[MBBS 0822] AUGUST 2022 Sub. Code: 6061
M.B.B.S. DEGREE EXAMINATION
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(For the candidates admitted from the Academic Year 2019-2020)
SECOND YEAR - SUPPLEMENTARY (CBME)
PAPER I - PHARMACOLOGY -1
O.P. Code: 526061
Time: Three hours Maximum : 100 Marks (80 Theory +20MCQs)
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Answer all the Questions
I. Essay: 2x15=30)
- A 35-year-old woman was taking combined oral contraceptive pills. She was diagnosed as a case of Pulmonary tuberculosis and put on isoniazid, rifampicin, pyrazinamide and ethambutol combination therapy daily for 2 months followed by isoniazid and rifampicin thrice weekly for 4 months. In the 3™ month of treatment, she failed to have withdrawal bleeding during the gap period of contraceptive cycle. One week later her urinary pregnancy test was found to be positive.
- What is the reason for contraceptive failure?
- Explain Phase I biotransformation reaction with suitable examples.
- Name 4 enzyme inducers and explain the clinical relevance of Microsomal Enzyme Induction.
- Explain microsomal enzyme inhibition with suitable examples.
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- A 8-year-old boy was sent for neurologic evaluation because of episodes of apparent inattention. His mother gives a history of episodes of starring look which lasts for few seconds, and he immediately resumes his previous activity. He was diagnosed to have absence seizures.
- Describe the mechanism of action of the drug used in absence seizures?
- Mention the adverse-effects, uses and drug interactions of the drug used in absence seizures
- Treatment of status epilepticus
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II. Write Short notes on: (10 x5=50)
- Teratogenicity.
- Drugs used in open angle Glaucoma.
- Fibrinolytic drugs.
- Mechanism of action and adverse effects of ACE inhibitors.
- Preanesthetic medication.
- Role of sympathomimetics used in Bronchial Asthma.
- Antianxiety agents.
- Mechanism of action and adverse effects of Succinylcholine.
- Disease modifying anti-Rheumatic drugs (DMARDS).
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