Upload
prince-hasan
View
122
Download
6
Embed Size (px)
Citation preview
z
harmak n
M. S. Amran
M. S. Uddin (Prince)
Md. S. Amran
Md. S. Uddin
Krishnachura Prokashoni
1st Edition
harmak n Comprehensive
Pharmaceutical
Pharmacology
harmak n Comprehensive
Pharmaceutical
Pharmacology
Md. Shah Amran, PhD Professor
Department of Pharmaceutical Chemistry
Faculty of Pharmacy
University of Dhaka
Dhaka-1000
Bangladesh
Md. Sahab Uddin, BPharm Researcher of Neuropsychopharmacology
Department of Pharmacy
Southeast University
Dhaka-1213
Bangladesh
Krishnachura Prokashoni
111, Central Road, Dhaka-1205
1st Edition
First Edition:
21st May 2014
Copyright © 2014 reserved by the authors
This book or part there off can’t be reproduced, stored in a retrieval system, or transmitted in
any form or by any means graphic, electronic, mechanical, scanning, photocopying,
recording, or otherwise, without the prior written permission of the authors.
Pharmaceutical knowledge is constantly changing. As new research and experience broaden
our knowledge, changes of information become necessary. The authors and the publisher
have taken care to ensure that the information given in this text is accurate and up to date.
However, readers are strongly advised to confirm that the information.
ISBN:
978-984-8174-72-2
Cover Design:
Md. Waliullah Wali
Publisher:
Krishnachura Prokashoni
111, Central Road, Dhaka-1205
E-Mail: [email protected]
Sole Distributor:
Altaf Medical Book Center
145, Islamia Market, Nilkhet, Dhaka-1205
Mobile: 01711985991
Printing:
Sumaiya Printing Press
20, Shahjada Miah Lane, Bbubazar, Dhaka-1100
Price: Tk. 230.00 US$. 20
Chapter 1
Introduction to Pharmaceutical Pharmacology
1-22
Chapter 2
Drugs Acting on the Central Nervous System
23-84
Chapter 3
Drugs Acting on the Peripheral Nervous System
85-116
Chapter 4
Drugs Acting on the Respiratory System
117-124
Chapter 5
Drugs Acting on the Cardiovascular System
125-144
Chapter 6
Drugs Acting on the Renal System
145-150
Chapter 7
Drugs Acting on the Endocrine System
151-172
Chapter 8
Drugs Acting on the Gastrointestinal Tract
173-184
Chapter 9
Drugs Used in Treatment of Inflammatory Disorders
185-194
Chapter 10
Drugs Used in Treatment of Allergic Disorders
195-198
Chapter 11
Drugs Used in Treatment of Blood Disorders
199-206
Chapter 12
Drugs Used in Treatment of Immunological Disorders
207-212
Chapter 13
Drugs Used in Treatment of Infectious Diseases
213-244
Chapter 14
Drugs Used in Treatment of Cancer
245-250
Chapter 15
Vitamins
251-258
Chapter 16
Minerals
259-264
Chapter 17
Enzymes
265-268
Chapter 18
Toxicology
269-276
Chapter 19
Test Your Aptitude
277-282
Chapter 20
Tools of Pharmaceutical Pharmacology
283-310 Appendix I
Syllabus for the ‘A’ Grade Pharmacy Registration Examination
311-316
Appendix II
Sample Question for ‘A’ Grade Pharmacy Registration Examination
317-324
References 325-326
Contents
V
v
Avgv‡`i kÖ‡×q gv-evev‡K
Dedicated To
VII
Pharmakon dv‡g©mx wk¶v_©x‡`i Rb¨ iwPZ cy¯Í‡Ki GKwU bZzb wmwiR| Ilya kãwU G‡m‡Q g~jZ
MÖxK kã “Pharmakon (φάρμακον)” ‡_‡K| Avi dvg©vwm÷ n‡”Q Ilya we‡klÁ| GKRb
