Module 1 Set A

Beschreibung

Medicine Quiz am Module 1 Set A, erstellt von Bryan Suringa am 06/11/2020.
Bryan Suringa
Quiz von Bryan Suringa, aktualisiert more than 1 year ago
Bryan Suringa
Erstellt von Bryan Suringa vor mehr als 3 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
Which of the following is/are true regarding phase 1 drug metabolism?
Antworten
  • Also known as conjugation reaction
  • Includes only oxidation
  • Generally tends to provide a functional group or “handle” to the molecule
  • NOTA

Frage 2

Frage
Which of the following is/are true regarding phase II drug metabolism?
Antworten
  • Allows the attachment of small, polar and ionizable endogenous compounds
  • Allows the termination or attenuation of a biologic activity
  • serves to protect the body against chemically reactive compounds or metabolites
  • NOTA

Frage 3

Frage
Which of the following undergo an oxidative reaction?
Antworten
  • Olefins
  • alcohols, aldehydes
  • aromatic moieties
  • nitro and azo compounds

Frage 4

Frage
Which of the following is/are examples of drugs that are extensively metabolized by the first pass effect?
Antworten
  • Lidocaine
  • Nitroglycerin
  • Morphine
  • meperidine

Frage 5

Frage
Glucuronidation is the most common conjugative pathway in drug metabolism. Which of the following is/are responsible for this?
Antworten
  • readily available supply of D-glucuronic acid
  • numerous functional groups that can combine enzymatically with glucuronic acid
  • utilization of D-glucuronic acid to conjugate steroids, heparin, chondroitin, catecholamines and thyroxine
  • AOTA

Frage 6

Frage
Which of the following is/are factors affecting drug metabolism?
Antworten
  • Age
  • economic status
  • species and strain
  • gender

Frage 7

Frage
Which of the following is/are true regarding methylation?
Antworten
  • generally leads to polar or water-soluble metabolites
  • important in the biosynthesis of many endogenous compounds like epinephrine and melatonin
  • constitutes only a minor pathway for conjugating drugs or xenobiotics
  • NOTA

Frage 8

Frage
Which of the following is/are considered slow acetylators?
Antworten
  • eskimos
  • egyptians
  • filipinos
  • jews

Frage 9

Frage
Which of the following may induce metabolism of other drugs?
Antworten
  • phenytoin
  • cimetidine
  • meprobamate
  • rifampicin

Frage 10

Frage
The term that denotes the selective metabolism of two or more similar functional groups or two or more similar atoms that are positioned in different regions of a molecule.
Antworten
  • stereoisomerism
  • regioselectivity
  • selective toxicity
  • substrate stereoselectivity

Frage 11

Frage
The process involved in the biotransformation of amitriptyline to nortriptyline.
Antworten
  • N-demethylation
  • Aromatic hydroxylation
  • Epoxidation
  • Ester hydrolysis

Frage 12

Frage
The biotransformation of chloral hydrate via aldehyde reduction forms?
Antworten
  • desipramine
  • mesoridazine
  • trichloroethanol
  • sulindac

Frage 13

Frage
What process is involved in the biotransformation of prednisone to prednisolone?
Antworten
  • ketone reduction
  • O-demethylation
  • sulfoxide reduction
  • Aromatic hydroxylation

Frage 14

Frage
What process is involved in the biotransformation of phenylbutazone to oxybutazone?
Antworten
  • aromatic hydroxylation
  • ketone reduction
  • N-acetylation
  • S-oxidation

Frage 15

Frage
Which of the following is/are metabolites?
Antworten
  • 6-mercaptopurine
  • phenylbutazone
  • prednisolone
  • acetaminophen

Frage 16

Frage
Which of the following is/are parent drug/s?
Antworten
  • digitoxin
  • hydrocortisone
  • primidone
  • propranolol

