‫‪Last Update 28/6/2020‬‬

‫‪Part 2‬‬

‫‪Last Update 22-7-2020‬‬

‫اﻟﻣﻛﺗوب ﺑﺎﻟﻠون اﻟﻣوف ھو ﺗدﻗ ﻖ‬

‫اﺟﺎﺑﺎت‬
‫واﺿﺎﻓﺎت ﻋن اﻟﻠون اﻟﻣﻛﺗوب ﺑﺎﻟﻠون‬
‫ا ﺣﻣر‬

‫‪SAIF‬‬
‫‪ALGHAMDI‬‬
Q- In Irritable bowel syndrome what is the most causative factor?
Psychosocial stressor Alondronate Ulcer
Rasondnate
me
Q- What is the most common side effect of bisphosphonate ? GI Reflux

Q- Which hormone is associated with fetal productive abnormalities? Androgen

Q- Pt 50 year's old and colorectal cancer which test should undergo? FbOT
Colonoscopy every 10 years
-6 months
Q- Tuberculosis vaccine in baby? BCG vaccine at birth

Q- Which immunoglobulin found in serum predominantly? Immunoglobulin G (igg)

Q- Use the Cockcroft- Gault to measure CrCl in a case? Adult

unmet
Q- Pseudomonas? Gram-negative bacilli

Q- The recommendations and direction depend on which in substance

(trimethoprim\sulfamethoxazole) ?
Trimethoprim

mum
Q- Which one of antiepileptic drugs need renal adjustment? Topiramate

unmet
Q- Drug of choice in case of heparin thrombocytopenia? Argotraban ,Lepirudin, danaparoid

Q- Hepatotoxicity of paracetamol due to? Direct thrombin inhibitors

...................
Glutathione depletion N.B. Warfarin should not be used until
platelets have recovered
Q- Case of deep wound and history of vaccination unknown?
Give Td vaccine and TIG immunoglobulin

Q- To prevent asthma induced by exercise give? SABA

Q- Immunosuppressant cause hirsutism ? Cyclosporine

Q- Which one associated with growth restriction in pregnancy?

unmet
Lisinopril (ACEIs)

Q- Patient with angina which one can worse his case? Celecoxib

Q- If you want to do a research in a hospital, what is the first thing you need approval?
IRP(Intramural Research Program)
Q- The degree of preservation of Biological drugs?
unmet
Store biologics at 2-8°C; when taken out of the refrigerator, agents should be kept at room

wut
temperature less than 25°C

wut
Q- Herbal products effect oral antidiabetic ? Ginseng - Garlic
mum

Q- Define phase 2 conjugation ?

mummmm wht
The addition of large anionic groups (such as GSH) detoxifies reactive electrophiles and
produces more polar metabolites that cannot diffuse across membranes, and may, therefore,
be actively transported.

Q- Drugs need renal adjustment ?

٢ ‫ا ا ات‬ ‫ ا‬DPP4

murmuring
Sitaglptin
‫ا ا‬

Q- What medication can causes Acute gout ?

Losartan

ate Jifu
BB
fuorsamide
‫اا ا با‬
Aspirin loop Diuretics Niacin - Cyclosporine - Pyrazinamide
now
Q- Calculation Loading dose ?
Loading dose = Cp x Vd/F
Q- Calculation BSA ?

Q- Calculation Clearances ?
[[140 - age(yr)]*weight(kg)]/[72*serum Cr(mg/dL)] (multiply by 0.85 for women).

Pt with HTN and low Haemoglobin, corpuscular. What types of anaemia pt have
Aplastic, iron deficiency, chronic condition produce anemia or B12 deficiency
Normal MCV High MCV
Low MCV, low MCH
Q- BB for HF management ?
MBC
A- Propranolol B- Atenolol C- Nebivolol D- Bisoprolol , Carvedilol, Metoprolol succinate

Q- Woman drinks 8 cups caffeine and takes acetaminophen and 2 drugs (maybe
one of the was benzodiazepine) and ask which one affects her child that he can not sleep?
 fateifoYaraization

Q- Arterial depolarization ? P-WAVE

Q- Ventricular depolarization ? QRS COMPLEX mm

Q- Which statin give in the evening ? fluvastatin, lovastatin, and simvastatin mm

to FLS m tavastatin
dis
ithgrapr.ru
Q- Other questions counselling for time to take simvastatin ?
Bed time:

kwmo.no
Before lunch:
Before breakfast:

Q- What happens in sodium and potassium in Phase 4 ?

high potassium efflux and calcium influx

Q- More than 4 questions about antiarrhythmic medications ?

Q- Medical students touch pt with C. diff Take metronidazole immediately

and sanitized with alcohol, what should
he do?

Use soap and water

immuno
Q- Anti platelet MOA ? Inhibit Adenosine diphosphate (ADP)

Q- Anti platelet inhibit Cox ? ASPIRIN

 AplasticAnemic
c
Nitroic
Q- Medications causes anaemia ? oxide
Drugs that can cause this type of hemolytic anemia include:

went
Cephalosporins (a class of antibiotics), most common cause.
Dapsone.

mm
Levodopa.
ummm
Levofloxacin.
mm
Methyldopa.
no
Nitrofurantoin.

no
Nonsteroidal anti-inflammatory drugs (NSAIDs)
ummm
Penicillin and its derivatives.
gluconate
Q- Hyperkalaemia is treated by ? gcaca carbonate
A- IV insulin B- IV labetalol C- IV bisoprolol
PPI hypokarima
Q- Sevelemer indicated for ? Hyperphosphatemia
shaking
Q- Digoxin toxicity increased by ? Hypokalemia

Q- Orphan drug ?
Orphan drugs" are medicinal products intended for diagnosis, A disease or disorder is defined
as rare

Q- caculation teaspoonful ?
1 teaspoonful = 5ml JNotcrosshma
Q- Immunoglobulin cross the placenta ? IGG

Q- Type of immunity provided by vaccine ? Artificial active immunity

Q- 2Q about azathioprine and TMPT deficiency ?

patients with TPMT deficiency treated with standard doses of azathioprine or 6-
mercaptopurine are at significantly increased risk of myelosuppression, bleeding, infection,
and death associated with increased levels of cytotoxic 6-thioguanine nucleotide levels in the
red blood cells

Q- CACULATION How many PPM in 0.01% ? 100

Q- CACULATION BMI ? BMI = kg/m2

Q- CACULATION C1V1=C2V2?

Q- CACULATION Infusion ml/min ?

volume (mL) divided by time (min)
‫ﻋﻠﻰ ﺷﺎن ﻣﺎ ﺗﺣﻔظ ﻛل د‬
‫ا رﻗﺎم اﻗﺳم رﻗم‬
10000 ‫ﻋﻠﻰ‬ppm
 Q- CACULATION Ib ?
1Ib = 454 g 1 kg=2.2 lb
1Ib = 0.454 Kg

Q- CASW ttt of Respiratory syncytial virus ? SUPPORTIVE CARE

Q- Influnza vaccine side effect ? A- sore site of injection B- barrelling syndrome

Q- Which of them is bacteria ?

mum
A- Rhizopus B- Actinomycete C- Amoeba

Q- AF which is rhythm control ?

AmiodaroA
ne-, Sotalol B- Verapamil C- Bisoprolol
use to minotororprevent
Dronedarone,
Dofetilide Q- Basis
of health care ?
healthcarefromanydiseas
A- water and food clean
B- primary prevention
C- secondary prevention pie
terCaryn
Q- Function of colon ?colon has limited drug absorption
met
A- absorb water, Na ,cl
B- absorb water, glucose

went
Q- Role of metronidazole in Crohn's disease ? Mainly act as anti-anaerobes

Q- Dose of methotrexate ? The usual dose is 7.5

unmut
15 mg once weekly.

Q- Metallic taste ? metronidazole

Q- Influenza vaccine for risk patient ? A- Annually B- 2 Time

Q- SAR of quinolone ?

Q- SAR of Gemifloxacin ?

Q- ARAB use Kohl solution contains?

A- Lead B- Arsenic C- Chromium

f
nine
Antidoteask.fi
Q- Colistin affect which organ ?
A- Liver B- heart C- kidney D- lung

Q- Antidote morphine ? Nalaxone

Q- Antidote paracetamol ? N-acetylcysteine (NAC)

Q- Antidote BDZ ? Flumazenil

Antidote
Q- TTT of mania ? lithium I Polysteen
sulfate
Q- Drug of seizure for lactating woman ? lamotrigine or levetiracetam

wut
3 months
Q- Thrombolytic contraindication in ? stroke within 2 month

Imminent
Q- Parasite on bacteria ? bacteriophage (A virus which infects bacteria and reproduces inside of it)

Q- Contraceptive in postpartum and lactating women ?

A- Progesterone or Mini Pill B- Monophasic C- Biphasic D- OCS

Q- Mentoring ?

Q- B-Lactam and Piperacillin ?