wPwKrmK fyj Ki‡j nq‡Zv GKRb †ivMx gviv hv‡e, wKš‘ GKRb dvg©vwm÷ fyj Ki‡j cy‡iv RvwZ
¶wZMÖ ’̄ n‡e| wmwiR AvKv‡i eB †jLv bZzb †Kvb welq bq| dv‡g©mxi g‡Zv GKwU gvwëwWwmwcøb¨vwi wel‡qI
we‡`‡k wmwiR AvKv‡i eû eB-cy¯ÍK B‡Zvg‡a¨ cÖKvwkZ n‡q‡Q| Avkvi welq n‡jv †h evsjv‡`‡kI
GLb eû ‡jLK dv‡g©mx wel‡qi Dci cy¯ÍKvw` iPbv I m¤úv`bv Ki‡Qb| †mB †¯ªv‡Z wg‡k †`kxq
miKvwi I †emiKvwi wek¦we`¨vjq I cÖwZôvbmg~‡ni cvV¨m~Pxi Av‡jv‡K dv‡g©mx wel‡qi wkÿK-wkwÿKv
I QvÎ-QvÎx‡`i Rb¨ mnvqK I cvV¨cy¯ÍK wnmv‡e Avgiv “Pharmakon” wmwiR wk‡ivbv‡g welq-
wfwËK we‡klÁ‡`i mnvqZvq dv‡g©mx wel‡qi cy¯ÍKvw` iPbv I m¤úv`bvi wm×všÍ wb‡qwQ|
eB n‡”Q weï× Áv‡bi m‡e©vËg ewntcÖKvk| Avgv‡`i GB wmwi‡Ri jÿ¨ n‡”Q dv‡g©mx
wkÿv_©x‡`i wbKU Ilya m¤úwK©Z h‡_vchy³ weï× Ávb cwi‡ekb Kiv| GB D‡Ï‡k¨ Bbkv Avjøvn&
Avgiv ax‡i ax‡i we‡klÁ‡`i mnvqZvq dv‡g©mxi mKj wel‡qi Dci cy¯ÍKvw` h_vmg‡q wb‡q Avm‡Z
‡Póv Kie| Avgv‡`i wb‡R‡`i †kÖYxK‡ÿ cov I cvV`v‡bi AwfÁZv Ges †`kx-we‡`kx eBcÎ
M‡elYvcÎ I mvgwqKxi Av‡jv‡K Avgv‡`i miKvwi I †emiKvwi wek¦we`¨vj‡qi dv‡g©mx wefv‡Mi
cvV¨m~Px †gvZv‡eK †m¸‡jv‡K mvwR‡q Avgiv cwi‡ekb Kie| Avkv Kwi dv‡g©mxi wkÿK-wkwÿKv I
QvÎ-QvÎxiv Ges Kg©iZ dvg©vwm÷e„›` G‡Z DcK…Z n‡eb| Gi evB‡iI ¯v̂¯’̈ m‡PZb cvVKe„›` Ilya I
Zvi h‡_vchy³ e¨envi, Ilya c_¨vw` m¤úwK©Z Z_¨vw` Rvb‡Z cvi‡eb|
Pharmakon bvgwU Ab¨ ‡Kvb †jLK, cÖKvkK I cwi‡ekK‡K e¨envi bv Kivi Rb¨ Avgiv
webxZ Aby‡iva KiwQ|
GB wmwiR m¤ú‡K© cÖkœ, civgk© I gZvgZ _vK‡j cÖ`Ë B-‡gB‡j Avgv‡`i mv‡_ †hvMv‡hvM
Kivi Rb¨ Aby‡iva KiwQ|
†gvt kvn Ggivb
‡gvt mvnve DwÏb (wcÖÝ)
A Few Words about Pharmakon Series
IX
mg Í̄ cÖksmv cig KiæYvgq Amxg `qvjy Avjøvn& myenvbvû Iqv ZvÕAvjvi Rb¨, hvi A‡kl ing‡Z
“Pharmakon Comprehensive Pharmaceutical Pharmacology” eBwU iPbv Ki‡Z
†c‡iwQ| dvg©v‡KvjRx n‡”Q dv‡g©mxi cÖvY| GB welqwU Ilya I Gi wµqvw`i mwe¯Ívi eY©bv w`‡q _v‡K
weavq dvg©vwm÷ wnmv‡e Ilya wel‡q G mKj Ávb AvZ¥¯’ Kiv GKvšÍ KZ©e¨|
ZË¡xq welq I e¨envwiK Z_¨vw` AvZ¥¯’ Kivi Rb¨ eZ©gv‡b mviv we‡k¦B eûwbe©vPwb cÖkœ
(Multiple Choice Question, MCQ) Gi cÖ‡qvM n‡”Q| wKš‘ AZ¨šÍ cwiZv‡ci welq GZ
¸iæZ¡c~Y © welqwUi Dci eûwbe©vPwb cÖkœ m¤̂wjZ †Kvb eB †bB| †mB Av‡jv‡K dvg©v‡KvjRx wel‡q
Aa¨vq wfwËK eûwbe©vPwb cÖkœ I Gi DËi we‡kl †ÿ‡Î e¨vL¨vmn msKjb Kiv n‡jv| GB †ÿ‡Î Avgiv
Goodman & Gilman’s The Pharmacological Basis of Therapeutics, Katzung’s
Basic and Clinical Pharmacology, Laurence’s Clinical Pharmacology Ges
Andres Goth’s Medical Pharmacology eB¸wj‡K Av`k© c_cÖ`k©K wn‡m‡e e¨envi K‡iwQ|
GB eBwU‡Z me©‡gvU Pvi nvRv‡iiI AwaK eûwbe©vPwb cÖkœ msKjb Kiv n‡q‡Q| ZvQvov ÔGÕ ‡MÖW
dv‡g©mx †iwR‡óªkb cixÿvi cvV¨m~Px I cvV¨m~Pxi Av‡jv‡K bgybv cÖkœ GB eBwUi cwiwkóvs‡k mshy³
Kiv n‡q‡Q|
weÁvb KviI GKK cÖ‡Póvi g‡a¨ mxgve× bq| eBwU iPbv Ki‡Z wM‡q Avgiv eû ‡`kx-we‡`kx
cvV¨ I mnvqK cy¯ÍK, M‡elYv cÎ I mvgwqKxi mvnvh¨-mn‡hvwMZv wb‡qwQ| G mKj cy¯ÍK, M‡elYvcÎ
I mvgwqKxi †jLK I m¤úv`K‡`i wbKU Avgiv K…ZÁZv cÖKvk KiwQ|
cwi‡k‡l eBwU hv‡`i Rb¨ iwPZ Zv‡`i DcKv‡i Avm‡j Avgv‡`i kÖg mv_©K n‡e|
†gvt kvn Ggivb
‡gvt mvnve DwÏb (wcÖÝ)
Preface
XI
GB eBwU wjL‡Z wM‡q Avgiv Avgv‡`i eû wcªqfvRb wkÿK-wkwÿKv, mncvVx, eÜz-evÜe I
ïfvKv•Lx‡`i mnvqZv, civgk© †c‡qwQ| Avgiv mevi Kv‡Q wPiFYx I K…ZÁ|
†gvt kvn Ggivb
‡gvt mvnve DwÏb (wcÖÝ)
