🔴MECHANISM OF ACTION🔴
📌BETA BLOCKERS
▪In glacuma beta blockers act by lowering the intraocular tension by reducing aqueous formation.
▪This results in down the regulation of adenylate cyclase due to beta2 receptor blockade in the ciliary epithelium.
📌PROSTAGLANDIN ANALOGUES
▪It increases the uveo-scleral outflow of aqueous humor and also increases conventional trabecular outflow.
▪It acts by remodelling the structure of matrix metallo-proteinases. This causes change in shape of the cells and widening of the spaces filled with connective tissue resulting in decreased resistance and increased drainage.
▪The receptors of prostaglandins are located on TM, ciliary muscle and sclera and hence prostaglandins can affect the aqueous drainage
📌CARBONIC ANHYDRASE INHIBITORS
▪Carbonic anhydrase inhibitors reduces the aqueous formation by limiting generation of bicarbonate ion in the ciliary epithelium in the glacuma
For eg. Acetazolamide and dorzolamide
📌 MIOTICS
Miotics work by contraction of the ciliary muscle, tightening the trabecular meshwork and allowing increased outflow of aqueous through traditional pathways. Miosis results from action of these drugs on the pupillary sphincter.
📌BETA BLOCKERS
▪In glacuma beta blockers act by lowering the intraocular tension by reducing aqueous formation.
▪This results in down the regulation of adenylate cyclase due to beta2 receptor blockade in the ciliary epithelium.
📌PROSTAGLANDIN ANALOGUES
▪It increases the uveo-scleral outflow of aqueous humor and also increases conventional trabecular outflow.
▪It acts by remodelling the structure of matrix metallo-proteinases. This causes change in shape of the cells and widening of the spaces filled with connective tissue resulting in decreased resistance and increased drainage.
▪The receptors of prostaglandins are located on TM, ciliary muscle and sclera and hence prostaglandins can affect the aqueous drainage
📌CARBONIC ANHYDRASE INHIBITORS
▪Carbonic anhydrase inhibitors reduces the aqueous formation by limiting generation of bicarbonate ion in the ciliary epithelium in the glacuma
For eg. Acetazolamide and dorzolamide
📌 MIOTICS
Miotics work by contraction of the ciliary muscle, tightening the trabecular meshwork and allowing increased outflow of aqueous through traditional pathways. Miosis results from action of these drugs on the pupillary sphincter.
🔴ADR OF PROSTAGLANDIN ANALOGUES🔴
➡️Conjunctiva hyperaemia
➡️Increase in iris pigmentation
➡️Eyelash changes
➡️Periocular pigmentation
➡️Cystoid macular oedema
🔴ADR OF CARBONIC ANHYDRASE INHIBITORS🔴
➡️Diarrhea
➡️Discomfort or illness
➡️Numbness
➡️Tingling
➡️Burning in hands
➡️Weight loss
🔴ADR OF MIOTICS🔴
➡️Spasm
➡️Frontal headaches
➡️Twitching lids
➡️Cataractous changes
➡️Iris cysts
➡️Retinal detachment
➡️Conjunctiva hyperaemia
➡️Increase in iris pigmentation
➡️Eyelash changes
➡️Periocular pigmentation
➡️Cystoid macular oedema
🔴ADR OF CARBONIC ANHYDRASE INHIBITORS🔴
➡️Diarrhea
➡️Discomfort or illness
➡️Numbness
➡️Tingling
➡️Burning in hands
➡️Weight loss
🔴ADR OF MIOTICS🔴
➡️Spasm
➡️Frontal headaches
➡️Twitching lids
➡️Cataractous changes
➡️Iris cysts
➡️Retinal detachment
MCQ NO 761 | Pharmacology
Patients treated with the following anticancer drug are likely to develop a disulfiram like reaction on taking alcohol:
Patients treated with the following anticancer drug are likely to develop a disulfiram like reaction on taking alcohol:
Anonymous Quiz
16%
A .Dacarbazine
45%
B. Procarbazine
29%
C. Melphalan
9%
D. Hydroxyurea
MCQ NO 762 | Pharmacology
The following is true about use of prednisolone in malignant diseases except:
The following is true about use of prednisolone in malignant diseases except:
Anonymous Quiz
21%
A. It is curative in acute childhood leukaemia
28%
B. It is used in Hodgkin’s disease
33%
C. It controls hypercalcaemia in patients with bony metastasis
18%
D. It affords symptomatic relief in most cancer patients
MCQ NO 763 | Pharmacology
The following does not apply to cancer chemotherapy:
The following does not apply to cancer chemotherapy:
Anonymous Quiz
29%
