2024
(December)
PHARMACOLOGY
Paper-I
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Full Marks: 90Time: 2 hours 50 minutes
The figures in the margin indicate full marks for the questions
Answer all questions
Illustrate your answers with suitable diagrams and flowcharts wherever
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necessary.Write the question number correctly.
Answer the questions in order.
1. What are the different receptor-mediated mechanisms of drug action?
Explain the mechanism of drugs acting through nuclear or cytosolic receptors.
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Name two drugs or endogenous substances that act by this mechanism.(4+4+2=10)
2. What are the drugs that act by modifying the renin-angiotensin system? How
do they act as antihypertensive? What are the side effects? What are their
contraindications? (3+3+2+2=10)
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3. Write short notes on: (5?4=20)
(a) Uses of atropine and its actions and uses in eye
(b) Probiotics
(c) Kinetics of elimination
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(d) D-penicillamine4. Name the different types of oral contraceptives. Write down the mechanism
of action and adverse effect of oral contraceptives. (4+3+3=10)
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5. Explain why: (5?2=10)(a) Dopamine is administered in moderate doses in hypovolemic shock.
(b) ACEIs are contraindicated in bilateral renal artery stenosis.
(c) Misoprostol is used for the treatment of NSAID-induced peptic ulcer.
(d) Potassium-sparing diuretics are used along with loop diuretics.
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(e) Clinical trials are necessary for approval of use of a drug in the community.6. A 50-year-old obese man came with symptoms of breathlessness
accompanied by wheezing. He is diagnosed to be a case of bronchial asthma.
(4+3+3=10)
(a) Name important drugs used in bronchial asthma.
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(b) How will you proceed for the treatment of the person?(c) State the beneficial effects of inhaled steroids.
7. Distinguish between: (3?5=15)
(a) Heparin and Warfarin
(b) First-order kinetics and Zero-order kinetics
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(c) Type I and Type IV drug allergic reactions(d) Non-selective -blockers and -1 selective blockers
(e) Adrenaline and Noradrenaline
8. Discuss the role of a physician in the health care system. 5
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