‫‪File No 5‬‬

‫** نظام االمتحان **‬

‫االمتحان عبارة عن ‪ 051‬سؤال الوقت ‪ 001‬دقيقة‬
‫*اول ‪ 05‬دقيقة تتعرف علي البرنامج اللي هتمتحن عليه‬
‫*اول جزء في االمتحان ‪ 55‬سؤال والوقت ‪ 01‬دقيقة‬
‫*استراحه لمده ‪ 05‬دقيقة‬
‫*تاني جزء في االمتحان ‪ 55‬سؤال والوقت ‪ 01‬دقيقة‬

‫متنساش تذاكر باقي الملفات‬

‫كل الملفات هتالقيها علي الجروب‬

a- 12 hours b- 24 hours
c- 36 hours d- 72 hours

Buspirone (Generalized Anxiety Disorder GAD)

- antidote was small amount

Rosuvastatin, Pitavastatin and Atorvastatin

lorazepam

a- influenza b- pneumococcal polysaccharide

c- hepatitis B d- MMR

Therapeutic Drug Monitoring (TDM)

good manufacturing practices

establishment of all safety and efficiency of drug manufacture procedure

a- 20 mg c- 40mg
d- 60 mg e- 80 mg
a-Estrogen b-progestron
c-Estrogen + progestrond

a- Decrease Warfarin metabolism b- increase plasma level

a-oral anticiotic b-oral antifungal

c-topical antifugal d- topical …. Oil
**NORTE** Antifungal such as Terbinafine (Lamisil®); 250 mg/day
orally once or 2 divided doses for 2-6 weeks

Entacapone which is selectively and reversibly inhibit COMT

class III antiarrythmia

Anakinra

: seizures

Allergic reactions (cross-

sensitivity) &Hypoprothrombinemia & Mild stomach cramps

Bladder toxicity (Hemorrhagic_Cystitis)

Short-acting β2-adrenoceptor Agonists (SABA)

a-Botulinum toxin b- x toxin

a- at same time b- day after day
c- 2 weaks between them d- monthes between them

Phase 3 (Rapid Repolarization K )

Phase 4 (Resting Membrane Potential; RMP)

Monoamine Oxidase Inhibitors (MAOIs)

a-2 years b-4 years

c-6 years d-6 years

a-800 b-1000
c-1200 d-2000
e-3000
** If Q: Maximum dose of Ibuprofen : 3200

a- kaylexate b- Na
27- Dose of heparin: 80-100 units /kg

-Through dose , before second dose by half hour

-Therapeutic Drug Monitoring (TDM)

a-adminstratin b-dispensing c-ommission

bleeding complicatins Hyper sensitivity reactions Thrombocytopenia

Osteoporosis has been observed in patients on long-term therapy

a-wash with water for 20-30 min b- put ice c-put vasline

headache, dry mouth, polydipsia, polyuria, polyphagia

may include ataxia, slurred speech, coarse tremors, confusion, and convulsions,
arrhythmia, hypotention & Teratogenicity with pregnant
wrong time errors - administration error

ECG

a-shift b-double dose

c- add another antidepressant

a-Mg b- morphine c-……..

38- Phenytoin suspension dose : 15ml/day or 5 mL (125 mg/5 mL) three times
daily, or one teaspoonful, by mouth 3 times daily. Adjust the dosage to suit
individual requirements, up to a maximum of 25 mL daily
 IgE

A- less than one year B- less than two years

C- less than three years D- less than six years

a- at birth b- 6weeks_2months_4months
c- 2months_4monthd_6months d- 1 year

a- vancomycin b- erythromycin
c- diloxanide

a) cancel the vaccines b) proceed to give the vaccines

c) delay the vaccines for one year

first dose 12months and second dose 4years

corynebacteriam

a-Coloring agent b-Preservative

c-Tasting agent
 70mg once aweak =10 mg daily

Physostigmine

A pharmaceutical establishment that provides scientific, technical and

marketing information on pharmaceutical preparations throughout the
Kingdom.

Tyrosine Kinase Inhibitor use as

chronic myelogenous leukemia (CML)
gastrointestinal stromal tumors (GISTs)

a- Laba b- SABA c- Inhaled corticosteroid d-Loncet

a- don't dispense b- call doctor to change drug

c- dispense d- fill 3 days
dipeptyl peptidase no. 4 inhibitor (DPP IV Inhibitor)

non pharmacological treatment

: Multi Vitamins

a- return the dose to the pharmacy

b- keep it to the next dose
c- throw it away

Ibuprofen

a- prevent ulcer b- prevent and treat gastric ulcer

c- treatment of ulcer

a- continue on valproic acid b- stop valproic acid

c- change to levetiracetam

a- milk of magnesia b- glycerin

c- Biscodyl d- psyllium
a- (clarithromycin, amoxicillin,ppi)
b- (bismuth, tetracycline, metronidazole ,ppi)
c- (bismuth, doxycycline, metronidazole,ppi)

a- 4.5 t half b- 6.6 t half

c- 7.4 t half

Animal reproduction studies have failed to demonstrate a risk to the fetus

and there are no adequate and well-controlled studies in pregnant women.

