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1.

All of the following statements about efficacy and potency are true EXCEPT: a) Efficacy is usually a more important clinical consideration than potency b) Efficacy is the maximum effect of a drug c) Potency is a comparative measure, refers to the different doses of two drugs that are needed to produce the same effect d) The ED50 is a measure of drug’s efficacy

Answer»

d) The ED50 is a measure of drug’s efficacy

2.

The substance binding to one receptor sub type as an agonist and to another as an antagonist is called: a) Competitive antagonist b) Irreversible antagonist c) Agonist-antagonist d) Partial agonist

Answer»

c) Agonist-antagonist 

3.

If an agonist can produce sub maximal effects and has moderate efficacy it’s called: a) Partial agonist b) Antagonist c) Agonist-antagonist d) Full agonist 

Answer»

a) Partial agonist

4.

If an agonist can produce maximal effects and has high efficacy it’s called: a) Partial agonist b) Antagonist c) Agonist-antagonist d) Full agonist 

Answer»

d) Full agonist  

5.

An agonist is a substance that: a) Interacts with the receptor without producing any effect b) Interacts with the receptor and initiates changes in cell function, producing various effects c) Increases concentration of another substance to produce effect d) Interacts with plasma proteins and doesn’t produce any effect 

Answer»

b) Interacts with the receptor and initiates changes in cell function, producing various effects

6.

Therapeutic index (TI) is: a) A ratio used to evaluate the safety and usefulness of a drug for indication b) A ratio used to evaluate the effectiveness of a drugc) A ratio used to evaluate the bio availability of a drug d) A ratio used to evaluate the elimination of a drug 

Answer»

a) A ratio used to evaluate the safety and usefulness of a drug for indication

7.

Target proteins which a drug molecule binds are: a) Only receptors b) Only ion channels c) Only carriersd) All of the above

Answer»

d) All of the above

8.

Idiosyncratic reaction of a drug is:a) A type of hypersensitivity reaction b) A type of drug antagonism c) Unpredictable, inherent, qualitatively abnormal reaction to a drug d) Quantitatively exaggerated response

Answer»

c) Unpredictable, inherent, qualitatively abnormal reaction to a drug 

9.

Characteristic unwanted reaction which isn’t related to a dose or to a pharma codynamic property of a drug is called: a) Idiosyncrasy b) Hypersensitivity c) Tolerance d) Teratogenic action 

Answer»

b) Hypersensitivity

10.

What does “affinity” mean? a) A measure of how tightly a drug binds to plasma proteins b) A measure of how tightly a drug binds to a receptor c) A measure of inhibiting potency of a drug d) A measure of bio availability of a drug

Answer»

b) A measure of how tightly a drug binds to a receptor 

11.

The increase of second messengers’ (cAMP, cGMP, Ca2+ etc.) concentration leads to: a) Inhibition of intracellular protein kinases and protein phosphorylation b) Proteinkinases activation and protein phosphorylation c) Blocking of interaction between a receptor and an effector d) Antagonism with endogenous ligands

Answer»

b) Proteinkinases activation and protein phosphorylation 

12.

Tick the second messenger of G-protein-coupled (metabotropic) receptor: a) Adenylyl cyclaseb) Sodium ions c) Phospholipase C d) cAMP

Answer»

Option(d) cAMP.

13.

If two drugs with the same effect, taken together, produce an effect that is equal in magnitude to the sum of the effects of the drugs given individually, it is called as: a) Antagonism b) Potentiation c) Additive effect d) None of the above 

Answer»

c) Additive effect

14.

What phenomenon can occur in case of using a combination of drugs? a) Tolerance b) Tachyphylaxis c) Accumulation d) Synergism

Answer»

d) Synergism 

15.

Which effect may lead to toxic reactions when a drug is taken continuously or repeatedly? a) Refractoriness b) Cumulative effect c) Tolerance d) Tachyphylaxis 

Answer»

b) Cumulative effect

16.

Tachyphylaxis is: a) A drug interaction between two similar types of drugs b) Very rapidly developing tolerance c) A decrease in responsiveness to a drug, taking days or weeks to develop d) None of the above

Answer»

b) Very rapidly developing tolerance 

17.

Drug resistance is a term used to describe the loss of effectiveness of antimicrobial or antitumour drugs. This consideration is: a) True b) False

Answer»

Drug resistance is a term used to describe the loss of effectiveness of antimicrobial or antitumour drugs. This consideration is True.

18.

What term is used to describe a decrease in responsiveness to a drug which develops in a few minutes? a) Refractoriness b) Cumulative effect c) Tolerance d) Tachyphylaxis

Answer»

d) Tachyphylaxis

19.

Tolerance develops because of: a) Diminished absorption b) Rapid excretion of a drug c) Both of the above d) None of the above

Answer»

d) None of the above

20.

The situation when failure to continue administering the drug results in serious psychological and somatic disturbances is called? a) Tachyphylaxis b) Sensibilization c) Abstinence syndrome d) Idiosyncrasy

Answer»

c) Abstinence syndrome

21.

Tolerance and drug resistance can be a consequence of: a) Drug dependence b) Increased metabolic degradation c) Depressed renal drug excretion d) Activation of a drug after hepatic first-pass

Answer»

b) Increased metabolic degradation

22.

Tolerance and drug resistance can be a consequence of: a) Change in receptors, loss of them or exhaustion of mediators b) Increased receptor sensitivity c) Decreased metabolic degradation d) Decreased renal tubular secretion

Answer»

a) Change in receptors, loss of them or exhaustion of mediators

23.

Dependence is often associated with tolerance to a drug, a physical abstinence syndrome, and psychological dependence (craving). This consideration is: a) True b) False

Answer»

Dependence is often associated with tolerance to a drug, a physical abstinence syndrome, and psychological dependence (craving). This consideration is True.