Top 150+ Solved Pharmacology MCQ Questions Answer

From 1 to 15 of 113

Q. All of the following are true regarding penicillins EXCEPT

a. Most penicillins only cross the blood brain barrier when the meninges are inflamed.

b. Penicillins don’t require dosage adjustment in renal failure

c. Penicillins inhibit cross linkage of peptidoglycans in the cell wall

d. Piperacillin is a penicillin active against pseudomonas

e. Only about 5 to 10% of people with a past history of penicillin allergy have a reaction on re exposure

  • b. Penicillins don’t require dosage adjustment in renal failure

Q. Ciprofloxacin

a. Is a defluorinated analogue of nalidixic acid

b. Inhibits tropoisomerases 2 and 3

c. Has no gram positive cover

d. Has a bioavailability of 30%

e. May cause an arthropathy

  • e. May cause an arthropathy

Q. Resistance to B lactams

a. Can be due to an efflux pump

b. Is most commonly due to modification of the target PBPs

c. Does not involve penetration of drug to target PBPs

d. Infers resistance only to penicillinc

e. Can involve up to 5 different B lactamases

  • a. Can be due to an efflux pump

Q. Macrolides

a. Have enhanced activity at acidic pH

b. Have little activity against legionella

c. Have half lives which increase in patients with anuria

d. Induce cytochrome p450 enzymes

e. Are contraindicated in neonates

  • c. Have half lives which increase in patients with anuria

Q. Flucloxacillin

a. Is ineffective against streptococci

b. Is active against enterococci and anaerobes

c. Blocks transpeptidation and inhibits peptidoglycan synthesis

d. Is poorly absorbed orally

e. Has excellent penetration into CNS and prostate

  • c. Blocks transpeptidation and inhibits peptidoglycan synthesis

Q. All of the following inhibit nucleic acid synthesis EXCEPT

a. Norfloxacillin

b. Chloramphenicol

c. Trimethoprim

d. Rifampicin

e. Sulfasalazine

  • b. Chloramphenicol

Q. Which of the following is a second generation cephalosporin?

a. Cefaclor

b. Ceftazidime

c. Cephalexin

d. Cefotaxime

e. Cephalothin

  • a. Cefaclor

Q. Regarding the pharmacokinetics of the tetracyclines

a. Tetracyclines are 40 to 80 % bound by serum proteins

b. Absorption is enhanced by coadministration of antacids

c. Tetracyclines cross the blood brain barrier easily

d. Doxycycline is excreted predominantly by the kidney

e. Demeclocyline is a short acting tetracycline drug

  • a. Tetracyclines are 40 to 80 % bound by serum proteins

Q. All of the following are recognized adverse effects of isoniazid EXCEPT

a. Hepatitis

b. Peripheral neuropathy

c. Retrobulbar neuritis

d. Decreased phenytoin metabolism – increased phenytoin blood levels / toxicity

e. CNS toxicity

  • c. Retrobulbar neuritis

Q. Vancomycin

a. 90% of vancomycin is excreted by glomerular filtration

b. Inhibits proteinsynthesis in bacteria

c. Is bactericidal against gram negative bacilli

d. Is well absorbed from the GIT

e. One adverse reaction to infusions of vancomycin is the “blue man” syndrome

  • a. 90% of vancomycin is excreted by glomerular filtration

Q. Regarding mechanisms of antiviral drug action

a. blockage of viral uncoating is caused by rifampicin

b. Zidovudine is a protease inhibitor

c. Amantidine blocks viral DNA packaging and assembly

d. Indinavir is a reverse transcriptase inhibitor

e. Acyclovir inhibits viral DNA synthesis

  • e. Acyclovir inhibits viral DNA synthesis

Q. Regarding toxicity of antibiotics

a. Enamel dysplasia is common with aminoglycosides

b. Gray baby syndrome occurs with rifampicin use

c. Haemolytic anaemias can occur with sulphonamide use

d. Nephritis is the most common adverse reaction with isoniazid

e. Disulfiram like reaction can occur with macrolides

  • c. Haemolytic anaemias can occur with sulphonamide use

Q. Chloramphenicol

a. Does not penetrate the blood brain barrier

b. Must be administered parenterally

c. Can be safely used in premature infants

d. Can cause depression of bone marrow function

e. Can cause discoloration of developing teeth when given to children

  • d. Can cause depression of bone marrow function

Q. Spironolactone

a. Has a steroid structure

b. Is a partial agonist

c. Promotes sodium retention

d. Increases potassium loss

e. Is a loop diuretic

  • a. Has a steroid structure

Q. Which of the following drugs cause diuresis by the mechanisms indicated?

a. Ethanol – by preventing the reabsorption of sodium from renal tubular fluid

b. Digoxin – by inhibiting release of ADH

c. Dopamine – by inhibiting active transport of chloride over the entire length of the descending limb of the loop of Henle

d. Frusemide – by inhibiting carbonic anhydrase

e. Chlorothiazide – by inhibiting active sodium transport in the ascending limb of the loop of Henle

  • e. Chlorothiazide – by inhibiting active sodium transport in the ascending limb of the loop of Henle
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