Acknowledgements
XIII
Introduction to Pharmaceutical Pharmacology
1
1. What is pharmaceutical pharmacology?
A. The study of the effects of drugs on living
systems
B. The study of the effects of living systems on
drugs
C. All of the above
D. None of the above
Answer – C
2. Pharmacology deals with the –
A. Interactions of chemical compounds with the
living systems
B. Interactions of organic compounds with the
living systems
C. Interactions of inorganic compounds with the
living systems
D. Interactions of natural compounds with the
living systems
Answer – A
3. Who is considered as Father of
Pharmacology? A. John Newport Langley
B. Paul Ehrlich
C. Oswald Schmiedeberg
D. Rudolf Buchheim
Answer – C
4. What is pharmacotherapeutics?
A. Application of drugs in the treatment of
infectious disease
B. Application of drugs in the treatment of allergic
disease
C. Application of drugs in the treatment of disease
D. Application of drugs in the treatment of
immunological disease
Answer – C
5. Which one is the traditional word for the
API?
A. Pharmakon
B. Pharmakos
C. Pharmacos
D. Pharmacia
Answer – A
6. What is clinical pharmacology?
A. This is the effect of drugs on humans
B. This is the effect of crude drugs on humans
C. This is the effect of herbal drugs on humans
D. This is the effect of natural drugs on humans
Answer – A
7. What is pharmacoepidemiology?
A. Study of crude drug effects at the population
level
B. Study of crude drug effects at the animal model
C. Study of drug effects at the population level
D. Study of drug effects at the animal model
Answer – C
8. Pharmacoeconomics is the branch of health
economics aims –
A. To quantify in economic terms the cost and
benefit of drugs used therapeutically
B. To quantify in economic terms the opportunity
cost of physician
C. To quantify in economic terms the opportunity
cost of patient
D. To quantify in economic terms the total disease
management cost
Answer – A
9. What is pharmacogenetics?
A. This is the study of genetic influences on
responses to chemical agents
B. This is the study of genetic influences on
responses to gene therapy
C. This is the study of genetic influences on
responses to crude drugs
D. This is the study of genetic influences on
responses to drugs
Answer – D
10. What is pharmacogenomics?
A. This is the use of genetic information to guide
the choice of gene therapy on an individual
basis
B. This is the use of genetic information to guide
the choice of natural drug therapy on an
individual basis
C. This is the use of genetic information to guide
the choice of synthetic drug therapy on an
individual basis
D. This is the use of genetic information to guide
the choice of drug therapy on an individual
basis
Answer – D
11. Pharmacokinetics is –
A. The study of biological and therapeutic effects
of drugs
Chapter
1 Introduction to Pharmaceutical
Pharmacology
283
Introduction
As a pharmacy student during start the introductory
practice courses, students will be exposed to
pharmaceutical, medical and other terminology as
it pertains to disease states as well as words that are
part of a medical vernacular that describes
processes in pharmacy and medicine. Many of the
words we use are derived from Greek and Latin
languages. We do not have to speak either of these
languages to understand the terminology spoken on
a daily basis. Once we learn a few common root
words, prefixes, and suffixes, we will be able to
sound out a word for pronunciation and determine
its meaning.
Pharmaco-Medical Terminology Accreditation
Accreditation programs give an official
authorization or approval to an organization by
comparing it with a set of industry-derived
standards. Accreditation Council for Pharmacy
Education (ACPE) is the accrediting body for
colleges of pharmacy in the United States as an
example.
Adherence
Formerly referred to as compliance. The patient
taking the right drug as prescribed, including the
prescribed dose of medication at the prescribed
frequency for the prescribed length of time.
Adjudication
The process of completing all validity, process, and
file edits necessary to prepare a claim for final
payment or denial.
Adjustment
A credit or debit amount appearing at the
carrier/group level on claims and administrative fee
invoices sent to plan sponsors or at a claim level on
adjustment advice sent to pharmacies. An
adjustment can result from claims processing and
or billing errors (e.g., incorrect dispensing fee
paid, incorrect pharmacy paid, incorrect
administration fee billed, wrong carrier/group
billed). An adjustment can also be processed
against a general ledger account (e.g., bad debt or
error).
Administrative Costs
The costs assumed by a managed care plan for
administrative services such as claims processing,
billing, and overhead costs.
