NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION.
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NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION. NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION. NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION.
NBME CBSE REAL EXAM
QUESTIONS AND
ANSWERS LATEST
MEDICAL EXAMINATION
Which antidepressant requires wash-out - answer is MAOI
(Phenelzine, selegiline)
What is serotonin made from - answer is tryptophan
TCA - answer is Amitriptyline
inhibit *fast Na* channels
dose limiting AE from amitriptyline - answer is arrhythmia
tx: sodium bicarb
TCA OD treatment - answer is sodium bicarb
OD = seizure, hypotension, prolonged QRS
TCA AE due to blocking - answer is mAChR
a1
NE/5HT reuptake
H1-R
--> confusion, constipation, urinary retention
,Olanzapine, Clozapine - answer is 2nd gen antipsych + MOOD
AE of Olanzapine, Clozapine - answer is metabolic syndrome (wt
gain)
(atypical antipsychotic)
Trazodone - answer is MDD + Insomnia
Trazodone AE - answer is priapism
Ramelteon - answer is Melatonin Agonist (*for elderly)
Sleep aid for elderly - answer is Ramelteon
Atomoxetine - answer is tx ADHD
nonstimulant
*NE reuptake inhibitor*
Haloperidol - answer is 1st gen antipsych
tx delerium
Donepezil - answer is cholesterase inhibitor
tx: dementia
Benzo MOA - answer is allosterically bind GABA to
increase Cl frequency of opening
Lorazepam IV - answer is status epilepticus
Phenytoin - answer is Na block
,PREVENT seizure recurrence
What should you not combine with a benzo - answer is 1st gen
antihistamine
(Chlorpheniramine)
--> SEDATION TOO MUCH
Ethosuximide - answer is absence seizures
blocks thalamic* Ca T-type* channel
Lamotrigine - answer is Na channel block
tx: seizures + biploar
AE of lamotrigine - answer is SJS
(tx seizure/bipolar)
What is used for essential tremors - answer is propranolol
**pt reports improved symptoms w alcohol
Gabapentin - answer is inhibit pre-s voltage gated *Ca ch*
= inhibit fusion/*release* of NT
tx: seizures, VZV pain
Carbamazepine - answer is tx: trigeminal neuralgia
decrease Na current
AE of carbamazepine - answer is *BM suppression*
, SIADH (low Na)
(tx seizures)
Valproate treats - answer is seizure + bipolar
Lithium AE - answer is hypothyroid
Polyuria/dipsia (ADH antagonist in CD)
PCP - answer is NMDA antagonist
violent, nystagmus
Cocaine - answer is blocks NE/DA/5HT reuptake
= sympathetic stimulation
Opioids - answer is decrease Ca influx
increase K efflux
Opioid AE - answer is contract sphincter of Oddi
--> biliary colic (cramping)
Methadone - answer is *full mu agonist*
long *t1/2* to suppress CRAVINGS/WITHDRAWAL
Buprenorphine - answer is partial agonist
= decrease resp/deperss
CAN PRECIPITATE OPIOID WITHDRAWAL SYMPTOMS
Diphenolynate - answer is mu agonist for GI
- SLOWS motility
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