Drug for general anaesthesia with the widest range of narcotic

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1 Drug for general anaesthesia with the widest range of narcotic action

A Nitrous oxide

B Sombrevin

C Ethyl alcohol

D Thiopental

E Ether for anesthesia

ANSWER: E

2 Typical effect, which develops during introduction to ether anaesthesia

A Does not irritate mucous membranes

B does not cause myorelaxation

C Rapid development of anesthesia

D Absence of sleep after narcosis

E Protracted stage of excitation

ANSWER: E

3 The medicine for i.v. and i.m. anesthesia

A Ether for anesthesia

B Nitrous oxide

C Phthorothanum

D Propanidid

E Ketaminum

ANSWER: E

4 The preparation for inhalation anesthesia

A Natrii oxybutyras

B Sombrevin

C Ketamin

D Propanidid

E Nitrous oxide

ANSWER: E

5 Nitrous oxide is characterized by

A Proper myorelaxation

B Prolonged stage of excitation

C Mucous membrane irritation

D Deep anesthesia

E Expressed analgesia

ANSWER: E

6 Drug for general anesthesia, the derivative of barbiturates, which contains sulfur

A Nitrous oxide

B Aether pro narcosi

C Ketamin

D Sombrevin

E Thiopentalum

ANSWER: E

7 The duration of Propanidide action

A 3-5 hours

B 20-30 min.

C 0,5-1 hours

D 20-30 sec.

E 3-5 min.