Adverse Selection
A particular health plan, whether indemnity or
managed care, is selected against by the enrollee,
and thus, an inequitable proportion of enrollees
requiring more medical services are found in that
plan.
Affinity
It is the ability of a drug to bind a receptor. Highly
tightly the drug binds to the receptor or the receptor
to the drug.
Agency for Health-care Research and Quality
(AHRQ)
Created by Congress in 1989 to conduct federal
research into technology assessment and outcomes
management and to develop practice guidelines for
public dissemination. The AHRQ is perhaps best
known for funding the patient outcomes-based
research trials that form the basis for its practice
guideline efforts.
Agonist
Any chemical that binds to a receptor and activates
the receptor. It may be endogenous substance or
exogenous drugs. For example, phenylephrine is an
agonist at α1-adrenoceptors
Alkylate
Drugs used to treat certain kinds of malignancies.
They exert their cytotoxic effects by covalently
binding to nucleophilic groups on various cell
constituents. Alkylation of DNA is probably the
crucial cytotoxic reaction that is lethal to the tumor
cells.
Chapter
20 Tools of Pharmaceutical
Pharmacology
Syllabus for the ‘A’ Grade Pharmacy Registration Examination
311
A Grade Pharmacy Registration Examination
Question Type: Multiple Choice Questions
(M.C.O)
Time: 02: 30 (Two Hours & Thirty Minutes)
No. of Question: 150 (One Hundred & Fifty)
Paper I Pharmaceutical Technology
1. Formulation and Manufacturing of Tablets
Formulation and granulation of powders for
tableting, manufacturing of tablets by wet
granulation, dry granulation and by direct
compression, advantages and disadvantages of
different process, processing machineries used in
tablet manufacturing.
2. Common Tableting Problems and Evaluation
of Tablets Hardness measurement, weight variation tests,
thickness and diameter, friability, disintegration
time, dissolution time, mechanism of tablet
disintegration and dissolution, in process quality
control methods in tablet manufacturing, study of
common tableting problems and their solution.
3. Tablet Coating
Definitions and classification of coating methods,
advantages and disadvantages of coated tablets,
different methods of coating-sugar coating,
different stages of sugar coating, problems of sugar
coating; Film coating-theory of film coating, film
formers, plasticizer, solvent, other excipients.
4. Hard Gelatin Capsules
Definition and classification, advantages and
limitations of capsule dosage form, gelatin and its
manufacture, manufacture of hard capsule shells,
properties of capsules, formulation of capsules,
capsule filling machines, tooling and accessories,
problems in capsule manufacturing, quality control
methods of capsules, packaging of capsules.
5. Compaction and Compression of Powder
Physics of tablet compression, mechanism of tablet
formation, bonding to tablets, the effect of compre-
ssional force on tablet properties, effect of
lubricants on tablet compression and binding,
instrumented tablet machines and tooling, problems
associated with large scale manufacturing of
tablets.
6. Design and Operation of Clean Rooms
Source of contamination, classification of clean
rooms, airflow systems- conventional flow
unidirectional flow, laminar airflow units; air
filtration mechanisms, fibrous filters and HEPA
filters, temperature and humidity control, building
design, construction and use, personnel, protective
clothing, cleaning and disinfection, commissioning
tests of clean and aseptic rooms, routine monitoring
tests, the operation of clean and aseptic rooms, key
factors in clean room operations.
7. Parenteral Products
Definition and classification of parenteral products,
formulation considerations, vehicles and additives,
containers, manufacturing techniques, raw
materials and machines, quality control of
parenteral products.
Paper II
Physiology and Pharmacology
1. Blood System
Composition and functions of blood, plasma and its
components, plasma proteins and their functions,
blood coagulation, blood transfusion and blood
groups, haemolysis, ESR, blood forming cells-
characteristics, functions, their formation and
destruction; haemoglobin- its structure, properties,
function and haemoglobin derivatives; anemia-
definition and classification, causes and clinical
features of various anemia.
2. Cardiovascular System
Heart- structure and blood circulation, cardiac
muscles, their properties, origin of heart beat and
action potential, cardiac cycle, heart sounds,
cardiac output, ECG, regulation of cardiac
function, blood pressure- types, significance,
Appendix
I Syllabus for the ‘A’ Grade
Pharmacy Registration
Examination
Pharmakon Comprehensive Pharmaceutical Pharmacology
312
measurement and regulation, hypertension-types
and causes.
3. Respiratory System
Organs of respiratory system and its structure,
inspiration and expiration, mechanism of
respiration, pulmonary ventilation, ventilation
volumes, gaseous exchange through lungs, carriage
of O2 and CO2, hypoxia-causes and classification.
4. Excretory System
Structure of kidney, nephron & its different parts;
renal circulation- its regulation & measurements,
renal clearance & its importance; urine- its
composition & properties, counter current
mechanism, role of kidney in acid-base balance of
blood & in maintenance of plasma volume
5. Enzymes
Definition, activation energy and enzymes,
specificity of enzymes, regulation of enzyme
activity, enzymes and reaction equilibrium, enzyme
kinetics, enzyme inhibition, common features of
enzymes, enzyme cofactor or coenzyme; vitamin
B1, vitamin B2 etc. as coenzymes.
