Liaquat College of Medicine & Dentistry Department of Examination Pharmacology First Semester Examination (1) First Professional MBBS BLOOD Module OSPE For JSMU OSERVED STATION 01 INSTRUCTIONS AND TASK FOR THE CANDIDATES On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Identify the type of adverse effect in above shown clinical picture. Task No. 2: Examiner will ask you a few questions regarding the above shown clinical picture. On the table there is laminated picture. Observe it carefully and interpret it. Task No. 1: Identify the type of adverse effect in above shown clinical picture. Task No. 2: Name the drug that causes the above shown adverse effect. Task No.3: What are major uses of this drug? Task No.4: What are the two major contraindication of this drug? Task No.5: How resistance to this drug develops? Answer No.1: Tetracycline staining Answer No.2: tetracycline Answer No.3: Legionella infection Rocky mounted spotted fever Mycoplasma infection Answer No.4: Pregnancy Children below 8 years Answer No.5: Efflux pump Enzymatic inactivation of tetracycline Liaquat College of Medicine & Dentistry Department of Examination Pharmacology First Semester Examination (1) First Professional MBBS BLOOD Module OSPE For JSMU OSERVED STATION 02 INSTRUCTIONS AND TASK FOR THE CANDIDATES On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Identify the class of drug in the above shown diagram. Task No. 2: Examiner will ask you a few questions regarding the above shown diagram. On the table there is laminated picture. Observe it carefully and interpret it. Task No. 1: Identify the class of drug in the above shown diagram. Task No. 2: What is the mechanism of action of this drug? Task No. 3: Name two beta lactam antibiotics. Task No. 4: Name any two beta lactamase inhibitor. Task No.5: What are the two mechanism of resistance developed against this drug? Answer No.1: Penicillin Answer No.2: It inhibit the cell wall synthesis by inhibiting the transpeptidation of the chain Answer No.3: Cephalosporin Monobactam Answer No.4: Clavunic acid Sulbactum Answer No.5: Efflux pump Alteration of penicillin binding protein peptidoglycan Liaquat College of Medicine & Dentistry Department of Examination Pharmacology First Semester Examination (1) First Professional MBBS BLOOD Module OSPE For JSMU OSERVED STATION 03 INSTRUCTIONS AND TASK FOR THE CANDIDATES On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Identify the class of drug in the above shown diagram. Task No. 2: Examiner will ask you a few questions regarding the above shown diagram. On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Identify the class of drug in the above shown diagram. Task No. 2: What are the adverse effects of this drug? Task No. 3: Name three drugs with once daily dosing of this class. Task No. 4: Why this drug is contraindicated in children less than 18 years? Task No. 5: What is the bioavailability of this drug? Answer No.1: Fluoroquinolones Answer No.2: Nausea Vomiting Diarrhea Dizziness Insomnia Answer No.3: Gatifloxacin Gemifloxacin Levofloxacin Answer No. 4: Because it might damage the growing cartilage. Answer No. 5: 85% to 90% Liaquat College of Medicine & Dentistry Department of Examination Pharmacology First Semester Examination (1) First Professional MBBS BLOOD Module OSPE For JSMU OSERVED STATION 04 INSTRUCTIONS AND TASK FOR THE CANDIDATES On the table there is laminated clinical picture. Observe it carefully and interpret it. Task No. 1: In the above shown diagram red man syndrome developed in a patient due to rapid I/V injection of which antibiotic? Task No. 2: Examiner will ask you a few questions regarding the above shown clinical picture. On the table there is laminated clinical picture. Observe it carefully and interpret it. Task No. 1: In the above shown diagram red man syndrome developed in a patient due to rapid I/V injection of which antibiotic? Task No. 2: Write mode of action of above used drug? Task No. 3: What does MRSA stands for? Task No. 4: Name 2 non beta lactam cell wall synthesis inhibitor Task No. 5: Name 2 mechanism by which resistance can develop against this drug? Answer 1.Vancomycin Answer 2. It inhibits cell wall synthesis by inhibiting polymerization of peptidoglycan Answer 3. Methicillin resistant staphylococcus aureus. Answer 4. Fosfomycin Daptomycin Answer 5. Decrease permeability for Drug Decrease binding of vancomycin to receptor molecules. Liaquat College of Medicine & Dentistry Department of Examination Pharmacology First Semester Examination (1) First Professional MBBS BLOOD Module OSPE For JSMU OSERVED STATION 05 On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Name the drug which causes cyanosis (Gray Baby Syndrome) if used in neonates? Task No. 2: Examiner will ask you a few questions regarding the above shown picture. On the table there is laminated picture. Observe it carefully and interpret it Task No. 1: Name the drug which causes cyanosis (Gray Baby Syndrome) if used in neonates? Task No. 2: Write mode of action of above mentioned drug? Task No. 3: Name two protein synthesis inhibitors which act on 30S subunit of ribosome? Task No. 4: Write 2 major adverse effect of the drug? Task No. 5: Write its antimicrobial spectrum? Answer 1.Chloramphenicol Answer 2. It inhibits protein Synthesis by bindings to 50S subunit of ribosome. Answer 3. Tetracycline Amikacin Answer 4. Aplastic anemia Depressed breathing Cardiovascular collapse Answer 5. Rickettsia Anaerobes