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Paper II — 2023 July (Supplementary) (2019 Scheme) — Q14

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Paper II
2023 July (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Metoclopramide / Domperidone for vomiting in a Parkinsonism patient on Levo Dopa. Name the following (Two examples for each) : (8x1=8)

Q140.2 marksShort Answers

Answer

Domperidone is the appropriate choice — it does not cross the blood-brain barrier appreciably, so it provides antiemetic D2-blocking action at the chemoreceptor trigger zone without antagonizing central dopaminergic transmission. Metoclopramide crosses the blood-brain barrier and would directly antagonize levodopa’s central dopaminergic effect, worsening this patient’s parkinsonism and precipitating extrapyramidal symptoms — making it contraindicated in a patient on levodopa therapy.

  1. 1Blood

Other Years Asked

  1. 1A 52-year-old man presented with complaints of tightness and discomfort in middle part of chest, particularly after brisk walking. This is relived within 10 minutes of rest. A diagnosis of Angina pectoris was made by physician after appropriate investigations. (2023 July (Supplementary) (2019 Scheme)Essay · 15 marks
  2. 2(2022 February (2019 Scheme)Short Essay · 8 marks
  3. 3(2022 July (Supplementary) (2019 Scheme)Short Essay · 8 marks
  4. 4Discuss the management of drug induced Parkinsonism. Discuss the management of megaloblastic anaemia. (4+4)2024 June (Supplementary) (2019 Scheme)Short Essay · 8 marks
  5. 5Heparin. (2+3+3)2023 January (Supplementary) (2019 Scheme)Short Essay · 8 marks
  6. 6Mention two low molecular weight heparins. Explain their mechanism of action. What are the differences between unfractionated heparin and low molecular weight heparins. (1+2+3)2024 December (Supplementary) (2019 Scheme)Short Essay · 6 marks
  7. 7Read the clinical problem and answer the following question: Mr.Shankar, 54 years suddenly developed severe chest pain. He was a diabetic and admitted in the ICCU with the diagnosis of acute myocardial infarction,2015 February (2010 Scheme)Essay · 6 marks
  8. 8A 24year old lady comes to the OPD with complaints of high fever with chills and rigors for the past 3 days. She also complains of headache, body ache and weakness. The fever lasts for 4 to 6 hours and subsides after sweating. You make a diagnosis of malaria based on blood smear which showed P. vivax parasites.2024 August (Supplementary) (2010 Scheme)Essay · 6 marks
  9. 9Pharmacological basis for the use of Protamine sulphate in heparin overdosage.2024 June (Supplementary) (2019 Scheme)Short Answer · 4 marks
  10. 10(2022 July (Supplementary) (2019 Scheme)Short Essay · 4 marks
  11. 11Mechanism of action and therapeutic indications of Atorvastatin2024 March (Supplementary) (2019 Scheme)Short Answer · 4 marks
  12. 12Explain the rationale of Levodopa and Carbidopa fixed drug combination in Parkinson’s disease2025 March (Supplementary (SAY)) (2019 Scheme)Short Answer · 4 marks
  13. 13Streptokinase.2023 July (Supplementary) (2019 Scheme)Short Answer · 4 marks
  14. 14Pharmacological basis for the use of Fenofibrate in Hyperlipedemia.2023 July (Supplementary) (2019 Scheme)Short Answer · 4 marks
  15. 15Clopidogrel.2017 August (Supplementary) (2010 Scheme)Short Note · 3 marks
  16. 16Low molecular weight heparins2021 May (Supplementary) (2010 Scheme)Short Note · 3 marks
  17. 17Fibrinolytic drugs2019 July (Supplementary) (2010 Scheme)Short Note · 3 marks
  18. 18Heparin2024 March (Supplementary) (2010 Scheme)Short Note · 3 marks
  19. 19Low molecular weight heparin2017 February (2010 Scheme)Short Note · 3 marks
  20. 20Atorvastatin2024 August (Supplementary) (2010 Scheme)Short Note · 3 marks
  21. 21Low dose Aspirin.2025 August (Supplementary) (2010 Scheme)Short Note · 3 marks
  22. 22Clopidogrel2018 February (2010 Scheme)Short Note · 3 marks
  23. 23Second generation antihistaminic agents2021 May (Supplementary) (2010 Scheme)Short Note · 3 marks
  24. 24Ezetimibe2023 July (Supplementary) (2010 Scheme)Short Note · 3 marks
  25. 25Heparin.2015 February (2010 Scheme)Short Note · 3 marks
  26. 26Treatment of Iron deficiency anemia2017 August (Supplementary) (2010 Scheme)Short Answer · 1 mark
  27. 27Beta blockers in angina2021 May (Supplementary) (2010 Scheme)Short Answer · 1 mark
  28. 28Heparin overdosage is treated with:2024 December (Supplementary) (2019 Scheme)MCQ · 1 mark
  29. 29Radical cure in plasmodium vivax infection2014 March (2010 Scheme)Short Answer · 1 mark
  30. 30Combination of adrenaline with lignocaine in infiltration local anesthesia2019 July (Supplementary) (2010 Scheme)Short Answer · 1 mark
  31. 31Carbidopa in combination with Levodopa.2021 December (Supplementary) (2010 Scheme)Short Answer · 1 mark
  32. 32Two differences between heparin and warfarin2014 March (2010 Scheme)Short Answer · 1 mark
  33. 33Fibrinolytic agents2018 February (2010 Scheme)Short Answer · 1 mark
  34. 34Dextran2022 May (Supplementary) (2010 Scheme)Short Answer · 1 mark
  35. 35Atorvastatin in primary hyperlipidaemia.2025 August (Supplementary) (2010 Scheme)Short Answer · 1 mark
  36. 36Levodopa and carbidopa in parkinsonism2023 July (Supplementary) (2010 Scheme)Short Answer · 1 mark
  37. 37Aspirin in the secondary prevention of Ischaemic heart disease2024 August (Supplementary) (2010 Scheme)Short Answer · 1 mark
  38. 38Low molecular weight heparins2013 April (2010 Scheme)Short Answer · 1 mark