6. Introduction to Pharmacology
Definition of pharmacology, drug, medicine and
prodrug; pharmacokinetics, pharmacodynamics,
agonist, synergism, side effect, toxicity, drug
interaction, drug tolerance, drug dependence, drug
abuse, idiosyncrasy, dose, dosage form, absorption,
distribution, bioavailability, distribution, protein
binding, metabolism & excretio4 routes of drug
administration,
7. Basic Concept of Drug Action
Receptors, nature of receptors, drug antagonism,
relation between drug dose & clinical response.
8. Drugs for Peptic Ulcer
Antacids, H2-receptor blockers, proton pump
inhibitors, PG analogues, mucosal-protective
agents, Helicobacter pylori infections
9. Sedative & Hypnotics
Benzodiazepine & barbiturates
10. Analgesic, Antipyretic and Antinflammatory
Drugs
1. Non-narcotic analgesic: Salicylates, pyrazolone
derivatives, para-aminophenol derivatives,
propionic acid derivatives, indomethacin, sulindac,
tolmetin, diclofenac
2. Narcotic analgesics: Opium alkaloids, morphine
antagonists, synthetic & semisynthetic opiates
11. Cardiovascular Drugs
Introduction, classification, mechanism of action,
SAR studies of antihypertensive drugs,
antiarrhythmic drugs, diuretics, drugs used in heart
failure, drugs used in angina and myocardial
infarction.
12. Antibacterial Agents
1. Brief study of the following class of drugs: β-
lactam antibiotics-penicillin, cephalosporin
2. Drugs affecting protein synthesis: Tetracycline,
chloramphenicol, macrolides, aminoglycosides
3. Drugs affecting topoisomerase-l enzyme:
Fluoroquinolones, glycopeptide, polymyxin,
bacitracin & nitrofurantoin antibiotics
4. Antitubercular agents: INH, rifampicin,
ethambutol, pyrazinamide, PAS, capreomycin,
cycloserine, ethionamide
5. Antileprotic drugs: Dapson, rifampicin,
clofazimine
13. Antidiabetic Agents
Introduction to diabetes, classification, causes,
complications and treatment of diabetes,
hypoglycemia, different types of antihyperglyemic
agents with mechanisms, uses, toxicity insulin
resistance, management of diabetes
Glucagon mechanism and uses
14. Antifungal Drugs
Amphotercin B, flucytosine, itracouzale,
ketoconzole, fluconazole, nystatin, griseofulvin
15. Cholinergic and Adrenergic Drugs
Cholinergic and anticholinergic drugs, adrenergic
and antiadrenergic drugs
16. Hormone Therapy
Adenohypophyseal and adrenocorticosteroid
hormone
17. Ophthalmology
Anatomicalconsideration, cornealgrafring, catarad
formation, contact lens, drugs used in the treatment
of eye disorders.
Paper III Biopharmaceutics
1. Introduction to Biopharmaceutics Introduction of pharmacokinetics and
biopharmaceutics
2. Gastrointestinal absorption of drugs
1. Biological consideration: Membrane physiology,
gastrointestinal physiology, mechanism of
absorption etc.
2. Physicochemical consideration: pka and
gastrointestinal absorption, pH partition theory and
other physicochemical factors.
3. Dosage form consideration: Role of different
dosage forms like solution, suspension, table,
capsule, emulsion etc. on gastrointestinal
absorption, disintegration and dissolution of drugs.
3. Distribution of Drugs
1. Important pharmacokinetic parameters such as
biological half-life, apparent volume of
Syllabus for the ‘A’ Grade Pharmacy Registration Examination
313
distribution, area under the curve, elimination rate
constant etc.
2. Interpretation of drug-plasma level curve.
4. Drug Clearance
1. Theoretic aspects of drug elimination, excretion
and biotransformation.
2. Renal elimination: Glomerular filtration, active
tubular secretion, tubular reabsorption,
determination of renal clearance.
3. Hepatic elimination: Biotransformation of drugs,
drug biotransformation reactions, pharmacokinetics
of drugs and metabolites (Michelis Menten
Equation), first pass effect, liver excretion ratio,
relation between absolute bioavailability and liver
excretion, hepatic clearance- relationship between
blood flow, intrinsic clearance and hepatic
clearance, Hepatic clearance of a protein bound
drug (effect of protein binding on hepatic
clearance).
4. Biliary excretion of drugs.
5. Bioavailability and Bioequivalence
Definitions of different parameters relative to
bioavailability; purpose of bioavailability, relative
and absolute bioavailability, methods of
determining bioavailability, criteria for
bioequivalence studies
6. Intravenous Infusion
One-compartment model drugs, two-compartment
model drugs, infusion plus loading dose.
7. Dosage Adjustment in Renal Disease
1. Pharmacokinetic considerations, general
approaches for those adjustments in renal diseases,
dose adjustment based on drug clearance, dose
adjustment based on the elimination rate constant,
measurement of glomerular filtration rate (GFR),
calculation of creatinine, clearance from serum
creatinine concentration, dose adjustment based on
nomogram, Giusti-Hayton method, Wagner
method.
2. Extracorporeal removal of drugs.
Paper IV
Pharmaceutical analysis and Medicinal
Chemistry
1. Introduction and Techniques of
Pharmaceutical Analysis
1. Introduction- selection of samples, selection of
chemicals.