Frage 17

Frage
The property of chemicals to destroy one form of life without harming another.
Antworten
  • stereoisomerism
  • regioselectivity
  • selective toxicity
  • substrate stereoselectivity

Frage 18

Frage
Which of the following may be used to classify chemotherapeutic agents?
Antworten
  • chemical type
  • biologic properties
  • therapeutic indications
  • NOTA

Frage 19

Frage
Which of the following is/are characteristics of an ideal antiseptic?
Antworten
  • rapid and sustained lethal action against microorganisms
  • retain activity in the presence of body fluids
  • high surface tension
  • NOTA

Frage 20

Frage
An agent that prevents infection by the destruction of pathogenic microorganisms when applied to inanimate objects.
Antworten
  • Antiseptic
  • disinfectant
  • antibiotic
  • sanitizer

Frage 21

Frage
Generally accepted other names of alcohol USP
Antworten
  • Ethanol
  • wood alcohol
  • spiritus vini rectificatus
  • wine spirit

Frage 22

Frage
Ethanol that has been rendered unfit for use in intoxicating beverages by the addition of other substances.
Antworten
  • Denatured alcohol
  • wood alcohol
  • isopropyl alcohol
  • formaldehyde

Frage 23

Frage
Phenol coefficient is defined as the ratio of a disinfectant to the dilution of phenol required to kill a given strain of a bacterium. What microorganism is used in determining the phenol coefficient?
Antworten
  • Bacillus subtilis
  • Enterobacter aerogenes
  • Pseudomonas aeruginosa
  • Salmonella typhi

Frage 24

Frage
A 2% solution of iodine in 50% alcohol with sodium iodide.
Antworten
  • Iodine solution
  • iodine tincture
  • lugol’s solution
  • mayer’s reagent

Frage 25

Frage
A preparation of 5% Iodine in water with potassium iodide?
Antworten
  • Iodine solution
  • iodine tincture
  • lugol’s solution
  • mayer’s reagent

Frage 26

Frage
A preparation of 2% iodine in water with sodium iodide?
Antworten
  • Iodine solution
  • iodine tincture
  • lugol’s solution
  • mayer’s reagent

Frage 27

Frage
Povidone-Iodine
Antworten
  • Water-soluble complex that releases iodine slowly
  • provides a non-toxic, non-irritating,non-volatile and non-staining form of iodine
  • used as an antiseptic for skin application before surgery and injection
  • NOTA

Frage 28

Frage
A dye available as vaginal suppositories for the treatment of yeast infections.
Antworten
  • Malachite green
  • methylene blue
  • phenolphthalein
  • gentian violet

Frage 29

Frage
Dye used as an antidote for cyanide poisoning?
Antworten
  • Malachite green
  • methylene blue
  • phenolphthalein
  • gentian violet

Frage 30

Frage
A potent antifungal substance with a polyene structure from Streptomyces nodosus
Antworten
  • Nystatin
  • griseofulvin
  • natamycin
  • amphotericin B

Frage 31

Frage
The aglycone portion of nystatin consisting of a 38-membered ketone ring with a single tetracene and diene chromophores isolated from each other by a methylene group, one carboxyl, one keto, and eight hydroxyl groups.
Antworten
  • Mykinac
  • mycostatin
  • nystatinolide
  • candeptin

Frage 32

Frage
Polyene antibiotic first isolated in 1951 from a strain of Streptomyces noursei by hanzen and brown.
Antworten
  • Nystatin
  • amphotericin b
  • natamycin
  • griseofulvin

Frage 33

Frage
Griseofulvin
Antworten
  • Recommended for the systemic treatment of refractory ringworm infections
  • its bioavailability is notoriously poor
  • it is supplied in “microsize” and “ultramicrosize” forms
  • NOTA

Frage 34

Frage
A series of synthetic antibacterial agents patterned after nalidixic acid, with an effective antibacterial spectrum largely confined to gram-negative bacteria.
Antworten
  • quinolones
  • dihydrotriazines
  • biguanides
  • polyenes

