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NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION. $17.99   Add to cart

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NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION.

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NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION. NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION. NBME CBSE REAL EXAM QUESTIONS AND ANSWERS LATEST MEDICAL EXAMINATION.

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  • February 26, 2024
  • 218
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NBME CBSE REAL EXAM
QUESTIONS AND
ANSWERS LATEST
MEDICAL EXAMINATION
Which antidepressant requires wash-out - answer is MAOI
(Phenelzine, selegiline)

What is serotonin made from - answer is tryptophan

TCA - answer is Amitriptyline
inhibit *fast Na* channels

dose limiting AE from amitriptyline - answer is arrhythmia
tx: sodium bicarb

TCA OD treatment - answer is sodium bicarb

OD = seizure, hypotension, prolonged QRS

TCA AE due to blocking - answer is mAChR
a1
NE/5HT reuptake
H1-R
--> confusion, constipation, urinary retention

,Olanzapine, Clozapine - answer is 2nd gen antipsych + MOOD

AE of Olanzapine, Clozapine - answer is metabolic syndrome (wt
gain)

(atypical antipsychotic)

Trazodone - answer is MDD + Insomnia

Trazodone AE - answer is priapism

Ramelteon - answer is Melatonin Agonist (*for elderly)

Sleep aid for elderly - answer is Ramelteon

Atomoxetine - answer is tx ADHD
nonstimulant
*NE reuptake inhibitor*

Haloperidol - answer is 1st gen antipsych
tx delerium

Donepezil - answer is cholesterase inhibitor

tx: dementia

Benzo MOA - answer is allosterically bind GABA to
increase Cl frequency of opening

Lorazepam IV - answer is status epilepticus

Phenytoin - answer is Na block

,PREVENT seizure recurrence

What should you not combine with a benzo - answer is 1st gen
antihistamine
(Chlorpheniramine)
--> SEDATION TOO MUCH

Ethosuximide - answer is absence seizures

blocks thalamic* Ca T-type* channel

Lamotrigine - answer is Na channel block

tx: seizures + biploar

AE of lamotrigine - answer is SJS

(tx seizure/bipolar)

What is used for essential tremors - answer is propranolol

**pt reports improved symptoms w alcohol

Gabapentin - answer is inhibit pre-s voltage gated *Ca ch*
= inhibit fusion/*release* of NT
tx: seizures, VZV pain

Carbamazepine - answer is tx: trigeminal neuralgia

decrease Na current

AE of carbamazepine - answer is *BM suppression*

, SIADH (low Na)
(tx seizures)

Valproate treats - answer is seizure + bipolar

Lithium AE - answer is hypothyroid
Polyuria/dipsia (ADH antagonist in CD)

PCP - answer is NMDA antagonist

violent, nystagmus

Cocaine - answer is blocks NE/DA/5HT reuptake
= sympathetic stimulation

Opioids - answer is decrease Ca influx
increase K efflux

Opioid AE - answer is contract sphincter of Oddi
--> biliary colic (cramping)

Methadone - answer is *full mu agonist*
long *t1/2* to suppress CRAVINGS/WITHDRAWAL

Buprenorphine - answer is partial agonist
= decrease resp/deperss

CAN PRECIPITATE OPIOID WITHDRAWAL SYMPTOMS

Diphenolynate - answer is mu agonist for GI
- SLOWS motility

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