 Aminoglycoside
Quinolone
ketovide
A- High tissue perfusion B- Time dependant dose C- Concentration dependant dose

Q- Is a patient taking isoniazid and what vitamin supplements do he take with him? VIT B6

unmet
Q- SSRI are generally ? option during pregnancy

Q- Donepezil ,Rivastigmine, Galantamine Use for ? Alzheimer Disease

Q- Tetracyclines usually not used in young children because ? can permanently stain teeth

Q- Major toxic effect of chloramphenicol is ? grey baby syndrome in neonates

Q- Definition ?

Narcotic 39

Macroissue

Lookfor Molar
 navenan
goatfish
It ProPafol
Q- Anaesthesia inhaled cause hepatic problem?
Halothane hepatotoxic

Q- When to discard morphine vials?

A.1 months
B.3 months
C.6 months
B.9 months

Q- Women on mycophenolate and want to get pregnancy what is the correct counselling ?
A- DC before 12 week
B- Dc before 6 week Mann
C- DC after 6 week
D- DC after 3 week

Q- Which treatment is suitable for pregnancy women with glaucoma?

1.Timolol if you not find Brimonidine
2. oral acetazolamide.
3. biomatoprost.
4. latanoprost.

Q- Which medication cause arrhythmia if given iv rapidly???

A- Digoxin
B- Mexiletine
C- Theophylline

ummm ummm
D- Amitriptyline.
mm
Q- Virus has what ?
A) DNA
B) RNA
C) DNA or RNA
D) DNA and RNA

Q- Patient take ampicillin and gentamicin which one need dose adjustment?
A ampicillin
B gentamicin Ampicillin reduces gentamicin effect
C both

Q- CHADS score ?
Q- CHADSVASC score ?
ic
Q- Naranjo scale ?
gift
Agonst
Q- Which describes pharmacological property of Amphetamine ?
Causes release of stored NORepinephrine Also blocks the re-uptake of NE

Q- Which pharmacological action of Histamine ?

Stimulation of gastric secretion

Q- MOA of Benzodiazepine ? Potentiate GABA action at the GABA receptor

Q- Indication of Benzodiazepine ? Anxiety

Q- Alkylation anti-cancer drug ? Cyclophosphamide and Busulfan and cisplatin and Carboplatin

Q- Which technologies has been developed to minimize prescribing error ?

Computerized prescriber order entry

Q- Which describes pharmacological property of Amantadine ?

wut
Increase release of dopamine from presynaptic vesicles

Q- Responsibility of scientific of any pharmaceutical company ?

Conduct post-marketing surveillance product

Q- Which is altered when the Probenecid increase the Ampicillin duration of action ?
mm
Renal tubular secretion Acidic
mm usewithAbto AeffectofAbn

Q- MAX duration supply a pharmacist can dispense for Diazepam prescription ?

30 days

Q- Severe acne treatment ?

A- Systemic isotretinoin B- Topical isotretinoin

Q - Category C pregnancy meaning ?

Category C
Animal reproduction studies have shown an
adverse effect on the fetus and there are
no adequate and well-controlled studies
in humans, but potential benefits may
warrant use of the drug in pregnant women
despite potential risks Nucleic
Protein
Q- Virus component ? Nucleic ACID
Together called nucleocapsid lipid
Protein capsid
Lipid envelope
Order: E prescription
Dispensing: Bar code
Administration: Health care code
Q- which one is non-essential amino acid ?
alanine, arginine, asparagine, aspartic acid,
cysteine, glutamic acid, glutamine, glycine,
proline, serine, and tyrosine
Q- which one is essential amino acid ?
histidine, isoleucine, leucine, lysine, methionine, Renin ACEI ARB diuric
phenylalanine, threonine, tryptophan, and valine
Q- Technology used in dispensing of medication
in the use of medication process ?
A- E Prescribing B- Unite dose C- Bar code
B- D- Verification

Q- Calculations Clearance ?

clearance = amount of eliminated from the plasma / average plasma concentration

clearance is expressed in units of volume per time
ressure

j.IE
Q- Calculations Osmolarity ?
Haine
Q- a eS a ?
motility testing system features an ingestible capsule that measures pressure, pH, transit time
and temperature as it passes through the entire gastrointestinal tract.

Q- vasopressin used in ? treat diabetes insipidus

Q- Incidence ? total number of new cases divided by the population at risk at the
beginning of the observation period

Pop GAR
Q- Human papillomavirus vaccine brand name ? Gardasil
D D
Q- Influenza vaccine indication in Saudi Arabia ?

A- all people > 6 months

B- all people > 2 years
C- high risk patient only

Q- Oz to ml or L ? 1 OUNCE = 30 ML , 0.03 L

Q- father comes to the clinic ask about vaccination? All babies will take the vaccines

Q- pt complains about insulin inc his weight what should u do ?

A- Go back to the physician Aweigh

B- Decrease to the dose gram positive
C- Tell him yes it's true 1- thick layer
2-About 90% of cell wall
Q- Important about Positive bacteria ? 3- violet colour
‫ ھو ﺳﺑب اﻛﺗﺳﺎﺑﮭﺎ اﻟﻠون اﻟﻣوف‬peptidoglycan
Positive bacteria is composed of thick layer of peptidoglycan
gram negative
Q- Virus is depend on what ? DNA or RNA 1 -thin layer
give
Aspirin 2-Abuot 10% of cell wall
Q- Side effects of Nicen ? A- Chills B- Flushing 3-pink colour

Q- Dose of Ca in elderly ? 1200 mg

all Ab
galmost
isenzyme
Q- Drug increase warfarin effect ?
bacterim, azirathamycin, ciprofloxacin
inhibitor

Q- Interaction of Ginkgo Biloba with warfarin ? increase warfarin effects

no
Q- Example of aerobic Gv - ? E.COLI

Q- c e fa b c a dc e c c ed e e c a eg ?
Choose structure without beta lactam ring

Q- Mild dehydration children best intervention?

A- Normal saline B- Oral rehydration fluid cab
RelabseMS
quetalumab
Q- Multiple Sclerosis acute attack treatment ? fingolimod MuscleRelaxed Metible
VVD suorsis
Q- The time for which we can use the medicine after expired ?

nut
Excluding certain prescription medicines such as nitroglycerin, insulin, and liquid antibiotics,
most medicines stored under reasonable conditions retain at least 70% to 80% of their
mum
mummt
original potency for at least 1 to 2 years after the expiration date, even after the container has
been opened
Aspirin
mum
Q- Aspirin in alkaline base what will be the effacing ? decrease effect loveAcid
Q- Vaccines for HIV patient ? inactivated vaccines
Ae A

Q- Drug for VTE in pregnancy? enoxaparin

mum
Q- Which of them lysis of bacteria cell wall ? A- Lysosome B- Lysozyme

Q- Best place for insulin SC ? abdomen

 Q- Vaccine in deep wounds ?
Q- Vaccine minor wounds ?

Q- Paracetamol antidote ? NAC

Q- Thiopurine S-methyltransferase (TPMT) deficiency what will effect ? azathpurine + 6-mercptupurin

Q- CYP 2C19 what will be the effect in drug ? clopidogrel

Q- CACULATION allegations ?

ummm
Q- Meaning of management ? A- Enhance the production B- Enhance economic

Q- P e d g d be c e d c ea e a e f ea ?

ummm
Bisphosphonates

Q- The most important difference between colloid and crystalloid ?

Crystalloids are aqueous solutions of mineral salts or other water-soluble molecules.
Colloids contain larger insoluble molecules, such as gelatin; blood itself is a colloid. ...
Colloids are more expensive than crystalloids
Q- Disadvantage of iv administration ? Encapsulated
1- E.coli
2- strept pneumonia
Q- Encapsulated bacteria ex ? E-coli 3-sterpt ( group B) agalactia
4-salmonella
5- klebsiella
Q- TTT of Reye's syndrome ?
6- Hemophilus influenzae type B
Treatment is supportive 7- N.meningitis
decrese
mumut
Q- case refeeding syndrome : decreased phosphate in lab tests
y
Q- Medication cause pneumonia in long term ? Simvastatin PPI
Name
Gender
Q- Descriptive statistics are? Mean , Mode , Median Dm
Q- The name of Pain score ?
Pain Assessment Scales
Numerical Rating Scale (NRS)
Visual Analog Scale (VAS)
Defense and Veterans Pain Rating Scale (DVPRS) fsgogrejnorer.gg
Adult Non-Verbal Pain Scale (NVPS)
Pain Assessment in Advanced Dementia Scale (PAINAD)
Behavioral Pain Scale (BPS)
 Q- Naranjo score is 3 for propability so it is?
Possible- probable- definite doubtful
Naranjo score is from -4 to +13
1 to 4 possible
5 to 8 propable
9 and more definite
0 and less doubtful
Q- Patient use levothyroxine when should i monitor the level ? after 4 week from 6-8 weeks

Q- Patient use lithum when should i monitor ? after 12 hoursqthyroid

ummm monitor Narow
theraputic
th
Q- Patient use gentamycin when should i monitor ? after 30 minute of 4 dose window

