WorksheetsCLINICAL PHARMACY PART 1
Total questions: 94
Worksheet time: 47mins
Involved in the initiation and maintenance of bleeding in menstruation by promoting vasodilation
Estrogen
Lutein
Nitric Oxide
Progesterone
Symptoms that may start 14 days before menstruation affecting both young & older women
PMDD
PMS
Endometriosis
Dysmenorrhea
Menstrual disorder aka as spasmodic dysmenorrhea, which is a uterine problem for young women
Primary Dysmenorrheal
Secondary Dysmenorrheal
PMDD
PMS
NSAID frequently used to managed dysmenorrheal pain
Ibuprofen
ASA
Mefenamic Acid
Celecoxib
Excessive blood loss >80mL per period
Menarche
Dysmenorrheal
Menorrhagia
Endometriosis
A condition in which endometrial tissue is found outside the uterus
Menarche
Dysmenorrheal
Menorrhagia
Endometriosis
The permanent cessation of menstruation in women averaging 51 y/o
Menopause
Dysmenorrheal
Menorrhagia
Endometriosis
Post-menopausal stage levels of these hormone is/are negative
Estrogen
Progesterone
Androgen
AOTA
Effects of estrogen therapy, EXCEPT
Raised BP
VTE
Undesirable Lipid Profile
NOTA
An alternative medical treatment to HRT, EXCEPT
Acupuncture
SNRI
Yoga
Aromatherapy
. The best route for drug administration in pre term infants
IM
IV-Scalp
Topical
SQ
. if an infant is born after 42 completed weeks & onwards
Term
Pre Term
Post Term
Neonatal Period
An IV ante-natal treatment to improve neonatal lung surfactant
Betamethasone
Prednisolone
Dexamethasone
Hydrocortisone
If a child only weighs 990g after birth it is classified as
Normal Birth Weigh
Low BW
Very Low BW
Extremely Low BW
The best anti convulsant used in infants for its long half life would be
Diazepam
Midazolam
Phenobarbital
Paraldehyde
All of the following can be administered via rectal route EXCEPT for
Paraldehyde
Glucose
Diazepam
Paracetamol
opiate that might likely lead to respiratory depression in neonates
Pethidine
Demerol
Morphine
Naloxone
Antidote for opiate toxicity
Pethidine
Demerol
Morphine
Naloxone
Which of the following statement is TRUE for neonates
Faster elimination rate
Slower metabolism
Distribution rate is same as in an adult
Metabolism is the same as in an adult
The route for phytomenadione administration
SQ
Oral
IV
IM
A paralyzing agent to facilitate intubation
Pancuronium
Morphine
Atracurium
Midazolam
The result/ADR of hyperoxia in RDS of infants
Otitis Media
Retinopathy
Hypoxia
Ototoxicity
Medical treatment for patent ductus arteriosus
Indomethacin
Oral ASA
Metronidazole
Theophylline
Diuretic used to prevent loss of potassium in bronchopulmonary dysplasia
Loop
CAI
Thiazides
Mannitol
A cephalosporin less toxic than aminoglycosides
Amikacin
Gentamicin
Penicillin
Cefotaxime
the reversible ADR of aminoglycoside
Nephrotoxicity
Hepatotoxicity
Ototoxicity
Cardiotoxicity
A rare case of vitamin K malabsorption more common in breast fed infants
PDA
BPD
Necrotizing enterocolitis
Hemorrhagic disease
An adjunct treatment for apnea
Caffeine
Theophylline
Doxapram
Aminophylline
If two loading doses of Phenobarbital is ineffective for seizure treatment use
. Sodium valproate
. Carbamazepine
Amobarbital
Phenytoin
A non-sedating short acting anti-seizure drug excreted via exhalation
Paraldehyde
Diazepam
Sodium Valproate
Carbamazepine
The branch of medicine dealing with the development, diseases & disorders of children
Neonatology
Pediatrics
Geriatrics
Ophthalmology
If the age is from 4 weeks to 1 year old it is termed
Neonate
Toddler
Infant
Child
Neural tube defects can be prevented with the supplementation of
Vitamin C
Calcium
Folic Acid
Iron
Excess toes or fingers is termed
Hypospadia
Polydactyly
Cleft Palate
Downs Syndrome
Drug distribution is affected by all the following factors EXCEPT
Vascular Perfusion
Liver Size
Tissue-Binding
Plasma Protein Binding
Age with the highest percentage of body water is:
Preterm Neonates
Term Neonates
3 Month Infant
Adult
All of the following are possible IV route problems EXCEPT for
Rate of Infusion
Displacement Volume
Dead Space
NOTA
Drug administered intranasally for diabetes insipidus
Desmopressin
Fentanyl
Diamorphine
Insulin
A drug that when administered to pediatric patients might cause adrenal suppression
Corticosteroid
Opiates
Benzodiazepines
Insulin
The best route for cardiorespiratory arrest in pediatric patients for fast effect
IV
Intracardiac
Intraosseous
IM
Non pharmacologic prevention therapy for osteoporotic patients includes all EXCEPT
Stop Smoking
Exercise
Healthy Diet
Hip Replacement
All of the following physiologic factors are reduced in the elderly EXCEPT
Liver Size
Gi Motility
Body Fat
Splanchnic Blood Flow
Chronic use in pain management leads to gastroduodenal ulceration or GI bleeding
Paracetamol
Donepezil
Finasteride
Tolterodine
Drug/s that act as acetylcholinesterase inhibitors that improve cognitive fx in alzheimer’s dse
Donepezil
Galantamine
Rivastigmine
AOTA
Which of the following factor affects the distribution of drugs in the elderly?