2. The art and science of pharmaceutical analysis-
choosing the tools, identification of containers,
filtration, ignition of precipitates, drying of
samples, recording units.
2. Aquametry
Principle and scope, physical methods of water
determination, chemical method of water
determination, Karl-Fischer procedure-principle,
chemistry, methodology, equipment, end point
detection and limitation.
3. Chromatographic Methods
Introduction, principles and theories, preparation,
procedure, method of detection, applications of
column chromatography, gel filtration techniques,
thin layer chromatography, ion exchange
chromatography.
4. High Performance Liquid Chromatography
Introduction and theoretical considerations,
instrumentation, characteristics of stationary and
mobile phases, reversed phase high performance
liquid chromatography, latest development -UPLC
& UFLC, applications.
5. Visible and Ultraviolet Spectrophotometry
Introduction, electromagnetic radiation, units,
electromagnetic spectra and absorption of
radiation, Lambert's and Beer's law, deviations
from Lambert-Beer taw, instrumentation,
colorimetry, chromophores and auxoochromes,
analysis of mixtures, absorption and intensity
shifts, applications of ultraviolet and visible
spectroscopy in quantitative analysis of drugs.
6. Ultra Violet and Infrared Spectroscopy
Ultra violet and infrared spectroscopy in structural
analysis
7. Atomic Absorption Spectroscopy
Theory, instrumentation and application in
quantitative analysis
8. Potentiometric titration
Introduction, theory and principles, electrochemical
cells and half ells, electrodes, measurement of
potential, application of potentiometric titration
9. Polarography and amperometric titration
Introduction, theoretical considerations,
instrumentation, general polarographic analysis,
amperometric titration using one and two
etectrodes
10. Gas chromatography
Introduction and principles, theoretical
consideration, column technology, detectors,
analytical application of gas chromatography
11. Microbiological Assay of Antibiotics
Introduction, reference standard and units of
activity, agar diffusion assay, theory of zone
formation, factors affecting agar diffusion assay,
dose response curve, large plate assay using Latin
square design, statistical interpretation of
microbiological assay results.
12. Stereochemistry
1. General treatment of different types of
isomerisms
Pharmakon Comprehensive Pharmaceutical Pharmacology
314
2. Geometric isomerism of alkenes and cyclic
compounds, cis, trans and (E), (Z) systems of
nomenclature
3. Conformational isomers- conformation of open
chain and cyclic compounds,
4. Chirality of molecules enantiomer, diastereomer,
racemic modification, meso compound, (R) and (S)
configuration, sequence rule, optical rotation
5. Asymmetric synthesis-preparation of enantiomer
by asymmetric synthesis and optical resolulion
method
6. Stereoselective and stereospecific reaction
7. Pharmaceutical importance of stereochemistry
13. Heterocyclic Chemistry
1. 5-Membered heterocyclic compounds: Pyrole,
furan, thiophene, pyrazote, imidazole, oxazole,
isoxazole, thiazole and lsthiazote- their
preparations, readions and pharmaceutical
affications
2. 6-Membered heterocyclic compounds: Pyridine,
piperidine, pyrimidine, pyradazine, pyrazine and
triazine: their preparation- reaction and
pharmaceutical applications
3. Benzofused 5-membered heteroatomic
compounds: Indole, benzofuian, benzothiaphene
and carbazole- their chemistry, synthesis and
pharmaceutical applications
4. Benzofused 6-membered heteroatomic
compounds: Quinoline and isoquinoline- their
chemistry synthesis and pharmaceutical
applications
14. Natural Product and Other Secondary
Metabolites
1. Vitamins: The clinical aspects of vitamins and
their effects on free radicals; synthesis of vitamins
such as vitamin B1, vitamin C, nicotinamide,
pyridoxine; mechanism of the action of vitamins
2. Alkaloids: Alkaloids as pharmaceutical raw
materials opium and analogues, synthesis of
papaverine and ephedrine, clinical comparison of
ephedrine and ephinephrine
3. Glycosides: Clinical and chemical aspect of
digoxin and other digitalis glycosides
15. Drug Discovery and Design 1. Source of drugs
2. Cost and place of development of drugs
3. Search for new drugs
4. Genesis of drugs
i. Serendipity
ii. Random screening
iii. Extraction from natural sources
iv. Molecular modification (general process,
special processing closure or opening, formulation
of lower or higher homologues, removal,
introduction or replacement of bulky groups,
isosteric substitution, change of position or certain
groups, introduction of alkylating moieties,
modification towards inhibition or promotion of
various electronic states); Methods of lead
optimization (Topliss sequential method),
Fibonacci search, sequential complex optimization,
v. Selection or synthesis of soft drugs, soft
analogues, activated soft compounds, natural soft
drugs, soft drugs based on the active metabolite
approach, soft drug based on inactive metabolite
approach
vi. Prodrugs
vii. Rational drugs design, antimetabolites, enzyme
inhibitors
16. Chemistry mode of action, SAR and
synthesis of the following groups of drugs
1. Antihypertensive agents (β-blockers)
2. H2-blockers
3. Antidiabetic drugs
4. Psychotropic drugs and antidepressants,
5. Semisynthetic penicillins, cephalosporins, and
quinolone derivatives
6. Oral contraceptives and steroidal hormones
17. Drugs Metabolism
Pathways of drugs metabolism, metabolism of
various groups of drugs, factors affecting drugs
metabolism, methods of studying drug metabolism,
new aspect of drug metabolism, metabolic products
of common drugs
Paper V
Pharmaceutical Marketing, Management, Law
and Ethics
1. Strategic Marketing Planning
Strategic planning process, resources and
opportunities affecting the planning process,
corporate, business-unit, and marketing strategies,
the marketing plan and implementation process and
the major approaches to marketing implementation.
