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TM's Pharmacology Q Bank Copy - 240429 - 170425
TM's Pharmacology Q Bank Copy - 240429 - 170425
TM's Pharmacology Q Bank Copy - 240429 - 170425
LAQ:
• *****Explain various routes of drug
administration with their advantages and
disadvantages. Add a note on special drug
delivery system.
• *****Define biotransformation. Explain various
mechanisms of drug metabolism with examples.
• *****Define bioavailability. Explain the factors
affecting bioavailability.
• *****Describe the factors modifying drug action.
Mention their pharmacological and clinical
importance.
• Define receptor. Briefly describe the types of
receptors with examples.
SAQ:
• *****Transdermal therapeutic system with
examples
• *****First pass metabolism
• *****Apparent volume of distribution
• *****Plasma protein binding
• *****Prodrug: advantages with examples.
• ***Microsomal Enzyme induction and it’s
significance.
• ***Microsoft Enzyme inhibition and it’s
significance.
• ***First order and zero order kinetics with
examples.
• *****Define Therapeutic index. Add a note on
therapeutic drug monitoring with Indications.
• ***Fixed dose combinations( advantages and
disadvantages with examples)
• *****Describe the methods to prolong the
duration of drug action.
• ***Ion channels
• ***G-protein coupled receptors
• *****Drug synergism with examples.
• *Management of a poisoning case.
• *****Drug antagonism with suitable examples.
• ***Define tolerance. Explain types of tolerance
with examples.
• ***Add a note on the dose response relationship.
• ***Add a note on clinical trials.
• *Drug interactions.
VSAQs:
• *Iatrogenic diseases.
• *Anaphylactic reactions.
• *Idiosyncrasy.
• ***Drug dependence.
• *****Teratogenicity and teratogenic drugs.
• *****Tachyphylaxis.
• *****Pharmacovigilance and its importance
• ***Phase III clinical trail.
• ***Good clinical practice
• *****Adverse drug effects and types.
• ***Rationale use of medicines.
• *****Plasma half life and its importance.
• ***Pharmacogenomics and pharmacogenetics.
• ***Saturation kinetics.
• *Hoffman elimination.
• *Redistribution of a drug with example.
• ***Define drug. Add a note on
pharmacokinetics and pharmacodynamics.
• ***OTC drugs
• ***Orphan drugs
• *****Concept of p drug.
• *Placebo and its uses.
• ***Loading and maintenance dose.
• ***Mention few drug drug dosage forms.
• ***Essential medicines.
• *Schedule H drugs.
• *Mention the drugs that can be used in
pregnancy and lactation.
ANS pharmacology
LAQ:
• *****Classify sympathomimetics. Add a note on
mechanism of action of epinephrine on
cardiovascular system. Mention its uses and adverse
effects and contraindications.
• *****Classify muscarinic receptor antagonist write the
pharmacological uses of beta blockers with their
uses, adverse effects and drug interactions.
• *****Classify Anticholinergic drugs. Discuss
pharmacological actions and uses, adverse effects of
atropine. Mention about atropine poisoning and line
of treatment.
SAQ& VSAQs:
Cholinergic drugs.
• ***Pilocarpine- uses and adverse effects.
• *****Physostigmine- mode of action, uses& adverse
effects.
• *****Neostigmine- mode of action, uses.
• *****Differentiate neostigmine and physostigmine.
• *****Treatment myasthenia gravis.
• *****What are OP compounds- describe treatment
for OP poisoning.
• ***Pyridostigmine- MOA, uses and Indications.
• ***Pralidoxime- Indications and basis use
• ***Miotics with examples.
Anticholinergic drugs
• *****HYOSCINE butyl bromide -MOA, uses and
adverse effects
• *****Atropine substitutes with their uses.
• ***Contraindications of atropine. Explain Rationale.
• *****Mydriatic drugs and drugs causing mydriasis
with cycloplegia.
• *Name 6 ganglionic blocking agents.
Adrenergic drugs
• *****Dopamine-MOA, uses and adverse effects. State
reasons why is it preferred to Noradrenaline in
circulatory failure.
• ***Ephedrine-MOA, uses.
• *****Describe Dale’s vasomotor reversal.
• *****Nasal decongestants- MOA, uses and side
effects.
• *****Selective beta 2 agonist- uses, Indications and
adverse effects.
