Miscellaneous: Eye, Ear, Skin, Pulmonary, anti-

inflammatories & Cancers

Eye related questions:

1-lens colour changes with which of the following drugs

Rifampicin

2- Patient with allergic conjunctivitis using lens:

a. Use semi permeable lens 30 min after instilling the drops
b. Neither gas permeable lenses nor soft lens should wear during apply
eye drop
c.Remove gas lenses 30minut before apply eye drop
d.Soft lenses only removed during applying eye drop

3- Drug used in opened angle glaucoma :

 B blocker
 B agonist
 α blocker
 α agonist (brimonidine, apraclonidine)

 Beta-adrenergic blockers.
 Alpha2 Agonists, Ophthalmic.
 Carbonic anhydrase inhibitors.
 Antiglaucoma, Combos.
 Prostaglandin analogs.
 Miotic agents (parasympathomimetics)- pilocarpine
 Hyperosmotic agents-isosorbide dinitrate, mannitol
 NMDA Antagonists- memantine also used for Alzheimer`s
3’- Medications used in treatment of open angle glaucoma from which
class :
a) Alpha – agonist
b) Alpha antagonist
c) Beta agonist
d) Beta antagonist

4-Pilocarpine used in all of the following except:-

a-acute attack of closed angle of glaucoma
b-standard drug for close angle glaucoma
c-used alternatively with mydriatic (atopine) to separate the iris
d-standard one for open angle glaucoma
By overcoming the mydriatic effect of atropine, pilocarpine has been used
alternatelywith atropine to break adhesions between the iris and the lens

5-pilocarpine use in treatment of open angle glaucoma from which class:

Cholinergic agonist

NB. It is used in ttt of open angle but not the standard medicine

6-Which of the following used to make mydriasis in

checking refractive errors?
Atropine
Tropicamide

NB. Atropine is not used now due to its prolonged mydriatic effect (dilation of
pupil) and cyclopegic effect (7-14 dys)so short acting antimuscurinics such as
cylopentolate and tropiacmide (6-24 hours). Phenylephrine or similar alpha drugs
used for pupilallry dilation if cyclopegic effecr not required.
 7-Patient has pain in his left eye and he sees halo around light
A.Glaucoma
B.cataract
 Glaucoma: Severe eye pain, Nausea and vomiting (accompanying the severe eye
pain), Sudden onset of visual disturbance, often in low light., Blurred vision. Halos
around lights. Reddening of the eye.
 Cataract: Clouded, blurred or dim vision

8-Glaucoma patient, what is the common occurring side effects:

- Tonic pupil
- Cataract
- Strabismus

9- Glaucoma patient taking echothiophate, what is the common

occurring side effects:
- Tonic pupil
- Cataract
- Strabismus
Cancer related questions:

1-What is the dose of I/v metoclopramide for chemotherapy?

A.10
2.30
3.40

NB. There is other opinion of 40 so not sure

2-Which. Antineoplastic agent cause respiratory damage

A. Vincristine 
B. Doxorubicin (darkness of skin or nails, eye redness
C. Cytarabine (weakness, memory prolems, insomnia
D. Bleomycin

3-Patient was suffering from disease – I can't remember exactly but

maybe HIV- he was using bleomycin, vinblastine and something else and
suffer from dry cough;
a. Drug that has least immunosuppressant effect; bleomycin
b. Drug that work on M phase; vinblastine
c. What drug to use instead of vinblastine; pacitaxil
d. Dry cough is caused by; bleomycin

4- In chemotherapy M phase treatment by :

- Bleomycin
- Vincristine

NB. Both vincristine & vinblastine are microtubules inhibitors working on M phase
5- Drugs used in chemotherapy induced nausea and vomiting:
1-dexamethasone
2-cabepatran
3-ondansetron
a- 1,2
b- 1,3
c- 2,3
d- 1,2,3

6-11 years old Patient has lymphocytic leukemia was treated with MTX
then she suffered from oliguria

a. Best treatment to reverse the oliguria is ; intermittent

hemodialysis, hydration
 b. Drug to reduce SE with MTX: folinic
c. Se not covered with folinic : hepatotoxicity, nephrotoxicity,
neurotoxicity

NB. Folinic =leucovorin

7-patient with Hodgkin’s disease treated with 6 cycles of ABVD these drugs are :
Adriamycin, bleomycin, vinblastine, dacarbazin
same patient analysis view a high viral load this virus may be :
CMV
RSV
VARICELLA ZOSTER
HIB

8-Patient with non_Hodgkins disease that treated with 6 cycles of ABDV . his
analysis view a high viral load this virus may be (CMV- RSV – varicellazoster – HIB)
9-Nephroprotective immune suppressant
-tacrolimus
-sirolimus
-azathioprine

10- case about tamoxifen, can be used in all of the following except:
late stage of breast cancer

11-treatmet thrombocytopenia
Oprelvekin (recombinant interleukin 11
Thrombocytopenia refer to a disorder in which there is a relative decrease of thrombocytes,
commonly known as platelets, present in the blood