Frage 35

Frage
The structure found among the quinolones which is essential for their antibacterial activity is 1,4-dihydro-4-oxo-3-pyridine carboylic acid.
Antworten
  • True
  • False

Frage 36

Frage
Its congeners represent important alternatives for the treatment of urinary tract infections caused by strains of Proteus resistant to other agents.
Antworten
  • Norfloxacin
  • cinoxacin
  • nitrofurantoin
  • nalidixic acid

Frage 37

Frage
Antibiotic
Antworten
  • A synthetic product produced as a structural analogue of a naturally occurring antibiotic
  • it antagonizes the growth or the survival of one or more species of microorganisms
  • it is effective in low concentration
  • NOTA

Frage 38

Frage
One who led the isolation of streptomycin from Streptomyces griseus:
Antworten
  • Pasteur & Joubert
  • waksman
  • Vuillemin
  • Florey and Chain

Frage 39

Frage
Antibiotic that binds with ribosome 30s subunit
Antworten
  • Chloramphenicol
  • tetracycline
  • erythromycin
  • lincomycins

Frage 40

Frage
Benzylpenicillin binds preferentially to:
Antworten
  • PBP 1a & 1b
  • PBP 2
  • PBP 3
  • PBP 6

Frage 41

Frage
Methicillin is chemically called as:
Antworten
  • 2-ethoxy-1-napthylpenicillin
  • 5-methyl-3-phenyl-4-isoxazolyl penicillin
  • 5-methyl-3-(2,6-dichlorophenyl)-4-isoxazolyl-penicillin
  • 2,6-dimethoxyphenyl penicillin

Frage 42

Frage
Amoxicillin
Antworten
  • D-?-Amino-p-hydroxybenzyl-penicillin
  • ?-Carboxy-3-thienyl penicillin
  • ?-(1-methanesulfonyl-amino) benzylpenicillin
  • D-?-aminobenzyl penicillin

Frage 43

Frage
Structure of the penicillin molecule shows it to contain a fused ring system which is the:
Antworten
  • ?-lactam thiazolidine
  • ?-lactam penam
  • 6-aminopenicillanic acid
  • ?-lactam phenyl penicillin ring

Frage 44

Frage
Members of the 4-isoxazolyl penicillin family require these substituents for effectiveness against ?-lactamase producing Staphylococcus aureus.
Antworten
  • 3-aryl & 5-methyl group
  • 3-acyl & 6-methyl group
  • 3-phenyl & 2-methoxy group
  • 3-phenyl & 2-methyl group

Frage 45

Frage
These are major antigenic determinants that are formed when penicillins or its rearrangement products in vivo react with lysine-e-amino groups of proteins resulting to allergic reactions.
Antworten
  • Penicillenic acids
  • penicilloyl proteins
  • penicillanic proteins
  • penicillanic acids

Frage 46

Frage
This is prepared by the reaction of ampicillin with acetone
Antworten
  • Unipen
  • hetacillin
  • unasyn
  • methicillin

Frage 47

Frage
Class 1 ?-lactamase inhibitors have hetero atom leaving at position 1. Which of these is/are Class II inhibitors: I. Carbapenems II. Sulbactam III. Clavulanic Acid
Antworten
  • I only
  • I, II
  • II, III
  • III only

Frage 48

Frage
Augmentin is a combination of:
Antworten
  • K salt of Clavulanic Acid
  • amoxicillin
  • ampicillin
  • sulbactam

Frage 49

Frage
Unasyn is a fixed-dose combination of:
Antworten
  • Amoxicillin
  • sulbactam
  • ampicillin
  • clavulanic

Frage 50

Frage
Primaxin is a combination of:
Antworten
  • Tazocillin
  • imipenem
  • piperacillin
  • cilastatin

