Wednesday, 6 August 2014

Non-steroidal anti-inflammatory drugs

by Solehah Redzuan



1.       This drug control the acid release in stomach and produce mucus to protect the line of stomach
a)      Prostaglandin
T
b)      Prostacyclin
F
c)       Thromboxane A2
F
d)      Leukotriene
F

2.       These are the non selective COX inhibitors
a)      Aspirin
T
b)      Paracetamol
T
c)       Piroxicam
T
d)      rofecoxib
F

3.       Aspirin
a)      Reversibly acetylates COX
F
b)      Irreversibly acetylates COX
T
c)       Leads to inhibition of prostaglandin
T
d)      Can cause asthma, nephritis, gastric ulcer
T

4.       Aspirin, regarding to pharmacological action
a)      Converted to 5-FdUMP  to inhibit thymidylate kinase
F
b)      Produce anticoagulant effect
T
c)       It inhibit thromboxane A2 production
T
d)      It acetylate cyclooxygenase enzyme
T

5.       This drug is use for treatment of gout, rheumatic fever, osteoarthritis
a)      Paracetamol
F
b)      Metothrexate
F
c)       Aspirin
T
d)      Ketoconazole
F

6.       Regarding acetaminophen
a)      It bind with ergosterol
F
b)      It is suitable alternative for aspirin
T
c)       It gives less toxicity to liver
F
d)      It inhibit prostaglandin synthesis
T

7.       Ibuprofen
a)      It is potent anti inflammatory drug
T
b)      It is the only drug use for parenteral administration
F
c)       It is the safest drug and least expensive
T
d)      It is 20 times potent inhibitor of COX than aspirin
F



8.       Indomethacin
a)      It is a polyene macrolide antibiotic
F
b)      It is  the drug of choice to treat fungal infection
F
c)       The therapeutic index of indomethacin is very narrow
F
d)      It is potent anti inflammatory and weak analgesic
T

9.       Naproxen
a)      It is used to treat rheumatic fever
T
b)      It is use to treat dysmenorrhea
T
c)       It is higly hepatotoxic drug
F
d)      It acetylate the cyclooxygenase
F

10.   Calecoxib
a)      Selective inhibition of COX2 than COX1
T
b)      It is easily absorb through GI tract
T
c)       It cause less GI bleeding
T
d)      It gives anticoagulant effect
F

11.   Higher dose of this drugs can cause tinnitus.vertigo,hyperventilationand respiratory alkalosis.
a)      Ketoconazole
F
b)      Metothrexate
F
c)       Aspirin
T
d)      Paracetamol
F

12.   It gives depression of respiratory center and cardiovascular center and lead to low blood pressure
a)      Aspirin
T
b)      Ibuprofen
F
c)       Terbinafine
F
d)      Corticosteroid
F

13.   Aspirin
a)      Prophylaxis of disease due to platelet aggregation
T
b)      Inhibit squaline epoxidase
F
c)       Prevent the sensitization of pain receptor
T
d)      Inhibition of prostacyclin
F

14.   These are selective COX-2 inhibitors
a)      Calecoxib
T
b)      Acetaminophen
T
c)       Rofecoxib
T
d)      Flurbiprofen
F


15.   Prostaglandin
a)      Gives motility to uterus
T
b)      Increase blood flow in kidney
T
c)       Stimulate platelet aggregation
F
d)      Gives vasoconstriction
F

16.   Prostacyclin
a)      Decrease blood flow in the kidney
F
b)      Vasodilation
T
c)       Increase vascular permeability
F
d)      Inhibit platelet aggregation
T

17.   Thromboxane
a)      Bronchio constriction
F
b)       Stimulate platelet aggregation
T
c)       Easily absorb in GI tract
F
d)      Vasoconstriction
T

18.   Very high dose of aspirin can cause
a)      Metabolic acidosis
T
b)      Hyperthermia
T
c)       Dehydration
T
d)      Hypotension
F

19.   To enhance excretion of aspirin (toxicity), the treatments that can be use are…
a)      Alkalinize urine
T
b)      Activated charcoal
F
c)       Hemodialysis
T
d)      Administer bicarbonate
F



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