Spotters edited final.ppt

1. Name the receptor whose function is depicted in the figure
below and give one example for a drug which acts through this
receptor

1a. G - protein coupled receptor
eg : benzodiazepines, barbiturates, opioids

2. Mention the name of this plant and one use of the drug
derived from it.

2a. Atropa belladona
Use: OP poisoning

3. It is indicated in the tablet strip that this is a ‘Schedule
H drug’. What does this mean?

3a. Prescription drugs
These drugs in this schedule are sold by retailers
only on production of valid prescription given by
a registered medical practitioner

4. Identify this device used for drug delivery. Mention the route
by which the drug is delivered.

4a. CSII- Continuous subcutaneous insulin infusion

5. What does this pictogram mean? Name one antibacterial
drug that requires this pictogram for instruction to the
patients.

5a. Should not be taken along with milk products
eg : tetracyclines

6. What do the categories “P, S, T” mean in National list of
essential medicines(NLEM)?

6a. P- primary
S- secondary
T- teritiary

7. What is this phenomenon and how long it takes to reach
this state ?
30
20
10

7a. Plateau principle of drug accumulation.
-5 t 1/2s

8. Identify the adverse effect. Name one approved use of the
drug which can cause this effect.

8a. Thalidomide
Type II lepra reaction (ENL)

9. Identify the drug dosage form. Mention two indication
where this can be used.

9a. Vaginal ring
Contraceptive

10. a) What is the use of product A.
b) Can it be used along with product B.
A B

10 a. Ulcer protective
b. No it should not be used along with anti ulcer
agents as it works in acidic medium only

11. Identify the 2 improvisations of metered dose inhaler
shown in this picture.

12. What does the abbreviation ‘w/w’ in the carton of this
ointment stand for?

13. Name this plant commonly found in our locality (e.g. in front
of state bank in our campus) and mention the drug obtained
from it.

13a. Vinca rosea (periwinkle)
Vinca alkaloids : vincristine, vinblastine

14. A. What is the type of the tablet shown?
B. Mention one advantage.

14 a. Effervescent tablet
b. Faster in action

15. What does XR / XL stand for?

16. Identify this special type of capsule which has a
transparent lower shell and intended for
inhalational use.

17. Name this drug storage form. What is the purpose of
the white line?

18. Name the complication following IV canulation

19. What is the purpose of the projection shown with the arrow?

20. Name the instrument shown below.

20a. Infusion pump
Nitroglycerine, dobutamine

21. Identify this formulation. Mention one advantage.

22. A. Identify the device shown below.
B. Name two different sites of subcutaneous drug
administration.

22a. Tuberculin syringe
Abdomen, thigh

23. A) Identify this laboratory animal.
B) Mention the three R’s of ethics of animal experimentation.

23a. Mouse (Mus musculus)
Reduce, refine, replace

24. A) Identify the route of administration
B) Mention a drug given by this route

24a. Intradermal
BCG vaccination

25. Effect of drug X on heart rate and BP of dog is shown
below. What is drug X ?
Drug X
Epinephrine Epinephrine
a. Name the drug X
b. What is the above phenomenon known as?

25a. Alpha adrenergic antagonist

26. Identify this container of intravenous fluid. What
is its advantage?

26a. Collapsible bag.
Non breakable, easily portable, chances of air
embolism are less.

27. Identify this formulation which melts at room temperature.
Name a drug administered by this formulation.

27a. Rectal suppository.
Paracetamol, diazepam.

28. A regular human insulin vial is shown below. What does the
abbreviation ‘I.P’ (highlighted by a red round) in the label
indicate?
I.P

29. Identify the type of tablet shown below. What is the
purpose of a small ridge (shown by an arrow) in the
middle?

30. Name a cardiovascular drug that can cause this adverse
effect.

31. What does the symbol ‘ ’ in British National Formulary
(BNF) indicate?

• 31a. The symbol is used to denote those
preparations which may not be considered as drugs
of first choice but their use may be justifiable in
certain circumstances.

32. Find out the half life from this concentration-time curve.
Time (min)
90
30 60 120 150 180 210
Concentration
(g/ml)
10
100
1000

33. The guidelines for treatment of hypothyroidism are given
below. Which recommendation has the highest level of
evidence?
BEL – Best Evidence Level

34. A patient presents with muscle soreness and has a lab
report(given below). He informs he is on four cardiovascular
drugs. If the problem is drug induced, which group of drugs
could be the probable cause?
JIPMER Hospital
Department of Biochemistry
11.01.13
Name : Kathirvel Age : 50 Gender : Male
Provisional Diagnosis : Myopathy (?drug induced)
Creatine Kinase : 1000 U/L
(Normal value : 51 to 294 U/L)
Reporting Officer

35. Identify the route of administration
Mention a drug given by this route

35a. Subcutaneous implant
Norplant (contraceptive)

36. A. Identify this laboratory animal
B. Mention the three R’s of ethics of animal experimentation.

36a. Guinea pig
Reduce, refine, replace

37. What is the source of this drug?

37a. Pig intestinal mucosa (porcine)

38. Name the parts of a disposable needle marked as A and B.
A
B

39. Standard colour coded intravenous cannulae are shown below.
Mention the colour which denotes an i.v. cannula of size 18 G
that can be used in adults.

