Pharmacology questions PDF

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Past Paper Questions: Pharmacology EMQ 1.0 – Drug interactions: choose the most likely complication

1. A 79-year old lady with osteoarthritis and worsening heart failure is prescribed lisinopril 2.5mg daily. Existing medication is co-amilofruse 2 tablets twice daily and diclofenac 50mg 3 times daily.

(d)

2. A 64-year old man is under treatment for hypertension. Previous medical history includes myocardial infarction. Because of poor blood pressure control, verapamil 240mg once daily is added to pre-existing therapy of bendrofluazide 2.5mg and Atenolol 100mg daily.

(f)

3. An 18-year old student, taking the oral contraceptive pill, is prescribed ampicillin for an URTI.

(h)

4. A 42-year old female is admitted with a swollen red calf. She is treated for a (c) suspected deep venous thrombosis with tinzaparin and warfarin. During the admission she is commenced on erythromycin four times daily for a suspected chest infection.

5. A 70-year old man is maintained on phenytoin 350mg daily for epilepsy. He (a) has been seizure free but has suffered an ischaemic stroke for he is prescribed aspirin as secondary prophylaxis.

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j)

Ataxia Atrial fibrillation Haemorrhage Hyperkalaemia Hypokalaemia Hypotension Neutropenia Pregnancy Seizures Thromboembolism

Past Paper Questions: Pharmacology EMQ 1.1 – Drug side effects: choose the most likely culprit drug

1. Bronchospasm

(j)

2. Pneumonitis

(b)

3. Jaundice

(?d)

4. Anaphylaxis

(h)

5. Retroperitoneal fibrosis

(f)

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j)

Aminophylline Amiodarone Captopril Chlorpromazine Insulin Methysergide Metoclopramide Penicillin Pizotifen Propanolol

Past Paper Questions: Pharmacology EMQ 1.2 – Therapeutics: choose the most likely treatment.

1. A 62-year old man with an 8-week history of angina of effort, occurring several times per week. He has a past history of asthma.

(j)

2. A 22-year old woman with a 2 month history of weight loss, increased sweating, palpitation, and anterior neck swelling.

(e)

3. A 73-year old man with acute exacerbation of COPD associated with a purulent spit. He is known to have a penicillin allergy.

(g)

4. A 43-year old woman with a 4 month history of increasing pain and stiffness (i) in both hands. Examination shows swelling and tenderness of the PIP and MCP joints of both hands.

5. A 40-year old man with a 20 year history of insulin dependent diabetes mellitus who has developed sustained, moderate hypertension (BP 140/105)

(a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k)

Ampicllin Atenolol Benzhexol Carbamazepine Carbimazole Enalapril Erythromycin Gentamicin Ibuprofen Isosorbide Mononitrate Paracetamol

(f)...