PHARMACOLOGY PAPER 1-SAMPLE QUESTION PAPER-NEW SCHEME-KUHS 2012



MODEL QUESTION PAPER
SECOND PROFESSIONAL MBBS DEGREE EXAMINATION
PHARMACOLOGY PAPER I
(NEW SCHEME)
Time: 2 hours                                                                                        Maximummarks: 40
Answer all questions.
I. Name the following
1. DOC for petit mal epilepsy
2. Drug producing phocomelia
3. Cerebroselective anticholinesterase
4. One 5HT3 antagonist
5. Antidepressant effective in chronic pain
6. A Clot specific fibrinolytic agent
7. DOC for anaphylactic shock
8. The diuretic used in cerebral edema
9. Transdermal patch used in angina pectoris
10. Shortest acting cardio selective beta blocker          (½ x10= 5 marks)
II. Give the rationale for use of following drugs
a. Sumatriptan in acute attack of migraine
b. Promethazine in motion sickness
c. Haloperidol in acute schizophrenia
d. Fluticasone inhalation in bronchial asthma                 (1x4 = 4marks)
III. Write two uses and two adverse effects of the following drugs
a) Lithium
b) Amlodipine
c) Verapamil
d) Neostigmine                                                                    (1 x 4 = 4 marks)
IV. Enumerate 4 groups of antihypertensives with one example for each. Mention 4 drugs
safe for use in pregnancy. Write the pharmacological action, adverse effects and drug
interaction of any one antihypertensive                             (2+1+ 2= 5marks)

V. Read the clinical problem and answer the following questions
Ramesh, 28 years was administered an injection of Adrenaline with Lignocaine at base of his
thumb for nail extraction. Later he developed severe gangrene of thumb
a. Why has gangrene developed? How could this have been avoided?
b. Write the mechanism and pharmacological actions of adrenaline and lignocaine
c. List the other two surface anaesthetics and write their adverse effects
d. Write the cardiac use of lignocaine with dose and rationale.   (1+2+1+1=5 marks)

VI. Choose the appropriate drug and justify
a. Dopamine/ adrenaline in cardiogenic shock
b. Diazepam/ alprazolam in depressed person with anxiety
c. L-dopa/ trihexyphenidyl in drug induced parkinsonism
d. Ketamine / Fentanyl in dissociative anaesthesia
e. Digoxin/ adenosine in atrial fibrillation                (1 x 5 = 5 marks)
VII. Write briefly on
a. Uses and adverse effects of skeletal muscle relaxants
b. Teratogenicity
c. Ketamine
d. Chlorpromazine                                                    (3 x 4 = 12marks)