ANSWER: E

8 The preparation used for insomnia

A Difenine

B Ethosuximidum

C Carbamazepine

D Ketaminum

E Nitrazepam

ANSWER: E

9 Diazepame main property which used for neurosis treatment

A Analeptical

B Narcotic

C Antipsychotic

D Anaesthetic

E Anxiolytic

ANSWER: E

10 Phenobarbital main property

A Does not change the structure of sleep

B Stimulates psychical activity

C Does not cause accumulation

D Does not activate microsomal enzyme system

E Shortens the phase of rapid sleep

ANSWER: E

11 The long-term phenobarbitale admininstration may cause

A Anaesthesia

B Tachyphylaxis

C Blockade of microsomal enzymes

D Analgesia

E Material accumulation

ANSWER: E

12 Which preparation can markedly change the structure of sleep?

A Phenitoin

B Zopiclone

C Gidasepam

D Bromide

E Phenobarbital

ANSWER: E

13 The preparation with somnolent and antihistaminic activity

A Phenobarbital

B Zopiclone

C Sibazone

D Nitrazepamum

E Dimedrolum

ANSWER: E

14 Which preparation is effective for trigeminal neuralgia?

A Nitrazepamum

B Sibazone

C Bromide

D Phenobarbital

E Carbamazepine

ANSWER: E

15 Typical side effect of diphenine (phenitoin), showing up in the cavity of mouth

A Dryness

B Hypersalivation

C Stomatitis

D Glossitis

E Gingival hyperplasia

ANSWER: E

16 What is the drug for epilepsia treatment?

A Amitryptilin

B Magnesium sulfate

C Ketaminum

D Valeriana

E Carbamazepine

ANSWER: E

17 Carbamazepine is applied for

A Improvement of mood

B For local anaesthesia

C Breathing stimulations

D General anesthesia

E Epilepsy treatment

ANSWER: E

18 Which concentration of Ethyl alcohol solution for surgeon hands rinsing correlates with proper antiseptic effect?

A 96%

B 40%

C 30%

D 10%

E 70%

ANSWER: E

19 What Ethyl alcohol concentration for disinfection of surgical instruments?

A 70%

B 40%

C 76%

D 30%

E 96%

ANSWER: E

20 Ethyl alcohol is used for inhalation at:

A Insomnia

B Allergy

C Oppressing of breathing

D Cardiac arrhythmia

E Pulmonary edema

ANSWER: E

21 Why ethyl alcohol cannot be used for general anesthesia?

A Increases heat beating and renders a diuretic action

B Strong irritative action

C Absence of prolonged stage of analgesia

D Causes chronic intoxication

E Narrow therapeutic window and expressed stage of excitation

ANSWER: E

22 Effect of Natrii oxybutyras

A Antipsychotic

B Analeptical

C Local anesthesia

D Psycho-motor stimulant

E Antihypoxic

ANSWER: E

23 The drug used for Parkinson disease which affects dophaminergic processes in

CNS

A Cyclodolum

B Difenin

C Karbamazepinum

D Phenobarbital

E Levodopa

ANSWER: E

24 Drug for Parkinson disease with the central cholinoblocking action?

A Levodopa

B Carbidopa

C Phenobarbital

D Nitrazepam

E Cyclodolum

ANSWER: E

25 Levodopa effect at Parkinsonism is due to:

A Oppression of dophaminergic processes in CNS

B Stimulation of cholinergic processes in CNS

C Oppression of cholinergic processes in CNS

D Oppression of glutamatergic processes in CNS

E Stimulation of dophaminergic processes in CNS

ANSWER: E

26 Cyclodolum is used for:

A Pain

B Anesthesia

C Epilepsia

D Insomnia

E Parkinson disease

ANSWER: E

27 Property of Nitrous oxide which may be used in ambulatory dental practice for tooth extraction:

A Drying

B Anesthetic

C Irritating

D Disinfecting

E Analgesic

ANSWER: E

28 Coffeine is

A Antidepressant

B Nootropic drug

C Analgesic

D Anxiolytic

E Psycho-motor stimulant

ANSWER: E

29 Preparation which belongs to analeptics

A Proserinum

B Lidocaine

C Adrenalini hydrochloridum

D Ketamini hydrochloridum

E Bemegridum

ANSWER: E

30 Preparation which belongs to analeptics

A Piracetam

B Sydnocarb

C Natrii oxybutyras

D Amitriptyline

E Cordiaminum

ANSWER: E

31 Basic pharmacological effect of analeptics

A Antidepressive

B Anti cough

C Dilation of vessels

D Memory increase

E Breathing stimulation

ANSWER: E

32 Psychomotor stimulant

A Aethimizolum

B Bemegridum

C Cordiaminum

D Camphora

E Caffeine

ANSWER: E

33 Analeptics indication

A Psychical depression

B Postoperative atony of the intestine

C Hypertension crisis

D Insomnia

E Oppressing of breathing

ANSWER: E

34 The preparation used for respiratory and vasomotor centers stimulation is called

A Paracetamolum

B Proserinum

C Amitriptyline

D Morphinum

E Caffeine

ANSWER: E

35 Nootropic drug (neurometabolic cerebroprotector)

A Caffeine

B Noradrenalinum

C Proserinum

D Cordiaminum

E Piracetam

ANSWER: E

36 Caffeine action caused by excitation of brain stem center:

