This document contains a series of multiple choice questions related to pharmacology. The questions cover topics such as: which drug is a sulfonamide with anti-epileptic effects; which P450 isoenzyme metabolizes certain drugs; the water content and volumes of different body compartments; drug mechanisms like carbonic anhydrase inhibitors; routes of administration; drug binding proteins; classes of antihypertensives; lipid proteins; chemotherapy drugs; diabetes types; opioid properties; antipsychotics; and treatments for conditions like migraine, arrhythmias, anxiety and depression. Answer options for each multiple choice question are provided.
Effects of Oral Administration of Selected Food Seasonings Consumed in Nigeri...iosrjce
The objective of this study was to evaluate the effect of 4 selected food seasonings (labeled IS,
KC, SMC and BS) commonly consumed in Nigeria on some sex hormones- Testosterone, Estrogen and
Progesterone of wistar albino rats.
Method: A total of 117 male and female rats with average weight of 120g were used. Animals were grouped
into 5 groups, with 9 rats in each group. Group 1 represents the control, while group 2-5 represents the
treatment group. Oral administration of 1mg/g, 2mg/g and 4mg/g body weight of each seasoning were
administered to rats in the treatment group. Those in the control group received growers mash and water. From
each group, 3 rats were sacrificed weekly for 3 weeks to determine the serum concentrations of these sex
hormones.
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones
Effects of Oral Administration of Selected Food Seasonings Consumed in Nigeri...iosrjce
The objective of this study was to evaluate the effect of 4 selected food seasonings (labeled IS,
KC, SMC and BS) commonly consumed in Nigeria on some sex hormones- Testosterone, Estrogen and
Progesterone of wistar albino rats.
Method: A total of 117 male and female rats with average weight of 120g were used. Animals were grouped
into 5 groups, with 9 rats in each group. Group 1 represents the control, while group 2-5 represents the
treatment group. Oral administration of 1mg/g, 2mg/g and 4mg/g body weight of each seasoning were
administered to rats in the treatment group. Those in the control group received growers mash and water. From
each group, 3 rats were sacrificed weekly for 3 weeks to determine the serum concentrations of these sex
hormones.
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones
Therapeutic Drug Monitoring (TDM)
Discuss the logic for therapeutic drug monitoring, which refer to as (TDM)
List various classes of drugs that require TDM
General description of this therapeutic drag TD
Discuss the proper sample timing and method for TDM
And Discuss analytical methods available for TDM
List various drugs that not require TDM
Steady state
Therapeutic Drug Groups
Digoxin, quinidine, procainamide, disopyramide.
- Aminoglycosides (amikacin, gentamicin, kanamycin, tobramycin) - vancomycin
leucovorin rescue ?
First-pass metabolism
HPLC methods
CLINICAL TOXICOLOGY QUESTIONS PDF.
Clinical toxicolgy dealt with the toxicity of the medicine in the human body once used at the higher dose . beside of clinical toxicology there are forensic toxicology that dealwith environment . toxicology is the wide course that has many field of applications.
Management Strategies for Dyslipidemia & Sitosterolemia: Summarized Catchpoin...RxVichuZ
This work mainly deals with cholesterol transport mechanisms, the various types of hyperlipoproteinemias, and the drugs used to combat cholesterol excess.
A very precise insight into drugs, their mechanisms, efficacy & adverse effects have been explained.
A separate section on NEWER DRUGS for hypercholesterolemia(including drugs in clinical trials) have also been mentioned.
A separate category on SITOSTEROLEMIA, their effects & management has been mentioned too.
Do go through this and submit your reviews!!
Thank You!
- RxVichuZ! ;)
Antidepressants /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Therapeutic Drug Monitoring (TDM)
Discuss the logic for therapeutic drug monitoring, which refer to as (TDM)
List various classes of drugs that require TDM
General description of this therapeutic drag TD
Discuss the proper sample timing and method for TDM
And Discuss analytical methods available for TDM
List various drugs that not require TDM
Steady state
Therapeutic Drug Groups
Digoxin, quinidine, procainamide, disopyramide.
- Aminoglycosides (amikacin, gentamicin, kanamycin, tobramycin) - vancomycin
leucovorin rescue ?
First-pass metabolism
HPLC methods
CLINICAL TOXICOLOGY QUESTIONS PDF.
Clinical toxicolgy dealt with the toxicity of the medicine in the human body once used at the higher dose . beside of clinical toxicology there are forensic toxicology that dealwith environment . toxicology is the wide course that has many field of applications.
Management Strategies for Dyslipidemia & Sitosterolemia: Summarized Catchpoin...RxVichuZ
This work mainly deals with cholesterol transport mechanisms, the various types of hyperlipoproteinemias, and the drugs used to combat cholesterol excess.
A very precise insight into drugs, their mechanisms, efficacy & adverse effects have been explained.
A separate section on NEWER DRUGS for hypercholesterolemia(including drugs in clinical trials) have also been mentioned.
A separate category on SITOSTEROLEMIA, their effects & management has been mentioned too.
Do go through this and submit your reviews!!
Thank You!
- RxVichuZ! ;)
Antidepressants /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
13. ❂ Which drug is an estrogen receptor antagonist?
1) Chlorpromazine
2) Propranolol
3) Tamoxifen
4) Naloxone
14. ❂Which drug is responsible for blocking the renal tubule
Na+ channel?