a-1 year b-3 years

c-5 years d-10

first dose 12months and second dose 4years

5-7 Days

The vastus lateralis muscle in the anterolateral thigh

a- glycrine b- magnesium milk

c- bisacodyl

a-MOH b-SPA
c-sFda d-scfhs
‫ موجوده بيقي هي الصح‬General Pharmaceutical Council (GPhC) ‫لو‬

a- cimetidin 800 mg b- esomeprazole 40 mg

c- ranitidine 300 mg d- pantaprazole 40 mg
 300 B.I.D

a- Piroxicam b- Naproxen c- Dicofenac d- Ibuprofen

a- Will you give the generic b- send him an other pharmacy

c- tell him you dont have the medicine

NO

a- Amoxicillin b- azithromycin c- steroid

you shift him to anther group

 :
Take heparin for 2 days with warfarin then stop heparin , warfarin biological t/2
after 48 hours

a- asprin b- enoxaparin c-Clopidogril

a- antiallergic b- decongestant

pantaprazole 40 mg

Only progesterone pill

a- mmr b- rubella c- meningitis d- rotavirus (RV)

: (amoxicillin with different doses + antiviral i do not remember)

For male

- For female = CrCl of male x 0.85

-Correction of fluid loss with intravenous fluids

-Correction of hyperglycemia with insulin

-Correction of electrolyte disturbances, particularly potassium loss

-Correction of acid-base balance

-Treatment of concurrent infection, if present

Liraglutide (NN2211) is a derivative of human incretin (metabolic hormone) glucagon-like
peptide-1 (GLP-1) that is used as a long-acting glucagon-like peptide-1 receptor agonist,
binding to the same receptors as does the endogenous metabolic hormone GLP-1 that
stimulates insulin secretion.

so BSA(m²)= SQRT (92x16)/3600

= SQRT (.48555)

=.69681 m²

a- Azathioprine b- Methotrexate
Relation between autism and MMR vaccine ?? No relation
Relation between autism and thimerosal vaccine ?? relation

-Anticholinergic medications
-Mirabegron (Myrbetriq)
-Ona botulinum toxin type A (Botox)

6–8 hrs

up to 24 hrs

paracetamol 1 gm per day

trimethoprim

tamoxifen

strong base anion‐exchange resins

‫ اعتقد االجابه هي‬SC

a-gastric lavage b-paralidoxime
c- charcoal d- hemodialysis

biggest complaint people have about Metformin is that it causes gas and
diarrhea. This can often be reduced by increasing the dose gradually

a- 7days b- 14 days c- 30 days

a- sildenafil b- avanafil c- no pharmacological treatment

amiodarone

Metformin nausea and vomiting may be asign of lactic acidosis.And treatment is :

treating Lactic acidosis sometimes represents a medical emergency. Increasing
oxygen to the tissues and giving IV fluids are often used to reduce lactic acid
levels. Electrolyte-replacement sports drinks such as Gatorade help with
hydration, but water is usually best.

4 hours
a- she can take it if it was stored properly
b- buy a new one

labetalol

Fentanyl is 50 to 100 times more potent than morphine (80)

pharmacy therapeutic committee

a- Amlodipine b- hydrochlorothiazide c- lisinopril

a- frusemide b- triamterene c- hydrochlorothiazide

grape fruit
use a drug that not approved yet (new unapproved drug)
Overlapping of clexane with warfarin
At least 5 days

Voriconazole dose is adjusted in hepatic impairment

100 mg/ twice daily

azithromycin

Aliskiren (trade names Tekturna and Rasilez) is the first in a class of drugs
called direct renin inhibitors. It is used for essential (primary) hypertension.

to prevent develop of serious Rash.

- before pregnancy with one month and 1st trimester.

30 mg SC q12hr; initiate therapy 12-24 hr postoperatively and continued for

10 days or up to 35 days postoperatively or until risk of DVT has been
significantly reduced or patient is on anticoagulant therapy

selective alpha-1 antagonist

300mg/d

L-Asparaginase enzyme

H1 blocker

mixture of live attenuated viruses

medication used to treat open angle glaucoma

 decreases serum uric acid concentration .

a- Vincristine b-Ergot c-L-aspiregase d- doxorubicin

by minibag (IV push) or infusion (IV)

a- 20 b-40 c-60 d- 80

a- 5 mg/d b-10 mg/d c-15 mg/d d-20 mg/d

Leukotriene antagonists
*NB*
used for the maintenance treatment of asthma and to relieve symptoms of
seasonal allergies. It is usually administered orally.

