MCQs and Solution
Q1. This drug reduces blood pressure by acting centrally
- a) Labetalol
- b) Clonidine
- c) Enalapril
- d) Nifedipine
Ans: b) Clonidine
Q3. Which is NOT correct for Phase 0 in action potential in cardiac muscle
- a) Depolarization phase
- b) opening of Na+ channel
- c) Repolarizing phase
- d) Initiating the impulse
Ans: c) Repolarizing phase
Q4. Which is not a sympatholytic drug
- Labetalol
- Prazosin
- Guanethidine
- Butoxamine
Ans: c) Guanethidine (Inhibit the vesicle release)
Labetalol- Alfa+Beta Blocker (Carvedilol, Cartelol, Bucindolol)
Prazosin- Alfa1 blocker
Butoxamine- Beta2 blocker
Q5. All of the following statements regarding angiotensin II are true EXCEPT:
- peptide hormone
- Angiotensin I is almost as potent as angiotensin II
- potent vasoconstrictor
- stimulates the secretion of aldosterone
Ans: b) Angiotensin I is almost as potent as angiotensin II
Q6. This drug is contraindicated in patients with bronchial asthma:
- Enalapril
- Nifedipine
- Propranolol
- Clonidine
Ans: c) Propranolol
Q7. Which drug may produce tachycardia?
- Propranolol
- Losartan
- Enalapril
- Nifedipine
Ans d) Nifedipine
Q8. Choose the group of antihypertensive drugs which diminishes the metabolism of bradykinin:
- CCBs
- Alfa blockers
- ACE Is
- Diuretics
Ans: c) ACE Is
Q9. Role of diuretics in hypertension:
- Inhibit the adrenergic transmission
- reduce blood volume and amount of Na+ ions in the vessels endothelium
- Inhibit the rennin-angiotensin-aldosterone system
- None
Ans: b) reduce blood volume and amount of Na+ ions in the vessels endothelium
Q10. Tick the diuretic agent having a potent, maximum and rapid effect:
- Furosemide
- Spironolactone
- Dichlothiazide
- Indapamide
Ans: a) Furosemide
Q11. Tick potassium channel activator:
- Nifedipine
- Minoxidil
- Diazoxide
- B & C
Ans: d) B & C
Q12. All of the following statements regarding verapamil are true EXCEPT:
- It blocks L-type calcium channels
- It increases heart rate
- It relaxes coronary artery smooth muscle
- It depresses cardiac contractility
Ans: b) It increases heart rate
Q13. Choose the vasodilator which releases NO:
- Nifedipine
- Hydralazine
- Minoxidil
- Sodium nitroprusside
Ans: d) Sodium nitroprusside
Q14. Which of the following antianginal agents is a myotropic coronary dilator:
- Dipyridamole
- Validol
- Atenolol
- Alinidine
Ans a) Dipyridamole
Q15. The following agents are cardio selective beta1-adrenoceptor-blocking drugs labelled for use in angina, EXCEPT:
- Metoprolol
- Talinolol
- Atenolol
- Propranolol
Ans: d) Propranolol
Q16. The drug used in hypotensive shock:
- noradrenaline
- propranolol
- Dopamine
- Histamine
Ans: a) noradrenaline
Q17. Indicate the vasoconstrictor of endogenous origin:
- Ephedrine
- Nitric oxide
- Xylometazoline
- Endothelin
Ans: d) Endothelin
Q18. Which is right about digitalis:
- NaKATPase pump blocker
- +ve inotropic drug
- It causes hypokalamia
- All
Ans: d) All
Q19. Tick the non-glycoside positive inotropic drug
- Digitoxin
- Digoxin
- Dobutamine
- Strophanthin
Ans: c) Dobutamine
Q20. All of the following are recommended at the initial stages of treating patients with heart failure EXCEPT:
- Reduced salt intake
- Verapamil
- ACE inhibitors
- Diuretics
Ans: b) Verapamil
Q21. All of the following statements regarding inhibitors of type III phosphodiesterase are true EXCEPT:
- They raise cAMP concentrations in cardiac myocytes
- They reduce afterload
- They show significant cross-tolerance with beta-receptor agonists
- They are associated with a significant risk for cardiac arrhythmias
Ans: c) They show significant cross-tolerance with beta-receptor agonists
Q22. All of the following effects of ACE inhibitors may be useful in treating heart failure EXCEPT:
- They decrease afterload
- They increase circulating catecholamine levels
- They reduce reactive myocardial hypertrophy
- They increase myocardial beta-1 adrenergic receptor density
Ans: b) They increase circulating catecholamine levels
Q23. This drug is a Class IC antiarrhythmic drug:
- Flecainide
- Sotalol
- Lidocaine
- Verapamil
Ans: a) Flecainide
Q24. This drug prolongs repolarization (in arrythmia):
- Flecainide
- Sotalol
- Lidocaine
- Verapamil
Ans: b) Sotalol
Q25. Which of the following ACE inhibitor is not a prodrug?
