICIANS & PHARMACISTS CAN EVALUATE THE ONES OF GREATEST VALUE & CAN BE UPDATED REGULARLY

389 tonicity of eye drop

Answer ISOTONIC

390 corona transmitted by

Answer INFECTED PERSON RESPIRATORY SECRETIONS LIKE COUGHING

391 pt forget aspirin in bathroom whats wrong happened to aspirin

Answer HUMIDITY & TEMP WILL AFFECT

392 cyp of tamoxifen

Answer CYP2D6

393 salbutamol beta 1 or 2

Answer SELECTIVE B2 AGONIST

394 moa of omebrazole

 BINDS TO H+/K+ EXCHANGING ATP ase ( proton pump ) in gastric parietal cells resulting in suppression of basal & stimulated acid
Answer
secreation
395 which inhibit conversion of micro albumin to macro albumin in diabetes

Answer ACE INHIBITORS / ARBS

396 ms ttt

Answer ALEMTUZUMAB, DALFAMPRIDINE,AVONEX & BETASERON: ( INTERFERONE BETA 1A),..

400 ‫اﻟﻤﺨﺪرات ﺗﻨﺘﻤﻲ اﻟﻰ اي ﻓﺌﮫ‬

Answer BARBITURATES

402 patient pregnant taking thyroxin 100 mg what the dose after pregnancy

Answer 100-150 mcg po day

404 child swallo 100 tab multy vitamin best ttt
Answer hydration, O2 & ABCs monitoring

405 counsling of fingolimod and pregnacy timing

FINGOLIMOD ( TREATMENT FOR MS )….BEFORE TREATMENT INITIATION, COUNSEL WOMEN OF CHILDBEARING

Answer POTENTIAL REGARDING POTENTIAL FOR SERIOUS FETAL RISK & THE NEED FOR EFFECTIVE CONTRACEPTION DURING
TREATMENT " 2 MONTHS TO ELEMINATE THE COMPOUND FROM THE BODY AFTER TREATMENT DISCONTINUED )

406 pt refuse to take insulin cause make obesity whats your decition

THE HIGH RISK OF CVD, RENAL IMPAIREMENT & OTHERS IF NOT TAKING INSULIN & THE NEED TO MONITOR HIS FOOD
Answer
TO CONTROLL THE RISK OF OBESITY & EXERCISE ?

407 pt fast blood glucose elevated your action

Answer TO REFER TO A SPECIALIST

408 name of synthesis glucose from fat

Answer AA
409 diff bet leadeship and mannagment
 LEADERS TALK WITH THE LANGUAGE OF " WE ", TEAM EMPHASIZING,….MOTIVATE PEOPLE & SUPPORT THEM ,
Answer
BLAMING THEMSELVES NOT THEIR STAFF IN CASE OF ERRORS OR CRISIS…….

410 which more moisture (cream , oint , gel )

Answer gel

411 medical rep give you sample your decesion

IF I FACED THIS SITUATION I HAVE TO CHECK WETHER I NEED IT FOR PERSONAL USE, SOME PATIENT USE OR NOT AND
Answer
CHECK ITS EXPIRY DATE & APPERANCE ?

412 barrier in counsleing

Answer LANGUAGE, EMBARRASED PATIENT, KNOW-IT-ALLS

413 pt with schizophrenia best medication is

clonazepine ( 2nd generation antipsychotic is the best but high side effects ), 1st generation antipsychotics ( haloperidol, fluphenazine …
Answer
) , phenothiazine ( chlorpromazine,..)
415 side effect of senna occur cause the presence of

Answer GLYCOSIDES?

416 pt has lung infection use livofloxacin has INR 5 this flactuation of INR due to

Answer PROLONGED QT INTERVAL & TACHYCARDIA ( ADVERSE EVENT OF LEVOFLUXACIN )

418 category b and d

A: GENERALLY ACCEPTABLE, CONTROLLED STUDIES IN PREGNANT SHOWNO EVIDENCE OF FETAL RISK B:MAY BE
ACCEPTABLE, EITHER ANIMAL STUDIES SHOW NO RISK BUT HUMAN STUDIES NOT AVAILABLE OR ANIMAL STUDIES
SHOWED MINOR RISKS & HUMAN STUDIES DONE AND SHOWED NO RISK C: USE WITH CAUTION IF BENEFIT
Answer JUSTIFIES THE RISK , ANIMAL STUDIES SHOWED RISK & HUMAN STUDIES NOT AVAILABLE OR NEITHER ANIMAL NOR
HUMAN STUDIES DONE D: USE IN LIFE THREATINING CASES WHEN NO SAFER DRUG AVAILABLE, POSITIVE EVIDENCE
OF HUMAN FETAL RISK X: DO NOT USE IN PREGNANCY, RISKS ARE GREATER THAN BENEFITS, SAFER ALTERNATIVES
ARE AVAILABLE