Skin related questions:

1-patient comes asking to find nits in hair of her child, you advise her
to : 
A-look on the brush and bed for insects 
B- look for tiny winged insects
C-look for white eggs on hair shaft close to scalp 
D-look for white eggs on the scalp in red areas

N B. For nits = white eggs stuck on the hair shaft near the hair base

for lice = small insects in the hair brush and on the pillow

2- Patient comes to pharmacy with itching and redness between

fingerwebs , you notice a grey line : 
A-atopic eczema 
B- psoriasis 
C-dermatitis 
D-scabies

3-The following is true about demulcent :

formula used for soothing mucous membranes, 
 Can’t be used on a skin

NB. If one answer choose 1

4-Which is NOT used in Dandruff;
a* Permethrin

4’- Which of the following is NOT used in Dandruff:

a. Selebium Sulphide
b. Premithrin
c. Ketokonazole
d. Salicylic acid

NB. Premithrin is used for nit & lice treatment

5-case associated with symptoms after rash and lesions:

a. Dermatitis
b. Impetigo
c.*Core sore

6-Which is inappropriate when counseling for Isotretinoin?

a) The acne will get worse when you first start treatment, but
after that it will get better.

b) Avoid sunlight as this medication will make your skin burn more
easily.

c) Your night vision may improve, as this medication contains

vitamin A.

d) Avoid pregnancy

7- Cryotherapy you need

1. 3d,
2. 10 d
3. 30 d to see results in warts

8-Not used together:

1. Acitretin +UVB - also Acitretin + puva
2. Acitretin+psoralen+UVA
3. MTX+UVA

9-Counsel patient about hydrocortisone cream

Apply thin layer and avoid sunlight and causes thinning of the skin

10-Titanium Dioxide used in sunscreen for:

- Refle ct the UV
- Absorb the UV

- Humectants agent

11-A skin condition characterized by red scaly patches

Acne ,, Psoriasis,,impetigo,,scabies

 NB. Acne is red

 Psoriasis red then grey
 Eczema: grey patch on hand 
 Scabies: grew borrow
 Wart: grey node
 Psoriasis: silvery grey scale
Respiratory related questions:
1-chronic sinusitis inflammation treated by:
a. psuedoephedrine
b. oxymetazoline nasal spray
c. beclomethasone nasal spray

2- Patient suffering from allergic rhinitis

a. beclomethasone
b. B-agonist
c. cromolyn

3-Which of the following can be used for long term treatment

Salmetrol
Albutrol
Ipratropium 
Corticosteroid 

4-Reduce oral thrush by ICS 

1. rinsing mouth with water,
2. use spacer , 
3. daily prophylactic Nystatin
NB. 1&2 but if only 1 Q then 1 ony

5-advice for child he does not know how to use salbutamol inhaler also
doctor explain to him
1-take salbutamol syrup
2- give him volumetric spacer
3-go to doctor to explain to him again
6-Am is a 67 years old man with COPD, he has arthritis, which is the
best way of treating him with bronchodilators:
Oral route
Metered dose inhaler 
Spacer

7- Patient using spacer with metered dose inhaler:

a. Take quick breath after pressing the canister
b. Hold breath for 10 second after complete inhalation
c. Leave on finger(thumb) space between mouth and spacer
d. Ask him to rinse mouth with water

NB. If one answer then b

8-Which is wrong about becotide inhaler ?

A-if you need to make 2 buff leave one min between them. 
B-hold breath after taken inhaler.
C-continue pressing on the canister during using
the answer here C , because Not continue pressing But one regular pressing

8’-Which is wrong about becotide inhaler ?

A-if you need to make 2 buff leave one min between them. 
B-hold breath after taken inhaler.
c-beclomethasone should be taken before the administration of beta
agonist
the answer here is C

NB.if all options came together so the most important is that 

beta agonist should be taken before the administration of beclomethasone and 
Not that beclomethasone should taken before beta agonist

9-oral ipratropium over dose cause all except :

A/ tremor and hypocalcemia
B/ constipation
C/ fatigue
D/palpitation

Severe overdose is characterized by atropine-like symptoms like tachycardia,

tachypnea, high fever and central effects like restlessness, confusion and
hallucinations.

9’-Oral ipratropium overdose all except 

Tremor
Hypocalcemia 
Constipation 
Tachycardia ...