  39. 39Thrombolytic agents2017 February (2010 Scheme)Short Answer · 1 mark
  40. 40Levodopa and Carbidopa in the treatment of Parkinsonism2024 March (Supplementary) (2010 Scheme)Short Answer · 1 mark
  41. 41Low dose Aspirin in prophylaxis of myocardial infarction2023 March (Supplementary) (2010 Scheme)Short Answer · 1 mark
  42. 42Rationale for use of prostaglandin in acid peptic disease2015 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  43. 43Acute myocardial infarction.2016 October (Supplementary) (2010 Scheme)Short Answer · 1 mark
  44. 44The direct oral anticoagulants (DOACs) that inhibit factor Xa are2025 March (Supplementary (SAY)) (2019 Scheme)MCQ (Multi) · 1 mark
  45. 45Anti platelet drugs2013 April (2010 Scheme)Short Answer · 1 mark
  46. 46Low molecular weight heparins2015 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  47. 47Iron deficiency anemia.2016 October (Supplementary) (2010 Scheme)Short Answer · 1 mark
  48. 48Hyperlipidemia2014 March (2010 Scheme)Short Answer · 1 mark
  49. 49Assertion (A): Aspirin is used for its antiplatelet effects to prevent blood clots. Reason (R): Aspirin inhibits the enzyme cyclooxygenase (COX), which decreases thromboxane A2 production, a molecule that promotes platelet aggregation.2025 March (Supplementary (SAY)) (2019 Scheme)MCQ (A/R) · 1 mark
  50. 50Adrenaline with lignocaine in local anaesthesia2022 October (Supplementary) (2010 Scheme)Short Answer · 1 mark
  51. 51Vitamin K in warfarin toxicity2022 May (Supplementary) (2010 Scheme)Short Answer · 1 mark
  52. 52Fibrinolytics.2016 February (2010 Scheme)Short Answer · 1 mark
  53. 53Levodopa and carbidopa combination in Parkinson’s disease2019 July (Supplementary) (2010 Scheme)Short Answer · 1 mark
  54. 54Hyperlipidemia.2016 February (2010 Scheme)Short Answer · 1 mark
  55. 55Due to her intolerance, the physician decides to initiate parenteral iron therapy to restore her iron levels effectively. The following iron preparation may be used in her by intravenous route:2024 December (Supplementary) (2019 Scheme)MCQ · 1 mark
  56. 56Adrenaline with lignocaine for tooth extraction2023 July (Supplementary) (2010 Scheme)Short Answer · 1 mark
  57. 57Human erythropoietin (Epoietin)2020 February (Supplementary) (2010 Scheme)Short Answer · 1 mark
  58. 58Tenecteplase2019 February (2010 Scheme)Short Answer · 1 mark
  59. 59Low molecular weight heparin2023 March (Supplementary) (2010 Scheme)Short Answer · 1 mark
  60. 60Plasma expanders2019 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  61. 61Plasma expanders2023 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  62. 62HMG CoA reductase inhibitors2025 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  63. 63Low molecular weight heparin2020 February (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  64. 64Second generation antihistaminics2022 October (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  65. 65Antiplatelet agent2019 February (2010 Scheme)Short Answer · 0.3 marks
  66. 66Antiplatelet drugs2021 May (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  67. 67Oral direct factor Xa inhibitors2021 February (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  68. 68Fibrates2022 May (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  69. 69Metoclopramide as antiemetic in paediatric population Name the following (Two examples for each) (5x1=5)2023 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  70. 70Atropine as a Pre anaesthetic medication Name the following (Two examples for each): (5x1=5)2024 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  71. 71Parenteral preparations of Iron2023 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  72. 72Fibrinolytics2024 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  73. 73Plasma expanders2024 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  74. 74Warfarin as Anticoagulant in pregnancy.2025 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  75. 75Fibrinolytic drugs.2025 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  76. 76Recombinant tissue plasminogen activators2021 February (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  77. 77Hypolipidaemic drugs2024 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  78. 78Second generation antihistaminics.2025 August (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  79. 79Fibrinolytics2023 July (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  80. 80HMG-CoA Reductase inhibitors2022 October (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  81. 81 Levocetirizine for a machine operator. Name the following (Two examples for each): (8x1=8)2024 June (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  82. 82Chlorpheniramine maleate for Acute Rhinitis in a driver2022 July (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  83. 83Parenteral iron preparation.2024 June (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  84. 84Centrally acting alpha-2 receptor agonists.2023 January (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  85. 85Fibrinolytic drugs.2022 July (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  86. 86Antiplatelet agents2022 February (2019 Scheme)Short Answer · 0.2 marks
  87. 87Drugs used to treat Venous thromboembolism2024 March (Supplementary) (2019 Scheme)Short Answer · 0.2 marks
  88. 88Drugs for treating Malaria.2023 July (Supplementary) (2019 Scheme)Short Answer · 0.2 marks

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