• ***Phenylephrine-MOA, uses and Indications.
• *****Adrenaline in anaphylaxis/ Treatment for
anaphylactic shock.
• *****Salbutamol/ terbutaline- MOA, uses and adverse
effects
• ***Pharmacological basis of dopamine in cardiogenic
shock.
• *****Pharmacological basis of administering
lignocaine with adrenaline.
Antiadrenergic drugs.
• *****Selective alpha 1 blockers( prazosin)-MOA, uses,
adverse effects.
• ***Uses of phenoxybenzamine and proponolol in
preoperative preparation of patients with
Phaeochromocytoma.
• *****Therapeutic uses of alpha blockers.
• ***Advantages of atenolol over propranolol.
• ***Drug therapy for BPH.
• ***Labetolol- uses, Indications and adverse effects.
• *****Drugs used in glaucoma.
SAQ& VSAQ:
• ***Classify H1 blockers and mention their MOA,
Pharmacological actions, adverse effects and
Therapeutic uses.
• *****Advantages of 2nd generation H1-blockers.
• *Classify 5HT blockers
• *****Drug therapy for migraine( ergot alkaloids and
triptans)
• *****Prophylaxis of migraine
• *****Prostaglandin analogues- Pharmacological
actions and therapeutic uses especially in
Obstetrics.
• *****Drug therapy for gout( both Acute and chronic)
• *****Allopurinol-MOA, uses, adverse effects and drug
interactions.
• *****Classify anti-rheumatoid drugs and add a note
on sulphasalazine.
• ***Diclofenac and indomethacin.
• *****Selective COX-2 inhibitors- Advantages and
disadvantages.
• ***Paracetamol – Advantages over Aspirin, uses and
Acute paracetamol poisoning.
LAQ’s:
• ***Classify the drugs used for bronchial asthma and describe
the mechanism of action, Pharmacological uses and adverse
effects of sympathomimetics (salbutamol). Add a note on
status asthmaticus.
SAQ&VSAQ:
• *****Describe the drugs used for wet and dry cough.
• *****Antitussives with examples
• ***Expectorants and mucolytics.
• *****Methylxanthines- MOA, uses, adverse effects,
drug interactions.
• *****Leukotriene receptor antagonist( monteleukast
and zafirleukast).
• *****Mast cell stabilizers(Sodium cromoglycate)
• *****Explain the role of corticosteroids in bronchial
asthma.
• ***Describe the adverse effects and safety measures
to be followed during therapy with
budesonide( inhalational corticosteroids) in a
bronchial asthma patient.
• *Name 3 drugs to be avoided in bronchial asthma.
• *Name 3 anti-asthmatic combinations
SAQ&VSAQs:
• *****Mention the advantages, uses and complications of
spinal anaesthesia.
• *****Rationale the combination of adrenaline with lignocaine.
• *****Define EMLA and mention it’s uses.
• *****Differentiate between competitive and depolarising block
or d-TC and succinyl choline.
• *****Dantrolene- MOA, uses and side effects.
• *****Succinyl choline- MOA, adverse effects and uses.
• *****Describe briefly about succinylcholine apnoea.
• ***Compare the features of procaine and lignocaine.
• ***D-TC- MOA, uses and adverse effects.
• ***Write a note on Infiltration anaesthesia and mention 2
drugs used in this technique.
• ***Describe the techniques of local anaesthesia with it’s uses.
• *Drug interactions of skeletal muscle relaxants.
• *Name 3 centrally acting skeletal muscle relaxants.
• *Pancuronium
• *A full term primigravida aged 28 years in labour presents for
delivery and demands relief of pain associated during labour
and delivery. O/E there are no contraindications to normal
vaginal delivery. So, which type of regional anaesthesia is
most suitable for her and explain why?
General Anaesthetics
LAQ:
• *****Classify drugs used in general anaesthesia. Mention the
characteristics of general anaesthetics. And describe briefly
about the MOA, uses, adverse effects and advantages of
Thiopentone Sodium.
SAQ&VSAQ:
• *****Propofol- MOA, uses, adverse effects.
• *****Compare and contrast the features of Halothane and
Nitrous oxide.
• *****Describe briefly about the dissociative anaesthesia and
mention the MOA, salient features, uses and adverse effects
of ketamine.
• *****Rationale the basis for combining halothane and nitrous
oxide. Add a note on second gas effect.