40. The carton of this formulation shows it as ‘dry syrup’. What do
you mean by the term ‘dry syrup’?

40a. It is in powdered form and has to be reconstituted
by dissolving or suspending in water before
administration.

41. Identify this dosage form. Name a cardiovascular drug
administered by this formulation.

41a. Soft gel tablets
nifidepine

42. Identify this device used for drug delivery. Name a drug
that can be administered by this device.

43. Name the two syringes (marked as A and B) shown below. What
is the main difference between them?
Syringe A
Syringe B

43a. Tuberculin – A & Insulin syringes - B
Units

44. The plain x-ray abdomen shown below is taken in a patient
who has consumed toxic dose of a drug (tablets shown by red
arrows). What could be the probable drug?

45. The lab report of a patient on an antihypertensive for four
months with suspected drug induced electrolyte imbalance is
shown below. Which group of drugs could be the probable
cause?
JIPMER Hospital
18.01.13
Provisional Diagnosis : ?drug induced electrolyte imbalance
Serum Electrolyte Profile
Sodium : 130 mEq/L (Normal value : 135 to 145 mEq/L)
Potassium : 3 mEq/L (Normal Value : 3.5 to 5 mEq/L)
Chloride : 90 mEq/L (Normal Value : 97 to 107 mEq/L)
Reporting Officer

46. Identify this device used for drug delivery. Name a drug
administered by this device.

47.Identify the drug which is available as a lollipop for buccal
administration in children?

48. Identify this method of drug administration. Name a drug
administered by this method.

48a Patient controlled analgesia
opioids

49. What does the square symbol (pointed out by a red arrow) in
front of some drugs in a WHO Model List of Essential Medicines
signify?

49a. Primarily intended to indicate similar clinical
performance within a
pharmacological class

50. Identify this tablet strip. What is the constituent of the
brown coloured tablets in the last row?

50. Oral contraceptive pills.
Iron pills

51. The method to prepare ‘home made ORS’ is shown
below. Identify substance A and B. How much water (in ml)
should be added for this?
1 teaspoon of
substance B
8 teaspoons of
substance A

51. Substance A – Sugar; Substance B - Salt
1 litre

52. Expand ‘CFC’. Why are present day metered dose
inhalers made ‘CFC free’?

52. Chlorofluorocarbons.
To prevent the damage to ozone layer by CFC.

53.Expand ‘EMLA’. What are it’s constituents?

53. Eutectic mixture of local anaesthetics.
Lignocaine(2.5%) and prilocaine(2.5%)

54.Name an inhalational drug that can cause this
adverse effect. How can this be prevented?

54. Beclomethasone dipropionate, Budesonide
Prevented by gargling after drug intake.

Remove foil
Moisten
55.Name the dosage form applied by the method shown
below.
Give one example for this dosage form.

56. Carefully observe the eyes of the patient and name a
drug that can cause this adverse effect.

57. Name the special type of intravenous infusion set
which has the Murphy’s chamber as shown. What is the
purpose of this modification?

57. Pediatric I.V infusion set.
To produce microdrops.

58. Two tablets (A and B) were dropped into a glass of water
with no effervescence. This picture shows them after a few
minutes. Mention the type of tablet A.
A B

59. This neonate has developed cyanosis and weakness after
administration of an antimicrobial. Identify this adverse effect
and the drug responsible for this.

59. Grey baby syndrome
Chloramphenicol

60. Name the antibacterial available as solution for
nebulisation.

61. Identify this device. Name a drug that can be administered
by this device.

61. Vaginal applicator
Clotrimazole

62. Name a drug that is slowly released by a drug eluting
stent.

63. If a patient is receiving this purple coloured strip of
tablets, what disease is he suffering from? What could be his
type / category of disease?

64. Identify the type of ADR (A,B,C,D,E)
(A) Warfarin induced fetal defects
(B) Rebound hypertension on stopping
clonidine

64a. Type D- delayed
Type E- End of use

65. A reddish orange coloured infusion fluid is running in a
patient. What could be this drug?

66. What is the name of these special boxes and how many
such box(es) will be used to complete the full course of
treatment by a tuberculosis patient?