Q- disadvantage of RCT ? expensive

Q- 3Q about economic ? ECHO

Q- validate of diazepam ? 7 days

Q- strongest feature that must be present in a pharmacist? eye contact

Q- Omeprazole 20mg = ? Pantoprazole 40mg

no
Q- Pregnant vaccine? Influenza ,Tdap, Td, HBV

Q- Longest Ig ? IgG

Q- allergy from food ? Type 1

Q- Medication increase the milk ? metoclopramide

All this increase prolactin
Dopamine antagonist + MOI + TCA + SSRI + Atypical AD +
SNRI + Morphine + CCB + Dompiredone + Clopramide +
Estrogen
Q- Medication interaction with antihypertensive ? celecoxib

Q- medication use to treat acute gout ? Colchicum

Q- Patient has depressive and wand to stop smoking ? bupropion

Q- Duloxetine class ? SNRI

urinary urgency
foxybutin
ummm ummm
Q- Finasteride with pregnant women ? genital teratogenic
Overflow
Q- Alzheimer patient and have urinary urgency ? oxybutin
Hamsunisin
Fareductage
Q- Contraindication in patient have history of stroke ? Prasugrel

stress
fViginalcream
 C difficile
by clindamycin
Q- Medication use to loss weight ? liraglutide ffcaese
treatby Metrondazole
Q- black box warning clindamycin ? clostridium difficile
Vancomycin yaneomycin oral
fidaxomicin
Q- Drug used to treat clostridium difficile ? Metronidazole fidaxomycin
Q- Drug used to treat osteoporosis? Resindronate
Q- Duration of otitis ? 7 days
doday
Q- Tazocin ? time-dependent

Q- Piperacillin / Tazobactam ? time-dependent

Q- which drug has low bioavailability in the oral route ? vancomycin

Q- Review article ? Tertiary

Q- fact and compression ? Tertiary

NitroFrontoin a Amoxachin

µ
Q- the dose of ibuprofen as OTC ? 1200 mg
Not in 3ed trimester
Q- Pregnant women have UTI can treat with ? cefuroxime Smt TMX
in Reccurnt UTI
Q- Gram negative can ttt by ? Ceftriaxone

Q- Benzoic acid used as ? keratolytic

Q- which drug cause hypoglycemia ? Gliclazide

Q- MOA of zolpidem ? It works by increasing GABA effects in the central nervous

system by binding to GABAA receptors at the same location as benzodiazepines

Q- O de a e a d a c a ,a dd a e ed c e ? physical exercise

Q- Hyperthyroid patient use PropylThyracil and want to decrease the side effect ?
Give him Propranolol

Q- Medication increase mortality ? digoxin

Q- A special Thing between the patient and the pharmacist ? confidentiality

Q- Patient on warfarin and want to become pregnant what should do ?
switch to Enoxaparin

Q- Osmotic direct ? Mannitol

 goodfor Renal
HF
badfor
Q- Which is the best diuretic for pat have cardio problem ? furosemide 6 gut
Q- Which is the best drug for pat have DM, HTN, Proteinuria ? ACE

Q- Diabetic diet ? plate diet

Q- A drug that can be used to lose weight ? orlistat

Q- D g ca be b e ? Enteric coted s extend

Release
Q- Drug have to be monitor ? phenytoin

Q- HTN patient want to become pregnant what should be do ? Stop lisinopril

Q- addiction for heroin ttt ? methadone

Q- First barrier ? Skin

Q- Class of Clonidine ? a2 agonist

no
Q- Tyramine contraindication with ? linezolid

Q- Vitamin prevent Nausea in old patient ? Vitamin B6

ummm 0 0
Q- drug NRTI class ? zidovudine, didanosine, zalcitabine, stavudine, lamivudine, abacavir,
ummm
emtricitabine and tenofovir

Q- When to use Abacavir ? when HALAB is negative

Q- drug used to prevent transplant rejection ? cyclosporine

Q- High intensity ? atorvastatin 40 & 80 rosvastatin 20 & 40

Q- Patient has HCG+ Which of the following medication can the patient take?
Levothyroxine Warfarin Thalidomide

Q- Pregnant test ? HCG+

Q- Gemifloxacin structure ?
 cross-sectional Case on disease in the middle east and without follow up

Bacteria sensitivity plate: choose the biggest circle for

sensitive

-4 structures codeine and PPI and oseltemavir

Name of process of extraction of active ingredient from a plant?

Cocation (plant extraction) pharmacognosy
maaonsees
b
decocation
- shape histogram -
mfs
-Dose of naloxone in children is 0.01 but it was not an option so I chose the smallest
number
in acut opioid overdoes -
naloxone is 0.1 mg/kg for infants and children from birth to 5 years of age or 20 kg of -
body weight. Children olden than 5 years of age or weighing more than 20 kg may be
given 2.0 mg
levotheroxin high tsh (maybe 20) -
Most calculations need conversion of unit from micro to gram

truogh conc vancomycin -

vancomycin trough levels is 5-15 mcg/mL
-
Trough levels should be checked just before the fourth dose
-
-
Pa e ca e e a ac d e e d abe e ed ca , c ec g a e f e
Discover that she has osteoporosis and she says that she does not take any medication, what to do?
A- discontinue dm drugs
B- change dm drugs
C- patient not telling the truth
D- prescripe the medication

calculations Vd and table -

 Mentmedmhbeaner
chitin
ergosterol

2 questions properties of fungi -

0,5 2
Normal
Ranger Digoxin reached 2, what to do?
Do nothing -
-
Q- what is the others name of vit K?
Above2.5 Antidote
ummm nT
Phytonadione ,menaquinone
Immedittlyn
Q- Pt newly diagnosed with HTN his doctor prescribed chlorothiazide, lisinopril after one
week pt developed a cough what is best interventions?
1- change lisinopril to losartan
2- change lisinopril to amlodipine

Q- COPS pt and risk factors on which stage the pt is based on gold guideline?
Stage 1 -- Mild -- FEV-1 80%: Y a a e .Y g be f b ea
when walking fast on level ground or climbing a slight hill.
Stage 2 -- Moderate -- FEV-1 50-79%: If e a g e e g d, g a e
e e fe e ca c b ea .
Stage 3 -- Severe -- FEV-1 30-49%: You may be too short of breath to leave the house. You
might get breathless doing something as simple as dressing and undressing.
Stage 4 -- Very Severe -- FEV-1 30%: Y g a e g ea fa e. T ca a e
a d ca c b ea e e e e e g. Y g ea ca ed e d-stage
COPD 1 mg/kg SC Q12H
:Q- 3-calculte the dose based on square metre ? (or 1.5 mg/kg SC OD for
inpatient)
Q- enoxaparin prescribed to obese pt to treat VTE calculate the dose? CrCl<30 mL/min: 1 mg/kg
daily
*based on actual body weight*
Q- calculate BMI for pt and what pt is considered? obese, overweight... they will provide the
range for each category but you have to how to calculate BMI
Q- eg a e e 24 ee a d e d a ea acc e?
A c ce a e acc e MMR a e e b dd c e
c d g e a d acc beacAnswer
e e 24 ee eac e 3rd trimester
e ab a

Q- methotrexate and folic acid regimen?

The most commonly recommended dose regimens are 5mg folic acid taken the day after
the methotrexate dose or 1mg folic acid daily except on the day of methotrexate.

Q- antipsychotics monitoring and side effect remember, they will give you a case pt on
olanzapine and has elevated BG what is alternative? halpecidola FGA
Q- A patient is traveling to Indonesia (where hepatitis A is endemic) which of the following
measures should be done?
Give one dose of vaccine
Q- COPD pt on stage B ttt ?
Img Cat 0,8 X 4 Albumen
ummm
Lama or Laba
Q- calcium correction calculation ?
Corrected calcium = serum calcium + 0.8 * (4 - serum albumin)
Q- organophosphate antidote? There is no atropin on choices

ummm unmet
atropine, pralidoxime (2-PAM), and benzodiazepines (eg, diazepam).
Q- case for pt taking aspirin and not improve pt keep his aspirin near to toilet what happen to
aspirin?
Hydrolysis
The patient forgot the treatment of aspirin inside the water cycle, what is the problem that
became the drug ‫ ؟‬Answer It will dissolve and form acetic acid
Q- what make aspirin reversible inhibitor to cox?

mum
Acetylation of serine residue on cox enzyme

Q- two question which of the following is high alert medication?

1st question was digoxin and 2nd was insulin

Q- a cross-sectional study and ask to calculate the prevalence?