NB. In the group it was approved that if hypocalcemia is there then choose it if
not then tremors

10-Case of a patient experienced hypoxia, when she was admitted to

emergency, certain tests were done, and she was diagnosed as
asthmatic , which of the following is used to control her asthma ?

a.salbutamol
b.salmetrol
c.ipratropium
d.prednisololne

NB. since she is still in the first stage of asthma and she doesn’t have history of
asthma before so short acting B agonist.
10’-case about patient has difficulty in breathing at the last 30
minute , his family is asthamatic and he has experienced asthma ,what
is used for decreasing difficuty
A.salbutamol
B.Albuterol
C terbutaline
D corticosteroid

NB.Salbutamol, also known as albuterol and marketed as Ventolin 

But for answer First: albuterol ,,,,,,,second :salbutamol,terbutaline

11- which used in treatment chronic asthma:

A.salbutamol
B.Albuterol
C terbutaline
D corticosteroid

11’-Which of the following can be used to decrease the frequency of

acute asthmatic attack:
a. Cromolyn Na
b. Albuterol
c. Fluticasone
d. Theophylline

(If only one then C)

 12- Patient taken beclomethasone and terbutaline for ASTHMA but

condition become worse which drug should be added to improve
condition:
cromolyn
ipratropium bromide
salbutamol

NB.  salbutamol is a primary medicine used in the very early stages of asthma ,,
patient here is in later stages since he is using corticosteroids ,, cromolyn is a
prophylactic used to decrease frequency of asthma attacks

we can say that cromolyn is more specific to asthma as a prophylactic ,,

but ipratropium is for BOTH so not 100% answer

in Lipincott Cromolyn is before ipratropium but not for acute asthma as not direct
bronchodilator but most answers in the group are ipratropium

13- What should be done to prevent aspiration pneumonia:

a. Elevation the head.
b. Taking the antibiotics

14-a drug cause rebound congestion:

a. oxymetazolin nasal spray

15-Oxymetazoline causes?
a. increase heart rate
b. decrese heart rate
c.decrease blood pressure

16-The side effects of salbutamol : hypokalemia

If except …..hyperkalemia and constipation
16’-Salbutamol used in COPD treatment, which of the following NOT
side effect of it :

Tremor ,tachycardia , hypoxia ,hyperkalemia

17- Which of the following will increase the half-life of theophylline?

a): Carbamazepine
b): Cimetidine, macrolides, allopurinol, propranolol, ticlopidine, cipro
(reduction in clearance) CCAMPT
c): Phenobarbital
d): Smoking (wrong as increase its metabolism)

phenytoin, rifampin (ncrease clearance) CPRS—INCREASE

CLEAANCE---DECREASE EFFECT

NB. As all the others decrease the effect according to drugs.com interactions

18-Hypercapnia management:
a. doxapram
b. disopyramide
c. dopamine
d. Ipecac

Inflammation & Miscellaneous:

1- case scenario about female patient have GOUT was weak & dizzy &
fatigue and another problems like she can’t raise her hand and having
some blood disorders like agrnaulocytosis and leucopenia and type of
anemia which anti gout are probably to cause this Side effects :
a- allopurinol
b- colchicine
c- probencid
d-……………

NB. Colchicine affects bone marrow at chronic use causing decrease in its
production of blood cells

2-patient with renal transplant and chronic gout the most suitable

-allopurinol
-colchicine

NB. allopurinol used for chronic gout

cholchicine used for acute gout ( but contraindicated in hepatic and renal
failure )
NSAID and corticosteroid used for acute gout with patient who can’t tolerate
the cholchicin side effect

3- a man with Hyperthyroidism and he is allergic to dogs and his

visiting his friend who has a dog, what otc medicine he can take?
Cetrizine

4-Most potent topical corticosteroid ?

Clobetasol

5- Which of these statements is not true about Diphenydramine

a) The drug of choice in morning sickness

 b) used for motion sickness
c) used with cough prep

6- Which of the following liver enzymes is the first to be elevated in a

case of an
acetaminophen overdose?
a. Lactic dehydrogenase (LDH)
b. Alanine transaminase (ALT)
c. Aspartate transaminase (AST)
d. Alkaline phosphatase (ALP)
e. Gamma glutamyl transpeptidase

7-question about a traveler who has allergy and Hyperthyroidism, what

OTC medicine he can take?
Answer: Cetrizine at the same day
NB. Certrizine 10mg before visit

8-The metabolic effect of combining glucocorticoid and tacrolimus is

(eczema atopic dermatitis):

a. Hypocalcemia
b. Hyperglycemia
c. Hyperlipidemia
d. Hyponatremia

9-Which of the following is true?

A.Aspirin used as anti inflammatory, antipyretic , and as a prophylaxis
for secondary MI
B-paracetamol is used as an analgesic, antipyretic, and as an
antiplatelet in small cocentrations
C-diclofenac is used as analgesic , antipyretic , used as antiplatelet in
small concentrations

10-Treatment of otitis media 

1. Corticosteroids 
2. Analgesic 
3. Emollient 
4. None of the above

NB. best way to treat otitis MEDIA = analgesic... wait for 2-3 days then use
antibiotic & DOC is augmentin, cefuroxime and ceftriaxone
for otitis EXTERNA =antibiotic first line... usualy flucoxcillin , naficillin

11-Which of the following if used for long term can increase

acetaminophen toxicity:
A-Verapamil
B-Cimitidine
C-Ethanol

12) Mechanisms of drug interactions with acetylsalicylic acid (ASA)

include:
a. induction of microsomal enzymes.
b. inhibition of microsomal enzymes.
c. inhibition of liposomal enzymes.
d. displacement of other drugs bound to serum albumin.
e. enhanced platelet aggregation