66. Patient wise box.
Only one box will be used.

67. Name the drug applied as a transdermal patch behind
the ear. Why is it applied here?

67. Scopolamine .
For rapid absorption.

68. A strip containing triple therapy regimen for eradication
of H. pylori is shown. Can we call this a fixed dose drug
combination. Give reasons.
Morning Evening

68. Not a fixed dose combination.
These are separate tablets.

69. Which of the following insulin vials (A or B) contain
regular insulin? Give reasons for your answer.
A B

70. Expand ‘HFA’. What is the purpose of using HFA in a
metered dose inhaler?

70. Hydrofluoroalkanes.
Favours the effective delivery of aerosols in smaller
airways and does not affect ozone layer.

71. Identify the endocrine drug administered orally in
microgram quantities and dispensed in dark colored bottles.

72. Identify this formulation. Name a drug administered by
this formulation.

72. Topical nasal spray
Lignocaine

73. A pictogram used for providing instructions to patients is
shown below. What does it mean?

74. The photo of a patient before and after 6 months of
therapy is shown. Identify the nature of the drug.
Before therapy After six months of
therapy

75. A hypothyroidism patient on Tab. Levothyroxine 50
mcg for 2 months presents with this report. Does this
patient require an increase / decrease / no change in
dose of levothyroxine? Justify.
JIPMER Hospital
26.04.13
Diagnosis : Hypothyroidism
Thyroid stimulating hormone : 7 mIU/L
(Normal value : 0.34 to 4.25 mIU/L)
Reporting Officer

75. Increase the dose.
TSH is more than normal level.

76. A. What does ‘DS’ (shown by a red round) mean?
B. Mention the strength of the individual drug in this
fixed dose combination.

76. Double strength
Trimethoprin160mg + Sulphamethoxazole800mg

77. A.What is the name of the special cap worn by this patient?
B. What is the purpose of wearing it?

77. A. Ice cap
B. To prevent alopecia

78. A. Identify this instrument.
B. What is its use?

78. A. Needle destroyer
B. To break needles

79. Identify the antimicrobial that can cause this adverse
effect.

80. A. What does this pictogram indicate?
B. Name an antibacterial drug that requires this pictogram
for providing instructions to the patient.

80. Do not take with alcohol
Metronidazole

81. A leprosy patient on multidrug therapy developed
crops of painful lesions as shown in the picture.
A. Identify this complication. B. How will you treat it?

81. A. Erythema nodosum leprosum
B. Treated using corticosteroids, clofazimine,
thalidomide

82. A. What does ‘ultramicrosize’ mean?
B. Why are griseofulvin tablets formulated so?

82. A. Very small size.
B. It facilitates the absorption.

83. Name the antimicrobial drug that is available as chewable
tablets.

84. A. Name two places where you can find such boxes in our
institute.
B.What is the purpose of keeping such boxes?

84. A. Clinical pharmacology, All inpatient wards, ADR
Centre
B. To collect ADR reports

85. A. If a tuberculosis patient is dispensed with red colour
patient-wise box, then to what category does he belong to?
B. What is the total duration of therapy for him?

86. Mention one indication for this drug
Dinoprostone gel

87. Mention one contraindication for this drug
Zolmitriptan

88. Mrs Malar, an hypertensive patient receiving drug therapy
for 6 weeks developed the following abnormality in her feet. She
does not have any evidence of heart failure. Name the drug.

89. An ischemic heart disease patient is on the following drugs
Tab. Verapamil 40 mg tds
Tab. Isosorbide dinitrate 10 mg tds
Tab. Aspirin 75 mg od
Tab. Atorvastatin 40 mg od
He complains of severe myalgia.
Identify the possible offending agent

90. What is the major risk involved in prescribing this medication?

91. A patient with past history of peptic ulcer disease developed
severe reactivation following therapy for dyslipidemia.
Name the possible offending agent

92. Name the antihypertensive drug which should be protected
from sunlight when being administered?

93. What dose the following abbreviations in a
doctor’s prescriptions stand for?
• a.c.
• h.s.

93A. To be taken before meals (ante cibum)
To be taken at bed time (hora somni)

94. Name one indication for this drug
Eptifibatide

94. Unstable angina, Adjuvant to coronary artery
thrombolysis

Dr.Rameses, M.D, D.M, F.R.C.P
For : Selyn
48 / Female
Lenin street, Pondicherry.
Diagnosis : Peptic ulcer
R
x
Cap. OMEPRAZOLE 20 mg for 14 days
Advice :
Review after 14 days.
95. Identify at least 2 missing elements in this prescription

95.Date is missing
Address of doctor
Doctor’s contact is missing
Incomplete dosing frequency

96. A. Name the route by which the drug is being injected
B. Give two examples of drug given by this route

96. Subcutaneous
Insulin, Epinephrine

97. A. Give two examples of drug dispensed by this route
along with indication
B. How will you reduce systemic toxicity by this route?

