5. 3. It is indicated in the tablet strip that this is a âSchedule
H drugâ. What does this mean?
6. 3a. Prescription drugs
These drugs in this schedule are sold by retailers
only on production of valid prescription given by
a registered medical practitioner
7. 4. Identify this device used for drug delivery. Mention the route
by which the drug is delivered.
49. 25. Effect of drug X on heart rate and BP of dog is shown
below. What is drug X ?
Drug X
Epinephrine Epinephrine
a. Name the drug X
b. What is the above phenomenon known as?
61. 31. What does the symbol â â in British National Formulary
(BNF) indicate?
62. ⢠31a. The symbol is used to denote those
preparations which may not be considered as drugs
of first choice but their use may be justifiable in
certain circumstances.
63. 32. Find out the half life from this concentration-time curve.
Time (min)
90
30 60 120 150 180 210
Concentration
(ďg/ml)
10
100
1000
65. 33. The guidelines for treatment of hypothyroidism are given
below. Which recommendation has the highest level of
evidence?
BEL â Best Evidence Level
67. 34. A patient presents with muscle soreness and has a lab
report(given below). He informs he is on four cardiovascular
drugs. If the problem is drug induced, which group of drugs
could be the probable cause?
JIPMER Hospital
Department of Biochemistry
11.01.13
Name : Kathirvel Age : 50 Gender : Male
Provisional Diagnosis : Myopathy (?drug induced)
Creatine Kinase : 1000 U/L
(Normal value : 51 to 294 U/L)
Reporting Officer
77. 39. Standard colour coded intravenous cannulae are shown below.
Mention the colour which denotes an i.v. cannula of size 18 G
that can be used in adults.
87. 44. The plain x-ray abdomen shown below is taken in a patient
who has consumed toxic dose of a drug (tablets shown by red
arrows). What could be the probable drug?
89. 45. The lab report of a patient on an antihypertensive for four
months with suspected drug induced electrolyte imbalance is
shown below. Which group of drugs could be the probable
cause?
JIPMER Hospital
Department of Biochemistry
18.01.13
Name : Kathirvel Age : 50 Gender : Male
Provisional Diagnosis : ?drug induced electrolyte imbalance
Serum Electrolyte Profile
Sodium : 130 mEq/L (Normal value : 135 to 145 mEq/L)
Potassium : 3 mEq/L (Normal Value : 3.5 to 5 mEq/L)
Chloride : 90 mEq/L (Normal Value : 97 to 107 mEq/L)
Reporting Officer
101. 51. The method to prepare âhome made ORSâ is shown
below. Identify substance A and B. How much water (in ml)
should be added for this?
1 teaspoon of
substance B
8 teaspoons of
substance A
115. 58. Two tablets (A and B) were dropped into a glass of water
with no effervescence. This picture shows them after a few
minutes. Mention the type of tablet A.
A B
117. 59. This neonate has developed cyanosis and weakness after
administration of an antimicrobial. Identify this adverse effect
and the drug responsible for this.
125. 63. If a patient is receiving this purple coloured strip of
tablets, what disease is he suffering from? What could be his
type / category of disease?
131. 66. What is the name of these special boxes and how many
such box(es) will be used to complete the full course of
treatment by a tuberculosis patient?
135. 68. A strip containing triple therapy regimen for eradication
of H. pylori is shown. Can we call this a fixed dose drug
combination. Give reasons.
Morning Evening
136. 68. Not a fixed dose combination.
These are separate tablets.
137. 69. Which of the following insulin vials (A or B) contain
regular insulin? Give reasons for your answer.
A B
147. 74. The photo of a patient before and after 6 months of
therapy is shown. Identify the nature of the drug.
Before therapy After six months of
therapy
149. 75. A hypothyroidism patient on Tab. Levothyroxine 50
mcg for 2 months presents with this report. Does this
patient require an increase / decrease / no change in
dose of levothyroxine? Justify.
JIPMER Hospital
Department of Biochemistry
26.04.13
Name : Kathirvel Age : 50 Gender : Male
Diagnosis : Hypothyroidism
Thyroid stimulating hormone : 7 mIU/L
(Normal value : 0.34 to 4.25 mIU/L)
Reporting Officer
161. 81. A leprosy patient on multidrug therapy developed
crops of painful lesions as shown in the picture.
A. Identify this complication. B. How will you treat it?
162. 81. A. Erythema nodosum leprosum
B. Treated using corticosteroids, clofazimine,
thalidomide
163. 82. A. What does âultramicrosizeâ mean?
B. Why are griseofulvin tablets formulated so?
164. 82. A. Very small size.
B. It facilitates the absorption.
165. 83. Name the antimicrobial drug that is available as chewable
tablets.
167. 84. A. Name two places where you can find such boxes in our
institute.
