Module 1 Set A

Descrição

Medicine Quiz sobre Module 1 Set A, criado por Bryan Suringa em 06-11-2020.
Bryan Suringa
Quiz por Bryan Suringa, atualizado more than 1 year ago
Bryan Suringa
Criado por Bryan Suringa mais de 3 anos atrás
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Resumo de Recurso

Questão 1

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

Questão 2

Questão
Which of the following is/are true regarding phase II drug metabolism?
Responda
  • 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

Questão 3

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

Questão 4

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

Questão 5

Questão
Glucuronidation is the most common conjugative pathway in drug metabolism. Which of the following is/are responsible for this?
Responda
  • 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

Questão 6

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

Questão 7

Questão
Which of the following is/are true regarding methylation?
Responda
  • 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

Questão 8

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

Questão 9

Questão
Which of the following may induce metabolism of other drugs?
Responda
  • phenytoin
  • cimetidine
  • meprobamate
  • rifampicin

Questão 10

Questão
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.
Responda
  • stereoisomerism
  • regioselectivity
  • selective toxicity
  • substrate stereoselectivity

Questão 11

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

Questão 12

Questão
The biotransformation of chloral hydrate via aldehyde reduction forms?
Responda
  • desipramine
  • mesoridazine
  • trichloroethanol
  • sulindac

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

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

Questão 18

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

Questão 19

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

Questão 20

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

Questão 21

Questão
Generally accepted other names of alcohol USP
Responda
  • Ethanol
  • wood alcohol
  • spiritus vini rectificatus
  • wine spirit

Questão 22

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

Questão 23

Questão
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?
Responda
  • Bacillus subtilis
  • Enterobacter aerogenes
  • Pseudomonas aeruginosa
  • Salmonella typhi

Questão 24

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

Questão 25

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

Questão 26

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

Questão 27

Questão
Povidone-Iodine
Responda
  • 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

Questão 28

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

Questão 29

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

Questão 30

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

Questão 31

Questão
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.
Responda
  • Mykinac
  • mycostatin
  • nystatinolide
  • candeptin

Questão 32

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

Questão 33

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

Questão 34

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

Questão 35

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

Questão 36

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

Questão 37

Questão
Antibiotic
Responda
  • 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

Questão 38

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

Questão 39

Questão
Antibiotic that binds with ribosome 30s subunit
Responda
  • Chloramphenicol
  • tetracycline
  • erythromycin
  • lincomycins

Questão 40

Questão
Benzylpenicillin binds preferentially to:
Responda
  • PBP 1a & 1b
  • PBP 2
  • PBP 3
  • PBP 6

Questão 41

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

Questão 42

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

Questão 43

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

Questão 44

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

Questão 45

Questão
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.
Responda
  • Penicillenic acids
  • penicilloyl proteins
  • penicillanic proteins
  • penicillanic acids

Questão 46

Questão
This is prepared by the reaction of ampicillin with acetone
Responda
  • Unipen
  • hetacillin
  • unasyn
  • methicillin

Questão 47

Questão
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
Responda
  • I only
  • I, II
  • II, III
  • III only

Questão 48

Questão
Augmentin is a combination of:
Responda
  • K salt of Clavulanic Acid
  • amoxicillin
  • ampicillin
  • sulbactam

Questão 49

Questão
Unasyn is a fixed-dose combination of:
Responda
  • Amoxicillin
  • sulbactam
  • ampicillin
  • clavulanic

Questão 50

Questão
Primaxin is a combination of:
Responda
  • Tazocillin
  • imipenem
  • piperacillin
  • cilastatin

Questão 51

Questão
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:
Responda
  • 5-acetamido thienamycin
  • 5-methyl-3-phenyl-4-isoxazolyl penicillin
  • n-formimidoyl thienamycin
  • ?-imidazolyl ethylamine

Questão 52

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

Questão 53

Questão
Cephalosporin C contains:
Responda
  • Penicillanic acid
  • thiazolidine ring
  • lactone ring
  • dihydrothiazine ring

Questão 54

Questão
A parenteral cephamycin
Responda
  • Cefoxitin
  • ceftazidime
  • cephalexin
  • cefadroxil

Questão 55

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

Questão 56

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

Questão 57

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

Questão 58

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

Questão 59

Questão
MOA of Aminoglycosides:
Responda
  • 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

Questão 60

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

Questão 61

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

Questão 62

Questão
Known as Streptomycin B
Responda
  • Streptomycin
  • Mannisidostreptomycin
  • Hydroxystreptomycin
  • Paromomycin Sulfate, USP

Questão 63

Questão
Acid hydrolysis of Streptomycin yields:
Responda
  • Streptidine
  • Streptobiosamine
  • Deoxystreptamine
  • NOTA

Questão 64

Questão
Neomycin is obtained from:
Responda
  • S. fradiae
  • S. rimosus
  • S. kanamyceticus
  • Micromonospora purpurea

Questão 65

Questão
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)
Responda
  • Tobramycin
  • Netilmicin
  • Amikacin
  • Gentamicin

Questão 66

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

Questão 67

Questão
7-Chloro-6-demethyl tetracycline is:
Responda
  • demeclocycline
  • Oxytetracycline
  • minocycline
  • Doxycycline

Questão 68

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

Questão 69

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

Questão 70

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

Questão 71

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

Questão 72

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

Questão 73

Questão
7-Chloro-7-deoxy lincomycin
Responda
  • Cleocin
  • Unasyn
  • Unipen
  • Lincocin

Questão 74

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

Questão 75

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

Questão 76

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

Questão 77

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

Questão 78

Questão
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.
Responda
  • Carboplatin
  • hydroxyurea
  • mitoguazone
  • hycanthone

Questão 79

Questão
Used primarily for polycythemia vera:
Responda
  • Hexamethylamine
  • asparaginase
  • tamoxifen
  • pipobroman

Questão 80

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

Questão 81

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

Questão 82

Questão
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.
Responda
  • RIFN
  • IFLrA
  • Roferon-A
  • Interon

Questão 83

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

Questão 84

Questão
Diamox
Responda
  • Acetazolamide
  • Hydrochlorothiazide
  • Amoxicillin
  • Dichlorphenamide

Questão 85

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

Questão 86

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

Questão 87

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

Questão 88

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

Questão 89

Questão
The major adverse effect of midamor:
Responda
  • hypomagnesemia
  • hyponatremia
  • hypocalcemia
  • hyperkalemia

Questão 90

Questão
?-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:
Responda
  • 1H-imidazole-4-ethenamine
  • histamine
  • serotonin
  • NOTA

Questão 91

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

Questão 92

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

Questão 93

Questão
A propylamine derivative:
Responda
  • Diphenhydramine
  • Clemastine
  • Carbinoxamine
  • Brompheniramine

Questão 94

Questão
Dramamine
Responda
  • Doxylamine
  • Dimenhydrinate
  • Diphenhydramine
  • Cyclizine

Questão 95

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

Questão 96

Questão
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.
Responda
  • Brompheniramine
  • chlorpheniramine
  • pyrrobutamine
  • promethazine

Questão 97

Questão
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.
Responda
  • 4,4’-diamidodiphenylsulfide
  • 4,4’-diaminodiphenylsulfone
  • 3,4’-diaminediphenylsulfide
  • 3,4’-diamidodiphenylsulfone

Questão 98

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

Questão 99

Questão
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:
Responda
  • 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

Questão 100

Questão
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?
Responda
  • 5 - substitution
  • 2 - substitution
  • addition of a thiazolidine ring
  • addition of a pyranolone ring

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