97. A. Ciprofloxacin, Latanoprost
B. Press the medial canthus after administration

98. A. Mention the scientific name of this plant.
B. Name the drug obtained from it. Give its use.

98. Digitalis purpurea
Digoxin, Heart failure

99. Name the source of drug information that you will consult
to find the answer to the following question:
How will you reconstitute PHENYTOIN for i.v infusion?

100. Where will you find this information: What is the generic
name of the drug ‘simcard’?

101(a)Name two drugs which can produce this effect?
(b) Mention one contraindication for these drugs.

101 a. Atropine, phenylephrine
b. Acute angle closure glaucoma

102. Name the technique by which this drug is obtained?

102. Recombinant DNA technology

103. A. Name the source of the drug.
B. Mention one use.

103 A. Sperm of salmon fish
B. Antidote for heparin over dosage

104. This patient was prescribed a drug for her hypertension.
Following the first dose, she developed this. Name the most
probable drug

105. Identify the nature of the drug A
Patient’s condition
Patient on Drug A

106. Site of action of Aldosterone?

107. Which source of information you’d choose to refer to know
the pKa of Lignocaine

108. Below is shown a recording of a isolated frog heart
preparation. Indetify drug X

109. Agent of choice to produce this condition in children?

110. A patient comes to the casualty after consuming rat poison.
You check the box and it reveals the active ingredient to
be 4-hydroxycoumarin.
Name the specific antidote to be used?

111. Name the drug which has all the properties
Anti arrhythmic Anti migraine
Anti hypertensive
Anti anxiety/ anti
tremor

112. Mention mechanism of action and one use

112a. Xanthine oxidase inhibitor
Chronic gout

113. What is this condition?
Mention one drug which can cause this condition.

113a. Gum hypertrophy
Phenytoin

114. What is this condition?
Mention one drug which can cause this condition.

114a. Cushing syndrome
Steroids

115. What is the use of this product. Name one contraindication
for this product.

115a. To treat constipation
Intestinal obstruction

116. A 60 year old man treated with haloperidol for
schizophrenia developed abnormal postures.
Identify the condition. Mention one drug which can be used for
treatment of this condition.

116a. Acute dystonia
Centrally acting anticholinergics

117. Name a drug which can be administered in this route for an
endocrine disorder.

118. Identify the drug package shown. Mention one side effect
of this.

119.Pegvisomant was used for treatment of this
condition. What is this condition.

120. A 1 year old girl was treated with carbamazepine and
developed this condition. Identify.

121. Select the source of drug information (from the ones shown
below) that should be consulted for knowing the brand name of a
drug.
IP
GG
BNF
CIMS

122.Which of the needles shown below can be used for
subcutaneous injection? (Indicate the alphabet)
Mention two advantages of subcutaneous route.
A
B
C
D

122.Ans:
D
Self administration by patients
Longer duration of action

123. Name one indication for using this drug?

123a. Chemotherapy induced vomiting

124. A medical student was found unconscious in his room. His
pulse showed tachycardia and there were signs of IV drug
abuse. There was bilateral pin point pupils. Which of the
following agent is the most likely cause of his condition ?
Morphine Flurazepam Datura Cannabis

125. Which of the following is most likely to cause dystonia ?
Fluoxetine Haloperidol Escitalopram Vigabatrin

126. Name the ideal source for obtaining information regarding
the cost of a vial of 1 g ceftriaxone.
Indian
Pharmacopoeia
Goodman
Gilman
BNF
CIMS

Dr.S.Rameshkumar, M.B.,B.S
23, Mission Street,
Pondicherry.
For : Selvi
48 / Female
Gorimedu, Pondicherry.
Diagnosis : Peptic ulcer
R
x
Cap. OMEPRAZOLE 20 mg for 14 days
Advice :
Take the capsule in the morning 1 hour before food.
Avoid spicy food. Review after 14 days.
127. Identify the missing elements in the prescription

127A. Phone number of doctor
Registration number of doctor
Frequency of tablet intake

128.A carton box of disposable needle is shown
below. What does the value shown by the red
round indicate?

128A. Length of the shaft of the needle

129. What is the purpose of yellow circled part?

129A. Port to inject other medicines

130. What is the name of this device?

131. Identify the route of drug administration. Name one drug
given by this route

131. Route: Intravitreal administration
Drugs administered:
1. Steroids (Triamcinolone acetonide)
2. Bevacizumab
3. Antibiotics: Amikacin, Gentamicin

132. Nissa, 30 years of age, was given drug ‘x’ for hypertension.
She developed swelling of lips and face. What is drug ‘x’?