Frage 51

Frage
Imipenem is the most successful of a series of chemically stable derivatives of thienamycin in which the primary amino group is converted to a non-nucleophilic basic function. Imipenem is also:
Antworten
  • 5-acetamido thienamycin
  • 5-methyl-3-phenyl-4-isoxazolyl penicillin
  • n-formimidoyl thienamycin
  • ?-imidazolyl ethylamine

Frage 52

Frage
D-(4-amino-4-carboxybutyl) is:
Antworten
  • Penicillin N
  • synnematin B
  • cephalosporin N
  • chloramphenicol B

Frage 53

Frage
Cephalosporin C contains:
Antworten
  • Penicillanic acid
  • thiazolidine ring
  • lactone ring
  • dihydrothiazine ring

Frage 54

Frage
A parenteral cephamycin
Antworten
  • Cefoxitin
  • ceftazidime
  • cephalexin
  • cefadroxil

Frage 55

Frage
Zinacef is the first of a series of a-methoxyimino-acyl-substituted cephalosporins that constitute most of the third generation agents. Zinacef is:
Antworten
  • Sterile cefotaxime Sodium, USP
  • Cefuroxime Sodium, USP
  • Moxalactam Disodium, USP
  • Cefepime, USP

Frage 56

Frage
The factors that contribute to an extremely long serum half-life of sterile ceftriaxone disodium, USP
Antworten
  • High fraction of protein binding in the plasma
  • slow urinary excretion
  • it is not metabolized in vivo
  • NOTA

Frage 57

Frage
This increases stability to ?-lactamases while increasing activity against G(-) bacteria at the same time in monobactams:
Antworten
  • 4-methyl group
  • 3-methoxy group
  • oximinoacyl group
  • 2-aryl group

Frage 58

Frage
The 1st aminoglycoside antibiotic to be used in chemotherapy:
Antworten
  • Amikacin
  • gentamicin
  • streptomycin
  • kanamycin

Frage 59

Frage
MOA of Aminoglycosides:
Antworten
  • Interferes with cell wall synthesis
  • act directly on the bacterial ribosome to inhibit the initiation of protein synthesis
  • interferes with the fidelity of translation of the genetic message
  • NOTA

Frage 60

Frage
Extrachromosomals which are self-replicative and transferable by conjugation that is responsible for the transfer of resistance from one bacterium to another.
Antworten
  • R-factor
  • F-factor
  • S-factor
  • X-factor

Frage 61

Frage
SAR of Aminoglycosides: important for characteristic broad-spectrum antibacterial activity & is the primary target for bacterial inactivating enzymes.
Antworten
  • Ring I
  • Ring II
  • Ring III
  • Ring IV

Frage 62

Frage
Known as Streptomycin B
Antworten
  • Streptomycin
  • Mannisidostreptomycin
  • Hydroxystreptomycin
  • Paromomycin Sulfate, USP

Frage 63

Frage
Acid hydrolysis of Streptomycin yields:
Antworten
  • Streptidine
  • Streptobiosamine
  • Deoxystreptamine
  • NOTA

Frage 64

Frage
Neomycin is obtained from:
Antworten
  • S. fradiae
  • S. rimosus
  • S. kanamyceticus
  • Micromonospora purpurea

Frage 65

Frage
The synthesis of this semisynthetic aminoglycoside involves simple acylation of the 1-amino group of the deoxystreptamine ring of Kanamycin A with L-amino-a-hydroxybutyric acid (L-AHBA)
Antworten
  • Tobramycin
  • Netilmicin
  • Amikacin
  • Gentamicin

Frage 66

Frage
A group of antibiotics that are derivatives of an octahydronaphthalene, a hydrocarbon system that comprises four annelated six-membered rings.
Antworten
  • Macrolides
  • tetracycline
  • lincomycins
  • sulfonamides

Frage 67

Frage
7-Chloro-6-demethyl tetracycline is:
Antworten
  • demeclocycline
  • Oxytetracycline
  • minocycline
  • Doxycycline

