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ICAR AICE-JRF/SRF General & Systemic Veterinary Pharmacology: practice questions

ICAR AICE-JRF/SRF (PhD) · India · NTA for ICAR

Original practice questions written to the published syllabus · not past papers
7worked here, free
38written to this exam in this subject
13syllabus units

What this subject covers

How drugs move through and act on the body, how species differ, and the drugs used on each organ system.

In the exams: ICAR AICE-JRF core group 07; ICAR AIEEA-PG 13 (Pharmacology & Toxicology); PRC 10%; Nepal NLEV 6 (with toxicology); China basic paper 15; BCSE 28-32 items (with physiology and toxicology); AVE Paper 1 at least 5

What ICAR AICE-JRF/SRF asks from it

ICAR AICE-JRF/SRF core group 07

Deeper pharmacokinetics (compartment models, clearance, Vd, loading and maintenance doses), receptor theory (partial agonism, competitive and non-competitive antagonism, spare receptors), MDR1 and cat glucuronidation, residues and MRLs.

Where the 38 questions fall

How our questions for ICAR AICE-JRF/SRF spread across the units of General & Systemic Veterinary Pharmacology. Difficulty: 1 easy, 21 medium, 16 hard.

Pharmacokinetics11
Pharmacodynamics5
Species differences in drug response4
Drugs acting on the autonomic nervous system3
Sources and nature of drugs2
Autacoids and humoral agents2
Drugs acting on the cardiovascular system2
Drugs acting on the digestive system: ruminatorics and antacids2
Endocrine pharmacology2
Non-steroidal anti-inflammatory drugs2
Drugs acting on the respiratory system1
Drugs acting on the urogenital system1
Fluids and electrolytes1

7 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · Pharmacokinetics · medium

A drug given intravenously at 10 mg/kg produces an AUC of 20 mg.h/L. Its total body clearance is:

  1. 2 L/h/kg
  2. 200 L/h/kg
  3. 0.05 L/h/kg
  4. 0.5 L/h/kg
Answer and working

D. 0.5 L/h/kg

CL = F x dose / AUC = 1 x 10 mg/kg / 20 mg.h/L = 0.5 L/h/kg. Inverting the ratio (AUC/dose) gives 2; multiplying gives 200; 0.05 is 1/AUC, omitting the dose.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

2 · Pharmacokinetics · medium

A drug has an apparent volume of distribution of 15 L/kg. This most likely means that:

  1. The drug is confined to the plasma
  2. The drug is distributed only in extracellular fluid
  3. The drug is extensively bound or sequestered in tissues
  4. The dose was calculated wrongly, since Vd cannot exceed total body water
Answer and working

C. The drug is extensively bound or sequestered in tissues

Vd is a proportionality constant, not an anatomical volume. Values far above total body water (about 0.6 L/kg) mean high tissue binding, as with some macrolides and tricyclic drugs. Believing Vd cannot exceed body water is the classic misconception.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

3 · Drugs acting on the autonomic nervous system · medium

Bethanechol is preferred to acetylcholine for treating urinary retention due to detrusor atony because bethanechol:

  1. Is a nicotinic agonist that stimulates the skeletal muscle of the bladder wall directly
  2. Resists hydrolysis by cholinesterase and is relatively muscarinic-selective
  3. Is an anticholinesterase
  4. Blocks alpha-1 receptors in the urethra
Answer and working

B. Resists hydrolysis by cholinesterase and is relatively muscarinic-selective

Bethanechol is a choline ester resistant to cholinesterase, with mainly muscarinic actions on the bladder and gut. Acetylcholine is destroyed in seconds. It must not be used when the urethra is obstructed.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

4 · Drugs acting on the autonomic nervous system · hard

Neostigmine is used to reverse which type of neuromuscular block?

  1. Depolarising block by succinylcholine in phase I
  2. Block caused by botulinum toxin
  3. Non-depolarising block, such as by atracurium
  4. Block caused by magnesium deficiency
Answer and working

C. Non-depolarising block, such as by atracurium

Neostigmine increases acetylcholine at the motor end plate, which outcompetes non-depolarising blockers. In phase I depolarising block it deepens the block. It is given with an antimuscarinic (atropine or glycopyrrolate) to prevent bradycardia.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

5 · Autacoids and humoral agents · medium

Ondansetron controls vomiting by blocking which receptor?

  1. NK1
  2. D2
  3. 5-HT3
  4. H1
Answer and working

C. 5-HT3

Ondansetron is a 5-HT3 antagonist acting at the chemoreceptor trigger zone and vagal afferents. Maropitant blocks NK1; metoclopramide blocks D2; antihistamines block H1.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

6 · Autacoids and humoral agents · hard

Glucocorticoids reduce production of both prostaglandins and leukotrienes because they:

  1. Directly inhibit cyclooxygenase-1 and 5-lipoxygenase at their active sites in inflammatory cells
  2. Inhibit phospholipase A2 via induced annexin-1, reducing arachidonic acid release
  3. Block leukotriene receptors on smooth muscle
  4. Inhibit lipoxygenase only
Answer and working

B. Inhibit phospholipase A2 via induced annexin-1, reducing arachidonic acid release

By acting upstream of both COX and lipoxygenase, glucocorticoids reduce all eicosanoid classes; they also suppress COX-2 induction. NSAIDs inhibit COX only, so leukotriene production continues.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

7 · Drugs acting on the cardiovascular system · medium

Digoxin toxicity is made more likely by:

  1. Hyperkalaemia
  2. Hypokalaemia
  3. Hepatic enzyme induction
  4. Increased glomerular filtration
Answer and working

B. Hypokalaemia

Digoxin and potassium compete at the Na-K-ATPase; low potassium increases digoxin binding and toxicity. Loop diuretics causing hypokalaemia are a common reason. Digoxin is mostly renally excreted, so reduced (not increased) filtration raises its concentration.

Further reading: Riviere & Papich, Veterinary Pharmacology and Therapeutics, 10th ed.

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Read the subject

General & Systemic Veterinary PharmacologyThe full study manual, free ICAR AICE-JRF/SRFFormat, sections and how it has changed

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General & Systemic Veterinary Pharmacology for other exams

ENADE · BrazilNational Veterinary Examination · JapanICAR AIEEA · India

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