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৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]

পরীক্ষা৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]তারিখতারিখ অনির্ধারিতসময়20 minutes
মোট প্রশ্ন৪০
সিলেবাস
Exam - 10 Pharmacology 1) Formulation, absorption, distribution, biotransformation, elimination and adverse effects of drugs 2) Mechanism of action of drugs (pharmacodynamics) 3) Half-life, steady state concentration of drugs 4) Indication, contraindication, and adverse effects of common drugs 5) Rational use of drugs
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived]

৪৮তম বিশেষ বিসিএস [স্বাস্থ্য] ⎯ মেডিকেল অংশ [Archived] · তারিখ অনির্ধারিত · ৪০ প্রশ্ন

.
Which factor of human is related to absorption?
  1. Drug pH
  2. Blood supply to the gut
  3. Formulation of drug
  4. Drug particle size
.
Which drugs have high volume of distribution?
  1. Fluoxetine
  2. Diclofenac
  3. Furosemide
  4. Verapamil
ব্যাখ্যা
Drugs that have low volume of distribution 

.
Following route have highest bioavailability by definition
  1. IM
  2. Rectal
  3. SC
  4. IV
.
Following factor is most important for distribution of a drug
  1. Route of administration
  2. Patient sex
  3. Lipid solubility of the drug
  4. Drug formulation
ব্যাখ্যা
Tripathi 8e, P23

Once a drug has gained access to the blood
stream, it gets distributed to other tissues that
initially had no drug, concentration gradient
being in the direction of plasma to tissues.
The extent of distribution of a drug and its
pattern of tissue distribution depends on its:
• lipid solubility
• ionization at physiological pH (a function
of its pKa)
• extent of binding to plasma and tissue proteins
• presence of tissue-specific transporters
• differences in regional blood flow.
.
Semisolid dosage form of a drug is
  1. Suppositories
  2. Inhaler
  3. Gel
  4. Lotion
ব্যাখ্যা

Tripathi 8e, p 7-10

 

Semisolid forms of drug are
Ointments
Pests
Gels

.
Absorption of following drugs require Ca2+ ion
  1. Aspirin
  2. Phenytoin
  3. Iodine
  4. Gentamicin
ব্যাখ্যা
Gentamicin is absorbed via pinocytosis.
Pinocytosis process requires ATP, Ca2+ ion.
.
Part of Phase-II biotransformation reaction
  1. Oxidation
  2. Hydrolysis
  3. Glucuronidation
  4. Epoxidation
.
Which drug is an enzyme inducer?
  1. Spironolactone
  2. Omeprazole
  3. Clarithromycin
  4. Phenobarbital
.
Which one is a prodrug?
  1. Leovodopa
  2. Carbidopa
  3. Enalaprilat
  4. Aspirin
১০.
Which one is an adverse effect of loop diuretics?
  1. Hyperuricaemia
  2. Hypernatremia
  3. Hyperkalemia
  4. Hypoglycemia
১১.
Following drug have a low therapeutic index
  1. Montelukast
  2. Famotidine
  3. Theophylline
  4. Salbutamol
১২.
Regarding half life of a drug
  1. Longer half life requires frequent dosing
  2. It is the time when concentration of the drug remains 50% of the original concentration
  3. Shorter half life drugs are more cheap
  4. All drugs have a minimal half life of 1 hour
ব্যাখ্যা
The Plasma half-life (t½) of a drug is the time taken for its plasma concentration to be reduced to half of its original value.
১৩.
Following is an example of G protein coupled receptor
  1. Beta adrenoreceptor
  2. Steroid recpetor
  3. Insulin receptor
  4. GABA receptor
১৪.
Types of pharmacologic antagonism is
  1. Salbutamol + Theophylline
  2. Histamine + Acetylcholine
  3. Malathion + Atropine
  4. Insulin + Glucagon
ব্যাখ্যা
Malathion is an organophosphorus compound that acts in the muscarinic receptor. Atropine is an antagonist of that receptor. No other examples occupy the same receptor.
১৫.
Main site for drug biotransformation is
  1. Kidney
  2. Adipose tissue
  3. Liver
  4. Small intestine
ব্যাখ্যা
Liver is the main organ for drug biotransformation. Other organs are - Lungs. Kidney, Intestinal mucosa, Adrenal glands, Skin etc.
১৬.
Which one is the best suitable medicine for BPH
  1. Tamsulosin
  2. Prazosin
  3. Dorifenacin
  4. Scopolamine
ব্যাখ্যা
Tamsulosin is an antagonist of Alpha1a receptor. This receptor is only found in prostate. So this will be an useful drug in BPH while reducing other systemic side effect.
১৭.
Flucloxacillin has a half life of 3 hrs. To achieve a steady state concentration time will require
  1. 9 hours
  2. 6 hours
  3. 1.5 hours
  4. 12 hours
ব্যাখ্যা
A drug after administration needs 4 to 5 half life to reach steady state concentration.
১৮.
Which one is a limitation of the oral route
  1. High bioavailability
  2. First pass effect
  3. Patient convenience
  4. Sterile technique
ব্যাখ্যা
Oral route has a variable bioavailability. First pass effect is a limitation and it decreases the bioavailability.
১৯.
Type B adverse drug reactions
  1. Usually dose dependent
  2. Related to chemical nature of the drug
  3. Reduces by reducing dose
  4. Often needs drug withdrawal
২০.
Which of the following factors can reduce absorption of a drug
  1. High lipid solubility
  2. Genetic polymorphism
  3. Increased gut blood flow
  4. Intravenous administration
ব্যাখ্যা
All those factors stated above will increase absorption of a drug except for genetic polymorphism. Genetic variation can slow absorption and also increase the rate.
২১.
Ciprofloxacin is avoided in children because it can cause
  1. Gum hyperplasia
  2. Aplastic anemia
  3. Tendon rupture
  4. Cholestatic jaundice
ব্যাখ্যা

