PHARMACOLOGY SBA

1. A 23 yrs old primi who had a normal delivery 3 days ago c/o inadequate breast secretions. Which of the following drugs would help, to stimulate lactation?

2. How often should full blood count be monitored when a patient is started on methotrexate therapy?

3. The risk of endometrial hyperplasia is increased with which drug?

4. When are ante-natal steroids indicated in a woman who is undergoing an elective LSCS?

5. What is the advise regarding Rh anti-D immunoglobulin when a patient undergoes medical termination of pregnancy at 9 weeks?

6. Yellow staining of teeth seen in a newborn is a result of which antibiotic taken by the mother?

7. Which of the following contraceptives acts by inhibiting ovulation as its primary mode of action?

8. A 64 year old is scheduled for a total abdominal hysterectomy for endometrial hyperplasia with atypia.she was found to be hypertensive & put on medications to control her BP.but she reateuned a few days later c/o dry cough. Which of the medications listed below can cause this?

9. Amtimuscarinics are drugs used in treatment of Overactive bladder.which of the following is a common side effect with these drugs?

10. Coronary artery spasm is seen with which of the following drug?

11. Which one of the following women should be taking 400 ug of folic acid in the first 12 weeks of pregnancy?

12. A 32 year old woman who is 32 weeks pregnant attended the A&E to remove a finger splinter. The medical officer recorded a BP of 160/110. What is the most appropriate action & medication.

13. The maximum dose of Lidocaine that can be used for a woman who is going to have an episiotomy sutured. her weight is 70 kg.

14. What is the mode of action of tranexamic acid?

15. You are seeing a 63 year old woman in the clinic.she has been planned for a vaginal hysterectomy , but on examination you find she has lower limb oedema. The medications he is on are as follows. which one of these could have been the cause of this oedema?

16. A 25 years old with metallic cardiac valves gavebirth yesterday. She was on LMWH during the pregnancy. She intends to return back to Warfarin, which she was using before the pregnancy. She intends to breastfeed her baby.what is the best advise for her?

17. Which antiepileptic is associated with highest risk of congenital anomalies if taken in first trimester?

18. A patient who is 32 weeks pregnant has pre eclampsia.she is on T.labetalol & her BP is 155/105.According to NICE guidelines which is the most appropriate next agent?

19. Mifepristione is a drug used for management of abortion.what is the mechanism of action of the drug?

20. Which of the following drugs is a dihydrofolate reductase inhibitor?

21. Ulipristal acetate is a drug used to prevent pregnancy. What is the mechanism of action of this drug?

22. According to RCOG guidelines which is the drug that should be used as first line uterotonic when a woman delivers by LSCS or has a vaginal delivery?

23. Mefenamic acid is used for treatment of heavy menstrual bleeding.what is the mechanism of action of this drug?

24. Warfarin embryopathy would occur if the mother is the drug during pregnancy.at what stage of pregnancy does warfarin consumption cause warfarin embryopathy?

25. Which of the following is a typical feature of warfarin embryopathy?

26. Which drug would you prescribe to a lady who wants to discontinue breast feeding, so that milk production by the breasts is reduced?

27. Atosiban is a drug used to decrease uterine contractions.what is the mechanism of action of the drug?

28. Which drug is used to treat complicated malaria in pregnancy?

29. A 30 years old woman delivered by lscs, she is keen to breast feed the bay. After how many days will you prescribe COCs for contraception?

30. Which long acting reversible contraceptive has the least failure rate?

31. Which receptor is responsible for the action of Midazolam? it is a drug used for its anxiolytic effect.

32. Labetalol is a drug used for its antihypertensive effect, what is the mechanism of action?

33. Misoprostol is commonly used in the treatment of miscarriage.what type of drug is misoprostol?

34. Nifedipine belongs to which class of antihypertensives?

35. What is the mechanism of action of Letrozole?

36. Which anti-emetic drug, causes uncontrolled muscle movements or Extra-pyramidal reaction?

37. Which of the following drugs can be used to reverse the myelosuppression caused by Methtrexate?

38. Oxybutinin is a non-selective muscarinic receptor antagonist used to treat OAB.which of the following condition coild be aggravated by use of this drug?

39. When should the prophylactic dose of LMWH stopped before regional anaesthesia?

40. Lithium therapy in pregnancy, increases risk of congenital anomalies in which organ of the fetus?

41. Hemorrhagic cystitis is a side effect seen with which of the following antineoplastic drugs?

42. Which of the following drug causes kernicterus?

43. A lady presented at 11 weeks of pregnancy with UTI. A c/s was done which showed enterococcus sensitive to Nitrofurantoin & trimethoprim, resistant to cephalosporins. What drug would you prescribe to her?

44. A 24 years old girl presents to A&E with h/o UPSI 96 hours ago. Her LMP was 12 days ago. Which EC will you offer her?