B.What is the purpose of keeping such boxes?
168. 84. A. Clinical pharmacology, All inpatient wards, ADR
Centre
B. To collect ADR reports
169. 85. A. If a tuberculosis patient is dispensed with red colour
patient-wise box, then to what category does he belong to?
B. What is the total duration of therapy for him?
175. 88. Mrs Malar, an hypertensive patient receiving drug therapy
for 6 weeks developed the following abnormality in her feet. She
does not have any evidence of heart failure. Name the drug.
177. 89. An ischemic heart disease patient is on the following drugs
Tab. Verapamil 40 mg tds
Tab. Isosorbide dinitrate 10 mg tds
Tab. Aspirin 75 mg od
Tab. Atorvastatin 40 mg od
He complains of severe myalgia.
Identify the possible offending agent
181. 91. A patient with past history of peptic ulcer disease developed
severe reactivation following therapy for dyslipidemia.
Name the possible offending agent
189. Dr.Rameses, M.D, D.M, F.R.C.P
For : Selyn
48 / Female
Lenin street, Pondicherry.
Diagnosis : Peptic ulcer
R
x
Cap. OMEPRAZOLE 20 mg for 14 days
Advice :
Review after 14 days.
95. Identify at least 2 missing elements in this prescription
197. 99. Name the source of drug information that you will consult
to find the answer to the following question:
How will you reconstitute PHENYTOIN for i.v infusion?
219. 110. A patient comes to the casualty after consuming rat poison.
You check the box and it reveals the active ingredient to
be 4-hydroxycoumarin.
Name the specific antidote to be used?
231. 116. A 60 year old man treated with haloperidol for
schizophrenia developed abnormal postures.
Identify the condition. Mention one drug which can be used for
treatment of this condition.
241. 121. Select the source of drug information (from the ones shown
below) that should be consulted for knowing the brand name of a
drug.
IP
GG
BNF
CIMS
243. 122.Which of the needles shown below can be used for
subcutaneous injection? (Indicate the alphabet)
Mention two advantages of subcutaneous route.
A
B
C
D
247. 124. A medical student was found unconscious in his room. His
pulse showed tachycardia and there were signs of IV drug
abuse. There was bilateral pin point pupils. Which of the
following agent is the most likely cause of his condition ?
Morphine Flurazepam Datura Cannabis
251. 126. Name the ideal source for obtaining information regarding
the cost of a vial of 1 g ceftriaxone.
Indian
Pharmacopoeia
Goodman
Gilman
BNF
CIMS
253. Dr.S.Rameshkumar, M.B.,B.S
23, Mission Street,
Pondicherry.
For : Selvi
48 / Female
Gorimedu, Pondicherry.
Diagnosis : Peptic ulcer
R
x
Cap. OMEPRAZOLE 20 mg for 14 days
Advice :
Take the capsule in the morning 1 hour before food.
Avoid spicy food. Review after 14 days.
127. Identify the missing elements in the prescription
254. 127A. Phone number of doctor
Registration number of doctor
Frequency of tablet intake
255. 128.A carton box of disposable needle is shown
below. What does the value shown by the red
round indicate?
272. 136. 1. Menorrhagia (FDA approved indication)
2. To prevent excessive bleeding in orthopaedic
surgery, Cardio thoracic surgery and
haemophilia
273. 137. A patient became drowsy and unconscious after consuming
few seeds of this plant. Examination shows second degree
heart block. What is the diagnosis?
283. 142. A) Effect of drug on Dogâs Blood Pressure is shown below.
Identify Drug B.
B) What could be the possible mechanism for encircled
phenomenon?
A A A
B
HR
Drug A - Acetylcholine
291. 146. Name the branches of pharmacology defined in the
following statements
(a) Study of poisonous effects of drugs and other chemicals and
its detection, prevention and treatment
(b) deals with study of drug effects on human
297. 149. A patient treated with an excessive dose of an alkaloid drug for
fever with chills & rigors developed the following symptoms.
Name the alkaloid drug
Headache
Dizziness
Ringing in the ear
Vomiting
301. 151. A) Name the route by which this drug is to be injected in
humans.
B) Mention the specific CNS ADR that is common to
patients receiving this drug?
321. 161. Radha was given drug âxâ for partial seizures. Although
her seizures got controlled, she developed gradually
progressive reduction of her visual field. What is the drug x
361. 181. A child with absence seizures was given drug âxâ. The child
developed fulminant hepatitis and died within the next 5 days.
What is drug âxâ?
385. 193. What is the name of shown device.
Write one advantage.
386. 193A Butterfly/Scalp vein set
Advantage:
1. Flexible tubing reaches more body surface and tolerates more patient
movement.
