A 67-year old man is brought to the emergency room by his colleagues for a possible heart attack. One hour ago, he felt excruciating chest pain, shortness of breath and nausea. ECG shows elevation of ST segment in leads 11, 111 and aVF. Therapy is initiated and the patient starts feeling better. ER physician explains […]
pharmacology
Repeated USMLE Questions Step 1- 172
A 22-year-old woman presents to the clinic for a recurrent urinary tract infection. She is prescribed trimethoprim/sulfamethoxazole. What is the mechanism of action of this antimicrobial drug? A- Inhibition of bacterial wall synthesis B- Inhibition of folic acid synthesis C- Inhibition of bacterial protein synthesis D- Inhibition of mycolic acid synthesis E- Inactivation of bacterial […]
Repeated USMLE Questions Step 1- 167
A 24-year old woman is diagnosed with vaginal trichomoniasis. She is prescribed metronidazole. She is breastfeeding her 3 month old boy. What is the appropriate advice for this patient concerning the use of metronidazole during breastfeeding? A-Stop breast feeding and replace it with formula for 3 months B-Stop metronidazole and choose another less effective drug […]
Pharmacology MCQs- 101
A 54 year-old man with a history of chronic obstructive pulmonary disease (COPD) presents by his son to the emergency room semi-unconscious with shortness of breath. He has nausea, diarrhea and restlessness for the last four hours. His arterial oxygen saturation is 88% with room air. His ECG shows normal sinus rhythm with non-specific changes […]
Pharmacology MCQs- 203
A 33-year-old woman presents to the clinic for her regular yearly physical examination. She has a long history of depression and takes fluoxetine regularly for two years. Which amino acid is the precursor of the neurotransmitter affected by this drug? A- Glycine B- Glutamate C- Methionine D- Phenylalanine E- Tryptophan Answer Fluoxetine is a selective […]
Pharmacology MCQs- 202
A 45 year-old man presents with progressive burning epigastric pain. He smokes and drinks alcohol socially. Physical examination, laboratory tests and imaging studies confirm the diagnosis of peptic ulcer. He is prescribed omeprazole. What is the effect of this medication that improves this condition? A-Anti-cholinergic effect B-Inhibition of H+/K+ ATPase pump C-Blocking of H2 receptor […]