Few More questions 2

Please Make sure that these questions are practice purpose only and  check answers with authenticated sources



Few More questions  2


1. Proposed cellular mechanisms of theophylline's action include:
A. translocation of intracellular calcium
B. those mediated by increasing accumulation of intracellular cyclic AMP
C. those mediated by blockade of receptors for adenosine
D. those mediated by xanthine oxidase inhibition
1. A,B,C
2. A,C
3. B,D
4. D only
5. All of the above
Answer: 2 
2. Drugs that may decrease theophylline clearance include:
A. cimetidinE
B. ranitidine
C. ciprofloxacin
D. phenytoin
1. A,B,C
2. A,C
3. B,D
4. D only
5. All of the above
 answer: 5
3. Theophylline clearance may be reduced by:
1. phenobarbital
2. warfarin
3. tobacco smoking
4. phenytoin
5. ciprofloxacin
 answer: 5 
4. Factors which are important to consider in selecting a maintenance dose of
theophylline in a patient include all of the following EXCEPT:
1. smoking history
2. concomitant medication administration
3. presence of congestive heart failure or cor pulmonale
4. presence of hepatic failure
5. presence of renal insufficiency
answer: 5 
5. Manifestations of theophylline toxicity may include all of the following
EXCEPT:
1. tremors
2. seizures
3. tachyarrhythmias
4. vomiting
5. hyperkalemia
answer: 2
6. In the case of an oral overdose of theophylline, clearance may be enhanced by:
1. induction of emesis
2. oral pulse dose charcoal
3. administration of cimetidine
4. lavage of nasogastric contents
5. forced diuresis
answer: 4 
7. Regarding its actions, cromolyn is best described as:
1. bronchodilator
2. anticholinergic
3. beta agonist
4. inhibitor of mast cell degranulation
5. glucocorticoid
Answer: 4 
8. Beta-2 selective adrenergic agonists include all EXCEPT:
1. terbutaline
2. albuterol
3. metaproterenol
4. isoproterenol
5. pirbuterol
Answer: 5 
9. Adverse effects of beta-2 adrenergic bronchodilators include all of the
following EXCEPT:
1. nervousness
2. headache
3. tachycardia
4. tremulousness
5. lethargy
Answer: 4 
10. Which of the following work through cholinergic receptor antagonism?
1. isoetharine
2. cromolyn
3. ephedrine
4. ipratropium
5. salmeterol
Answer: 1 
11. Which of the following pharmacologic agents antagonize adenosine?
1. theophylline
2. glucocorticoids
3. cromolyn sodium
4. propranolol
5. terbutaline
Answer: 2 
12. Theophylline, ethacrynic acid, and furosemide:
1. interfere with active renal tubular reabsorption of sodium
2. increase urine volume
3. are not effective in the treatment of congestive heart failure
4. decrease excretion of sodium in the uriNE
5. may precipitate in renal tubules and cause acute angiospastic necrosis
Answer: 4
13. An 81-year-old female with arteriosclerotic heart disease and pulmonary
emphysema was found to have significant bronchospasm. Her physician prescribed
theophylline 400 mg every 12 hours. All of the following toxicities may be
observed EXCEPT:
1. cardiac arrhythmias
2. nausea and vomiting
3. agitation
4. sodium and water retention
5. tremulousness
Answer: 5 
14. When comparing the relative adrenergic effects of the following drugs, the one
which would have the least 2 (bronchodilatation) effect at normal doses is:
1. terbutaline
2. epinephrine
3. isoproterenol
4. isoetharine
5. norepinephrine

No comments:

Post a Comment