Lower Serum Albumin
Reduce GFR
Reduced Bile Flow
Slower Gi Motility
Which of the following drug would like cause hypotension in the elderly?
Cetirizine
Mefenamic Acid
Celecoxib
Co-Amoxiclav
H2 antagonist, hypnotics, anti cholinergics & beta blockers will cause ____ in the elderly
Constipation
Confusion
Hypotension
Neuropathy
In elderly with Parkinson’s disease, this drug should be avoided to prevent peripheral ischemia
Levodopa
Bromocriptine
Phenytoin
Phenobarbita
Warfarin toxicity can be observed if the INR of the patient is
1.5
2.0
5.0
2.7
Which of the following statement is TRUE for acute liver failure?
Acute liver failure is common in males
Idiosyncratic effects are the most common source of ALF
All new drugs have the possibility of causing acute liver disease
. Acute liver disease does not depend on the dose of the drug
An anti-convulsant that may cause fatal toxicity if used on a child less than 3y.o
Aspirin
Halothane
Chlorpromazine
Sodium Valproate
An inhaled anesthesia that causes hepatitis like jaundice common in women
Halothane
Isoniazid
Diazepam
Methotrexate
Which of the following causes cholestatic jaundice in males rather than in females?
Erythromycin
Co-Amoxiclav
Nitrofurantoin
Clindamycin
Which of the following enzyme inducer potentiates the effect of paracetamol, INH & halothane?
Metronidazole
O.C.
Alcohol
Mebendazole
Which of the following drug causes hepatocellular necrosis?
Propylthiouracil
Metronidazole
Amoxicillin
HCTZ
Drug commonly associated to have caused steatosis is
Iron Salts
MDMA
Paracetamol
Amiodarone
The most common finding in cholestasis is
Prolonged PT Time
Prolonged PTT Time
Inc. Bilirubin
Inc. INR
The best indicator for acute hepatitis is
Prolonged PT Time
Prolonged PTT Time
Inc. Bilirubin
Inc. INR
A vitamin that may cause dose related fibrosis and cirrhosis of the liver
Vitamin A
Vitamin B
Vitamin C
Vitamin D
All of the following can be used for management of coagulation disorders EXCEPT
Fresh Frozen Plasma
Vitamin K
Acetylcysteine
Vit. ADEK
Leading cause/s of acute liver disease
Paracetamol Overdose
Viral Hepatitis
Both
NOTA
The drug of choice to promote urinary excretion of copper in Wilsons’s disease
D-Penicillamine
BAL
EDTA
Dimercaprol
Yellow plaque formation around the eye due to liver disease is known as
Spider Naevi
Xanthelasma
Ascites
Leukonychia
A genetic induced liver disease is due to deficiency in
Glycogen
A1-Antitrypsin
Serum Ferritin
Bilirubin
The best time in applying a once-a-day eye drop for glaucoma is at the maximum time of IOP
8am
12am
12pm
3pm
All the following statement are true for primary angle closure glaucoma, EXCEPT
. It is aka close angle glaucoma
. It is a medical emergency that might lead to blindness
It increases IOP
It decreases IOP
A type of glaucoma that arises from inflammation, congenital anomalies & raised episcleral pressure
PACG
COAG
Secondary Glaucoma
Closed Angle Glaucoma
Ocular prostanoid is to be used by the patients to increase aqueous outflow, which drug should be given
Timolol
Travoprost
Betaxolol
Brimonidine
A beta-adrenergic antagonist with the greatest beta blocking activity and the highest ISA (intrinsic sympathetic activity)
Timolol
Propranolol
Pilocarpine
Carteolol
It has greater vasodilator effect, dec of IOP, least lipophilic so it has low SE in the CNS
Timolol
Propranolol
Pilocarpine
Carteolol
Inflammation of the eyelids is also known as
Uveitis
Blepharitis
Conjunctivitis
Iritis
Patient was prescribed with this sympathomimetic medication derived from clonidine with less effect on BP and Heart rate
Apraclonidine
Brimonidine
Pilocarpine
Acetazolamide
The patient was injected with a carbonic anhydrase inhibitor via IV prior to surgery, what drug was given?