Oral
is a biologic medical product which is almost an identical copy of an original
product that is manufactured by a different company.[1] Biosimilars are
officially approved versions of original "innovator" products, and can be
manufactured when the original product's patent expires.

inhibitors act by irreversibly blocking the hydrogen/potassium adenosine

triphosphatase enzyme system (Inhibitors of the H+/K+-ATPase proton pump)

pioglitazone and heart failure

:
a- voltage gated receptors and ligand gated receptors
b- voltage gated receptors and G _ protein receptors
c-ligand gated receptors and G _ protein receptors
d- ...........................................

a- dextrose 5% b- saline 3%
c- ringer solution d- ....................

:
a- take omeprazole with doxycycline b- stop adapalene
c- apply adapalene as thin layer
a- 1 b- 2
c- 3 d-4

:
a- linezolide b- tranylcybromine

A- hypokalemia B- hyperkalemia
C- hypocalcemia D- hypercalcemia

intravenous sodium nitroprussideinjection,

In less urgent cases, oral agents like captopril, clonidine, labetalol,
or prazosin can be used, but all have a delayed onset of action

a- statin b-glifibrozide
c-cholestyramine d- Eztimibe

a- nafcillin b- Merobenem

a- cephradin b- cephdinir
c- ciprofloxacin d- clindamycin

pyridostigmine

-α Adrenergic Antagonists
a- amphetamine b- morphin saline 3%
c- cannabinoid d- LSD

a- cimetidine decrease excretion

b- cimetidine increase metabolism of anxiolytic

a- give her the prescription

b- give her the bottles of drugs in the prescription
c- prevent her from taking it without her brother approval
d- give her the telephone of the prescriper doctor

a- shift from valproic acid to phenytoin b- keep her using valproic acid
c- give her leviteracetam and decrease valproic acid till epilepsy is well
controlled then discontinue

desloratidine

arteriodilator only

8 hrs
example of giving expired drug

the right patient, the right drug, the right dose, the right route, and the right
time

a- stop Lisinopril b- decrease dose of Lisinopril

c- decrease dose of carvedilol d- stop carvedilol

hydrochlorothiazide and spironolactone

cocoa butter
a- use both of them as they have same efficacy
b- use one of them as they are the same brand
c- take drug B as it has more benefits
d- don’t use any one of them

a- administer hour before and two hours after phosphates administer

b- administer ciprofloxacin with food

a- verapamil b- captopril
c- …………….

a- cobalt b- iron
c- beta carotin
smooth muscle relaxant and cause arteries and veines dilation and relaxation

is a dual alpha (α1) and beta (β1/β2) adrenergic receptor blocker and competes
with other Catecholamines for binding to these sites

GMP (Good Manufacturing Practice) is part of a quality system covering the manufacture and
testing of pharmaceutical dosage forms or drugs and active pharmaceutical ingredients, diagnostics,
foods, pharmaceutical products, and medical devices. GMPs are guidance that outlines the aspects of
production and testing that can impact the quality of a product.

a. Carbimazole b. Oral contraceptive

c. Phenobarbitone. d. None of the above

a- don’t change dose coz fatigue is normal sign in pregnant

c- increase levothyroxine dose

3-5 days

a- 2 weeks b-3 weaks

c- 4weaks d-5 weaks

a PDE5 inhibitor approved for erectile dysfunction

drink large amount of water

a- Clozapine b- Olanzapine
c- Respeidone d- Quitabine

a- 6 months b- 4 months
c- 2 months d- a month

ACE inhibitor + CCB + thiazide

Sufficient evidence and consensus

exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium
valproate, and topiramate as first-line agents for migraine prevention.

a- Fentanyl b- sitagliptin
c- Dextromethorphan d- atenolol

a- Ringer b- Dextrose 20%

c- Saline d- Parenteral nutrition

a-paroxetine b-fluoxetine
c-bupropion d-sertraline

a- no evidence of any risk on human

b- no evidence of any risk on human and animals
a- bioavailability b- safety
c- absorption

a- rotavirus b- parainfluenza
c- pneumonia

-oral : 0.125- 0.5 mg/d

-IV/IM : 0.1 – 0.4 mg/d

15 g ---> 100 ml
X g ---> 60 ml X = (60 x 15 )/ 100 = 9 garms
…………………………….
30 g ---> 100 ml
9 g ---> Y y = (9 x 100) / 30 = 30 ml
a- 10 mg/d b- 20 mg/d
c-30 mg/d d- 40 mg/d

a- donepezil b- Memantin

#Donepezil is the only cholinesterase inhibitor approved to treat all stages of

Alzheimer's, including moderate to severe.