A Tranquilizer

B Improvement of memory

C Mental and physical capacity increase

D Tachycardia

E Breathing stimulation

ANSWER: E

37 Antidepressant used for treatment of endogenous depressions (schizophrenia, manic-depressive psychosis) is

A Proserinum

B Caffeine

C Bemegridum

D Sibazonum

E Amitriptyline

ANSWER: E

38 Sulfocamphocainum is used

A For endogenous depression

B For rheumatism

C For arterial hypertension

D For tachyarrhythmias

E For medulla centers activation

ANSWER: E

39 Caffeine is

A Analeptic and antidepressant

B Antidepressant and psychomotor stimulant

C Antidepressant and nootropic

D Analeptic and nootropic

E Analeptic and psychomotor stimulant

ANSWER: E

40 Piracetamum nootropic activity reveals in

A Delirium and hallucinations

B Fear

C Fatigue

D Depression

E Improvement of studying and memory

ANSWER: E

41 Coffeine is not used for cardiac insufficiency treatment due to its ability:

A To diminish oxygen consumption of myocardium

B To increase intensity of systole

C To diminish intensity of systole

D To cause bradycardia

E To increase oxygen consumption of myocardium

ANSWER: E

42 Bemegridum is not applied at somnolent poisoning due to its ability:

A To promote excitability of neurons of CNS

B To stimulate the centers of brain stem

C To promote arterial hypertension

D To stimulate breathing

E To provoke cramps and hypoxia of CNS

ANSWER: E

43 Mechanism of Cordiaminum stimulative influence on breathing:

A Direct action on respiratory center

B Reflex action on respiratory center

C Intensive contraction of respiratory muscles

D Intensive contraction of the diaphragm

E Mixed action on respiratory center

ANSWER: E

44 Bronchial asthma attacks are relieved with:

A Noradrenalinum

B Mesatonum

C Anaprilinum

D Reserpine

E Salbutamolum

ANSWER: E

45 Mechanism of Salbutamole bronchodilation action

A Stimulation alpha 1 – adrenoreceptors of the bronchi

B Stimulation of м – cholinoreceptors of the bronchi

C Blockage of м-cholinoreceptors of the bronchi

D Blockage beta 2 - adrenoreceptors of the bronchi

E Stimulation beta 2 - adrenoreceptors of the bronchi

ANSWER: E

46 Mechanism of Cytitonum stimulant influence on breathing

A Direct action on a respiratory center

B Mixed action on a respiratory center

C Intensive contraction of the intercostal muscles

D Intensive contraction of the diaphragm

E Reflex action on a respiratory center

ANSWER: E

47 The expectorant of reflex action

A Acetylcysteinum

B Trypsinum

C Natrii hydrocarbonate

D Bromhexinum

E Thermopsis drugs

ANSWER: E

48 Complications, arising up at codeine application as anti cough agent

A Dry mouth, insomnia

B Tachycardia, arrhythmia

C Tachypnoe, bronchospasm

D Increase of arterial pressure

E Constipation, medical dependence

ANSWER: E

49 Bemegridum belongs to the group of

A Narcotic analgesics

B Non-narcotic analgesics

C Antidepressants

D Psychostimulants

E Analeptics

ANSWER: E

50 Complication, arising up at the overdose of the Thermopsis herb extract

A Bronchial asthma

B Arrhythmia

C Bradycardia

D Dry mouth

E Vomiting

ANSWER: E

51 Libexinum belongs to the group of

A Narcotic analgesics

B Non-narcotic analgesics

C Mucolytics agents

D Stimulators of breathing

E Anticough drugs

ANSWER: E

52 Acetylcysteinum is used for treatment

A Hypertensive disease

B Ulcer disease

C Angina pectoris

D Arrhythmias

E Chronic bronchitis

ANSWER: E

53 Cordiaminum is used for

A Bronchial asthma

B Hypertensive disease

C Bronchitis

D Gastritis

E Collapse

ANSWER: E

54 Bromhexinum belongs to the group of:

A Non-narcotic analgesics

B Non-steroidal anti-inflammatory drugs

C Laxatives

D Analeptics

E Mucolytics

ANSWER: E

55 Beta 2-adrenomimetics include:

A Nafthyzinum

B Adrenaline hydrochloridum

C Atropine sulfas

D Methacinum

E Salbutamolum

ANSWER: E

56 Glucocorticoid used as inhalation for bronchial asthma treatment:

A Isadrinum

B Salbutamolum

C Euphyllinum

D Cromolinum-natrium

E Beclometazoni dipropionat

ANSWER: E

57 Ketotifenum is used for:

A Constipation

B Pneumonia treatment

C Gastritis

D Angina pectoris

E Prophylaxis of bronchial asthma attack

ANSWER: E

58 Mechanism of action of Cromolinum-sodium:

A Blockage of adenosine A alpha1- receptors in the bronchi

B Stimulation of beta2 - adrenoreceptors of the bronchi

C Blockage of beta2 - adrenoreceptors of the bronchi

D Blockage of M - cholinoreceptors of the bronchi

E Stabilisation of mast cells membranes and prevention release of allergy mediators