Glucose
Glucose
Acetazolamide
Dorzolamide
The most common ADR of carbonic anhydrase inhibitors experienced by all patients but disappears after initial treatment.
Paresthesia
Keratitis
Lid Retraction
Distichiasis
An ADR of prostanoids where there is an increase growth of eyelashes
Paresthesia
Keratitis
Lid Retraction
Distichiasis
Group of drugs that directly acts on muscarinic receptors by opening channels in the trabecular meshwork and increase outflow of aqueous humor
Beta Blockers
Prostanoids
CAI
Miotics
A group of drugs that inhibits the formation of bicarbonate in the posterior eye chamber by blocking CA-II
Beta Blockers
Prostanoids
CAI
Miotics
An osmotic & strong diuretic that may lead to cerebral dehydration; initial treatment for PACG
Glucose
Mannitol
Acetazolamide
Dorzolamide
In patient care all patients must be reminded on
technique for eye instillation
COAG cannot be treated
emphasis on the number of drops
AOTA
A technique important in children with atopic eczema to avoid scratching
Application of emollient
Application of coal tar
Bandaging
Phototherapy
Precipitating factors for psoriasis include all, EXCEPT
Smoking
Alcohol
HIV Infection
NOTA
It refers to psoriatic lesions occurring in sites of skin injury, cuts, burns or surgical scars
. Kopliks Spots
Koebner’s Phenomenon
Kaposi’s Sarcoma
Argyria
A type of psoriasis normally found on the soles of the feet & on the palms of a pts hands
Guttate
Flexural
Palmoplantar
Psoriasis Vulgaris
A type of psoriasis common in children & young adults characterized by scaly ’tear-drop’ like plaques
Guttate
Flexural
Palmoplantar
Psoriasis Vulgaris
A topical vitamin most significant in the management/treatment of psoriasis
Vit. C
Vit. D
Vit. B Complex
Vit. A
Treatment useful in reducing hyperkeratosis in psoriatic lesions especially in the palms & soles
Salicylic Acid
Methyl Salicylate
Retinoids
Coal Tar
A patient with psoriasis associated with RA-like symptoms is suffering from
Erythrodermic Psoriasis
Psoriatic Arthropathy
Generalized Pustular Psoriasis
Flexural Psoriasis
Its mild form is topically applied to reduce inflammation in psoriasis
Steroids
Retinoids
Dithranol
Phototherapy
Vitamin A derivative used to inhibit epidermal proliferation, effective for keratinization in chronic plaque
Acitretin
Methotrexate
Cyclosporine
Hydroxyurea
A TNF-alpha antagonist
MTX
Cyclosporine
Hydroxyurea
Etanercept
A systemic preparation, purine analog that inhibits DNA synthesis effective against adult eczema
Ciclosporin
MTX
Azathioprine
Mycophenolate Mofetil
An immunomodulator that inhibit calcineurin phosphatase which is important in T-lymphocyte activation
Tacrolimus
Ketoconazole
Diphenhydramine
Coal Tar
A mainstay on eczema management/therapy
Coal Tar
Emollients
Steroids
Calcineurin Inhibitors
The most common form of occupational dermatitis
Allergic Contact Dermatitis
Seborrheic Dermatitis
Irritant Contact Dermatitis
Discoid Eczema