২২.
Which anti diabetic drug also provides benefit in heart failure?
  1. Metformin
  2. Insulin
  3. Empagliflozin
  4. Rosiglitazone
ব্যাখ্যা
Empagliflozin is a SGLT2 inhibitor which causes glycosuria. It also beneficial in heart failure.
২৩.
Common adverse effect of nitrates drug are
  1. Headache
  2. Bradycardia
  3. Postural hypotension
  4. Ankle edema
ব্যাখ্যা
Nitrates are used in the treatment of angina. The most common adverse effects f nitrates are headache, flushing etc. It cause reflex tachycardia.
২৪.
In renal failure, following drugs should be avoided
  1. Benzylpenicillin
  2. Moxifloxacin
  3. Azithromycin
  4. Vancomycin
২৫.
For migraine prophylaxis we can use
  1. Sumatriptan
  2. Nifedipine
  3. Propranolol
  4. Chlorpromazine
ব্যাখ্যা
Propranolol is a beta blocker that is used for migraine prophylaxis. Sumatriptan and other triptans are used in acute migraine. 
২৬.
Which one is a weak diuretic?
  1. Furosemide
  2. Bumetanide
  3. Spironolactone
  4. Hydrochlorothiazide
২৭.
Following drug is known to be teratogenic
  1. Amlodipine
  2. Warfarin
  3. Erythromycin
  4. Amoxicillin
২৮.
Which drugs should be avoided to treat hypertension in pregnancy?
  1. Ramipril
  2. Labetalol
  3. Nifedipine
  4. Methyldopa
২৯.
All of these drugs causes hepatitis, except
  1. Rifampicin
  2. Isoniazid
  3. Pyrazinamide
  4. Ethambutol
৩০.
Initial drug for managing Type 2 Diabetes Mellitus for a newly diagnosed patient should be
  1. Insulin
  2. Metformin
  3. Empagliflozin
  4. Semaglutide
ব্যাখ্যা
Metformin is considered as a first line drug for type 2 diabetes mellitus.
৩১.
A patient is asthmatic. Which drugs should be avoided if he develop hypertension?
  1. Hydrochlorothiazide
  2. Propranolol
  3. Losartan
  4. Amlodipine
ব্যাখ্যা
Propranolol is a beta blocker. It creates bronchoconstriction which can worsen asthma.
৩২.
Ocular complication of Digoxin is
  1. Loss of accommodation
  2. Myopia
  3. Xerophthalmia
  4. Xanthopsia
৩৩.
A common adverse effects of ACE inhibitor is
  1. Dry cough
  2. Peripheral edema
  3. Hypokalemia
  4. Erectile dysfunction
৩৪.
Serious adverse effect of Oral contraceptive pill is
  1. Breast tenderness
  2. Thromboembolism
  3. Acne
  4. Headache
ব্যাখ্যা
Katzung 16e,  P772,773

Serious adverse effects of OCP are

Vascular effects:
Venous thromboembolism
CVD
Myocardial infarction

Gastrointestinal disorders : Cholestatic jaundice, Gallbladder disease

Depression
Cancer
Other : Alopecia, Erythema multiforme, Erythema nodosum
৩৫.
Which one is anti Dopaminergic adverse effect of Haloperidol?
  1. Parkinsonism
  2. Dry mouth
  3. Constipation
  4. Weight gain
৩৬.
Corticosteroids should be avoided in
  1. Asthma
  2. Nephrotic syndrome
  3. Hypertension
  4. SLE
৩৭.
Which one is a long acting corticosteroid?
  1. Hydrocortisone
  2. Prednisolone
  3. Dexamethasone
  4. Deflazacort
৩৮.
Parts of rational prescribing
  1. Use of latest drug in the same group
  2. Use multiple drug to treat a condition
  3. Defining therapeutic goal
  4. Avoiding adverse effects
৩৯.
Which one is a part of irrational prescribing
  1. Polypharmacy
  2. Differential diagnosis
  3. Using cheaper medicine
  4. Combination therapy
ব্যাখ্যা
Polypharmacy refers to using medicine while single drugs can be given. It results in irrational prescribing.
৪০.
For good prescribing a drug should be
  1. New
  2. Large molecule
  3. Safe
  4. Rapid acting