Number of population with interst(e.g.DM,HTN,...) / number of whole population

Q- which type of insulin is given on TPN?

regular human insulin

mum
Q- type of parenteral nutrition? cycle, continuous

Q- pt on enoxaparin and doctor decided to do a surgery and stop enoxaparin on 2:00 when the
best time to do surgery known that T1/2 for enoxaparin 1.5?
4-5 hour after stop enoxaparin
Q- a long case and pt has egg allergy what vaccine should be avoided?
Yellow fever , influenza , MMR

Q- Iron dose?
dose of ferrous sulfate that treat anemia
Answer 325 mg PO daily to TID
100 TID

tablet contains 65 mg of elemental iron per tablet; three tablets per ferrous sulfate A 325 mg day
Q- gingival hyperplasia is side effect of ? Phenytoin

Q- Hashmoto sayndrom what can couse ? hypothyroidism

Q- Dr prescribe for the paitent 10 mg the teqnetetion gave the pharmacist 100 mg insted and
he prescribes it to the patient,, after 3 day patient came to the ER over dose what we do ?
A- tell the doctor there is mistake in the prescription
B- tell the pharmacy manager
C- report to SFDA ( NOT SURE )
D- tell the patient

Q- The vaccination the child takes from 0 to 6 months ?

A- MCV
B- Hepatitis A
C- Hepatitis B
D- Influnza

Q- How long is a HIV vaccination for a child ?

A- A year
B- two to three year

mum
C- 4 weak Answer
D- more than five years

Q- Contraindication vaccination when pregnant ?

All Live vaccines
Q- What vitamin if he decrees will cause scurvy ? vitamin C

Q- A child with a 6-year-old severe infection with his ear ?

A- imipenem 1g Q8 iv
B- imipenem 1g q12 iv
C- doxycycline

went
D- ceftriaxone 500
Not BB
Q- patient Has arrhythmia + COPD What do you give arrhythmia for ? CCB bae COPD

wut
Q- patient Has Arrhythmia + HF, What do you give ? Amiodarone or Dofetilide
 EaY
Gio
NSAID
und
Q- contraindicated in HF ? dronedarone

Q- Definition of pharmaceutical informatics ?

The scientific field that focuses on medication-related data and knowledge within the
continuum of healthcare systems including its acquisition, storage, analysis, use and
dissemination in the delivery of optimal medication-related patient care and health
outcomes

mohsin
Q- Which is prevent cardiomyopathy? A- folate B- selenium
hashomoto
Q- Why try to prevent the infection ?
thyroid
A- to protect yourself
B- to protect patient
C- to protect health provider

Q- Symptoms gallstone bladder ?

Sudden and rapidly intensifying pain in the upper right portion of your abdomen
Sudden and rapidly intensifying pain in the center of your abdomen, just below your
breastbone
Back pain between your shoulder blades
Pain in your right shoulder
Nausea or vomiting
Q- difference between isomer, antitumor, epimer and disentitomer ?

unmet
epimer is a stereoisomer that differs in configuration at any single stereogenic
center,
while an anomer is actually an epimer that differs in configuration at the

wut
acetal/hemiacetal carbon

Q- Zolopdm refill ? No refill - up to 5 month - 1 day

Q- Oxycodone validity ? 7 day

Q- Combination is contraindication in HTN ?

(ACE) + (ARB)
Q- Accumulates Tetracycline in ? Bone Muscle Liver
Deliver baby and anticonvulsant
For eclampsia
Q- ttt of eclampsia ? administration of magnesium sulphate
Magnesium sulfate for
preeclampsia
Q- woman on valproic acid planned to get pregnant ?
start escitalopram and reduce dose of valproic gradually

Q- woman on lisinopril planned to conceive or pregnant ? stop ACEI start methyldopa

 Harris
ing
Q- 4p ? product, place, price, promotions

Q- chemistry ( isomer, enantiomer) ?

mammet
constitutional isomers can have different physical and chemical properties. .... Enantiomers
are isomers with the same molecular formula and constitution (sequence of bonded atoms), 2
but they are mirror images of each other and non-superposable (an enantiomer cannot be
oriented in any way to get its other enantiomer)
Q- decrease size of particles effect on ? dissolution

Q- What enzyme is used to differentiate staphylococci and streptococci? Catalase

Q- What bacteria are found in milk or transmitted by milk? Lactobacillus

Q- What are the most famous bacteria found in the hospital? Pseudomonas
B2B
Q- Antidepressant act on which area in brain ? Postsynaptic
presynaptic fpostsynaptic
Q- Which antidepressant used in obese patient ? Bupropion

Q- Drugs cause esophageal ulcer ?

wut
Tetracycline Doxycycline Clindamycin Aspirin Emepronium Alendornate Risedronate

use it Q- Which medication for Parkinson causes dizziness?

nsever A- Apomorphine B- pramipexole C- ropinirole D- rotigotine
case Tmnt
Q- What is the fastest route of administration in absorption ? A) Rectal B) SC

Q- Alendronate ( bisphosphonate ) is given daily and weekly What is the daily dose ?

unmut
5mg prophylactic dally or 35mg weekly
10mg therapeutic dally or 70mg weekly
Mr
Q- NSAID has long duration of action ?
piroxicam
ibuprofen
naproxen
diclofenacIsless
duration
Q- Class of BB ?
Q- Contraindication in pregnant ?

Q- Most common antibiotic associated

mum
with colitis ? Clindamycin

Q- Most common antibiotic associated

mm
with diarrhea ? Penicillin

Q- Best treatment for child with runny nose ?

IV normal saline

Q- Amino acid bind to bile acid before release ?

wTw
Glycine ,taurine
rs.do.s.s Only one Not cause HTN
Q- HTN +epilepsy which antidepressant

In
can be used ? Paroxetine = SSRI drug
Caused by C difficile
Q- Pseudomembranous colitis caused by And treated by ? TTT by Vancomycin

Q- Which one of the following measures can be classified as a central tendency?

A. Confidence interval
B. Standard deviation
C. Sampling error
D. Validity

Q- Which of the following age groups is inactivated polio recommended for Infants less than
6 months old only?
A. Immediately after birth
B. Children up to 6 years old
d
C. Children more than 10 years old
D. Recommended for all age groups j'T
up to 6
yeah
Q- Which of the following means that individuals have the understand basic health
information to make appropriate health

wut
A. Health literacy
B. Cultural competency
C. Communication skills
D. Professional communication

Q- A hospital conducted a pharmacovigilance (PV) activity to detected events after certain

treatment, by asking patients directly and patient records.
Which of the following is the type of PV activity conducted by the

mo
A. Active PV
B. Passive PV
C. Mandatory PV
D. Spontaneous PV

wut
Q- To which of the following the major histocompatibility complex unique?
A. Each cell
B. Each organ
C. Each species

wut
D. Each individual

Q- A 55-year-old man brought a prescription for Oxycontin on April year. The script from
doctor is dated December 17th of last year prescription allows five refills.
What quantity of fill (s) is\are likely to be received by the patient?

unmet
A. 1 Today + 1 Refill
B. 0 Today + 0 Refill
C. 1 Today + 2 Refill
D. 1 Today + 0 Refill

Q- A pharmacy department needs to design a system to maximize the value of the drug
therapy to the patients, Which of the following systems should the pharmacy department
operate?
A. Patient safety program
B. Pharmacy benefit management
C. Pharmacy networking and bar-coding system
D. Communication with the prescriber and the therapist9 Finnerty
2
Q- Which of the following best describes the "bio-psychological approach of health"?

a
A. Broad view that arrtributes disease outcome to the variable interaction of biological
factory psychological factors, and social factors
B. Health constitutes the freedom from disease, pain, or defect, making the normal human
condition "healthy".
C. The scientific measure of health and regards disease as the human body having a
breakdown due to a biological reason
D. The biological component seeks to understand how the cause of the illness stems from the
functioning of the individuals bod

Q- Carbamazepine (pKa=13.2) is an antiepileptic drug used in the treatment of status

epilepticus. This condition requires fast intervention with carbamazepine injection.
Which of the following is most likely to describe what will happen if carbamazepine was
given orally?
A. Fast intervention because the drug will be ionized in the stomach
Ionized
mum nut
B. Slow intervention because the drug will be ionized in the stomach
C. Fast intervention because the drug will be unionized in the stomach stomach
D. Slow intervention because the drug will be unionized in the stomach

Q- Which of the following is most likely to inhibit lactation? 2

A. Prolactin have
B. Progestrone
C. Growth hormone to be unionized
D. Chorionic somatomammotropin

Q- Which of the following situation demonstrates a direct association

pharmacoepidemiological study?
A. The study reveals that it is not a false association
B. The regression provides misleading statistical evidence
2
C. The association between two variables is a result of another
D. The association between the two attributes is not through attributes

Q- Bacterial genome consists of ?

A) Double strand DNA

B) Single strand DNA
C) Double circular DNA

went
D) Single circular DNA

Q- Better HIV test ?

A- ELISA diagnosis
B- CD4 test
Monitring
C- A & B
Q- How can protect from the sexual diseas ? Male candom

Q- What is increase dissolutions ? decrease particle size, increase surface area

mm mm

und
Q- amphotericin degradation ? Hydrolysis

Q- What is Duration supervision control medication?

7 days if prescription from Clinic
3 days if prescription from Emergency

Q- Which of the following set the rules and regulations for pharmacy practice in Saudi
Arabia?
A. SFDA
B. MOH
C. SCFHS
D. Saudi Pharmaceutical Association

Q- Which of the following is responsible for medication regulation?