133. Parts of the infusion set are shown below.
Write their names.

133A A - Roller clamp
B - Auxiliary clamp

134. Name the drug obtained from this source.
Mention one use for this drug.

134. Cinchona officinalis
Quinine – antimalarial

135. Name the instrument and mention its use ?

135. Rotarod
To test the effect of drugs on motor coordination
and balance of an animal.

136. Name one indication for using this drug.

136. 1. Menorrhagia (FDA approved indication)
2. To prevent excessive bleeding in orthopaedic
surgery, Cardio thoracic surgery and
haemophilia

137. A patient became drowsy and unconscious after consuming
few seeds of this plant. Examination shows second degree
heart block. What is the diagnosis?

137. Yellow oleander poisoning

138. A) Name the drug obtained from this source.
B) Mention one use for this drug.

138a. A) Ergotamine
B) Post partum haemorrhage

139. A) A Form commonly used in ward is displayed below.
Identify this form.
B) Name one place in JIPMER where you can obtain it.

139a. A) ADR reporting form
B) ADR monitoring centre -Department of clinical
pharmacology

140. A) Identify the route of administration shown below.
B) Name one advantage of this route of drug
administration.

140. A) Intravenous
B) No first pass metabolism- 100% bioavailability

141. A) A dosage form intended for oral use is shown below.
Write one advantage of this dosage form.
B) Give one example for this dosage form.

141. A)Prevent digestion by the acid present in the
stomach
B)Aspirin

142. A) Effect of drug on Dog’s Blood Pressure is shown below.
Identify Drug B.
B) What could be the possible mechanism for encircled
phenomenon?
A A A
B
HR
Drug A - Acetylcholine

142. A) Atropine
B) Ganglionic (nicotinic) stimulation at higher
doses

143. A patient treated with carbamazepine for epilepsy has
developed a side effect and is shown below . Identify this
adverse drug reaction.

143. Stevens- Johnson Syndrome (SJS)

144. Write the indication for use of this drug

145. A) Name this storage device
B) Write one advantage of this device

145a. A) Vial
B) Multiple doses can be given

146. Name the branches of pharmacology defined in the
following statements
(a) Study of poisonous effects of drugs and other chemicals and
its detection, prevention and treatment
(b) deals with study of drug effects on human

146a. (a) Toxicology
(b) Clinical pharmacology

147. Name two antibiotics available for administration by this
route

148. A) Name one clinical use for this drug
B) Name one adverse effect of this drug

148a. A) Multiple myeloma
B) Teratogenicity- phocomelia

149. A patient treated with an excessive dose of an alkaloid drug for
fever with chills & rigors developed the following symptoms.
Name the alkaloid drug
Headache
Dizziness
Ringing in the ear
Vomiting

150. Mention the scientific name of this plant. Name the drug
obtained from it. Mention one use of it?

150a. Pilocarpus pennatifolius
Pilocarpine

151. A) Name the route by which this drug is to be injected in
humans.
B) Mention the specific CNS ADR that is common to
patients receiving this drug?

151A. (a) IV
(b) Emergent hallucinations

152 (a)Name the specific advantage of this dosage form?
(b)Give one clinical use of this drug.

152 A. (a) Longer duration of action- reduced frequency
of administration
(b) Over active bladder

153. Parts of the infusion set are shown below.
Write their names.

153 Ans: A- Roller clamp
B- Auxiliary clamp

154. What is the total osmolarity of New formula WHO- ORS in 1
litre of water?

155. Oil from the beans of this plant is used for treating
constipation. What is the plant name? (scientific name).

155A. Castor oil - Ricinus communis

156. 24 year old lady developed this condition following
treatment for epilepsy. What is the drug producing this adverse
effect.

157.Name one indication for this drug

158. A patient became delirious after consuming few of these
seeds. Examination showed mydriasis and tachycardia.what is
the diagnosis?

159. Name two specific antagonists of the drug obtained from
this plant?

161. Radha was given drug ‘x’ for partial seizures. Although
her seizures got controlled, she developed gradually
progressive reduction of her visual field. What is the drug x

162.To perform an assay for detecting neostigmine which source
you will refer ?

