PAPER CODE: MB2019111
KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
WARANGAL, TELANGANA STATE - 506002
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MBBS SECOND YEAR DEGREE EXAMINATION FEBRUARY, 2024
PHARMACOLOGY PAPER-I
Time: 3 Hours
Note: Answer all questions.
Give Diagrammatic representation wherever necessary.
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Max Marks: 100
Multiple Choice Questions: 10 X 1=10
- The drug which acts by inhibiting an enzyme in the body is: - Atropine
- Allopurinol
- Levodopa
- Metoclopramide
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- Which of the following drug produce tachyphylaxis? - Adrenaline
- Ephedrine
- Dopamine
- Isoprenaline
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- The antidote of choice for morphine poisoning is: - Nalorphine
- Nalbuphine
- Naltrexone
- Naloxone
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- Histamine is involved as a mediator in the following pathological condition: - Delayed hypersensitivity
- Inflammation
- Carcinoid syndrome
- Variant angina
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- The following analgesic lacks anti-inflammatory action: - Paracetamol
- Ibuprofen
- Diclofenac sodium
- Piroxicam
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- Acetylcysteine is used in the following condition - Carbon Monoxide Poisoning
- OP Poisoning
- Paracetamol Poisoning
- Salbutamol Poisoning
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- A 20-year-old woman is taking over-the-counter diphenhydramine for severe hay fever. Which of the following adverse effects is she most likely to report? - Diarrhoea
- Sedation
- Nervousness, anxiety
- Vertigo
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- Which of the following is not a prodrug - Levodopa
- Enalapril
- Dipivefrine
- Amoxicillin
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- Cholinomimetic drugs can be used for the treatment of all of the following conditions except - Bradycardia
- Closed angle glaucoma
- Cobra bite
- Myasthenia gravis
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- Bisacodyl is - bulk forming purgative
- stimulant purgative
 
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Essay/Long Answer Questions: 5X4=20
-  a) Define Bioavailability. Describe any five factors affecting drug bioavailability. (2+5)
 b) Define Prodrug. Describe the clinical significance of prodrugs with suitable examples. (2+6)
- Classify Antiepileptic Drugs. Describe the mechanism of action, therapeutic uses and adverse effects of Phenytoin. (6+3+3+3)
Short Answer Questions: 7 X 6 = 42
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- Describe pharmacotherapy of Prophylaxis of Migraine.
- Compare and contrast Physostigmine and Neostigmine.
- Explain the drug antagonism with examples.
- Mention five drugs used in pre-anaesthetic medication with their rationale.
- Describe therapeutic uses and adverse effects of Beta Blockers.
- Discuss the pharmacological management of Acute Severe Asthma.
- Describe how to motivate patients with long standing Type II diabetes to adhere to the prescribed treatment of the physician.
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Very Short Answer Questions: 6 X 3 = 18
- Write the rationale of combining Adrenaline with Lignocaine.
- Rationale of using ethanol in Methanol Poisoning.
- Enlist the non- Diarrhoeal uses of Oral Rehydration solution.
- Therapeutic uses of centrally acting Skeletal Muscle Relaxants.
- Mention advantages of Second-Generation Antihistamines over Conventional Antihistamines.
- Clinical significance of Plasma Protein binding with examples.
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