A. SFDA
B. MOH
C. SCFHS
D. Pharmacy and Therapeutics Committee

Q- When a medication error happens, which category have more risk?

A. Adults
B. Pediatrics
C. Adolescents
D. Geriatrics

Q- Which type of Immunoglobulins is the most predominant in blood ? or founded in blood ?

IgG

Q- What is the fastest anesthetic in induction and recovery?

und und
Nitrous oxide If not found choos Desflurane and sevoflurane

Q- Validity of diazepam prescription is ? 7 days

Q- The maximum allowed amount of diazepam to dispense is ? 30 days

Q- Validity of oxycodone prescription is ? 7 days

 no
Q- Enzyme breaks starch ? amylase

Q- A patient came to emergency with acute migraine What is the treatment ?

Mild to moderate symptoms simple analgesic.

mum
Severe symptoms ergots or triptan.

Q- Which of the following is used in fixed dose in septic shock ?

A) Dopamine

I
B) Epinephrine
C) Norepinephrine
D) Vasopressin
Nocc B
ummm
Q- Hypertensive patient has stroke what the best combination ? Thiazide + ACEI
Q- Prevent recurrence UTI in female ? Trimethoprim / Sulfamethoxazole
ummm mm
Q- Which of the following is enzyme inducer
A- Rifampicin
B- Cimetidine
C- Chloramphenicol
D- Vit C
E- Omeprazole
Tinea capitis (also known as "herpes tonsurans
Q- Tinea capitis is infection of what ? skin, nails , fingers , toes
First is scalp or hair if not found choos skin

t
hors
Q- Actinomyces ( aerobic or anaerobic ) ?

Bac e a d e a e ce a e a
mo
e ? mycoplasma ( atypical bacteria )

Q- Encapsulated bacteria example ? t E.Coli

streptococcus , staphylococcus , Klebsiella, salmonella , Neisseria gonorrhea , h.influenza

Q- How to differentiate between staphylococci and streptococci ( by which test ) ?

Catalase test

Q- How to differentiate between e. coli and pseudomonas ?

mmmm
lactose fermentation

Q- Coagulase test is used for what ? cogulase test

with staph
to differentiate between s.areus and the rest if staph
with sterpt
Q- Bacterial genome consists of ? circular DNA

( Double strand DNA , Single strand DNA , Double circular DNA , Single circular DNA )
Q- Virus types are ? DNA or RNA
incidence of Endocarditis
mm
strept 50%
Q- The most common bacteria that cause Endocarditis ? s.aureus staph 25%

wt
Q- Name of bacteria that cause Sore throat ? streptococcus

Q- Fungi are characterized by ? cell wall consist of chitin - eukaryotic

Q- Osteomyelitis name of bacteria ? staphylococcus aureus

sa
og
j Dg
Q- bacteria cause disease in 10:1000 persons and the other cause 10:10000
Which one is more pathogenic or more virulent ?
the first bacteria more pathogenic than the 2nd one

Q- DOC in Seizure with breastfeeding ? Levetracetam

Q- Clinical trials phases ?

Preclinical: Pharmacodynamic, kinetic Safley
Phase 1 :ADR, metabolism, execration g
Phase 2 : Efficacy & Safety (ADR)
Phase 3 :more about Efficacy & Safety
Phase 4 : post marketing long time
(safety, effective & other benefit)

Q- Different between Rhythm control and Rate control ?

Q- Septic shock ? give Iv fluids first then norepinephrine

no
Q- in case of septic shock and kidney failure or damage or injury ? Dopamine

Q- Cardiac shock treat by ? Dopamine

unmet
Q- Anaphylactic shock ttt by ? epinephrine or adrenaline
Q- Oral antidiabetic for type 1 ? SGLT2 or Gliflozin gp or pramlintide

MT
Q- Anti cancer do VTE and need prophylaxis? Methotrexate
gFomepizole
mum
Q- Vasopressin Antidote? Demecycline or Tetracycline Also lithium

Q- Lithium Antidote? Sodium Bicarbonate or Sodium Polystyrene Sulphonate

Q- has 100% bioavability ?

A- oral vancomycine.
B- oral neomycine

mm
C- oral linezolid
D- none above

Q- Diazepam was prescribed in Riyadh and the patient went to AL Dammam after two days
to a community pharmacy for dispensing
A) Dispense
B) D dispense
C) Dispense for one day

Q- Patient is using Metformin + Sitagliptin What is the most appropriate monitoring for him?
A) Pulmonary function test
B) Renal function test
C) Liver function test ypiglatazone

currant 0
Q- What is the medication to treat neuropathic pain and depression ? Duloxetine

Q- Most common pathogen cause gangrene ? Clostridium

mummy
Q- IG in complement fixation ? IgM and IgG
ish
vis's
ko
M
Q- Which one of these vaccines has the max age when it received?
BCG pneumococcal MMR

Q- Anti-fungal need Hepatic adjustment ? Voriconazole

Q- Patient have back pain and was prescribed for him 1000 mg q6hr prn
How many quantity you he should take for refill ?
A- 8 tablet
B- 24 tablet
C- 240 tablet
D- 4 tablet = 1000/4

Q- Cough plus nausea and vomiting ??

A-dextromethorphan
B-diphenhydramine

Q- Which vitamin B deficiency can cause hair loss? A- biotin B7 B- VIT B12 ?

Q- Why is the medicine better in the stomach?

ummm MT
Because the stomach is acid They will be unionized

Q- TTT of H. Pylori ?
A- Amoxicillin+ clarithromycin + PPI AMoxachin
B- Metronidazole + clarithromycin + PPI y Allergy
C- Metronidazole +bismuth + tetracycline + PPI

Q- TTT of MRSA come with CAP ?

intravenous (IV) vancomycin or linezolid
Q- A e e d e ?

Q- Biggest lymph node ? spleen

Q- ibuprofen structure ?

Q- name of COPD scale ?

GOLD staging or grading system
t.CAT
mum ma
Q- Encapsulated bacteria ex ? E-coli
Q- Beta-lactamases enzyme ?
Beta-lactamases are enzymes produced by bacteria that provide multi- e
antibiotics such as penicillin wut
a ce -lactam

Q- cost effectiveness ? natural unit

Q- Humanistic ? Utility

Q- direct and non-direct medical cost ?

Morphine IV
Q- Vit k in infant by which route ?

PG L L
intramuscular (IM)
Q- medications increase Qt prolongation with quetiapine ?

untuned
Goserelin , lefamulin , leuprolide
Q- Side effect of bisphosphate ?
bone, joint or muscle pain. Side effects of the oral tablets may include nausea, difficulty
swallowing, heartburn, irritation of the esophagus
Q- Medication on osteoporosis take once ?
Ibandronate: infused once every three months
Zoledronic acid: infused once a year
Q- first line treatment of malaria in SA ?
Artemisinin-based combination therapies (ACTs). ACTs are, in many cases, the first line
treatment for malaria. There are several different types of ACTs. Examples include
artemether-lumefantrine (Coartem) and artesunate-amodiaquine. Each ACT is a combination
of two or more drugs that work against the malaria parasite in different ways.
Chloroquine phosphate. Chloroquine is the preferred treatment for any parasite that is
sensitive to the drug. But in many parts of the world, the parasites that cause malaria are
resistant to chloroquine, and the drug is no longer an effective treatment.
Q- how many time should take hepatitis A And hepatitis B ? 12 months
The hepatitis A vaccine is given in 2-doses over the span of six months and
4
the hepatitis B vaccine is given in 3-doses over the course of six months
ACT:

A KEY
Artesunate+ sulfadoxine+ pyrimethamine
——OR——
Artesunate+mefloquine
birth
B 4 4ohm
Q- Influenza vaccine indication in Saudi Arabia ?

A- all people > 6 months

B- all people > 2 years
C- high risk patient only

Q- In Sanofi medicine right they pulled it from the market and the picture was attached to the
report And a writer ?
A- Recall
B- Quality report
C- drug interactions

Q- What side effect related to bismuth in child 6 years ?

A- Ray syndrome
B- Rebound diarrhea fatties
net
Q- We should stop clopidogrel before surgery 5-7 days What antiplate cause dyspnea?Clopidogrel

wmM
Q- Lyme disease caused by which organism ?
bacterium Borrelia burgdorferi and rarely, Borrelia mayonii
ummm 7
Q- plasmid role ?

if
They may contain genes that enhance the survival of an organism, either by killing other
organisms or by defending the host cell by producing toxins. Some plasmids facilitate the
process of replication in bacteria
Q- opsonin function ?
9 met
to react with bacteria and make them more susceptible to ingestion by phagocytes

Q- pair models that they have same meaning ?

A- building and testing
B- behavioral and social ( ‫(أ‬

mmmm
Q- what are the best factors that reflect social health ? Education, income, housing, access to
healthcare
Q- gram positive case and asks which one of the following doesn't exist in Gr + ?