163. Can phenytoin be mixed with 5 % dextrose for iv infusion?
Name the source for obtaining this information.

163A. British National Formulary

164.Name one indication for using this drug

165. What metabolic adverse effect is common with this drug?

166. What is the advantage of the drug shown below over
carbamazepine?

166 A. Rapidly converted to an active metabolite that
is only glucuronide conjugated but not oxidized

167.a.Mention its use
b.Mention its CNS adverse effect

167.A.(a) Glaucoma
(b) Hypotension and Sedations
Hypotonia, and apnea in infants after
topical brimonidine

168. a.Mention its major potential adverse effect
b.How will you avoid it?

168.A. (a)First dose hypotension & Orthostatic
hypotension
(b)Ask the patient not to get up immediately from
bed. Sit for few minutes

169.A. 1.Schizophrenia
2.Psychosis

171. What does this pictogram depicts?

171A Store the medicine in refrigerator
Don’t freeze.

172. Identify the type of packaging shown below and mention
one advantage.

172A. Blister packing
1.Removal of dosage form is easier
2.Easy Identification of tablets for illiterate
patients

173. Identify the name of the system on the top portion of the
syringe (enlarged view also shown). What is its advantage?

173A. Luer lock system.
To prevent accidental slipping of needle while
injecting.

174. Different intravenous cannulas are shown below. Which one
should be selected for transfusion of blood in an adult patient?
Justify.
A
B
C
D

174A. Grey colour. Gauge number is less and diameter
is large. Helps for easy blood flow.

175. What is the name of the drug container shown below?
Mention one advantage of this container.

175A. Plastic ampoule
B. Easy to break ,safe and free of accidental injuries

176. Identify the part of the infusion set shown below. What
purpose does it serve?

176A a. Roller clamp
b. Controls the rate of infusion.

177. How many millilitre (ml) of syrup will be delivered by
administering 2 teaspoons of it?

178. The vein of a patient was cannulated and is shown below.
What is the major error committed here?

178a. Direction of cannulation is wrong

179. Identify the formulation shown below which is intended for
oral use. For which age group it is most suited?

179a A. Dropper
B. Used for neonates and infants

180. The steps of application of a formulation is shown below
A. Identify this formulation.
B. Name a drug available in this formulation.

180a. Applicaps
Chloramphenicol

181. A child with absence seizures was given drug ‘x’. The child
developed fulminant hepatitis and died within the next 5 days.
What is drug ‘x’?

182. (a) Identify drug X
(b) Name the route of administration of this
formulation
Drug X

183. In the below mentioned picture, what I.P. stands
for?

184. Identify the route of drug administration.

185. Write the indication for use of this drug

185a. Dermatophytosis, Pityriasis versicolor

186. Name the drug delivery device and a drug administered by
this method

186a. Transdermal
Nicotine patch

187. Name the drug obtained from this plant
Mention one contraindication for the drug

188. What is the use of this drug?

188a. Haemorrhagic cystitis caused by
cyclophosphamide

189. Identify the type of ADR (A,B,C,D,E)
(A) Penicillin induced anaphylaxis
(B) Myelosuppression following methotrexate

190. Identify this phenomenon
Drug ↑Ephedrine ↑Ephedrine ↑Ephedrine ↑Ephedrine Mean BP
Dose (µg/kg) 200 200 200 200 mm Hg

191. In which of the following bins will you dispose the wrapper of a
disposable syringe?

191a. Wrapper – general waste should go to black bin

192. Name two conditions in which the drug is used?

192a. Infantile spasms
Partial seizures

193. What is the name of shown device.
Write one advantage.

193A Butterfly/Scalp vein set
Advantage:
1. Flexible tubing reaches more body surface and tolerates more patient
movement.
2. Facilitates venipuncture of thin, rolling, fragile and poorly accessible
veins.
3. Shallow-angle insertion design facilitates venipuncture of very
superficial veins like scalp vein.

194. A model of 40 unit insulin syringe is shown below. Which of the
following points marked as X, Y and Z in the piston should match with
the scale of 15 unit marking to load 15 Units of insulin ?
x Y Z

195. An insulin vial is shown below. What does the encircled part
‘HM’ represent?

195A HM Human monocomponent

196. A modified Murphy’s chamber in infusion set is shown below.
A) What is the purpose of this setup?
B) For what transfusion is it commonly recommended?

196A. A) It filters out large clots and aggregates and
ensures an effective transfusion flow rate.
B) Blood transfusion

197. A patient’s forearm vein was cannulated by an intern and a
swelling developed rapidly during cannulation (indicated by an
arrow).
What could be the possible reason for this?

197A Hematoma due to counter puncture of vein

198.A) Identify the object shown below.
B) Mention one use of this object in Pharmacology.

198A. A) Rabbit Holder
B) Used to immobilize the rabbit by fixing its
neck for the ease of doing experiments like
testing effects of drugs on rabbit eye.

