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Review of Pharmacology - 9E (2015)

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Cardiovascular System<br />

186<br />

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

163. All are dihydropyridines except: (Jharkhand 2006)<br />

(a) Nifedipine<br />

(b) Nimodipine<br />

(c) Verapamil<br />

(d) Felodipine<br />

164. The major clinical use <strong>of</strong> nimodipine is in:<br />

(a) Hypertension (Karnataka 2006)<br />

(b) Angina pectoris<br />

(c) Subarachnoid haemorrhage<br />

(d) Raynaud’s phenomenon<br />

165. When nitrates are combined with calcium channel<br />

blockers: (Karnataka 2006)<br />

(a) Arterial pressure will decrease<br />

(b) Heart rate will increase<br />

(c) Ejection time will decrease<br />

(d) End-diastolic volume will increase<br />

166. Calcium channel blocker with maximum effect on<br />

conduction in heart is: (DPG 2007)<br />

(a) Phenylamine<br />

(b) Nifedipine<br />

(c) Diltiazem<br />

(d) Verapamil<br />

ARRHYTHMIA<br />

167. All are toxicities seen with amiodarone therapy except:<br />

(a) Pulmonary fibrosis (AIIMS May 2009)<br />

(b) Corneal microdeposits<br />

(c) Cirrhosis <strong>of</strong> liver<br />

(d) Productive cough<br />

168. True about quinidine is/are: (PGI Dec. 2004)<br />

(a) It increases effective refractory period<br />

(b) Used in hypertension<br />

(c) Causes paradoxical tachycardia<br />

(d) It decreases absolute refractory period<br />

(e) Cinchonism is seen<br />

169. Drug <strong>of</strong> choice for supraventricular tachycardia is:<br />

(a) Verapamil<br />

(AI-2008)<br />

(b) Diltiazem<br />

(c) Digoxin<br />

(d) Phenytoin<br />

170. Which <strong>of</strong> the following drugs can cause Torsades’de<br />

pointes?<br />

(AI-2008)<br />

(a) Quinidine<br />

(b) Lignocaine<br />

(c) Esmolol<br />

(d) Flecainide<br />

171. Which <strong>of</strong> the following is not an adverse effect <strong>of</strong><br />

chronic amiodarone therapy? (AI 2004)<br />

(a) Pulmonary Fibrosis (RJ 2007, 2003)<br />

(b) Hypothyroidism<br />

(c) Hyperthyroidism<br />

(d) Systemic lupus erythematosis<br />

172. Which <strong>of</strong> the following anti-arrhythmic agents does not<br />

belong to class Ic? (AIIMS Nov 2006)<br />

(a) Tocainide<br />

(b) Encainide<br />

(c) Flecainide<br />

(d) Propafenone<br />

173. The following statement is not true about sotalol:<br />

(AIIMS May, 2003)<br />

(a) It is a non-selective beta-blocker<br />

(b) It prolongs action potential duration throughout the<br />

heart<br />

(c) It is excreted through bile following hepatic metabolism<br />

(d) Polymorphic ventricular tachycardia is a common<br />

side-effect<br />

174. In a patient <strong>of</strong> congenital prolonged QT syndrome<br />

and intermittent Torsades de pointes, which <strong>of</strong> the<br />

following should be prescribed: (AIIMS Nov, 2001)<br />

(a) Magnesium sulphate<br />

(b) Metoprolol<br />

(c) Cardiac pacing<br />

(d) Isoprenaline<br />

175. Antiarrhythmic drugs causing torsades de pointes are:<br />

(a) Quinidine (PGI June, 2003)<br />

(b) Disopyramide<br />

(c) Procainamide<br />

(d) Lidocaine<br />

(e) Propanolol<br />

176. Urgent treatment <strong>of</strong> procainamide toxicity is:<br />

(a) Calcium chelation<br />

(b) KCl<br />

(c) Nitroprusside<br />

(d) Sodium lactate<br />

177. All <strong>of</strong> the following drugs can be used for the chronic<br />

oral treatment <strong>of</strong> arrhythmia except:<br />

(a) Amiodarone<br />

(b) Esmolol<br />

(c) Quinidine<br />

(d) Verapamil<br />

178. The anti-arrhythmic drug <strong>of</strong> choice in most <strong>of</strong> the cases<br />

<strong>of</strong> acute paroxysmal supraventricular tachycardia is:<br />

(a) Adenosine<br />

(b) Amiodarone<br />

(c) Propanolol<br />

(d) Quinidine<br />

179. Drugs that consistently reduce the potassium repolarising<br />

current and thereby prolong the action potential<br />

duration include all <strong>of</strong> the following except:<br />

(a) Amiodarone<br />

(b) Lignocaine<br />

(c) Quinidine<br />

(d) Sotalol<br />

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