Q- high alert medication ?

Q- Definition cross over research ?

Let
type of clinical trial in which all participants receive the same two or more treatments, but the
e
ummm
order in which they receive them depends on the group to which they are randomly assigned
Q- obligate anaerobes examples ?
mm
Actinomyces, Bacteroides, Clostridium, Fusobacterium, Peptostreptococcus, Porphyromonas,
mm
Prevotella, Propionibacterium, and Veillonella
 Q- atrial oxygen saturation normal range ?

no
A normal ABG oxygen level for healthy lungs falls between 80 and 100 millimeters of
mercury (mm Hg). If a pulse ox measured your blood oxygen level (SpO2), a normal reading
is typically between 95 and 100 percent
Q- 3-4 questions about planning strategies ?
Anthrax is rod-shaped, Gram-positive
Mattie
Q- anthrax can transfer to human from which animal ? cows, sheep, and goats

Q- Peanut type of hypersensitivity reaction ? Type I DM

msn.T.cm4
Q- hemolytic anemia hypersensitivity type of reaction ? Type II
Type

Q- anti Parkinson's medications where dose work in which area of the brain
Therapy is aimed at restoring dopamine in the basal ganglia and antagonizing the excitatory
effect of cholinergic neurons, thus reestablishing the correct dopamine/acetylcholine Generally, no
Maybe Finasteride
pregnant women
must not handle crushed or
Balance. broken tablets on a regular

basis because of the

Q- which medication can causes teratogenic effect in pregnant if broken or crushed ? possibility of topical
absorption, which can lead
to teratogenic effects.
Q- cass of patient with TB after starting Anti TB meds the pts came and complaining of
blurred vision and after assessing the patient it appears he can't recognize green color ?
which on of the listed anti TB is responsible of that side effect ?
no
Ethambutol.
Q- vit b 12 anemia deficiency which test used for diagnosis ?
orange urine
A- schilling test
mmT frifamkin
B- plasm regain

Q- best medication for malaria (mentioned the Plasmodium falciparum and region
Saudi Arabia) ?
A- chloroquine
B- doxycycline

mQ-increase
Bactrim and warfarin interaction ?
the risk of bleeding
Ab Q- sodium cromoglicate used as ?

wit no
Eye Drops are used to treat red, watery, itchy eyes caused by allergies
Q- dose of allopurinol if CrCl was from 3 to 9 ? 50 mg once weekly (not sure)

Q- furosemide infusion in heart failure pt NYHA class 4, I guess the dose was 120 not sure ?
A- 30 mintues
B- 40 mintues Fucosamide
C- 10 minutes
Max rate is 4 mg/min
So 120/4=30 minutes infusion Rate fmaxRate 4m91min
D- 5 mintues
fee
4
yyj.gs
120 4 30
 qgenacomastia
Q- case about male with enlarged breast which drug may cause it ?
(option include spironolactone)

Q- women done hysterectomy 6 week ago and she complained of many symptoms etc
what should we give her ?
A- estrogen OveroctomyqEpstrogen rosesten
B- progestin
C- both estrogen and progestin
liver
9enzyme
Q- antiTB side effect in general ?
Nausea, diarrhea and loss of appetite
Q- absolute contraindications of enteral nutrition ?

Q- calcium carbonate containing antacid side effect ?

loss of appetite, nausea/vomiting, unusual weight loss, bone/muscle pain, mental/mood
changes (e.g., confusion), headache, increased thirst/urination, unusual weakness/tiredness
Q- Ebola manifestation ?
( they mention hemogenic fever, pulmonary embolism, common cold)

Q- enzyme that catalyzes fibrinolysis ?

A- plasmin
B- plasminogen
C- TPA

Q- General precaution to prevent diaper rash?

A- hydrocortisone
B- alcohol swap

met
C- keep the area dry after changing the dipper

Q- which of the following formulation need to be frozen ?

A- suppository
B- tablet
C- eye drop

Q- Shortage in medicine who is to contact ? SFDA

Q- Delayed delivery and u give drug? Oxytocin

cross-sectional scenario:

study in Jeddah to measure the degree of awareness of people in Jeddah

about vitamin D
 ONE group with lymphoma and we want to see who smokes and who does not smoke

ONE group with diabetes and we want to see who eats fast food and who does not eat fast food

Q- A new drug that has excellent effects in decreasing death rate associated with highly fatal
disease , how will that drug affect the disease rate ?
a) Prevalence will be increased .
b) Prevalence will be decreased
c) Incidence will be decreased
d) Incidence will be increase

Q- supplement used in jetlag ? melatonin

Q- Fixed dose in septic shock ?

1- vasopressor
2- norepinephrine

Q- Enoxaparin In PE treatment Patient wt 80 kg What is the dose ?

1 mg/ kg BID = 80 BID OR 1.5/kg once

Monitor
mum
Q- WBCs in viral inf. Which one? Lymphocytes
cionaPine
Q- SABA ? Short acting beta2 agonist

Q- LABA ? Long acting beta2 agonist - * should take it with inhaled Corticosteroids *

Q- Ome & Esmo & Rape >> 20mg

or
Q- Lanso >> 30 mg
Q- Panto >> 40 mg

Q- process glycogen ? glycogenolysis

Q- class 3 in antiarrhythmic ? Potassium Channel blocker

Q- lidocaine which class in antiarrhythmic ? Class 1B

Q- Snack antidote ? Antivenom

Q- Contraindications for heat failure ? Celecoxib

Q- Multivitamin maternal ?
A- B6
2
no
B- folic acid
N
19
Ed
Q- abacavir ? HLA B5702
111
Q- clopidogrel ? CYP2C19

Q- Drugs cause anemia ? Anesthetic nitrous oxid

Q- IV Anesthesia need hepatic dose adjustment ?

0
- Propofol
- Ketamine
- Barbiturate
- Nitrous oxide

Q- Ig found in colostrum ? IgA + IgM

u ybwf.rashort
mm
Q- barbiturates need adjustments ? Thiopental

Q- Which type of immune cells that kill cancer cell without need to surface antigen?
A- Cytotoxic sodium hypochlorite is called Dakin's solution,
and is used as an antiseptic to clean
mm
B- Natural killer cell infected topical wounds.

Q- bleach toxicity ? (3% sodium hypochlorite) best management

mm
Flush with tap water

Q- Selective estrogen receptor ? ( tamoxifen )

Q- Chlorpromazine class ? phenothiazine antipsychotics

2
Q- Which one cause pneumonia as a side effect ?
A- ACEI
B- PPI
C- Metformin
D- Statin

Q- Patient withdraw from his friends and become nervous and agitative and hear sound for
suicide .. Best treatment :
Refractory
A- clozapine depressent
B- resperidone

no
C- haloperidol

Q- Vitamin if deficiency will cause stains in the tongue + stains of around the mouth ?

no
Vitamin B2
Q- Vitamin if deficiency will cause stains in the tongue + stains of around the mouth
+ hair loss ?

I
Vitamin B7 or biotin
Q- Vitamin if deficiency will cause pellagra disease ? Vitamin B3
e
A- ACEI
B- PPI
C- Metformin
D- Statin

Q- Patient withdraw from his friends and become nervous and agitative and hear sound for
suicide .. Best treatment :
A- clozapine
B- risperidone
C- haloperidol

Q- Vitamin if deficiency will cause stains in the tongue + stains of around the mouth ‫? ﺑﻘﻊ‬
Vitamin B2
Q- Vitamin if deficiency will cause stains in the tongue + stains of around the mouth
+ hair loss ?
Vitamin B7 or biotin
Q- Vitamin if deficiency will cause pellagra disease ? Vitamin B3
(‫) ﻣﺗﻔرﻗﮫ اﺳﺎﻟﮫ‬
HER 2 (‫ ﺟﺎﻧﻲ‬٣ ‫(ﻣﺮات‬
‫ رﻛﺰو ﻋﻠﻰ اﻟﺠﯿﻨﺎت‬-
‫ واﻟﻜﻔﺮج ﺣﻖ ﺳﻮدوﻣﻮﻧﺲ‬-
- Sitagliptin -> renal anj
- Folic acid -> start one month before pregnancy
- Encapsulates bacteria
- Nicotine effect on pregnancy
bblood flow
2T
- B9 -> Spina bifidia Avoidsun
separateiron ca child Pregnant
- Doxycycline counseling godrink
water Notfor
With food – large water -upright -don’t take with (ca, iron , antacid), avoids sun , no need
dose adj. , not used in children less 8 and pregnant
- Ciprofloxacin dose (cipro+lefo) only use in pediatric and children

or
ADULT 500-700 Q12H or 400 IV Q12H
Children 10 mg/kg orally or IV Q12H
- Meningococcal prevention who contact with patient
- Risk level for sceptically prepare sterile drug
- Rifamin
- Dexamethasone
- No need
osteomyelitis ‫ ﻛﺎن ﯾﺴﺎل ﻋﻦ ﺟﺮﻋﺘﮭﺎ ﺑﺎل‬-
- 500 ‫ﺻﺮف ھﻮ اﻧﻮ‬mg bid for 8 week
‫وﯾﺴﺎل اﯾﺶ اﻟﺪرق ھﺎي اﻓﻨﺘﯿﻼ زي ﻗﺮاف‬
‫ﻧﻔﺲ ﻗﺮاف ﺣﻖ ﺑﻮﺗﻨﺲ واﯾﻔﻜﺎﺳﻲ‬
-Diazepam = only phase 1 metabolism

