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Review of Pharmacology - 9E (2015)

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Autonomic Nervous System<br />

88<br />

<strong>Review</strong> <strong>of</strong> <strong>Pharmacology</strong><br />

(c) β 2<br />

blocker<br />

(d) Antioxidant<br />

(e) Used in hypertension<br />

183. True about esmolol is: (PGI June, 2003)<br />

(a) It is an α-blocker<br />

(b) It has no intrinsic sympathomimetic activity<br />

(c) It has a long half life<br />

(d) It is a cardioselective β-blocker<br />

(e) It can precipitate heart failure<br />

184. True about esmolol is: (PGI June, 2003)<br />

(a) It is a cardioselective β-blocker<br />

(b) It increases airway resistance<br />

(c) It causes tachycardia<br />

(d) Its t ½ is 4 hrs<br />

(e) It has negative inotropic activity (PGI Dec. 2002)<br />

185. β-blockers with intrinsic sympathomimetic properties<br />

are: (PGI Dec. 2002)<br />

(a) Propanolol<br />

(b) Oxprenolol<br />

(c) Pindolol<br />

(d) Esmolol<br />

(e) Butoxamine<br />

186. Properties making cardioselective beta-blockers<br />

desirable are: (PGI June, 2002)<br />

(a) Less bronchoconstriction<br />

(b) Less adverse effect on lipid pr<strong>of</strong>ile<br />

(c) Less likely to cause glucose intolerance<br />

(d) May be used in Raynaud’s disease<br />

(e) Less liable to impair exercise capacity<br />

187. The property which makes betaxolol different from<br />

timolol is that betaxolol:<br />

(a) Is a β 1<br />

selective blocker<br />

(b) Is more efficacious in glaucoma<br />

(c) Produces less ocular side effects<br />

(d) Is shorter acting<br />

188. A drug ‘X’ is an α adrenergic blocker but paradoxically<br />

produces vasoconstriction. ‘X’ is:<br />

(a) Phenoxybenzamine<br />

(b) Ergotamine<br />

(c) Prazosin<br />

(d) Tolazoline<br />

189. An old man Baba comes to you and is diagnosed to be<br />

having benign hypertrophy <strong>of</strong> prostate. The drug which<br />

provides faster and greater symptomatic relief to this<br />

patient will be:<br />

(a) Terazosin<br />

(b) Desmopressin<br />

(c) Finasteride<br />

(d) Sildenafil<br />

190. Beta adrenergic blocker having cardioselectivity,<br />

intrinsic sympathomimetic activity and membrane<br />

stabilizing property is:<br />

(a) Carvedilol<br />

(b) Atenolol<br />

(c) Acebutolol<br />

(d) Metoprolol<br />

191. Propanolol, a non-selective beta blocker can be<br />

prescribed to decrease anxiety associated with:<br />

(a) Chronic neurotic disorder<br />

(b) Schizophrenia<br />

(c) Short term stressful situations<br />

(d) Endogenous depression<br />

192. All <strong>of</strong> the following are features <strong>of</strong> metoprolol in<br />

comparison to propanolol except:<br />

(a) It is ineffective in suppressing muscle tremor<br />

(b) It is safer in diabetics<br />

(c) It is less likely to cause bradycardia<br />

(d) It is less likely to worsen Raynaud’s disease<br />

193. Which <strong>of</strong> the following effects <strong>of</strong> adrenaline would be<br />

blocked by phentolamine but not by propanolol?<br />

(a) Cardiac stimulation<br />

(b) Relaxation <strong>of</strong> bronchial smooth muscle<br />

(c) Relaxation <strong>of</strong> the uterus<br />

(d) Contraction <strong>of</strong> the radial smooth muscle in the iris<br />

194. Propanolol is useful in the treatment <strong>of</strong> all <strong>of</strong> the<br />

following except:<br />

(a) Angina<br />

(b) Partial atrioventricular block<br />

(c) Idiopathic hypertrophic subaortic cardiomyopathy<br />

(d) Familial tremor<br />

195. Adverse effects that limit the use <strong>of</strong> adrenoceptor<br />

blockers include:<br />

(a) Bronchoconstriction from α blocking agents<br />

(b) Heart failure exacerbation from β blockers<br />

(c) Impaired blood sugar response with α blockers<br />

(d) Increased intraocular pressure with β blockers<br />

196. An old patient Ram Kishore having asthma and<br />

glaucoma is to receive a β blocker. Regarding β blocking<br />

drugs: (Karnataka 2005)<br />

(a) Metoprolol blocks β 2<br />

receptors selectively<br />

(b) Esmolol’s pharmacokinetics are compatible with<br />

chronic topical use<br />

(c) Nadolol lacks β 2<br />

blocking action<br />

(d) Timolol lacks the local anaesthetic effects <strong>of</strong> propanolol<br />

197. Which <strong>of</strong> the following drug is a third generation<br />

β-blocker?<br />

(a) Propanolol<br />

(b) Timolol<br />

(c) Nadolol<br />

(d) Nebivolol<br />

198. In a patient Kishore having hypertension, propanolol<br />

was given. Though the drug controlled hypertension<br />

but it reduced resting heart rate to 50/min. Which <strong>of</strong><br />

the following β blockers can be used in this patient<br />

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