Frage 68

Frage
Macrolide antibiotics have these common characteristics:
Antworten
  • Large lactone ring
  • ketone group
  • a glycosidically linked amino sugar
  • an asymmetric carbon atoms in the acylamidopropanediol chain

Frage 69

Frage
Bacillus subtilis strain that was isolated from debrided tissue of a compound fracture in 7-year old Margaret Tracy produced this antibiotic.
Antworten
  • Gramicidin
  • Bacitracin
  • Colistin
  • Polymyxin

Frage 70

Frage
The first of the widely used broad-spectrum antibiotic that was isolated by Ehrlich in 1947 from S. venezuelae
Antworten
  • Clindamycin
  • Chloramphenicol
  • Vancomycin
  • Novobiocin

Frage 71

Frage
Erythromycin B differs from Erythromycin A only at carbon 12, at which hydroxyl group is replaced by ______, which renders it more acid stable.
Antworten
  • Bromine
  • Chlorine
  • Hydrogen
  • Oxygen

Frage 72

Frage
These are sulfur-containing antibiotics isolated from S. lincolnensis
Antworten
  • Bacitracin
  • novobiocin
  • lincomycins
  • vancomycins

Frage 73

Frage
7-Chloro-7-deoxy lincomycin
Antworten
  • Cleocin
  • Unasyn
  • Unipen
  • Lincocin

Frage 74

Frage
Bacitracin’s bactericidal effect through an inhibition of mucopeptide cell wall synthesis is enhanced by:
Antworten
  • P
  • Zn
  • Cl
  • S

Frage 75

Frage
Analogue of podophyllotoxin that is an inhibitor of Topoisomerase II which contains methyl as its R group:
Antworten
  • Vindoline
  • Etoposide
  • Vincristine
  • Epipodophyllotoxin

Frage 76

Frage
The complex structures in vinca alkaloid composed of indole-containing moiety and an indoline-containing moiety:
Antworten
  • Indoline
  • Vindoline
  • Vindesine
  • Catharanthine

Frage 77

Frage
Is an antineoplastic agent preparation from E. coli containing the enzyme L-asparagine amidohydrolase
Antworten
  • Asparaginase
  • Elspar
  • Pipobroman
  • Platinol

Frage 78

Frage
An antineoplastic drug active against rapidly proliferating cells in the synthesis phase during which it prevents the formation of deoxyribonucleotides by inhibition of ribonucleotide diphosphate reductase.
Antworten
  • Carboplatin
  • hydroxyurea
  • mitoguazone
  • hycanthone

Frage 79

Frage
Used primarily for polycythemia vera:
Antworten
  • Hexamethylamine
  • asparaginase
  • tamoxifen
  • pipobroman

Frage 80

Frage
D-Homo-17a-oxa androsta-1,4-dione prepared by microbial transformation of progesterone
Antworten
  • Tamoxifen
  • testolactone
  • megestrol
  • ethinyl estradiol

Frage 81

Frage
Interferons are secreted by cells in response to viral infections or other chemical or biologic inducers. The major classes of interferons are:
Antworten
  • alpha
  • Beta
  • Lambda
  • Gamma

Frage 82

Frage
It is a highly purified protein containing 165 amino acids manufactured from a strain of E.coli bearing a genetically engineered plasmid containing an interferon alfa-2a gene from human leukocytes.
Antworten
  • RIFN
  • IFLrA
  • Roferon-A
  • Interon

Frage 83

Frage
This is absolutely essential for the in-vitro carbonic anhydrase inhibitory activity and for the production of a diuresis in vivo.
Antworten
  • Sulfamoyl group
  • neptazane
  • amino group
  • Imino group

Frage 84

Frage
Diamox
Antworten
  • Acetazolamide
  • Hydrochlorothiazide
  • Amoxicillin
  • Dichlorphenamide