a- benztropin b- haloperidol
c- memantin

a- diazepam b- sertraline

Indomethasine

a- Oral b - Rectal
c- Subcutaneous d Topical
a- Constipation b- Salivation
c- increase in weight d- Hypercalcemia

a-0.5 ml b-1 ml c- 1.5 ml

d- variable , depending on the liquid and the dropper

a.Avoid grapefruit b.No caffeine

c. Vit K consistent d.Use sunscreen

:
a- Lorazepam b- Diazepam

cyclizine

o Cyclizine
o Diphenhydramine (Benadryl)
o Dimenhydrinate (Gravol, Dramamine)
o Doxylamine
o Meclizine (Bonine, Antivert)
o Promethazine (Pentazine, Phenergan, Promacot) can be administered
o via a rectal suppository for adults and children over 2 years of age.
o Hydroxyzine

Postapproval standing seientific and data gathering activities related to the

detection, assessment ,understanding and prevent s.e.

a- Take after meal by 2 hr b- take divided dose with meals

c- Take the dose with food
a- activated chatcoal
b- activated charcoal double dose
c- Gastric lavag

:
a- bioavailability b-safety
c- absorption

:
a-Keratolytic b-Antifungal
c-Antibacterial

a- 5 days b- 7 days
c- 10 days d- 14 days

Drugs inhibit lactation :

-ethinylestradiol ( Estrogens)
-ergometrine ( Oxytocics)
-chlorphenamine ( ANTIALLERGICS)
-levodopa + carbidopa (ANTIPARKINSONISM DRUGS)
-amiloride ( diuretics)
-furosemide ( diuretics)
-hydrochlorothiazide ( diuretics)
-ethinylestradiol + levonorgestrel (Hormonal contraceptives)
-ethinylestradiol + norethisterone (Hormonal contraceptives)

a- Heparin b-Clexan
c- clapidogrel d- Aspirin
a- to chew and swallow tablet
b- If the pain not relieved after two minutes to go to emergency department

a- levothyroxine b- methamizol

a- pneumonia b- laryngitis
c- pharyngitis

*Get emergency medical help if you have any of these signs of an allergic
reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or
throat.

*Remove the skin patch and call your doctor at once if you have any of these
serious side effects:

 slow heart rate, weak or shallow breathing, sighing;

 confusion, hallucinations, unusual thoughts or behavior;
 severe weakness, feeling like you might pass out;
 cold, clammy skin; or
 pale skin, easy bruising or bleeding

-Do not use this medication unless you are already being treated with a similar opioid
(narcotic) pain medicine and your body is tolerant to it.
-Do not expose the skin patch to heat while you are wearing it.
-Keep both used and unused fentanyl transdermal patches out of the reach of
children or pets. The amount of fentanyl in a used skin patch could be fatal to a child
or pet who accidentally sucks on or swallows the unit
***more infotmation about Use of Fentanyl Patches on this link***

https://www.palliativedrugs.com/download/08_09_Fentanyl%20Patches.pdf
 " " :
"Off-label" means the medication is being used in a manner not
specified in the FDA's approved packaging label (unapproved)

Administer with aspirin: Initial loading dose of 325 mg, then maintenance dose of aspirin of
75-100 mg/day; DO NOT exceed aspirin dose of 100 mg/day .

Source: http://reference.medscape.com/drug/brilinta-ticagrelor-999674

MOA: Open channel block of NMDA receptors. Prevents Na+ and, more
importantly, Ca2+ entry into theneurone, so reducing glutamate excitotoxicity.
Normal glutamatergic transmission continues.

Vit C

A higher bioavailability of the dietary iron can be achieved by increasing the

content of food components enhancing iron absorption (ascorbic acid, meat/fish)
or by decreasing the content of inhibitors (e.g., phytates, tannins).

https://www.ncbi.nlm.nih.gov/pubmed/2507689

:
a- Nitrofurantoin b- Amoxicillin
c- Fosfomycin d- Daptomycin

statin, daptomycin. Either increases toxicity of the other by

Other .Modify Therapy/Monitor Closely.

Comment: Coadministration of daptomycin with HMG-CoA

reductase inhibitors may increase CPK levels and risk for
myopathy; consider temporary suspension of HMG-CoA
reductase inhibitors during daptomycin therapy.
 :
a- Amoxicillin b- Ciprofloxacin
c- Macrobid d- Ibuprofen

a- Septra b- Vancomycin
c- Ceftriaxone d- Clindamycin

a- Linzess b- Chlordiazepoxide
c- .Mechlorethamine d- Chlorhexidine

a- Absoprtion b- Elimination
c- Distribution d- Metabolism

a- Increase nitous oxide b- Blocks alpha receptors

c- Blocks beta receptors d- Calcium channel blocker
Guaifenesin such as robitussin , mucinex

