Pharma BCQ- Ivabradine

ANSWER: E

DESCRIPTION
Ivabradine is used in angina with normal sinus rhythm. It is contraindicated in acute myocardial infarction, severe bradycardia ( heart rate lower than 60 beats/ minute), unstable angina or pace maker. Ivabradine causes blurred vision as a side-effect.

Pharma BCQ- Suboxone

ANSWER: A

DESCRIPTION
Suboxone contains buprenorphine which is opioid partial agonist and naloxone. It is used as perioperative analgesia and as adjunct in the treatment of opioid dependence. It is available as sublingual tablets. The side effect of opioids is drowsiness.























;

Pharma BCQ- Thrombocytopenia

ANSWER: B

DESCRIPTION
Heparin causes immune mediated thrombocytopenia, which arise 5- 10 days after the administration of heparin, so it is recommended to check platelet count before starting treatment with heparin. When heparin is used for treatment, platelet count is monitored on daily basis, and if spontaneous bleeding occurs with the use of heparin, it must be stopped. Factor VIII is required in the treatment and prophylaxis of hemorrhage associated with hemophilia.

Pharma BCQ- Antibacterials 2

ANSWER:D

DESCRIPTION
Fusidic acid is a narrow spectrum antibacterial, and it requires hepatic clearance, hence no caution is needed in renal impairment.

Pharma BCQ- Antibacterials

ANSWER : C

DESCRIPTION
Gentamicin is an aminoglycoside which is associated with nephrotoxicity and ototoxicity, when it is used systemically, more frequent evaluation of the drug serum concentration is recommended in patients with compromised renal function.

Pharma BCQ- Raynaud's Phenomenon

ANSWER: D

DESCRIPTION
 Atenolol which is a beta adrenoceptor blocker, should be avoided as it may cause coldness of the extremities, which may worsen the Raynaud's phenomenon.

Pharma BCQ- Hypertension evaluation

ANSWER: C

DESCRIPTION
Long standing hypertension causes various cardiovascular complications such as myocardial infarction, stroke and peripheral vascular diseases, so the complications of hypertension can be evaluated by electrocardiogram, chest radiographs, renal or hepatic function tests and  via. retinal examination.

Rheumatoid arthritis

ANSWER: b

DESCRIPTION
Cytokine inhibitors such as infliximab, etanercept, adalimumab are disease modifying anti-rheumatic drugs which can be used in addition with methotrexate in flare-up of rheumatoid arthritis.