0713 E032
Second Year MBBS Examination
II MBBS Pharmacology Paper 2
Time: 2 hours
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Max Marks: 401. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Give an account of any TWO of the
following
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(10)a) What is Artemesinin combination
therapy (ACT)? Explain the rationale for
combining the drugs in ACT to treat malaria.
State any 2 ACT regimens available in India.
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(A. 833, B. 780)
b) Insulin analogues. (A. 264, B. 882)
c) Direct thrombin inhibitors. (A. 620, 476)
2. Write Short notes of (any three)
(12)
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a) Indications and adverse reactionsparenteral iron therapy (A. 604, B. 494)
b) Drugs for hepatic amoebiasis (A. 843, B.
788)
c) Drugs for psoriasis (A. 891, B. 1013)
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d) Drugs for thyrotoxic crisis (A. 256, .872)
3. Discuss Any Three
(12)
a) Mechanism of action and adverse
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reaction of oral contraceptives (A. 323, B.
955)
b) Explain the pharmacological basis for use
of dietary fibers as laxatives. State the
indication for their use. (A. 672, B. 607)
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c) Mechanism of action, routes ofadministration for oxytocin. (A. 329, .
630)
d) Mechanism of action and therapeutic uses
of fluoroquinolones. (A. 710, 711, B. 647)
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4. Write Answer to the point in two orthree sentences; (any six)
(6)
a) Why trastuzumab is used in
combination with chemotherapy for patients
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with breast cancer? (A.871,8.829)b) Why rifabutin is preferred in anti-TB
regimen for HIV positive patients taking
protease inhibitors? (A. 778, B. 755)
c) Daily folic acid is recommended for all
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women in reproductive age, why? (A. 610,B. 507)
d) Why sildenafil should not be prescribed
to patient taking nitrates in any form? (A.
542, . 972)
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e) It is recommended that Tdap vaccineshould be given between 27 and 36 weeks of
pregnancy. State the rationale for this
recommendation.
f) Why praziquantel is preferred over
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niclosamide in the treatment of Taeniasolium infection?(A.855,8.813)
g) What is 'red man syndrome? How can it
be prevented?(A. 757, B. 669)
h) Which vitamin K preparation should not
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be used in neonates with vitamin Kdeficiency? Why? (A. 616,B. 487)