1) Amiloride
2) Tetrodotoxin
3) Local anaesthetics
4) Divalent cations(cd+2)
15. ❂ Which substance is a dopamine (D2) receptor agonist?
1) Ethinylestradil
2) Bromocriptine
3) Isoprenaline
4) Vareniciline
16. ❂ Which drug inhibits thymidine kinase enzyme?
1) Saquinavir
2) Sildenafil
3) Aciclovir
4) Captopril
17. ❂ Which drug is responsible for producing neutropenia
and agranulocytosis?
1) Thioureylenes
2) Levothythyroxine
3) Liothyronine
4) Radioiodine
18. ❂ The drug entacapone acts on the
___________________ enzyme.
1) Monoamine oxidase (MAO-B)
2) Dopamine hydroxylase
3) DDC (dopamine decarboxylase)
4) COMT(catechol ortho-methyl transferase)
19. ❂ Which drug increases guanyl cyclase activity?
1) Epoprostenol
2) Glyceryl trinitrate
3) B2-adrenoceptor
4) Adenosine
20. ❂ The following drugs are directly acting vasodilators
except one :
1) Nifedipine
2) Diltiazem
3) Ramipril
4) Verapamil
21. ❂ Which drug is a renin inhibitor?
1) Losartan
2) Ramipril
3) Hydralazine
4) Aliskiren
22. ❂ Which antihypertensive drug class possess highest
postural hypotension side effect?
1) Thiazide diuretics
2) ACE inhibitors
3) Alpha1-adrenoceptor antagonists
4) B-adrenoceptor antagonists
23. ❂ Which antihypertensive drug class has the highest
level of impotence side effects?
1) ACE (Angiotensin-converting-enzyme) inhibitors
2) Thiazide diuretics
3) AT1 (angiotensin II type 1 receptor) antagonists
4) B-adrenoceptor antagonist
24. ❂ The normal systolic pulmonary pressure range in
adults is _________________.
1) 5 mmHg
2) 15 mmHg
3) 10 mmHg
4) 20 mmHg
25. ❂ Which medicine is used in Raynaud's disease?
1) Carvedilol
2) Bisoprolol
3) Nifedipine
4) Bosentan
26. ❂ Which lipoprotein contains the apoB-100 protein?
1) LDL particle
2) HDL particle
3) VLDL particle
4) Chylomicrons
27. ❂ Which lipoprotein contains the apoB-48 protein?
1) HDL particle
2) VLDL particle
3) LDL particle
4) Chylomicrons
28. ❂ What is the particle size of HDL (high density
lipoprotein ) ?
1) 7-20 nm
2) 20-30 nm
3) 30-80 nm
4) 100-1000 nm
29. ❂ Which condition is a risk factor for atheromatous
disease?
1) Raised low density cholesterol
2) Raised high density cholesterol
3) Reduced high density cholesterol
4) Diabetes mellitus
5) More than one option
31. ❂ Nicotinic acid acts on which receptor to produce its
lipid-lowering property?
1) HM73A
2) HM74A
3) HM71A
4) HM72A
32. ❂ The following antimetabolite drugs act on the purine
pathway except one:
1) Fludarabine
2) Cladibrime
3) Tegafur
4) Nelarbime
33. ❂ Which drug is used in the treatment of germ cell
tumors?
1) Lomistine
2) Cisplatin
3) Cyclophosphamide
4) Busulfan
34. ❂ Which cytotoxic drug is used as an antiemetic agent?
1) Nabilone
2) Tamoxifen
3) Etoposide
4) Paclituxel
35. ❂ MODY (maturity onset diabetes of the Youth) is part of
which type of diabetes?
1) TYPE-2 diabetes
2) TYPE-1 diabetes
3) Gestational diabetes
4) Diabetes insipidus
36. ❂ Which drug has mixed agonist-antagonist (K agonist and mu
receptor antagonist or weak partial agonist) property?
1) Etorphine
2) Codeine
3) Nalorphine
4) Dextropropoxyphene
37. ❂ Which opioid analgesic is primarily used in postoperative
pain?
1) Codeine
2) Tramadol
3) Dextropropoxyphene
4) Remifentanil
38. ❂ Which is a long acting opioid antagonist?
1) Naltrexone
2) Naloxone
3) Pentazocine
4) Alvimopan
39. ❂ The following are typical antipsychotic drugs except
one:
1) Promazine
2) Chlorpromazine
3) Haloperidol
4) Clozapine
40. ❂ Which antipsychotic drug causes agramocytosis?
1) Amisulpride
2) Flupentixol
3) Clozapine
4) Decanoate
41. ❂ Which drug is responsible for producing jaundice?
1) Chlorpromazine
2) Clozapine
3) Olanzapine
4) Flupentixol
42. ❂ Which medicine is used in the prevention of
migraine?
1) Somatriptan
2) Fluoxetine
3) Ondansetron
4) Pizotifen
43. ❂ Which medicine is used for the treatment supraventricular
tachycardia?
1) Atropine
2) Adrenaline
3) Adenosine
4) Digoxin
44. ❂ Which medicine is used for anxiety?
1) Buspirone
2) Somatriptan
3) Ondansetron
4) Fluoxetine
45. ❂ Which medicine is used for depression?
1) Pizotifen
2) Buspirone
3) Fluoxetine
4) Somatriptan