a- adult b- pediatric
c- children d- geriatric

isolate to prevent transmission of infectious agents and prevent

transmission of pathogens spread through close respiratory or mucous
membrane contact with respiratory secretions

a- anti-cholinergic b- anti-muscarinic
c- antihistamine

Verapamil increase level of alprazolam so we decrease

dose of alprazolam

a- Print prescription for her b- Send her to the doctor

a- linezolid b- warfarin
c- prednisolone d- ketoconazole

a- Trimethoprime b- Sulfamethoxazole
a- 25% b- 05%
c- 50% d- 100%

a- 1 weak b- 2 weaks
c- 3 weaks d- 4 weaks
‫ اسابيع لكن مش موجوده في االختيارات‬- ‫االجابه المفروض تكون من‬

a- atrovastatin b- Gemfibrozil
c- Ezitimibe d- Cholestyramine

a- atrovastatin b- Gemfibrozil
c- Ezitimibe d- Cholestyramine
 Acetaminophen

Glutamic acid decarboxylase (GAD) is the enzyme responsible for the

synthesis of gamma-aminobutyric acid (GABA). GABA is an important
inhibitory neurotransmitter in neurons and beta pancreatic cells. The two
isoforms in glutamic acid decarboxylase are identified as GAD-67 and
GAD-65. Both isoforms are present in both the brain and pancreas.

A- 1.5 mg/kg SC every 12 hr B - 1 mg/kg SC once daily

C- 1 mg/kg SC every 12 hr D- 1.5 mg/kg SC once daily

levothyroxine
 List of live vaccines 
- Influenza intranasal - Measles - Mumps
- Polio Sabin - Rotavirus - Rubella
- Tuberculosis (BCG) - Varicella - Yellow Fever

Mild Hypothyroidism
1.7 mcg/kg or 100-125 mcg PO qDay; not to exceed 300 mcg/day
>50 years (or <50 yr with CV disease)
 Usual initial dose: 25-50 mcg/day
 May adjust dose by 12.5-25 mcg q6-8Week
>50 years with CV disease
 Usual initial dose: 12.5-25 mcg PO qDay
 May adjust dose by 12.5-25 mcg q4-6weeks until patient becomes euthyroid and serum
TSH concentration normalized; adjustments q6-8weeks also used
 Dose range: 100-125 mcg PO qDay

Severe Hypothyroidism
Initial: 12.5-25 mcg PO qDay
Adjust dose by 25 mcg/day q2-4Week PRN
Subclinical Hypothyroidism
Initial: 1 mcg/kg PO qDay may be adequate, OR
If replacement therapy not initiated, monitor patient annually for clinical status

:
Immediate-release tablet, sublingual tablet, and oral spray
 Dosing for PO (Ambien), SL (Edluar), and oral spray (Zolpimist)
 Women: 5 mg PO/SL/oral spray qHS
 Men: Consider 5 mg PO/SL/oral spray qHS; may use 10 mg PO/SL/oral
spray qHS if needed
Extended-release (Ambien CR)
 Women: 6.25 mg PO qHS
 Men: Consider 6.25 mg PO qHS; may use 12.5 mg PO qHS; not to
exceed 12.5 mg/day
Source: http://reference.medscape.com/drug/ambien-cr-zolpidem-342931#0

NB q.h.s. = at bedtime
a-Cr.cl. b- Bun.
c- urea . d- serum creatine
‫االختيارات كلها تنفع بس االكثر استخدام فيهم‬
serum cr.

a-hypokalemia b- hyperkalemia
c- hypercalacemia

a-Buprion b- Fluxetine
c- Paroxetine d- Sertaline and citalopram

a-Glutathione b- Liver enzymes

a-Naproxen b- Methycodone
c- Ketorolac

a-Benztropin and diphenhydramine ,trihexyphenidyl

b- Haloperidol.
c- Memantin
a- category B b - category C
c- category D d- category X

Angioedema history patient

Lisinopril Contraindications
Hypersensitivity to lisinopril/other ACE inhibitors
History of ACE inhibitor-induced angioedema, hereditary or idiopathic angioedema
Coadministration of neprilysin inhibitors (eg, sacubitril)
Coadministration with aliskiren in patients with diabetes mellitus or with renal
impairment (ie, GFR <60 mL/min/1.73m²
http://reference.medscape.com/drug/prinivil-zestril-lisinopril-342321#5

A- daily take of water . B- Go bathrooms morning daily for 30 min

C- decrese fiber intake

With the beginning of drug registration and follow-up throw the Saudi Food and Drug
Authority,the authority have introduced qualitative step by obligating the Scientific
offices of pharmaceutical companies to follow the terms of Saudi Arabian code of ethics
for marketing practicing of Saudi pharmaceutical products In Kingdom of Saudi Arabia
which have been introduced in the second point of the sixth rule in special and
pharmaceutical products and establishments guidance .