A. Each treatment with a cytotoxic drug kills a constant number of malignant cells
25%
B. Drugs are generally used at maximum tolerated doses
26%
C.same regimen which palliative for large solid tumour may curative after surgical removal of tumour
20%
D.Combination regimens using several drugs in succession are superior to single drug used continuous
MCQ NO 764 | Pharmacology
Select the cell cycle nonspecific antineoplastic drug:
Select the cell cycle nonspecific antineoplastic drug:
Anonymous Quiz
26%
A. Vincristine
25%
B. Bleomycin
25%
C. Methotrexate
24%
D. 5-Fluorouracil
MCQ NO 765 | Pharmacology
Transdermal drug delivery systems offer the following advantages except:
Transdermal drug delivery systems offer the following advantages except:
Anonymous Quiz
21%
A. They produce high peak plasma concentration of the drug
31%
B. They produce smooth and nonfluctuating plasma concentration of the drug
26%
C. They minimise interindividual variations in the achieved plasma drug concentration
22%
D. They avoid hepatic first-pass metabolism of the drug
MCQ NO 766 | Hospital and clinical pharmacy
Concept of District hospital :
Concept of District hospital :
Anonymous Quiz
10%
A.Clinical service
10%
B.Clinical support
16%
C.Only A
63%
D.Both A&B
MCQ NO 767 | Pharmacology
Following a constant infusion: *
Following a constant infusion: *
Anonymous Quiz
24%
A. the time to reach a plateau concentration depends upon the rate of infusion
37%
B.all drugs having same clearance reach same plateau concentration when infused at the same rate
26%
C drugs with the same clearance generally reach the plateau concentration at the same time
14%
D amt of drug at plateau can't same when drugs with different clearance values infused at same rate
MCQ NO 768 l Pharmacology
Essential drugs are:
Essential drugs are:
Anonymous Quiz
17%
A.Life saving drugs
59%
B.Drugs that meet the priority health care needs of population
15%
C.Drugs that must be present in the emergency bag of doctor
8%
D.Drugs that are listed in tha pharmacopoia of country
MCQ NO 769 l Pharmacology
An 'orphan drug' is....
An 'orphan drug' is....
Anonymous Quiz
6%
A.A very cheap drug
10%
B.A drug which has no therapeutic use
76%
C.A drug needed for treatment or prevention of rare disease
9%
D.A drug which acts on Orphanin receptors
MCQ NO.770 I Pharmacology
Drug administered through the following route is most likely to be subjected to first-pass metabolism:
Drug administered through the following route is most likely to be subjected to first-pass metabolism:
Anonymous Quiz
74%
A.Oral
14%
B.Sublingual
8%
C.Subcutaneous
4%
D.Rectal
🔴DEFINITION
🔶Molality =
Molality is defined as the “total moles of a solute contained in a kilogram of a solvent.”
🔶Molarity=
Molarity is defined as the "number of moles of solute per liter of solution."
🔶Capsule=
Capsules are solid dosage forms in which one or more medicament or inert substances are enclosed within a small shell generally prepared from gelatin.
🔶Tablets=
Tablets may be defined as compressed solid unit dosage form of medicament or medicaments with suitable excipients.
🔶Normality
is a measure of concentration equal to the gram equivalent weight per litre of solution.
🔶Molality =
Molality is defined as the “total moles of a solute contained in a kilogram of a solvent.”
🔶Molarity=
Molarity is defined as the "number of moles of solute per liter of solution."
🔶Capsule=
Capsules are solid dosage forms in which one or more medicament or inert substances are enclosed within a small shell generally prepared from gelatin.
🔶Tablets=
Tablets may be defined as compressed solid unit dosage form of medicament or medicaments with suitable excipients.
🔶Normality
is a measure of concentration equal to the gram equivalent weight per litre of solution.
🔴 DEFINITION
🔶Histamine =
Histamine a compound which is released by cells in response to injury and in allergic and inflammatory reactions, causing contraction of smooth muscle and dilation of capillaries.
🔶Histamine agonist =
A histamine agonist is a drug which causes increased activity at one or more of the four histamine receptor subtypes.