ANSWER: E

59 Local anesthetics affect:

A Cortex of cerebrum

B Thalamus

C Limbic system

D Proteins of superficial layer of mucous membranes and skin

E Endings of sensitive nerves and nerve fibers

ANSWER: E

60 The action of local anesthetics is:

A Increase of permeability of cellular membranes for calcium ions

B Oppressing of pain impulses in the spinal cord

C Oppressing of pain impulses at thalamus

D Activating of the endogenous antinociceptive system

E Decrease of permeability of cellular membranes for sodium ions

ANSWER: E

61 Local anesthetic of the ether group (according to chemical structure):

A Lidocaine

B Ultracaine

C Trimecainum

D Bupivacaine

E Novocainee

ANSWER: E

62 How does action of local anesthetics change in the locus of inflammatory process?

A Does not change

B Increases

C Accelerates

D Lengthens

E Reduces

ANSWER: E

63 Local anesthetic of the amide group (according to chemical structure):

A Cocaine

B Anaesthesinum

C Novocaine

D Dicainum

E Lidocaine

ANSWER: E

64 Vasoconstrictive agents supplements to the solutions of local anesthetics results in:

A Acceleration of local anesthetic absorption

B Effect decreases

C Toxic effect increases

D Systemic action increases

E Prophylaxis of their resorbtive (systemic) action

ANSWER: E

65 The group of drugs, which intensify and increase the duration of action of local anesthetics:

A Analeptics

B alfa-adrenoblockers

C M-cholinomimetics

D N-cholinomimetics

E alfa-adrenomimetics

ANSWER: E

66 The preparation used for all types of local anesthesia:

A Cocaine

B Dicainum

C Anaesthesinum

D Novocaine

E Lidocaine

ANSWER: E

67 Lidocaine:

A Is used only for infiltrative and conductive anesthesia

B Is not used for anesthesia

C Is used only for superficial anesthesia

D Is used only for spinal anesthesia

E Is used for all kinds of local anesthesia

ANSWER: E

68 Novocaine:

A Is used only for infiltrative anesthesia

B Is not a derivative of PABA

C Is not destroyed by cholinesterase

D May be combined with sulphonamides

E Often causes allergic reactions

ANSWER: E

69 Neuroleptics are administered for:

A Neuroses

B Hyperkinesis

C Collapse

D Parkinson’s disease

E Psychoses

ANSWER: E

70 The typical effect for all neuroleptics:

A Anti cough

B Expectorant

C Nootropic

D Psychostimulative

E Antipsychotic

ANSWER: E

71 Neuroleptic, used for neuroleptanalgesia

A Aminazine

B Triftazine

C Levomepromazinum

D Haloperidol

E Droperidol

ANSWER: E

72 Mechanism of myorelaxation of tranquilizers

A Oppress an acetylcholinesterase

B Block M-cholinoreceptors of smooth muscles

C Block N-cholinoreceptors of skeletal muscles

D Direct influence on myofibrils of skeletal muscles

E Oppress the central mechanisms of muscular tonus

ANSWER: E

73 Mechanism of antipsychotic action of neuroleptics

A Blockade of cholinoreceptors in CNS

B Blockade of adenosine receptors in CNS

C Blockade of histamine receptors in CNS

D Activating of GABA-receptors in CNS

E Blockade of dopamine D2-receptors in CNS

ANSWER: E

74 The typical effect of tranquilizers of benzodiazepine is:

A Antipsychotic

B Hypothermal

C Antivomiting

D M-cholinoblocking

E Anxyolitic

ANSWER: E

75 The tranquilizer, applied for premedication before an operation

A Nitrazepam

B Haloperidol

C Droperidol

D Aminazine

E Diazepam

ANSWER: E

76 Tranquilizer with the expressed somnolent action

A Codeine

B Aminazine

C Dimedrolum

D Ephedrine

E Nitrazepam

ANSWER: E

77 The effect of Diazepamum:

A Antipsychotic

B Antivomiting

C Hypothermal

D M-cholinoblocking

E Anxyolitic

ANSWER: E

78 The effect of Etaperazinum:

A Psychostimulative

B Provokes vomiting

C Hypertensive

D Spasmolytic

E Antivomiting

ANSWER: E

79 The preparation, applied at neuroses

A Adrenalinum

B Isadrinum

C Cordiaminum

D Atropinum

E Sibazon

ANSWER: E

80 The typical complication, developing after long-term administration of

Aminasinum and other neuroleptics

A Euphoria

B Increase of arterial pressure

C Vomiting

D Bradycardia

E Parkinsonism

ANSWER: E

81 The typical complication, developing after prolonged usage of Diazepamum and other tranquilizers:

A Extrapyramidal disorders

B Gastritis

C Bronchial asthma

D Arterial pressure increase