The aim of this Code is to ensure the access of health care providers to the correct and
Reliable information, as well as creating a healthy environment for competition between
the different pharmaceutical companies, and, more importantly, develop and regulate
the relationship between pharmaceutical companies and the health care providors and
to eliminate negative factors at this relationship.

drug take by mouth

must taken graduly

agranulocytosis
a- WITH food and milk to decrease git upset
b- after meal

Amoxicillin- clavulanate 500/125 mg orally twice daily for 3-7 days

Myocardial Infarction and Clot lysis

philadelphia myelogenous leukaemia

a- LMWH SC b- LMWH IV

A- Continues use Mycophenolate

B- Stop Mycophenolate before 2 weeks of trying to be pregnant
C- Stop Mycophenolate before 6 weeks of trying to be pregnant

It is known that mycophenolate products can cause birth defects in the unborn
baby of mothers who are, or have recently been, taking mycophenolate. It is for
this reason women are advised not to become pregnant whilst taking
mycophenolate and for 6 weeks after stopping.
source: Oxford Transplant Centre/Oxford Kidney Unit

a- antihistamines b- antibiotics

Cough suppressant
a- 200 b- 300
c- 400

Amikacin

sertraline

a-Oxycodone b- gabapentin
c- Naproxin

A- calcium chloride IV b- calcium carbonate IV

c- insulin 10 units d- resin
increase in the risk of premature ductal closure

loperamide act on Mu receptor

a reversible cholinesterase inhibitor

Although the precise mechanism of action of rivastigmine is unknown, it is thought to

exert its therapeutic effect by enhancing cholinergic function. This is accomplished by
increasing the concentration of acetylcholine through reversible inhibition of its hydrolysis
by cholinesterase.

Sympathomimetic amine that promotes release of dopamine and norepinephrine

from their storage sites in the presynaptic nerve terminals.

ventilation and supportive iv nutrition

Leucovorin

There are three antidotes that have been used for MTX toxicity: leucovorin,
thymidine and glucarpidase.

Chickenpox

Name and medical record numbe

Pegaptanib
a-Aspirin b- Celecoxib
c- Piroxicam d- Naproxen

a-Morphine b- Hydrocodone
c- Pethidine d- Methadone

PH- Monitoring

To avoid osteoporosis bone fracture add vit B12, vit D and Ca to the
patient in long term treatment .

Vit D and Ca should be added to patient.

Dextromethorphan

NB 
Oxycodone and Dextromethorphan dispense OTC and use for
cough Suppressant.

Information 
- Metoprolol - Atenolol -Carvedilol -Clonidine
-Propranolol -Nebivilol -Nadolol -Timolol
 Information 
-Furosemide -ketoconazole -nifedipene -vastatine
-ator -apirin -sildenafil -celecoxib

Diuretic

Sildenafil

Domperidone & Meteclopramide

Cortisone

Substantia nigra

B2 blocker
Cortisone

Current treatments for immunological disorders are nearly all empirical in

origin, using immunosuppressive drugs identified by screening large numbers
of natural and synthetic compounds. The drugs currently used to suppress
the immune system can be divided into three categories: first, powerful anti-
inflammatory drugs of the corticosteroid family such as prednisone; second,
cytotoxic drugs such as azathioprine and cyclophosphamide; and third, fungal
and bacterial derivatives, such as cyclosporine.

Stop taking Metformin before the exam and not to begin using
it again until 48 hours after exam.

Long Acting Beta Agonists (LABAs)

Insulin

Physiologically lithium

Morphin

Ca gluconate

short acting
ACEI+ loop

Gabapentin

Acne

Information 
SE is: Acne, PCOS , PDMM, endometriosis ,Premenstrual dysphoric disorder (PMDD)
,Polycystic Ovary Syndrome (PCOS)

Clomiphene is a non-steroidal fertility medicine. It causes the pituitary gland to

release hormones needed to stimulate ovulation (the release of an egg from the
ovary).
Clomiphene is used to cause ovulation in women with certain medical conditions
(such as polycystic ovary syndrome) that prevent naturally occurring ovulation.