• *****Describe the OBJECTIVES and aims of pre-anaesthetic
medication with examples.
• ***Mention the uses, adverse effects of isoflurane.
Alcohols
SAQ&VSAQ:
• *****Treatment of chronic alcoholism. Add a note on
disulfiram therapy.
• ***Management of methanol poisoning.
• ***Management of Acute alcohol intoxication
• *Therapeutic uses of Alcohols.
Sedative-Hypnotics
SAQ&VSAQ:
• *****Classify benzodiazepines and mention MOA,
Pharmacological actions and therapeutic uses, adverse
effects of diazepam. Add a note on treatment of
benzodiazepines overdose(Flumazenil).
• *****Classify sedative-hypnotics. Describe the MOA,
Pharmacological actions, uses, adverse effects of
phenobarbitone. Add a note on treatment of Acute
barbiturate poisoning.
• *****Mention Z group of drugs( Non-benzodiazepine
hypnotics) and add a note on MOA and uses of Zopiclone.
Antiepileptic drugs
LAQ:
• *****Classify anti-epileptics. Describe the MOA,
pharmacokinetics, uses, adverse effects of phenytoin.
Mention the advantages of fosphenytoin over phenytoin.
• ***** Classify anti-epileptic drugs and mention the MOA,
pharmacokinetics, Therapeutic uses and adverse effects of
valproic acid.
SAQ&VSAQ:
• ***** Carbamazepine-MOA, pharmacokinetics, adverse
effects and uses.
• *****Describe briefly about the newer anti-epileptics and
their uses, adverse effects.
• ***** Management of status epilepticus.
• ***Drug interactions of anti epileptics.
• *Ethosuximide
• *Divalproex
Antiparkinsonism drugs
LAQ:
• ****Classify Antiparkinsonism drugs. Describe in detail about
the MOA, Pharmacological actions, pharmacokinetics, adverse
effects, drug interactions, Therapeutic uses of Levodopa. Add
an note on on/ off phenomenon.
SAQ&VSAQ:
• ***** Dopamine receptor agonist- MOA, uses, adverse effects.
• ***** Rationale the combination of levodopa with carbidopa.
• ***** Describe the MOA, uses, adverse effects of
Selegiline( MAO-B inhibitors).
• ***** Mention the importance of Central anticholinergics in
Parkinsonism.
• *****Add a note on drug induced Parkinsonism and it’s
treatment.
• *COMT inhibitors.
SAQ&VSAQ:
• *****Codeine-uses, adverse effects
• *****Opioid antagonist- examples, uses and adverse effects.
• *****Pethidine- uses and adverse effects.
• ***Compare the features of morphine and pethidine.
• ***Tramadol- Actions and uses, adverse effects.
• ***Pentazocine- actions and uses, adverse effects.
SAQ&VSAQ :
• *****Clonidine-MOA, Therapeutic uses, and adverse effects.
• *****Add a note on clonidine withdrawal syndrome.
• *****Write the MOA, therapeutic uses, adverse effects of
alpha methyl dopa.
• *****Describe the management of a hypertensive crisis.
• *****Sodium nitroprusside-MOA, uses and adverse effects.
• *****Mention 3 advantages of ARBS over ACE inhibitors.
• ***Enlist 3 antihypertensive drugs used in pregnancy.
• ***Describe the role of sympatholytics in Hypertension.
• *Write about the direct renin blocker and it’s adverse effects,
uses.
• ***Mention why ACE inhibitors are contraindicated in
bilateral renal artery stenosis patients.
Antianginal drugs
LAQ:
• *****Classify antianginal drugs. Describe the MOA, therapeutic
uses, adverse effects of glyceryl trinitrate ( Nitrates). Add a
note on combination therapy in angina.
• *****Classify calcium channel blockers and describe the MOA,
Pharmacological actions, therapeutic uses and adverse
effects of verapamil.
SAQ&VSAQ :
• *****Describe the Drug therapy in myocardial infarction.
• *****Nicorandil- MOA, uses, adverse effects.
• *****Treatment of cyanide poisoning.
• *****Therapeutic uses of Nitrates.
• ***Nifedipine- MOA, uses, adverse effects.
• ***Name 6 drugs useful in peripheral vascular diseases.
SAQ&VSAQ :
• *****Describe the role of diuretics in a CHF patient.