2. Facilitates venipuncture of thin, rolling, fragile and poorly accessible
veins.
3. Shallow-angle insertion design facilitates venipuncture of very
superficial veins like scalp vein.
387. 194. A model of 40 unit insulin syringe is shown below. Which of the
following points marked as X, Y and Z in the piston should match with
the scale of 15 unit marking to load 15 Units of insulin ?
x Y Z
391. 196. A modified Murphyâs chamber in infusion set is shown below.
A) What is the purpose of this setup?
B) For what transfusion is it commonly recommended?
392. 196A. A) It filters out large clots and aggregates and
ensures an effective transfusion flow rate.
B) Blood transfusion
393. 197. A patientâs forearm vein was cannulated by an intern and a
swelling developed rapidly during cannulation (indicated by an
arrow).
What could be the possible reason for this?
395. 198.A) Identify the object shown below.
B) Mention one use of this object in Pharmacology.
396. 198A. A) Rabbit Holder
B) Used to immobilize the rabbit by fixing its
neck for the ease of doing experiments like
testing effects of drugs on rabbit eye.
397. 199. The drug commonly used in pharmacological experiment is
shown below.
A) What is the indication of this drug?
B) For which experiment is it commonly used?
Chloralose
398. 199A A) as an anaesthetic agent
B) For acute experiments like recording
invasive BP in dogs and cats.
399. 200 . Identify the drug that can cause this adverse
effect.
409. 205. A symbol used for instructing a patient is shown
below. What is the technical term for these kind of
symbols? Which organisation has developed this?
425. 213. This photo shows drug addicts who
developed a disorder suddenly due to an impurity
in the illicit drug. Identify the disorder & mention its
treatment.
426. 213A Toxin induced parkinsonism due to MPTP
Central anticholnergics: Trihexyphenidyl
427. 214. Identify the oral hypoglycemic drug which
received this BLACK BOX warning
WARNING: CONGESTIVE HEART FAILURE
âŚâŚâŚâŚâŚâŚâŚâŚ.. can cause or exacerbate
congestive heart failure. After drug
initiation and dose increase, observe
the patients carefully for signs and
symptoms of heart failure (including
excessive rapid weight gain, dyspnoea,
edema)
437. 219. Identify the drug that causes the following
features as adverse effects?
Hyperthyroidism
Hypothyroidism
Corneal microdeposits
Pulmonary fibrosis Photosensitivity
455. 228. Identify the route of drug administration and
Name one advantage and one disadvantage of
this route
456. 228A. Intramuscular route
⢠Advantages: Rapid onset of action, mild
irritants can be given, gastric factors avoided,
first pass metabolism avoided
⢠Disadvantages:
Local pain and abscess, infection, nerve damage,
only upto 10ml drug can be given, expensive
483. 242. The following statement explains the side
effect of particular drug. Identify the drug.
'hot as a hare, red as a beet, dry
as a bone, blind as a bat and
mad as a hatterâ
491. 246. Name the drug derived from this
organism.
Mention the clinical use of that drug.
492. 246A. Hirudin
â Polypeptide anticoagulant secreted by salivary
glands of leech
Anticoagulant (in patients with heparin
induced thrombocytopenia)
493. 247. Name one drug which block the encircled.
Mention one use of that drug.
515. 258. What is the name of this graph?
Mention the use.
516. 258A. Rumack â Matthew nomogram
(Acetaminophen nomogram)
⢠To identify the possibility of liver toxicity and
to decide on the N-acetyl cysteine treatment.
517. 259. What is the drug obtained from the
sperm of following source? Mention the
use of the drug.
Salmon fish
519. 260. Mrs Radha underwent liver transplant and was
given drug âXâ to prevent graft rejection. After 6 months
she developed this condition in her oral cavity. What
can be the drug âXâ?
521. 261. Hashi, 40 years of age, was given drug âXâ for
rheumatoid arthritis. She developed Bullâs eye
maculopathy. What can be the drug âXâ?.
525. 263. Indicate one use of the following drug and
mention one advantage of this drug delivery
system.
526. 263A. Analgesic (e.g. cancer pain), also in anaesthesia
Adv: first pass metabolism avoided, releases drug at
sustained level for longer duration, compliance is
better
527. 264. Give one example each for blocking the
following enzymes.
529. 265 (A) Name the route by which this drug is to be
injected in humans. (B) Mention the specific CNS
effect that is common to patients receiving this
drug.
530. 265A. (A) i.m. or slow i.v. (B) dissociative anaesthesia
531. 266. (A) Name the specific advantage of this
dosage form?
(B) Give one clinical use of this drug.
532. Ans. (A) releases drug slowly and steadily to maintain
effective blood levels (B) urinary incontinence
533. 267. Name one drug which blocks the following
channel and give its use.