-Also , LD50/ED50
-Absolute bioavailability calculation
Q- A researcher gathered all vitamin E studies from the past ten years. Vitamin E was used
for a
variety of condition. The populations studied as well as the vitamin E formulations and doses
were all
different. The researcher compared the incidences of cardiovascular-related mortality in those
taking
vitamin E supplements versus those that did not.
Which of the following best describe this type of study?
o A. Meta analysis
o B. Cohort study
o C. Cross-sectional study
o D. Controlled clinical trial pprofen
- Drug have both antiinflammatories and analgesic
- Inhapitory neurotransmitters
- Infusion rate
Q- Least for preventing medication error ?
Policy
Forcing function
Automation
Q- First for preventing medication error ?
Policy
Forcing function
Automation
-last person to prevent ME
racarpidopan
-levodopa/carbidopa dose depend on what ?
‫ ﻛﻢ اﺻﺮف ﻟﮭﻢ ﻛﻤﯿﺔ؟‬diseases chronic-
‫ ﯾﻮم ﺗﺼﺮف ﻟﮭ او ﻻ‬٩٥ ‫اي ﺻﺢ ﺟﺎﻧﻲ ﺳﻮال واﺣﺪ ﺟﺎي ﺑﻮﺻﻔﮭ ﻣﻦ‬-
Q- Case of deep wound and history of vaccination unknown ?
Give Td vaccine and TIG immunoglobulin
Q- Drugs need renal adjustment ? gentamicin fatso
Sitagliftin
‫ ﻣﺴﺘﺨﻠﺺ ﻣﻦ اﻟﻨﺒﺎت‬gout‫ اﯾﺶ ﻣﻦ ادوﯾﺔ ال‬-Q
colchicine
Q- Calculation Loading dose ?
BSA ‫ ? ﺟﺎت أﻛﺜﺮ ﻣﻦ ﻣﺮة وﻛﻤﺎن ﯾﻄﻠﺐ وﺣﺴﺐ دوز اﻻطﻔﺎل ﺑﺎﺳﺘﺨﺪام‬BSA Calculation- Q
Q- Calculation Clearances ?
Q- CACULATION Teaspoonful ?
Q- type of hypersensitivity reaction from food allergy ? IgE
Q- Antidote morphine ? Nalaxone
Q- SAR of codeine ?
Q- Antidote paracetamol ? N-acetylcysteine

Q-Vitamin b12 name ? Cobalamin

Q- drug for alzheimer ? Donepezil
Q- When to discard morphine vials? 6 month
Q-Dose of Ca in elderly ? 1200
Q- Drug for VTE in pregnancy? ENOXAPARIN
Q- Vaccine in deep wounds ?
Q- Thiopurine S-methyltransferase (TPMT) deficiency what will effect ? AZATHPURINE
Q- CYP 2C19 what will be the effect in drug ?
Q- CACULATION allegations ?
because
Q-Pregnant vaccine ? BCG or BCG with HBV Pit'sNot
-3 question about quantity of tablet live
Q- Osmotic direct ? Mannitol
Q- Contraindication vaccination when pregnant
Q- Encapsulated bacteria e? E-col
‫ ً◌ واﺿﺤﺔ وﻓﯿﮭ اﺳﺄﻟﺔ اول ﻣﺮة اﺷﻮﻓﮭﺎ‬-
‫اﻻﺧﺘﺒﺎر ﺑﺸﻜﻞ ﻋﺎم ﻣﺘﻮﺳﻂ ﯾﻮﺟﺪ اﺳﺄﻟﺔ ﺟﺪا‬
‫ رﻛﺰوا ﻋﻠﯿﮭﺎ ﻻزﻣﻤﻤﻤﻢ‬regulation ‫ال‬
- question about HER2 positive ‫دوا ﻧﻌﻄﻲ اﯾﺶ‬
because
Q- Purpose of give glargine once daily b/c of : f LongActing
A-drug related problem
B-ADR
C-misdiagnosis
Q- summary of case ( dr said to patient come after 3months) which consider :
Subjective anythingpatintsay
Objective LabResult XRay
Assessment diagnosis
Plan
Q- end of krebs cycle

e
ATP
Q- patient take paracetamol and codiene, but not respond to codiene due to poor metaboliser
which
of the following correct about codiene
A-it is rapidly excreted
B-it is slowly absorped
Q-Which supplament used with to manage statin induced myopathy:

no
A-co enzyme Q
B-ginkgo biloba
cardiomyopathy Folate

C- milk thistle
Q- Natural product used with alzahimer disease:
Gingko biloba
.‫ ﺟﺎﻧﻲ ﺳﺆال ﻣﻌﺎدﻟﺔ اﻟﺸﮭﺎده ﻟﻠﻲ ﺟﺎي ﻣﻦ ﺧﺎرج اﻟﻤﻤﻠﻜﮭ‬- MOE
CDC ‫ ﺟﺎ ﻟﻲ ﺑﻌﺪ ﻣﻦ اﻟﻤﺴﺆول ﻋﻦ ﻋﻦ اﻟﻔﺎﻛﺴﯿﻦ وﻣﺎﻛﺎن ﻣﻦ ﺿﻤﻦ اﻟﺨﯿﺎرات‬- MOH
Q- Which of the following contraindicated in breastfeeding:
A-acyclovir
fyoriconazole
B-fluconazole
C-voriconazole
Q- DASH diet for which disease
Q- Role of lactulose for hepatic encephalopathy
Q- Dose of naloxone for children
Q- Genetic testing for carbamazepine
‫? اﻟﺴﺆال ﻣﻮ ﻛﺬا ﺑﺎﻟﻀﺒﻂ ﺑﺲ ﻣﻦ اﻷﺟﻮﺑﺔ ﻛﺎن ﻓﯿﮭ وارﻓﺎرﯾﻦ‬testing genetic need drug following the of
Which- Q
Q-Codeine and poor metabolizers what we do? Don’t give, increase the dose
Q- Which of the following drugs need to be stoped if the patient will take contrast media
Q- Minor wound vaccination femetformin
Q- Major wound vaccination
Q- Meningococcal vaccination for pilgrim
Q- Pregnant women vaccination and she took Tdap? ‫ﻓﺤﻄﯿﺘﮭﺎ اﻷﻧﻔﻠﻮﻧﺰا ﺗﻄﻌﯿﻤﺔ ﻓﯿﮭ ﻛﺎن اﻟﺨﯿﺎرات ﻣﻦ‬
Q- omeprazole 20 mg equivalence 30Lanso
‫ﺗﻜﺮر ھﺬا اﻟﺴﺆال ﺑﺎﻟﺘﺠﻤﯿﻌﺎت ﺑﻌﺪ‬ HoPanto
Q- Bactria doesn’t have cell wall
Mycoplasm
Q- Case pt adication to something come to ER with mitosis bc of what ?
Codien , heroin , morphine Miosis: Pupillary constriction - Heroine - Nalaxone
Cocaine à mydrisis Mydriasis: Pupillary dilation - Codeine - Atropine

Q- Which of the following is high alert?

Dextrose 10%. - parntral nutrition
Q- Drug induced hymoltic anemia - name of hypersensitivity reaction is ?
Cytotoxic typeII
Q- Rythm control drug *2 qoustions
Q- Infection control for transmission disseea in the hospital
Q- Gene of tramadol (cyp2d6)
Q- Sevlamer indcation? ( hyperphosphtemia )
Q-Herbal effect in antidibtic medication?