🔶Amines=
Amines an organic compound derived from ammonia by replacement of one or more hydrogen atoms by organic groups.
🔶Vaccines =
Vaccines are the antigenic material consisting of the whole microorganisms or one of its products.
🔶Erosion corrosion =
Erosion is mechanical process and corrosion is a electro chemical process. They combine in a situation to protect metal from the corrosion.
🔶Histamine =
Histamine a compound which is released by cells in response to injury and in allergic and inflammatory reactions, causing contraction of smooth muscle and dilation of capillaries.
🔶Histamine agonist =
A histamine agonist is a drug which causes increased activity at one or more of the four histamine receptor subtypes.
🔶Amines=
Amines an organic compound derived from ammonia by replacement of one or more hydrogen atoms by organic groups.
🔶Vaccines =
Vaccines are the antigenic material consisting of the whole microorganisms or one of its products.
🔶Erosion corrosion =
Erosion is mechanical process and corrosion is a electro chemical process. They combine in a situation to protect metal from the corrosion.
🔴 MECHANISM OF ACTION 🔴
📌 HISTAMINE
▪Histamine is an organic nitrogenous compound involved in local immune responses, as well as regulating physiological function in the gut and acting as a neurotransmitter for the brain, spinal cord, and uterus.
▪ Histamine is involved in the inflammatory response and has a central role as a mediator of itching.
▪As part of an immune response to foreign pathogens, histamine is produced by basophils and by mast cells found in nearby connective tissues.
▪Histamine increases the permeability of the capillaries to white blood cells and some proteins, to allow them to engage pathogens in the infected tissues.
▪ It consists of an imidazole ring attached to an ethylamine chain; under physiological conditions, the amino group of the side-chain is protonated
📌 histamine exerts its effects primarily by binding to G protein-coupled histamine receptors, designated H1 to H4
📌 HISTAMINE
▪Histamine is an organic nitrogenous compound involved in local immune responses, as well as regulating physiological function in the gut and acting as a neurotransmitter for the brain, spinal cord, and uterus.
▪ Histamine is involved in the inflammatory response and has a central role as a mediator of itching.
▪As part of an immune response to foreign pathogens, histamine is produced by basophils and by mast cells found in nearby connective tissues.
▪Histamine increases the permeability of the capillaries to white blood cells and some proteins, to allow them to engage pathogens in the infected tissues.
▪ It consists of an imidazole ring attached to an ethylamine chain; under physiological conditions, the amino group of the side-chain is protonated
📌 histamine exerts its effects primarily by binding to G protein-coupled histamine receptors, designated H1 to H4
MCQ NO.771 | Pathophysiology
Which cytokine functions as an activator of macrophages and natural killer (NK) cells?
Which cytokine functions as an activator of macrophages and natural killer (NK) cells?
Anonymous Quiz
15%
IFN-γ (interferon γ)
30%
IL-2 (interleukin 2)
47%
TNF-α (tumor necrosis factor α)
8%
TGF-β (transforming growth factor β)
MCQ NO.772 | Pathophysiology
Which one of the following genetic diseases is a chromosomal disorder?
Which one of the following genetic diseases is a chromosomal disorder?
Anonymous Quiz
15%
Cystic fibrosis
15%
Hemochromatosis
48%
Klinefelter’s syndrome
22%
Hemophilia
MCQ NO.773 | Pathophysiology
Which one of the following organisms accounts for at least 50% of cases of acute hematogenous and contiguous focus osteomyelitis?
Which one of the following organisms accounts for at least 50% of cases of acute hematogenous and contiguous focus osteomyelitis?
Anonymous Quiz
13%
Group A streptococci
39%
Group B streptococci
42%
Pseudomonas aeruginosa
6%
S. aureus
MCQ NO.774 | OC
In pinacol-pinacolone rearrangement, the final product is ketone. What is the starting compound for the rearrangement?
In pinacol-pinacolone rearrangement, the final product is ketone. What is the starting compound for the rearrangement?
Anonymous Quiz
15%
Geminal diol
53%
1,2- diol
28%
1, 3-diol
4%
1,1-diol
MCQ NO.775 | OC
Nitrites are used in ailments as:
Nitrites are used in ailments as:
Anonymous Quiz
8%
Cerebral ischemia
47%
Cardiac ischemia
24%
Hypertension
21%
Arrhythmia