E Drug dependence

ANSWER: E

82 Basic difference of neuroleptics from tranquilizers:

A Anticonvulsant properties

B Do not affect the vegetative nervous system

C Do not intensify the action of anesthesia drugs

D Cause tachyphylaxis

E Antipsychotic effect

ANSWER: E

83 The tranquilizer is:

A Aminazine

B Morphine

C Droperidol

D Fentanyl

E Sibazon

ANSWER: E

84 Aminazine, Droperidol belong to:

A Tranquilizers

B Antidepressants

C Analeptics

D Nootropic drugs

E Neuroleptics

ANSWER: E

85 The mechanism of action of sodium bromide:

A Excitation of M-cholinoreceptors in the brain

B Intensifying processes of excitation in CNS

C Blockade of the histamine receptors in CNS

D Blockade of dopamine receptors in CNS

E Intensifying processes of depression in the brain

ANSWER: E

86 Valerian and Motherwort preparations belong to the group:

A Tranquilizers

B Neuroleptics

C Sleeping-pills

D Anticonvulsant preparations

E Sedative preparations

ANSWER: E

87 The symptoms of bromism (side effect of long-term bromides administration)

A Excitation of CNS, dryness of mucous membranes

B Constipation, stomach-ache

C Tachycardia, insomnia

D Nausea, vomiting

E Acne rashes, somnolence, rhinorhea

ANSWER: E

88 The drug which after long-term administration causes phenomenon of bromism

A Sodium hydrocarbonate

B Sodium sulfate

C Sodium citrate

D EDTA (Trilonum B)

E Sodium bromide

ANSWER: E

89 The plant with sedative action

A Lemon

B Thermopsis

C Foxglove

D Strophanthus

E Valeriana

ANSWER: E

90 How do we mark the neuroleptics effect of removing delirium and hallucinations

A Antivomiting

B Sedation

C Hypothermal

D Myorelaxation

E Antipsychotic

ANSWER: E

91 The main complication after neuroleptics administration

A Arterial pressure increase

B Bradycardia

C Drug dependence

D Euphoria

E Extrapyramidal disorders

ANSWER: E

92 Neuroleptic which causes Parkinson syndrome due to its M-cholinoblocking activity

A Rezerpine

B Aspirin

C paracetamol

D Etaperazin

E Aminazine

ANSWER: E

93 Which preparation belongs to neuroleptics

A Chlozepid

B Sibazon

C Phenazepamum

D Nitrazepamum

E Aminazinum

ANSWER: E

94 The excitation of benzodiazepine receptors is accompanied with:

A Antipsychotic effect

B Antivomiting effect

C Arterial pressure increase

D Arterial pressure decrease

E Anxiolytic effect

ANSWER: E

95 Benzodiazepine tranquilizers intensify the action

A Psychomotor stimulants

B Analeptics

C Antidepressants

D Nootropic preparations

E General anesthetics, analgesics, somnolents

ANSWER: E

96 Prolonged administration of tranquilizers is limited due to their ability to cause:

A Myorelaxation of central genesis

B Intensifying of analgesics action

C Somnolent effect

D Anticonvulsant effect

E Drug dependence

ANSWER: E

97 What is the mechanism of indirect-action cholinergic stimulants action?

A Stimulate beta-adrenoreceptors

B Block of М-cholinoreceptors

C Block of monoaminooxidase

D Affect serotonine receptors

E Block of cholinesterase

ANSWER: E

98 Patient entered the hospital neurological department with post-stroke syndrome.

What cholinergic medicine is the most expediently to the patient?

A Atropine

B Dipiroxim

C Salbutamol

D Aspirine

E Galantamine

ANSWER: E

99 Patient with the acute stomachache, vomiting, heavy breathing, bronchospasm, was delivered to the intensive therapy department. During examination of patient - skin moisture, hypersalivation, myosis, bradycardia, muscular fascilation was noted. From the anamnesis it is known, that patient – toxin abused person, used aerosols against insects as abuse substance. What pharmacological group of agents the poisoning substance belongs to?

A N- cholinomimetic

B М-choliniblockers

C Myorelaxants

D Ganglion-blockers

E Anticholinesterase agents

ANSWER: E

100 To patient with signs of poisoning by phosphor organic substance cholinesterase reactivator was injected. Indicate a mechanism of action of this drug.

A Inactivation of cholinesterase

B Block of cholinoreceptors

C Activate of cholinoreceptors

D Oppression of acetylcholine synthesis

E Dephosphorilation of cholinesterase with renewal of its activity

ANSWER: E

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