199. The drug commonly used in pharmacological experiment is
shown below.
A) What is the indication of this drug?
B) For which experiment is it commonly used?
Chloralose

199A A) as an anaesthetic agent
B) For acute experiments like recording
invasive BP in dogs and cats.

200 . Identify the drug that can cause this adverse
effect.

200A Sulfonamides, hydralazine

201.Identify the drug available in a glass ampoule
surrounded with cotton wool that can be crushed
for inhalation.

202. What does the symbol ‘inverted black triangle’
(shown by an arrow) in British National Formulary
denote?

202A Intense monitoring needed

203. Name the drug whose infusion bottle should
be covered with black paper.

204. Name this special type of syringe in which an
extra push to the plunger will pull the needle into the
barrel of the syringe after injection.

204A. Auto retractable syringes

205. A symbol used for instructing a patient is shown
below. What is the technical term for these kind of
symbols? Which organisation has developed this?

205A Pictogram
United states Pharmacopoeia

206. Mention the drug that can lead to twin
pregnancy.

207. Identify this dosage form. Give an example of
a drug administered by this dosage form.

207A. Oral dissolving strips/films

208. What is the alternate name for the drug
shown below? What is the rationale behind adding
rice powder in this formulation?

208A. Super ORS
Reduces the stool frequency

209. Identify this special type of tablet and
mention its advantage.

209A Repeat action tablet
Pseudo-ephedrine and cetirizine

210. Name the drug available as enteric coated
granules in a capsule.

211. Identify this tool which is used to monitor
therapy in an epilepsy patient.

212. Name the CNS drug that causes prolongation
of QRS and QT interval, right axis deviation and
ventricular arrhythmia at overdose.

212A. Tricyclic antidepressants: Imipramine

213. This photo shows drug addicts who
developed a disorder suddenly due to an impurity
in the illicit drug. Identify the disorder & mention its
treatment.

213A Toxin induced parkinsonism due to MPTP
Central anticholnergics: Trihexyphenidyl

214. Identify the oral hypoglycemic drug which
received this BLACK BOX warning
WARNING: CONGESTIVE HEART FAILURE
…………………….. can cause or exacerbate
congestive heart failure. After drug
initiation and dose increase, observe
the patients carefully for signs and
symptoms of heart failure (including
excessive rapid weight gain, dyspnoea,
edema)

215. Name the benzodiazepine given
through this route for control of seizures?

216. What is the therapeutic gas contained in this
cylinder?

217. Identify the instrument? Name 2 drugs
measured with this instrument in this
department?

217A. High performance liquid chromatography
Phenytoin, carbamazepine

218. Identify this phenomenon
Drug ↑Ephedrine ↑Ephedrine ↑Ephedrine ↑Ephedrine Mean BP
Dose (µg/kg) 200 200 200 200 mm Hg

219. Identify the drug that causes the following
features as adverse effects?
Hyperthyroidism
Hypothyroidism
Corneal microdeposits
Pulmonary fibrosis Photosensitivity

220. Mention the indication for ORAL
vancomycin capsules

220a. Pseudomembranous Colitis due to
clostridium difficile

221. What specific instruction to be given to a
patient receiving this dosage form?

221A. Tablets should not be crushed or divided

222. Name the drug that is given along with this
anesthetic to reduce pain associated with its
injection?

223. Identify the drug X
Drug X
Closes
K+ channel

224. Name one toxicity caused by doxorubicin?

225. A child with varicella was given this drug
and developed severe ADR. Name the ADR.

226. A patient with SLE was given drug therapy and
she developed change in her face and body
contour. What could be the possible drug
ingested?

227. How will you perform an assay for the drug
neostigmine? Name the source for obtaining this
information.

228. Identify the route of drug administration and
Name one advantage and one disadvantage of
this route

228A. Intramuscular route
• Advantages: Rapid onset of action, mild
irritants can be given, gastric factors avoided,
first pass metabolism avoided
• Disadvantages:
Local pain and abscess, infection, nerve damage,
only upto 10ml drug can be given, expensive

229. What metabolic adverse effect is common
with this drug?

229A. Hyperglycemia and diabetes

230. Identify the route of drug administration.
Name one contraindication for this route.

230A. Intravenous route
Local site infection

231. Identify this ADR common in HIV patients
receiving HAART.

232. Explain the following effect of acetyl
choline?
Drug
Dose (µg/kg)
BP
mm/Hg

232A. Nicotinic effect of acetylcholine

233. Name one indication for using this drug?

234 (a) Identify this laboratory animal.
(b) Expand CPCSEA

234A. Swiss albino mice (Mus musculus)
Committee for the Purpose of Control and
Supervision of Experiments on Animals

