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Review of Pharmacology - 9E (2015)

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

Gastrointestinal Tract<br />

(c) 3-5 days<br />

(d) 6-10 days<br />

32. All are H 2<br />

blocker except: (Jharkhand 2003, 2004)<br />

(a) Omeprazole<br />

(b) Cimetidine<br />

(c) Famatodine<br />

(d) Ranitidine<br />

33. The following appears to affect the integrity <strong>of</strong> the<br />

adherent gel <strong>of</strong> sucralfate interfering with its action:<br />

(a) Antacids (TN 1991) (AP 2001)<br />

(b) Food<br />

(c) Mucin<br />

(d) Proteins in foodstuffs<br />

34. A patient presents with Zollinger-Ellison syndrome<br />

due to gastrinoma. He has two bleeding ulcers and<br />

diarrhoea. A drug that irreversibly inhibits the H + /K +<br />

ATPase in gastric parietal cells is:<br />

(a) Cimetidine (Karnataka 2007)<br />

(b) Cisapride<br />

(c) Glycopyrrolate<br />

(d) Omeprazole<br />

Anti-emetics and gerd<br />

35. Which <strong>of</strong> the following is an antagonist <strong>of</strong> a peptide<br />

and is used to reduce chemotherapy induced nausea<br />

and vomiting?<br />

(a) Atrial natriuretic peptide<br />

(b) Aprepitant<br />

(c) Bradykinin<br />

(d) Enalapril<br />

36. Drug given for metoclopramide induced dystonic<br />

reaction is: (MPPG 2002)<br />

(a) Pheniramine<br />

(b) Promethazine<br />

(c) Chlorpromazine<br />

(d) Prochlorperazine<br />

37. Regarding aprepitant all are true except:<br />

(a) Agonist at NK 1<br />

receptors (AI 2011)<br />

(b) Crosses Blood Brain Barrier<br />

(c) Ameliorate nausea and vomiting induced by chemotherapy<br />

(d) Metabolized by CYP450 enzymes<br />

38. An anti-emetic drug that also decreases acid secretion<br />

due to its action on H 1<br />

receptors is:<br />

(a) Promethazine (AI 2010)<br />

(b) Domperidone<br />

(c) Metoclopramide<br />

(d) Ondansetron<br />

39. Metoclopramide (DPG 2009)<br />

(a) Inhibit cholinergic smooth muscle stimulation in the<br />

gastrointestinal tract<br />

(b) Decrease lower esophageal sphincter pressure<br />

(c) Stimulate D 2<br />

receptor<br />

(d) Enhance colonic motility<br />

40. Drug implicated in prolonging QT interval is:<br />

(a) Domperidone (AI 2004)<br />

(b) Metoclopramide (RJ 2007)<br />

(c) Cisapride<br />

(d) Omeprazole<br />

41. For chemotherapy induced vomiting, 5HT 3<br />

antagonist<br />

having maximum potency is:<br />

(a) Ondansetron (AIIMS Nov., 2007)<br />

(b) Granisetron<br />

(c) Dolasetron<br />

(d) Palonosetron<br />

42. Which <strong>of</strong> the following drugs is not an antiemetic?<br />

(a) Ondansetron (AIIMS May, 2007)<br />

(b) Domperidone<br />

(c) Metoclopramide<br />

(d) Cinnarizine<br />

43. Anti emetic action is produced through:<br />

(a) Decreased CTZ stimulation (PGI Dec. 2002)<br />

(b) H 1<br />

agonistic action<br />

(c) D 1<br />

antagonistic action<br />

(d) Olfactory apparatus stimulation<br />

(e) 5 HT 4<br />

agonistic action<br />

44. Ondansetron acts by: (PGI June, 2002)<br />

(a) Acting on CTZ<br />

(b) 5-HT 3<br />

antagonism<br />

(c) D 1<br />

and D 2<br />

receptor antagonism<br />

(d) Increasing GIT motility<br />

(e) Blocking cholinergic receptors<br />

45. In case <strong>of</strong> hill journey, antimotion sickness drugs are<br />

best administered at:<br />

(a) Twelve hours before commencing journey<br />

(b) One hour before commencing journey<br />

(c) Immediately after commencing journey<br />

(d) At the first feeling <strong>of</strong> motion sickness<br />

46. Metoclopramide has the following actions EXCEPT:<br />

(a) Increase lower esophageal sphincter tone<br />

(b) Prokinetic action is blocked by atropine<br />

(c) Increase gastric peristalsis<br />

(d) Increase large intestinal peristalsis<br />

47. Which <strong>of</strong> the following prokinetic drugs produces<br />

extrapyramidal side effects?<br />

(a) Metoclopramide<br />

(b) Cisapride<br />

(c) Domperidone<br />

(d) All <strong>of</strong> the above<br />

48. Which antiemetic drug selectively blocks levodopa<br />

induced vomiting without blocking its anti-<br />

Parkinsonian action?<br />

(a) Metoclopramide<br />

(b) Cisapride<br />

(c) Domperidone<br />

(d) Ondansetron<br />

498<br />

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