Frage 85

Frage
Benzothiazine-1,1-dioxide nucleus is contained in:
Antworten
  • Carbonic anhydrase inhibitors
  • thiazide diuretics
  • loop diuretics
  • phenoxyacetic acids

Frage 86

Frage
4-Chloro-N-furfuryl-5-sulfamoyl anthranilic acid is:
Antworten
  • Bumetanide
  • furosemide
  • ethacrynic acid
  • chlorothiazide

Frage 87

Frage
Primary compound selected from a host of pteridine analogues and resembles the structure of folic acid and certain dihydrofolate reductase inhibitors.
Antworten
  • Spironolactone
  • amiloride
  • theophylline
  • triamterene

Frage 88

Frage
A pyrazinoyl guanidine diuretic that inhibits the electrogenic entry of 2% to 3% of the filtered load of Na into the tubule cells.
Antworten
  • Triamterene
  • spironolactone
  • amiloride
  • aldosterone

Frage 89

Frage
The major adverse effect of midamor:
Antworten
  • hypomagnesemia
  • hyponatremia
  • hypocalcemia
  • hyperkalemia

Frage 90

Frage
?-imidazolylethylamine, an autacoid, is widespread in nature being found in ergot and other plants and in all organs and tissues of the human body. It’s also known as:
Antworten
  • 1H-imidazole-4-ethenamine
  • histamine
  • serotonin
  • NOTA

Frage 91

Frage
The major source of histamine in the body results from the decarboxylation of this amino acid:
Antworten
  • Tryptophan
  • Histidine
  • Tyrosine
  • Phenylalanine

Frage 92

Frage
Drowsiness is a side effect of antihistamines that is most common to the:
Antworten
  • Ethylenediamines
  • tertiary aminoalkyl ethers
  • phenothiazines
  • cimetidine

Frage 93

Frage
A propylamine derivative:
Antworten
  • Diphenhydramine
  • Clemastine
  • Carbinoxamine
  • Brompheniramine

Frage 94

Frage
Dramamine
Antworten
  • Doxylamine
  • Dimenhydrinate
  • Diphenhydramine
  • Cyclizine

Frage 95

Frage
The piperazine, imidazoline and phenothiazine type antihistamines contain the following moiety:
Antworten
  • Aminoalkyl ethers
  • ethylene diamine
  • propylamine
  • butyrophenone

Frage 96

Frage
Antihistamine resulting from the chlorination of pheniramine in the para position of the phenyl ring that gives a tenfold increase in potency with no appreciable changes in toxicity.
Antworten
  • Brompheniramine
  • chlorpheniramine
  • pyrrobutamine
  • promethazine

Frage 97

Frage
A sulfone derivative investigated initially to be the most effective drug for the treatment of leprosy and has useful antimalarial property but was too toxic.
Antworten
  • 4,4’-diamidodiphenylsulfide
  • 4,4’-diaminodiphenylsulfone
  • 3,4’-diaminediphenylsulfide
  • 3,4’-diamidodiphenylsulfone

Frage 98

Frage
What antibiotic caused a major advance in the treatment of tuberculosis?
Antworten
  • Isoniazid
  • ethionamide
  • rifampin
  • cycloserine

Frage 99

Frage
Ethambutol is remarkably stereospecific. Toxicities of its isomers are about equal but their activity varies considerably. Factors that have pronounced effect on the activity are:
Antworten
  • Length of the alkylene chain
  • nature of the branching with the alkyl substituents in the nitrogens
  • extent of N-alkylation
  • pyranolone ring at the C4 of the compound

Frage 100

Frage
Ethionamide is a second-line treatment drug for tuberculosis and used in the treatment of INH-resistant tuberculosis or when the patient is intolerant to INH and other drugs. What is its structural difference with the INH series?
Antworten
  • 5 - substitution
  • 2 - substitution
  • addition of a thiazolidine ring
  • addition of a pyranolone ring
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