• *****Describe the role of vasodilators in heart failure.
• *****Write the adverse effects of cardiac Glycosides in CHF.
• ***Depict the role of dopamine in CHF.
• ***Illustrate the pattern of clinical use of various classes of
drugs in different stages of heart failure.
• *****Aldosterone antagonist- MOA, uses, adverse effects with
examples.
• *****Enumerate 6 drugs used in heart failure.
• *****Explain why intravenous lignocaine is the Drug of choice
in case of digoxin toxicity.
• ***Digibind
• ***PDE 3 inhibitors.
Antiarrhythmic drugs
LAQ:
• *****Classify Antiarrhythmic drugs. Write in detail about the
the MOA, Pharmacological actions, pharmacokinetics,
therapeutic uses, adverse effects, drug interactions of
Amiodarone.
SAQ&VSAQ:
• *****Quinidine- MOA, Pharmacological actions,
pharmacokinetics, therapeutic uses adverse effects and drug
interactions.
• *****Describe in detail about the Pharmacological actions,
pharmacokinetics, adverse effects and uses of lignocaine in
cardiac arrhythmia.
• ***Describe the role of verapamil in ventricular arrhythmia.
• ***Drugs for supraventricular arrhythmia.
• ***Adenosine- MOA, adverse effects, drug interactions and
disadvantages.
• *Procainamide-MOA, pharmacokinetics, adverse effects and
uses.
• *Name 3 drugs for paroxysmal supraventricular tachycardia.
• *Name 3 drugs for ventricular tachycardia and atrial
fibrillation.
Drugs acting on kidney
LAQ:
• *****Classify diuretics. Describe briefly about the
MOA, Pharmacological actions, therapeutic uses and
adverse effects of loop diuretics. Add a note on its
drug interactions.
SAQ&VSAQS:
• *****Describe the MOA, Pharmacological actions,
pharmacokinetics, therapeutic uses and adverse
effects of thiazide diuretics.
• ***Osmotic diuretics - mannitol
• *****Spironolactone- MOA, uses and adverse effects
• *****Acetazolamide- MOA, uses and adverse effects
• ***Amiloride
• *****Rationale the combination of furosemide with
Spironolactone.
• *****Vasopression analogues- examples,
Pharmacological actions and uses with adverse
effects
• *****Treatment for Diabetes insipidus
• *Treatment for SIADH
SAQ&VSAQs:
• *****Rantidine- MOA, uses, pharmacokinetics & adverse
effects
• *****Enumerate the anti-H.pylori regimens.
• *****Pantoprazole- MOA, uses, advantages, adverse effects.
• *****Differentiate between cimetidine and rantidine.
• *****Add a note on sucralfate.
• ***What are anatacids? Explain with examples.
• ***Describe the advantages and disadvantages of combining
antacids.
• ***Colloidal bismuth subcitrate
• ***Name 6 drugs used in GERD.
• ***Drugs for dissolving gall stones.
Chemotherapy
Antimicrobials-general considerations
SAQ &VSAQs:
• Antimicrobial resistance
• Super infections
• Advantages and disadvantages of antimicrobial
combinations.
• Prophylaxis of surgical site infections.
• Add a note on chemoprophylaxis
Sulphonamides ,cotrimaoxazole,quinolones
SAQ&VSAQS:
• *****Classify Sulphonamides and write about its
MOA, uses, antibacterial spectrum and adverse
effects.
• *****Cotrimoxazole- MOA, spectrum of action,
adverse effects and therapeutic uses.Add a note on
its preparations.
• *****Ciprofloxacin- MOA, pharmacokinetics,
therapeutic uses and adverse effects.
• ***Drug therapy for typhoid fever.
• ***Ofloxacin
Aminoglycoside antibiotics
LAQ:
• *****Describe the properties of aminoglycosides and
write in detail about the MOA, adverse effects,
Therapeutic uses.
SAQ&VSAQS:
• *****Gentamicin- therapeutic uses and adverse
effects
• *****Streptomycin
• ***Neomycin
• ***Soframycin
Antileprotic drugs
SAQ&VSAQS:
• *****Classify Antileprotic drugs. Describe the MOA,
pharmacokinetics, therapeutic uses and adverse
effects of Dapsone.