235. Name this drug. Give its indication.
Mention the route through which this drug
can be administered?

235A. Insulin
Diabetes mellitus
Subcutaneous route

236. Identify this famous physician. What is
his contribution to pharmacology?

236A. Alexander Fleming
Penicillin

237. Mention the route through which the
drug is injected? Name one drug given
through this route. Give its indication.

237A. Subcutaneous route
Insulin
Diabetes mellitus

238. Identify this drug from the following
points. Write its source.
1.Positive inotropy
2.Cardiac failure
3.Bradycardia
4.Hyperkalemia

239. Identify this clinical scenario. Name one drug
causing this disease.

239A. Cushing syndrome
Prednisolone

240. Identify this drug.
What is its major side effect ?
R

240A. Beta lactams
Anaphylaxis

241. Name two drugs that affects both the
organs shown below.

241A. Aminoglycosides
Loop diuretics
Vancomycin

242. The following statement explains the side
effect of particular drug. Identify the drug.
'hot as a hare, red as a beet, dry
as a bone, blind as a bat and
mad as a hatter’

243. What is the type of antagonism observed?
Give one example .

243A. Competitive antagonism (equilibrium
type)
Examples
– Acetylcholine, Atropine
– Morphine, Naloxone

244. Name one specific drug acts by this
mechanism and used for this condition.
Name two common ADR for that drug.

244A. Minoxidil
• Dermatological reaction
– Local irritation, itching, burning sensation
• Systemic side effects
– (Headache, dizziness, palpitation)

245. Name two drugs acts by blocking the
complex circled red in this figure.

245A. Abciximab
Eptifibatide
Tirofiban

246. Name the drug derived from this
organism.
Mention the clinical use of that drug.

246A. Hirudin
– Polypeptide anticoagulant secreted by salivary
glands of leech
Anticoagulant (in patients with heparin
induced thrombocytopenia)

247. Name one drug which block the encircled.
Mention one use of that drug.

247A. Aliskiren
Treatment of essential hypertension

248. Name two drugs which acts as
anti-arrythmic by blocking phase 4 .

248A. Beta blockers
– Propranolol, Sotalol, Esmolol

249. Patient on WARFARIN should
avoid all these. Why?

249A. Vitamin K rich food items
Vitamin K antagonizes warfarin action

250. Identify the drug acting through the following
mechanism.

251A. Pyridoxine- abolishes therapeutic effect
by enhancing peripheral decarboxylation of
levodopa

252. Identify the compound X responsible for
drug induced hemorrhagic cystitis
Compound X

253. Name the ideal source for obtaining
information regarding generic name of flagyl.
IP
GG
BNF
CIMS

254. Identify Drug X and Drug Y
Drug X Drug Y

254A. Drug X – Vinca alkaloids
Drug Y - Paclitaxel

255. What is this type of data distribution?
What is the relationship between mean and
median in this distribution?

255A. Normal distribution (Gaussian)
Mean = Median

ADH
256. Name a drug mimicking the following
hormone.

257. What is the name of this graph?

258. What is the name of this graph?
Mention the use.

258A. Rumack – Matthew nomogram
(Acetaminophen nomogram)
• To identify the possibility of liver toxicity and
to decide on the N-acetyl cysteine treatment.

259. What is the drug obtained from the
sperm of following source? Mention the
use of the drug.
Salmon fish

259A. Protamine sulfate
Heparin overdose

260. Mrs Radha underwent liver transplant and was
given drug ‘X’ to prevent graft rejection. After 6 months
she developed this condition in her oral cavity. What
can be the drug ‘X’?

261. Hashi, 40 years of age, was given drug ‘X’ for
rheumatoid arthritis. She developed Bull’s eye
maculopathy. What can be the drug ‘X’?.

262. Name two antimicrobials that require
dose adjustment in the renal disease
conditions.

262A. Gentamicin, vancomycin, amphotericin B,
Cephalexin

263. Indicate one use of the following drug and
mention one advantage of this drug delivery
system.

263A. Analgesic (e.g. cancer pain), also in anaesthesia
Adv: first pass metabolism avoided, releases drug at
sustained level for longer duration, compliance is
better

264. Give one example each for blocking the
following enzymes.

265 (A) Name the route by which this drug is to be
injected in humans. (B) Mention the specific CNS
effect that is common to patients receiving this
drug.

265A. (A) i.m. or slow i.v. (B) dissociative anaesthesia

266. (A) Name the specific advantage of this
dosage form?
(B) Give one clinical use of this drug.

Ans. (A) releases drug slowly and steadily to maintain
effective blood levels (B) urinary incontinence

267. Name one drug which blocks the following
channel and give its use.

267A. Lignocaine, local anaesthesia

268. What is the route of administration shown here?

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