The main function of L-Dopa is as a precursor to several different neurotransmitters,

especially Dopamine.
The Dopamine chemical cannot itself cross over the blood-brain barrier and must be
synthesized in the brain.
However, L-Dopa can penetrate this barrier and leads to increased levels of this
pleasure-inducing hormone. L-Dopa is converted into Dopamine by the DOPA
decarboxylase enzyme, also known as aromatic L-amino acid decarboxylase.
Another necessary component of this process is Vitamin B6 (Pyridoxal phosphate)
which is often stacked with L-Dopa supplements for increased conversion efficiency.
Can't share needle

a- Despens syringe with out needle

b- Despens syringe with 60ml
c- In vial and she despens when reach bedside
d- Give her mini-bag instead of syringe

31 december

Take vaccine immediately

Brimonidine

a-Gentamicin & ampicillin b- Gentamicin

c-Ampicillin d- Clindamycin

abnormalities of the external genitalia

 Side effects of phenytoin include: congenital anomalies. Other side effects include:
hepatic necrosis, ataxia, confusion, constipation, depression, dizziness, drowsiness,
fatigue, hypertrichosis, mental status changes, myasthenia, nervousness, numbness,
tremor, tremor of hands, vertigo, excitement, irritability, mood changes, and
restlessness.

a-With food & milk b- After food by 2h

c-Before food by 2h d- With fatty acid

Drowsiness , Dizziness, Headache, Muscle aches , Sleepiness or

unusual drowsiness , Stuffy or runny nose , Myalgia

Is a sedative-hypnotic drug that is used for short-term treatment of

insomnia

The goal for the emergent management of stroke is to assess the patient’s
airway, breathing, and circulation (ABCs); stabilize the patient as necessary;
and complete initial evaluation and assessment, including imaging and
laboratory studies, within 60 minutes of patient arrival . A Finnish study
demonstrated that time to treatment with fibrinolytics can be decreased
with changes in EMS and ED coordination and in ED procedures for treating
acute stroke patients.
https://emedicine.medscape.com/article/1916852-treatment#d10
Rivastigmen( Exelon patch)

multidose toxicity

Indomethacin

a-Amoxicillin+clavulinic b- Cephalexin
c-Nitofurantoin

individualize pharmacokinetic parameter

a- Evohaler b- Turbuhaler
c- Inhaler d-Neutralizer

a-Insuin b- Saline 0. 9%
c-HCO3

a-Expose to heat to increse absorption

b- Put in refrigerator
c-Avoid the increase of body core temp
d- Rotate to avoid tolerance
 ITEM Mean or equal =
1% 1 gm -----100 ml
1 ml 16 drops
1 drop 0.0625 ml
1 gram 1000000 µg

1 ml ---------- 16 drops
y ml ---------- 1 drop
y = 1/16 = 0.0625 ml

1 gm ---------- 100 ml
x gm ---------- 0.0625 ml

x = 0.0625/100 = 0.000625 gm
= 625 µg

: ‫مالحظة‬
‫ نقطه‬11 = ‫ملي‬1 ‫ ولذلك احنا حليناها علي ان‬.. ‫ملي بيساوي كام نقطه‬1 ‫في المسأله مكنش جايب‬
‫ لذلك االجابه ممكن تكون‬.. ‫ نقطه‬02 ‫ ملي بيساوي‬1 ‫ نقطه وفي بيقول‬11= ‫ ملي‬1 ‫في مصادر بتقول ان‬
.‫اكبر شويه او اقل شويه‬
‫ ميكروجرام‬211 = ‫ نقطه الناتج هيكون‬11 ‫ لو اعتبرناها‬-
‫ ميكرو جرام‬022 =‫ نقطه الناتج هيكون‬02 ‫ لو اعتبرناها‬-

a- 1 ml/min b- 2 ml/min
c- 3 ml/min d- 4 ml/min

Mast cell stabilizer; inhibits release of histamine, leukotrienes, and

slow-reacting substance of anaphylaxis from mast cell by inhibiting
degranulation following exposure to reactive antigens

-Permethrin -Lindan -Malathion -Ivermectin

-Piperonyl butoxid -Itraconazol -Terbinafin -Benzyl alcohol lotion
Improper dose Error

a-ampicillin b- cefaclor c- erythromycin

a- increase metabolism b- Decrease metabolism

c- No effect between them

a- liver cirrhosis b- renal failure

a- sildenafil with tamsulosin

b- tadalfil after 4 hrs from tamsulosin
c- tadalafil before tamsulosin 4 hrs
d- take tadalafil with tamsulosin

a- dextromethorphan b- guaifenesin
a- dextromethorphan b- guaifenesin

a- 11 mg/dl b- 13 mg/dl c-16 mg/dl

a- paracetamol nasal metered dose 15 mg / kg

b- ibuprofen syrup dose 12 mg /kg

a- most medication is weight dependant

b- most medication is liquid
c- greater surface area

a- 2 weeks b- 3 weeks c- 4 weeks

a- physician/consultant b- cheif pharmacist

c- head nurse d- investigator

a- losartan/ hydrochlorothiazide b- Amodarone/ triamterene

a- paracetamol 1000 four times daily
b- ibuprofen 400 four times daily

a- bevacizumab b- pabizumab
c- cyclsporin d- sulfasalazin

a- at night b- at morning c- any time

a- 10 min b- 20 min c- 30 min

a- iphthalmic b- parental c- external preparation

a- moderate shaking for reconstitution

b- bulk at the bottom

non formulary
 Mothers reported irritability was reported in 20% of infants exposed
to pseudoephedrine.

a- 7 days b- 14 days c-30 days

a- non formulary drug b- unregistered drug

a- keep until next dose b- return to pharmacy

a-1.2 mg/d b- 5 mg/d c-12 mg/

Stop ACEI and shift to ARBs

a- it decrease excretion of Mg
b- it increase excretion of Mg
c-it decreases absorption of mg from intestine

How do I check for drug interactions?