EU Dme iii
-garlic
-geising
Q- Community aqiuerd pneumonia ttt?
OPD : Monotherapy: doxycycline or azithro or clari
IPD If resistant Levofloxacin, Gemifloxacin, or Moxifloxacin
mum
fresivatory Floroauinolon
IPD Or macrolides or doxy + high dose amoxicillin or augmentin or ceftriaxone
Q- Most effective infection control in hospital ?
- Wearing gloves
- Wearing mask
- Don’t contact with infected patient
- Everyone entering hospital most wear PEE
Q- macrolide Can be used with Cyclosporine ?
Q- Lithium toxicity management? Styrene sulfate
- activated charcoal µY sodiumbicarbonate
- Hemodialysis justwithin4h
Q- Anti dot : benzo - acetaminophenQ- Drug need liver mounting ?
‫ ﻣﺎاذﻛﺮ اﻻ ھﺬا ﻻﻧﻲ اﺧﺘﺮﺗﮭ‬Methotrexate-
green
Q- Anti Tb induce vision problems? Etha.. g
Q- Lamotrigine side effects? rash, Steven syndrome , toxic epidermal
Q- TB case Chose the management?
Q- B lactam antibiotics are considered as?Time dependent
Q- Calcium dose for elderly? 1000
‫ اﻟﺸﮭﺮ ﻣﺘﻰ اﺧﺮ ﯾﺤﻖ ﻟﮭﺎ ﯾﺼﺮﻓﮭﺎ؟ واﻟﺨﯿﺎرت ﻛﺎﻧﺖ )ﯾﻮم‬١ ‫ﺟﺎ ﺳﺆال ﻋﻦ ﻣﺮﯾﺾ اﺳﺘﻠﻢ وﺻﻔﺔ ﺗﺮاﻣﺪول ﻣﻦ اﻟﻌﯿﺎدة ﺗﺎرﯾﺦ‬
٨ ،٧ ، ٥ ، ٣- ( Q
٧ ‫اﺧﺘﺮت‬
‫ اﻟﺴﺘﺪي دﯾﺰاﯾﻦ ﻛﺎﻧﺖ اﺳﺌﻠﺔ واﺿﺤﺔ وﺳﮭﻠﮭ وﻣﺒﺎﺷﺮة‬-
‫ اﻻﯾﻜﻮﻧﻮﻣﯿﻚ ﺟﺎﻧﻲ ﻛﺜﯿﺮ وﻋﻠﯿﮭﻢ ﻛﻠﮭﻢ‬-
‫ وش ﻧﻮع اﻻﯾﻜﻮﻧﻤﻚ؟‬، ‫ ﺟﺎﻧﻲ ﺳﺆال ﻋﻦ اﻻﯾﻜﻮﻧﻤﯿﻚ ” اذا ﻛﺎن اﻟﻤﺮﯾﺾ ﻣﺨﺘﺎر اﻟﺒﺪﯾﻞ ﻻﻧﮭ ﯾﻔﻀﻠﺔ‬-
‫وﻧﺺ‬١٣ ‫ ووزﻧﮭﺎ‬٥٠٠ ‫ ﺣﺒﺎت ﺑﺎرﺳﺘﻤﻮل‬٥ ‫ طﻔﻠﺔ اﻛﻠﺖ‬: ‫ وﺟﺎﻧﻲ ﺳﺆال ﻛﺎﻟﻜﻮﻟﯿﺸﻦ ﻏﺮﯾﺐ ﺷﻮي‬-
‫ ﻛﻢ ﻣﻘﺪار اﻟﺠﺮﻋﮭ اﻟﻮﺣﺪة ﻟﻜﻞ ﻛﯿﻠﻮ ﺑﻮزﻧﮭﺎ‬-
mg100 ‫ﻣﺎﻋﺮﻓﺖ اﺣﻠﮭ وﻟﻜﻦ اﺧﺘﺮت‬-
‫ اﻟﻔﺎﻛﺴﯿﻨﺸﻦ اﺳﺌﻠﺔ ﻛﺜﯿﺮه ﻣﺮه وﻛﻠﮭﺎ ﻣﺘﻜﺮره ﺑﺎﻟﺘﺠﻤﯿﻌﺎت‬-
‫ اﯾﺶ اﻟﻔﺎﻛﺴﯿﻦ اﻟﻠﻲ ﯾﺤﻤﻲ ﻣﻦ اﻟﺘﺸﻜﻦ ﺑﻮﻛﺲ؟‬- Varcella
‫ اﯾﺶ اﻟﻔﺎﻛﺴﯿﻦ اﻟﻠﻲ ﯾﺎﺧﺬوﻧﮭ ﻣﻮظﻔﯿﻦ اﻟﺼﺤﺔ؟‬-
‫ ً◌ ﻟﻜﻞ ﺷﺨﺺ ﺳﺎھﻢ ﻓﻲ ﺟﻤﻌﮭﺎ وﻧﺸﺮھﺎ وﺗﺼﺤﯿﺤﮭﺎ ﷲ ﯾﺒﻠﻐﻜﻢ اﻟﺪرﺟﺎت اﻟﻌﻠﯿﺎ ﺑﺎﻟﺪﻧﯿﺎ واﻻﺧﺮة‬-
‫اﻟﺘﺠﻤﯿﻌﺎت ﺛﻢ اﻟﺘﺠﻤﯿﻌﺎت ﺛﻢ اﻟﺘﺠﻤﯿﻌﺎت ﺷﻜﺮا‬
♥ ‫وﯾﻔﺮﺣﻨﺎ ﻛﻠﻨﺎ ﺑﺎﻟﻨﺠﺎح ﯾﺎرب ﯾﺎﻛﺮﯾﻢ‬
Q- Drug indicated in sever alzhaimer disease :

dana Peil
Mementine
Donepezil 23 mg daily
Memantine 5 mg daily
Q- warfarin safe taken with
Coenzymw q 10
Vitamin B12
Q- Diabetes drug prevent cardiovascular event.
Q- diabetes drug reduce weight:
Metformin not in choices
Q- infant has meningitis, his relatives need prophylaxis antibiotic ( rifamicin)?
‫دا اﻟﺴﺆال ﺟﺎب ﺧﯿﺎرات ﯾﻘﻮل ﻣﻦ اﻻ ﻧﻌﻄﯿﮭ اﻟﺪواء اﻻﺑﻮﯾﻦ ﻟﻮ ﻛﻞ اﻻﻗﺎرب ﻟﻮ اﻻﻗﺎرب اﻟﺼﻐﺎر ﻟﻮ ﻣﺎ ﯾﺤﺘﺎج ﻧﻌﻄﻲ‬
‫ﺑﺮﻓﻼﻛﺴﺲ‬
Q- polyethylene glycol used to?
Q- zolpedim female dose
5
Q- ranitidin wich receptor?
H2
Q- dr convert ACE To ARNi?
36 hours
Q- solid particle in solution?
suspension
-p value
Q- refeeding syndrom
‫ ﻓﻲ ﯾﻜﻮن‬lab test low phosphate
Q- niacin side effect?
fluching
Q- amantadin MOA?
Q- nigra region deep brain?
Q- chamomile?
sedation
Q- aspirin bind?
ring lactam b ‫ وﺟﺎ ﺳﺆال ﺳﺘﺮﻛﺸﺮ وﯾﻘﻮل ﻋﻨﺪو ﺣﺴﺎﺳﯿﺔ ﻣﻦ اﻟﺒﻨﺴﯿﻠﯿﻦ اﯾﺶ ﻣﺎ ﻧﻌﻄﯿﮭ ﻧﺨﺘﺎر اﻟﻠﻲ ﺗﺤﺘﻮي‬-
‫ ﻛﯿﺲ طﻮﯾﯿﯿﻞ وﻓﻲ اﻻﺧﯿﺮ ﯾﻘﻮل ﻋﻨﺪو ﺣﺴﺎﺳﺔ ﺑﯿﺾ اﯾﺶ ﻣﺎﻧﺪﯾﮭ ﻓﺎﻛﺴﯿﻦ؟‬-
mmr ‫ ﻓﻲ ﺑﺎﻟﺨﯿﺎرات‬-
‫ ﺑﺸﻜﻞ دوري ﻻﯾﺶ‬monitorng lithium-
‫‪ -‬اﻧﺎ ﺑﻌﺮف ﻟﻞ ‪thyroid and renal‬‬
‫‪ -‬وﺳﺆال ال ‪ CIBAHI‬ﺟﺎ ﻛﻤﺎن‬
‫‪vaccine Rota-‬ﺟﺎﻧﻲ ﺳﺆال ﻋﻦ اﻟﺤﺴﺎﺳﯿﮭ ﺿﺪ ال‬
‫‪ latex-‬واﻟﺠﻮاب ﺣﻄﯿﺖ‬
‫‪COPD-‬رﺟﻞ ﯾﺪﺧﻦ ﻛﺜﯿﺮ وﻣﻌﻮ‬
‫‪SABA-‬وﻣﺎﺑﯿﺘﺤﺴﻦ ﻋﺎﻻدوﯾﺔ ﯾﻠﻲ ﺑﯿﺎﺧﺪا ﻣﻦ ﺿﻤﻨﺎ ﻛﺎن‬
‫اﻧﺎ اﺧﺘﺮت ﻧﻀﯿﻒ ‪tiotropium‬‬
‫‪ -‬وﺣﺪة ﺑﺪا ﺗﺎﺧﺪ ‪ liraglutide‬ﻣﻌﺎ ‪ type DM‬اﯾﺶ ﻻزم ﻧﺘﺎﻛﺪ ﻗﺒﻞ ﻣﺎﺗﺎﺧﺪ اﻟﺪوا ھﺬا ‪2‬‬
‫‪ SABA-‬ﺟﺘﻨﻲ ﻛﯿﺲ ﻛﯿﻒ ﻧﻤﻨﻊ ‪ asthma induced exercise‬وﻣﺎﻛﺎن ﻣﻦ اﻟﺨﯿﺎرات‬