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In Pharmacy Exams either it is pharmacy college  exams or professional  bodies exams accuracy and speed is very important .Along with right answers you have to make sure that you are not wasting your time on questions, about which you have no clue . So Just jump to next, so that you are not running out of time. At the end, again I would suggest that practice these questions and compare your answers with some authenticated sources.Another Important thing is that study all other options , why they can not be answers .You will build  your knowledge base

Answer: 3
 1. Which of the following substances has its major activity as a saline cathartic ?
1. Sodium bicarbonate
2. Methylcellulose
3. Sodium phosphate
4. Castor oil
5. Mineral oil
Answer: 4
2. The correct statement regarding sucralfate:
1. Pharmacologic action is to reduce gastric acid secretion by antagonizing Gatrin
2. Enhances N+-K+ ATPase
3. Antagonizes acetylcholine
4. Most common side effects is constipation
5. Increases gastric motility
Answer: 4
3. Correct statement regarding metoclopramide:
1. Central nervous system dopamine receptor agonist
2. Peripheral blockage of acetylcholine at muscarinic synapse
3. Decreases lower esophageal sphincter pressure
4. Adverse effects include dystonic or extrapyramidal effects
5. Increases motility of colon
Answer: 5
4. In general, mechanisms of laxation include:
1. Adding bulk to the stool
2. Increasing peristaltic activity
3. Emulsifying aqueous and fatty substances with stool
4. Lubricating the passage of stool
5. All of the above

Answer: 1
5. Appropriate indications for and/or uses of laxatives include:
A. prevent straining at the stool in patients with cardiovascular disease
B. bulk forming agents for diverticular disease
C. treatment of drug overdose
D. to induce daily bowel movements in normal healthy individuals
1. A, B, C
2. A, C
3. B, D
4. D only
5. All of the above
Answer: 1
6. Which of the following substances is most likely to cause systemic alkalosis?
1. Sodium bicarbonate
2. Methylcellulose
3. Sodium phosphate
4. Castor oil
5. Mineral oil
Answer: 4
7. Saline cathartics, such as sodium sulfate or magnesium sulfate:
1. are safe in patients with renal failure
2. are readily absorbed from the gastrointestinal tract
3. are slower acting than bulk-forming laxatives
4. act by increasing intestinal volume, hence stimulating peristaltic action
5. lower the surface tension of the feces to facilitate fecal hydration

Answer: 5
8. Adverse effect(s) of laxatives:
1. Electrolyte disturbances (hypernatremia, hypokalemia)
2. Dehydration
3. spastic colitis with stimulant laxatives
4. gastrointestinal obstruction with bulk forming agents
5. All of the above
Answer: 5
9. In esophagitis , elevation of the head of the bed, abstinence from ethanol and
Tobacco, and small frequent meals are all useful adjunctive therapeutic measures
Other useful therapy may include all of the following EXCEPT:
1. omeprazole
2. metoclopramide
3. bethanechol
4. cimetidine
5. amitriptyline
Answer: 2
10. Drug which exerts anti-peptic ulcer effects through histamine-2 receptor
Antagonism:
1. sucralfate
2. ranitidine
3. metoclopramide
4. omeprazole
5. misoprostol
Answer: 5
11. The substance which is principally an emollient laxative is:
1. bran
2. methylcellulose
3. magnesium hydroxide
4. phenolphthalein
5. mineral oil
Answer: 3
12. Laxatives may aid in the treatment of portal systemic encephalopathy by:
1. increasing stool pH
2. increasing coliform bacteria
3. decreasing protein contact time with GI mucosa
4. All of the above
5. 1,3
Answer: 5
13. Agents of potential use in peptic ulcer disease include:
1. muscarinic antagonists
2. proton pump inhibitors
3. antacids
4. prostaglandins
5. All of the above
Answer: 5
14. The physician must always be aware of possible drug interactions. Aluminum
hydroxide antacids tend to interfere with the gastrointestinal absorption of:
1. cephalexin
2. penicillin G
3. erythromycin
4. chloramphenicol
5. tetracycline
Answer: 4
15. Prostaglandins E2 inhibit the secretion of gastric acid and stimulate the
secretion of mucus. One adverse effect limiting the wide use of
prostaglandins for gastric disease is:
1. headache
2. thrombocytopenia
3. gynecomastia
4. diarrhea
5. seizures
Answer: 3
16. An agent which promotes defecation without increasing peristalsis is:
1. castor oil
2. phenolphthalein
3. docusate sodium
4. cascara
5. milk of magnesia
Answer: 4
17. Cimetidine reduces the clearance of all of the following EXCEPT:
1. theophylline
2. phenytoin
3. warfarin
4. digoxin
5. quinidine
 Answer: 5
18. The basic approach to the patient with either acute or chronic hepatic
encephalopathy is aimed at reducing the ammonia load presented to the central
nervous system. Elimination of protein from the diet, cathartics, enemas,
neomycin and lactulose (a disaccharide) have been used to accomplish this
goal. Correct statements regarding the mechanism of action of lactulose
include:
1. reduced fecal Ph by the breakdown products of lactulose leads to reduced
ammonia absorption via non-ionic diffusion
2. the decreased fecal pH increases bacterial assimilation of ammonia
3. lactulose induces an osmotic diarrhea which diminishes fecal stasis and
reduces nitrogenous substrates
4. All of the above
5. 1,3
Answer: 5
19. Antacids having a relatively non-systemic effect include:
1. aluminum hydroxide
2. sodium bicarbonate
3. calcium carbonate
4. All of the above
5. 1 and 3
Answer: 4
20. Which of the following substances has its major activity as an stimulant
cathartic?
1. sodium bicarbonate
2. methylcellulose
3. sodium citrate
4. castor oil
5. mineral oil
Answer: 3
21. One mechanism to reduce gastric acid secretion is by blocking the H+-Na+
ATPase pump in the parietal cell. One drug that has this pharmacologic action
is:
1. misoprostol
2. pirenzepine
3. omeprazole
4. serotonin
5. isoniazid
Answer: 1
22. The amount of sodium, phosphate or magnesium contained in an antacid should be
assessed when selecting an antacid for patients with:
A. renal insufficiency
B. congestive heart failure
C. ascites
D. peptic ulcer disease
1. A,B,C
2. A,C
3. B,D
4. D only
5. All of the above
Answer: 3
23. The concomitant administration of calcium and/or magnesium antacids to
patients receiving one of the tetracycline drugs may have which of the
following effects upon the action of the tetracycline:
1. enhances the action
2. causes no significant change
3. decreases the action
4. increases toxicity
5. suppresses hypersensitivity reactions
Answer: 2
24. Pharmacologic effects of antacids include:
A. increase gastric pH
B. reversible inactivation of pepsin at pH > 6
C. increase or decrease gastric motor activity
D. decrease lower esophageal pressure
1. A,B,C
2. A,C
3. B,D
4. D only
5. All of the above.