Review the Medication Guide, prescription information, warning labels, and Drug
Facts Label with each new prescription or OTC product. Labeling may change as new
information is learned about medications, so it’s important to review the
information frequently.
a- methotrexate b- lithium

Information:
1- methotrexate is category X and it mean never use with mother and its danger to her live .

2- Lithium is category D and it mean that it is danger to fetal

*Risks of Using Lithium in Pregnancy
First trimester – there is a small risk of congenital problems, including serious heart malformation.

Second trimester – there continues to be a risk of congenital problems, but not to the same degree
as in the first trimester.

Third trimester – towards the end of this trimester, the mother is more at risk of lithium toxicity

antiinflammatory and immunosuppressive properties of 5-ASA, suggesting a

multifactorial basis of therapeutic action. These properties include:

 Inhibition of prostaglandin and leukotriene synthesis

 Free radical scavenging

 Immunosuppressive activity

 Impairment of white cell adhesion and function

 Inhibition of cytokine synthesis

 Activation of the peroxisome proliferator-activated receptor-gamma (PPAR-

gamma)

a- opioid receptors agonist

b- opioid receptors antagonist
Granisteron

Drugs That May Be Prescribed by Your Doctor:

When suffering from nausea caused by chemotherapy treatments, your doctor will
prescribe anti-nausea medications to prevent or relieve nausea.
Likewise, your doctor may not prescribe any anti-nausea drugs because not all
chemotherapy cause nausea and vomiting. However, if the chemotherapy is likely to
cause nausea and vomiting, your doctor may prescribe one or more of the following
common anti-nausea medications:

 Aprepitant (Emend®)
 Dolasetron (Anzemet®)
 Granisetron (Kytril®)
 Ondansetron (Zofran®)
 Palonosetron (Aloxi®)
 Proclorperazine (Compazine®)
 Promethazine (Anergan®), (Phenergan®)
 Netupitant-Palonosetron (Akyzeo®)
 Rolapitant (Varubi®)
 Lorazepa (Ativan®)
 Metoclopramide (Reglan®)
 Dexamethasone (Decadron®)
 Famotidine (Pepcid®)
 Ranitidine (Zantac®)

http://chemocare.com/chemotherapy/side-effects/nausea-vomiting-chemotherapy.aspx

a-Coma b- Nystagmus
c- Ataxia d- Decrease mental status
a- Aspirin 75 Twice daily
b- Propranolol 20 mg twice
c- Topiramate 25 mg twice

a- Desopyramide b- Amiodarone c- Lithium

a- Platelets b- Neutrophils

a- Closapine b- Haloperidole

a-Irbesartan b-Amlodipine
c- Hydrochlorothiazide

a-Inflizmab b- Abatacept c-Fingolimd

a-Losartan and thiazide b- Amlodipine and ARBs

a-Wrong drug order b- Omission order

c-Misinterpretion durg order

a-The error occur and drug will reach the the pt

b- Th error occur and drug won't reach the pt
c-There is no error

smoking will decrease the level or effect of clozapine by affecting

hepatic enzyme CYP1A2 metabolism. Use Caution/Monitor.

a-Flouxetine b- Granisetron

a-Finasteride b- Tamsulosin
c-The two
a-Flouxetine b- Buspirone
c-Phenbarbital

a-Abatacept b- pertulsmab c-Sulfasalazin

Voriconazole
Amphterocin_B
Cuspofungin

a-Ampicillin and gentamicin

b- Ceftazidime and gentamicin
c-Ampicillin and ceftriaxone

a-family should take rifampicin

b- should take rifampicin within
c-rifampicin has no role in protection

a-Cream b- Lotion
c-Ointment
 Important Notes
** List of High-Alert Medications **
 ** Helicobacter pylori Infection Treatment **
First line :

1- Proton pump inhibitor (PPI) (eg, omeprazole 20 mg BID, lansoprazole 30

mg BID, esomeprazole 40 mg QD, pantoprazole 40 mg QD, rabeprazole 20
mg BID) plus
2- Clarithromycin 500 mg BID (first-line) or metronidazole 500 mg BID [3]
(when clarithromycin resistance is increasing) plus
3- Amoxicillin 1000 mg BID or metronidazole.

Second Line :

** 1st & 2nd gen antihistamines **

**list of weak electrolytes**

** Pregnancy Categories**