2. Market Segmentation, Target Marketing and
Marketing Positioning Strategies
Identifying market segments, factors for
segmenting market, choosing a target marketing
strategy, market positioning for maximum
competitive advantages
3. Product Management
Concept of a product, classification of products,
product line, and product mix, products planning
and development, PLC, marketing strategies along
the product life cycle, brand building and brand
management.
4. The Code of Pharmaceutical Marketing
Practices
5. Nature and Principles of Management
Style of management, the MBO system and
improving decision-making
Syllabus for the ‘A’ Grade Pharmacy Registration Examination
315
6. Organization Structures Social organization and legal organization, the sole
proprietorship, the general partnership, private and
public limited companies, their relative advantages
and disadvantages
7. Personal Management
Importance, principles, method, motivation, staff
requirement theory.
8. Inventory control
Methods-intuitive, systematic want book,
perpetual, inventory, open-to-buy, stock, record
card, economic order quality, selection of optimum
methods, effect of inventory control.
9. Purchasing
Formulating effective buying policies, needs and
desires, selecting the sources of supply,
determining terms of purchase, receiving, marking
and stocking of goods
10. Quality Control Overview
Introduction, general information & significance of
quantitative and qualitative analysis in quality
control, sampling technique; Pharmacopoeial tests
and specification, standardization of
pharmaceuticals and formulated products, quality
control systems for drugs and pharmaceuticals,
causer of poor quality theory and basic concepts of
GLP, ISO 9000, ISO 9001, ISO 17025 and ICH.
11. Terminology and Validation Overview
Introduction, terminology used in the validation of
analytical procedures, regulatory basis for process
validation.
12. Validation of Analytical Methods
Strategy and parameters for the validation of
methods, verification of standard methods,
validation of non-routine methods, analytical
validation within the pharmaceutical environment,
validation of standard operating procedures (SOP).
13. Regulations and Laws
Regulations and laws governing the practice of
Pharmacy in Bangladesh (The Pharmacy Ordinance
1976), role of Pharmacy Community of Bangladesh
14. Policies, Sates, Regulation and Laws
Concerning to the Manufacture, Possession,
Distribution, Sale of Drugs and Poisons
1. The Drug Act 1940 (xxiii of 1940)
2. The Drug Policy 1982
3. The Drug (control) Ordinance 1982 (Ordinance
No. VIII of 1982), its amendments
4. The Poison Acts 1919 and related amendments
5. The Narcotic (control) Act 1990
6. The National Drug Policy 2005 for regulation of
process of registration, manufacture, distribution,
sale, import, and export of drug in Bangladesh
15. Approval Process, Format and Registration
of Pharmaceuticals in Bangladesh
Pharmakon Comprehensive Pharmaceutical Pharmacology
316
Sample Question for ‘A’ Grade Pharmacy Registration Examination
317
Time: 02: 30 minutes Marks: 150
Name: Roll:
Sl. Question Answer
Paper I
1. Who is considered as Father of Pharmacy in Bangladesh?
A. Dr. Abdul Jabbar B. Dr. Abdul Gani C. Dr. Mukarrom Hossain Knondhokar D.
Dr. Kamal Uddin Ahmed
A
2. The word Pharmacy was derived from Greek word –
A. Pharmakos B. Pharmakon C. Pharmacon D. Pharmacias
A
3. In the preparation of multi-layer tablets, which of the following is used for
hydrophilic matrix coating?
A. Bees wax B. CMC C. Stearyl alcohol D. Shellac
D
4. The diameter of the mesh aperture in the I.P. disintegration apparatus is given below.
Choose the correct size –
A. 2 mm B. 4 mm C. 1mm D. 0.5 mm
A
5. Diclofenac tablet with CAP has been administered to a patient. Where do you expect
the drug to be released?
A. Stomach B. Oral cavity C. Small intestine D. Liver
C
6. Which of the following flavor is used in a formulation containing sour taste?
A. Wild cherry B. Vanilla C. Citrus D. Chocolate
C
7. Durability of a tablet to combined effects of shock and abrasion is evaluated by using
–
A. Hardness tester B. Disintegration test apparatus C. Friabilator D. Screw guage
C
8. Which of the following retardant material forms a hydrophilic matrix in the
formulation of matrix tablets?
A. HPMC B. CAP C. Polyethylene D. Carnauba wax
A
9. Which of the following water soluble substance is used as coating material in micro
encapsulation process?