• *****Clofazimine- MOA, therapeutic uses and adverse
effects
• ***Treatment schedules for leprosy
• ***Multi-drug therapy of leprosy
• *****Lepra reactions
Anti-fungal drugs
LAQ:
• *****Classify anti fungal drugs. Describe MOA,
pharmacokinetics, therapeutic uses, adverse effects
and drug interactions of Amphotericin B. Add a note
on treatment for Systemic mycoses.
SAQ&VSAQS
• *****Ketoconazole- MOA, adverse effects and
therapeutic uses.Add a note on its drug interactions.
• *****Fluconazole- MOA, therapeutic uses and adverse
effects.
• *****Itraconazole- MOA, adverse effects and uses
• *****Terbinafine
• *****Clotrimazole
• *****Topical Anti-fungal agents.
• ***Whitefield’s ointment
Antiviral drugs
SAQ&VSAQS:
• ***Classify anti viral drugs
• *****Acyclovir- MOA, uses and adverse effects
• ***Name 6 Antiherpes agents
• ***Name 6 Anti hepatitis drugs
• *****Classify anti retroviral drugs
• *****Nucleoside reverse transcriptase inhibitors
• *****Zidovudine- MOA, therapeutic uses and adverse
effects
• *****Protease inhibitors
• *****Post exposure prophylaxis of HIV infection.
• ***Describe briefly about HAART
• *Treatment of a HIV positive pregnant women.
Antiparasitic agents
LAQ:
• *****Classify antimalarial drugs. Write briefly about
the MOA, adverse effects and therapeutic uses of
Artemisinin. Add a note on artemisinin based
combination therapy (ACT)
• *****Classify antimalarial drugs and describe the
MOA, adverse effects, therapeutic uses of
chloroquine. Add a note on treatment for
chloroquine resistant malaria.
• *****Classify anti ameobic drugs and describe the
MOA, therapeutic uses, drug interactions and
adverse effects of metronidazole. Name few
nitroimidazole drugs.
SAQ&VSAQS :
• *****Pyrimethamine-MOA, preparations, therapeutic
uses and adverse effects.
• *****Primaquine- MOA, pharmacokinetics, adverse
effects and therapeutic uses.
• ***Treatment of malaria during pregnancy
• *****Diloxanide furoate
• ***Treatment of amoebic Dysentery
• *****Classify antiheminthic drugs
• *****Mebendazole-MOA, pharmacokinetics, uses and
adverse effects
• *****Albendazole- MOA, pharmacokinetics, adverse
effects and uses.
• *****Explain the advantages of albendazole over
mebendazole.
• *****Diethylcarbamazine citrate-MOA, adverse
effects and uses.
• *****Ivermectin- MOA, therapeutic uses and adverse
effects
• ***Praziquantel- MOA, therapeutic uses and adverse
effects.
Anticancer drugs
SAQ&VSAQS:
• *****Classify anticancer drugs.
• *****Alkylating agents-MOA, pharmacokinetics,
adverse effects and uses.
• *****MESNA
• *****Cisplatin
• *****Methotrexate- MOA, adverse effects and uses.
• *****Purine antagonist
• *****Vinca alkaloids
• *****Describe the drugs used to ameliorate toxicities
due to anticancer drugs
Miscellaneous
SAQ&VSAQS:
• *****Dimercaprol- MOA, therapeutic uses and
adverse effects
• ***Classify immusuppresants.
• *****Cyclosporine- MOA, uses and adverse effects
• *****Chelating agents with examples
• *****Desferroxamine
• ***D-pencillamine
• ***Tacrolimus
• ***Azathioprine
• *****Cyclophosphamide
• *****TNF-Alpha inhibitors
• *Interferon alpha
• ***Name 3 immunostimulants
• ***Name 6 antiseptics and disinfectants
• *Metallic salts uses
• *****Vit D analogues
• *Name 3 live vaccines and 3 Inactivated vaccines es
• ***Astringents
• ***Name 3 drugs used for psoriasis
• *Name the drugs used in skin disorders
• ***Mention 6 drugs used for acne
• ***Drug therapy for Scabies
• *Retinoic acid
• *Name 6 drugs useful in pregnancy without any side
effects
• *Name few drugs used for criminal offences
• *****Name 3 plasma expanders
• *Name few pesticides harmful to man
• *Add a note on food adulteration
• ***Name 6 herbal medicines
• ***Add a note on good clinical Practice.