Nokea
I.V. fluphenzine decanoate is drug of choice in:
- A. Simple Schizophrenia
- B. Hebephrenic Schizophrenia
- C. Catatonic Schizophrenia
- D. Paranoid Schizophrenia
Correct Answer: A
Rationale: Fluphenazine decanoate is used in chronic schizophrenia, often simple type.
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Varicella vaccine is recommended to be given to patients who are:
- A. HIV positive with a CD4+ T-lymphocyte percentage less than 15%
- B. Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day)
- C. Pregnant
- D. Immunocompromised
Correct Answer: B
Rationale: Varicella vaccine is safe with low-dose steroids; HIV with low CD4 , pregnancy , or immunocompromise contraindicate it.
Inhaled corticosteroids in Bronchial Asthma:
- A. Produce modest immediate bronchodilation
- B. Are synergistic with inhaled methacholine
- C. Are antagonized by atropine
- D. Inhibit IgE-antigen binding
Correct Answer: D
Rationale: Inhaled corticosteroids reduce inflammation by inhibiting IgE-mediated responses.
Drug absorbed by active transport is
- A. Propranolol
- B. Ergotamine
- C. Levodopa
- D. Amantidine
Correct Answer: C
Rationale: Levodopa uses active transport via amino acid carriers in the gut.
The first-line treatment for cough related to an upper respiratory tract infection (URI) in a 5-year-old child is:
- A. Fluids and symptomatic care
- B. Dextromethorphan and guaifenesin syrup (Robitussin DM for Kids)
- C. Guaifenesin and codeine syrup (Tussin AC)
- D. Chlorpheniramine and dextromethorphan syrup (Nyquil for Kids)
Correct Answer: A
Rationale: Fluids and symptomatic care are safest and recommended for URI cough in young children; cough suppressants are discouraged under 6.
The probable cause of leucopenia and agranulocytosis:
- A. Diiodthironine
- B. Potassium iodide
- C. Mercazolil
Correct Answer: C
Rationale: Mercazolil (methimazole) can cause agranulocytosis and leukopenia as serious side effects by affecting bone marrow function.