2024
(December)
PHARMACOLOGY
Paper-II
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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. Classify antiparkinsonian drugs. Explain the mechanism of action of levodopa
in parkinsonism. Explain the drug interaction between levodopa and
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pyridoxine. (5+3+2=10)2. Classify non-steroidal anti-inflammatory drugs. Describe in detail the
mechanism of action, uses, and adverse effects of aspirin. (3+3+2+2=10)
3. Write short notes on: (5?4=20)
(a) Mechanism of action of benzodiazepines
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(b) Metronidazole(c) Pharmacotherapy of diabetic ketoacidosis
(d) Nucleotide reverse transcriptase inhibitors (NRTIs)
4. Classify fluoroquinolones. Explain the mechanism of action of ciprofloxacin.
What are the side effects and uses of ciprofloxacin? (4+2+2+2=10)
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5. Explain why: (2?5=10)
(a) Probenecid is used with penicillin.
(b) Clavulanic acid is called a suicide inhibitor.
(c) Glucocorticoids should not be withdrawn abruptly after prolonged use.
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(d) Tamoxifen is called a selective oestrogen receptor modulator.(e) Propranolol is used in thyrotoxicosis.
6. A middle-aged male factory worker reports to the hospital with cough and
expectoration, mild chest pain, weakness, and fatigue with low-grade fever for
the last one month. He gives a history of having suffered from pulmonary
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tuberculosis about a year back and stopped taking the prescribed drug aftertwo months when he felt better. Investigations now showed sputum positive
for AFB and a cavitary lesion in the right middle lobe and fibrotic changes in the
upper lobe. (2+4+4=10)
(a) What is the diagnosis?
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(b) What regimen of antitubercular drugs must he have received earlier?(c) What should be the regimen of antitubercular drugs for this patient now?
7. Distinguish between: (3?5=15)
(a) Passive immunization and Active immunization
(b) Phenytoin and Fosphenytoin
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(c) Clotrimazole and Fluconazole(d) Procaine and Lignocaine
(e) Opioids and Opiates
8. Write on the principles of bioethics. (5)
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