- Ramipril
- Enalapril
- Perindopril
- Lisinopril
Ans: b) Enalapril
Q26. Digitalis toxicity is enhanced by co-administration of :
- Potassium
- Quinidine
- Potacium sparing diuretics
- Antacids
Ans: b) Quinidine
Q27. Which is the most appropriate diuretic for treating acute pulmonary oedema?
- Thiazide diuretics
- Loop diuretics
- Potassium sparing diuretics
- Osmotic diuretic
Ans: b) Loop diuretics
Q28. Indicate the drug belonging to antagonists of heparin:
- a) Aspirin
- b) Dicumarol
- c) Dalteparin
- d) Protamine sulphate
Ans: d) Protamine sulphate
Q29. For digitalis-induced arrhythmias the following drug is favored:
- a) Verapamil
- b) Amiodarone
- c) Lidocaine
- d) Propanolol
Ans: c) Lidocain
Q30. which drug is used as antihypertensive in pregnancy
- a) Losartan
- b) Enalapril
- c) Methyl dopa
- d) All
Ans c) Methyl dopa
Q31. This drug increases lipoprotein lipase (LPL) activity in adipose tissue:
- a) Cholestyramine
- b) Lovastatin
- c) Nicotinic acid
- d) Gemfibrozil
Ans: d) Gemfibrozil
Q32. which diuretic has an anti-androgenic effect:
- a) Amiloride
- b) Furosemide
- c) Hydrochlorothiazide
- d) Spironolacton
Ans: d) Spironolacton
Q33. Warfarin affects the synthesis of
- a) CF II
- b) CF VII
- c) CF IX
- d) CF X
- e) All
Ans: e) All
Q34. What is right about Clopidogrel
- a) inhibits ADP-dependant platelet aggregation
- b) inhibits COX-dependant platelet aggregation
- c) Antagonise Gp IIb/IIIa- dependant platelet aggregation
- d) All
Ans: a) inhibits ADP-dependant platelet aggregation
Q35. Acetazolamide can be used in
- a) diuresis
- b) Glaucoma
- c) Both
Ans: c) Both
Q36. Major role of ADH (Vasopressin)
- a) Vasoconstriction
- b) enhance the water reabsorption
- c) enhance the expression of aquaporins channel\
- d) all
Ans: d) all
Q37. Which is a Haematinics
- a) Fe
- b) Folic acid
- c) Vit B12
- d) all
Ans: d) all
Q38. A hypertensive patient received drug “Y”, which effect is abolished by Tricyclic antidepressants. So Y is a
- Atenolol
- Clonidine
- Losartan
- Tiazide
Ans: b) Clonidine
Q39. In ECG, the P wave represent to
- a) Atrial depolarization
- b) Atrial repolarization
- c) Ventricular depolarization
- d) Ventricular repolarization
Ans: a) Atrial depolarization
Q40. The vascular muscles relaxed by ……… (you may select >1 ans)
- a) IP3/Ca2+ Activation
- b) Rho kinase Activation
- c) cAMP Activation
- d) NO/cGMP Activation
- e) MLCK Activation
- f) MLCP Activation
Ans: c) cAMP Activation, d) NO/cGMP Activation, f) MLCP Activation