A. Polyethylene B. Silicone C. HEC D. Paraffin
C
10. Which of the following is used as a pH dependent controlled release excipient?
A. Carnauba wax B. HPMCP C. MC D. Glyceryl mono stearate
D
11. In the tablet coating process, inadequate spreading of coating solution before drying
causes –
A. Orange peel effect B. Sticking effect C. Blistering effect D. Picking effect
A
12. Crown thickness of a tablet is measured by –
A. Micrometer B. Pychnometer C. Hydrometer D. All the above
B
13. Friabilator is operated at –
A. 100 RPM B. 75 RPM C. 50 RPM D. 25 RPM
A
14. Enteric coated tablet disintegrate in _______ hours in simulated intestinal fluid
A. 1 B. 2 C. 3 D. 4
B
15. In dissolution test, flask is maintained at – A
Appendix
II Sample Question for ‘A’ Grade
Pharmacy Registration
Examination
Pharmakon Comprehensive Pharmaceutical Pharmacology
318
A. 370 C ± 0.5
0 C B. 41
0 C ± 1
0 C C. 39
0 C ± 0.6
0 C D. 40
0 C ± 1
0 C
16. Capping is prevented by using one of the following punches –
A. Flat B. Circular C. Square D. Rectangular
A
17. Acacia trgacanth is used in the concentration of –
A. 10%-25 % B. 60%-70 % C. 40%-50 % D. 90%
A
18. Starch on heating hydrolyze into –
A. Glucose B. Fructose and sorbitol C. Fructose and mannose D. Dextrin and
glucose
D
19. pH of the small intestine is –
A. 1-2 B. 3-4 C. 6 D. 7-8
D
20. Aqua coat is a –
A. 30% w/v of ethyl cellulose dispersion B. Solution of HPMC C. 2% w/v of methyl
cellulose dispersion D. None of the above
B
21. Sub coating is done to –
A. Round the edges B. Increase the bulk of tablets C. Both A and B D. Make water
resistant
C
22. CAP dissolves at pH –
A. Above 6 B. Below 6 C. 4 D. 2
A
23. Which of the following one is used as opacifier?
A. TiO2 B. Mg C. Si D. All of the above
A
24. Type A gelatin is derived from an acid-treated precursor and exhibits an isoelectric
point in the region of –
A. pH 9 B. pH 6 C. pH 7 D. pH 3
A
25. Which treatment is used for solubility of gelatin?
A. Heat B. Formalin C. Water D. Alcohol
B
26. Chewable tablet contains the following base –
A. Manitol B. Glucose C. Lactose D. None of the above
A
27. Which of the following is not added in lozenges?
A. Sweetener B. Binder C. Disintegrant D. All of the above
C
28. Enteric coated tablet is disintegrated in –
A. Stomach B. Liver C. Intestine D. Mouth
C
29. HLB value required for wetting property should be–
A. 7-9 B. 5-6 C. 3-4 D. 1-21
A
30. Liquid solid interface is found in
A. Solution B. Suspension C. Emulsion D. All of the above
B
Paper II
31. Pharmacodynamic tolerance may involve changes in –
A. Number of drug receptors B. Affinity of drug receptors C. Function of drug
receptors D. All of the above
D
32. Pharmacodynamics involves the following?
A. Information about main mechanisms of drug absorption B. Information about
unwanted effects C. Information about biological barriers D. Information about
excretion of a drug from the organism
B
33. What kind of substances can’t pass through the membranes by passive diffusion?
A. Lipid-soluble substances B. Non-ionized substances C. Hydrophobic substances
D. Hydrophilic substances
D
34. What are factors that determine bioavailability?
A. Rheological parameters of blood B. Amount of a substance obtained orally and
quantity of intakes C. Extent of absorption and hepatic first-pass effect D. Glomerular
filtration rate
C
35. Which route of drug administration is most likely to lead to the first-pass effect?
A. Sublingual B. Oral C. Intravenous D. Intramuscular
B
36. What is characteristic of the oral route?
A. Fast onset of effect B. Absorption depends on GI tract secretion and motor function
C. A drug reaches the blood passing the liver D. The sterilization of medicinal forms is
obligatory
B
37. Which of these groups of drugs is used for asthma treatment?
A. Methylxanthines B. Muscarinic cholinoblocking agents C. β2 stimulants D. All
of above
D
38. Tick the drug belonging to non-selective β2 adrenomimics –
A. Salbutamol B. Isoprenaline C. Salmeterol D. Terbutaline
B
Sample Question for ‘A’ Grade Pharmacy Registration Examination
319
39. Select the side-effect characteristic for non-selective β2 adrenomimics –
A. Depression of the breathing centre B. Tachycardia C. Peripheral vasoconstriction
D. Dry mouth
B
40. Pick out the bronchodilator drug related to xanthine – A. Atropine B. Orciprenaline C. Adrenaline D. Theophylline
D
41. Pick out the bronchodilator drug belonging to sympathomimics –
A. Isoprenaline B. Ephedrine C. Atropine D. Salbutamol
B
42. What is apex beat?
A. Beat of AV node B. Beat of heart C. Lowest and outer most point of definite
cardiac pulsation D. None of the above
C
43. What is heart rate?
A. Number of heart beat per seconds B. Number of heart beat per minutes C. Number
of heart beat per hours D. Number of heart beat per 5 hours
B
44. All of the following statements regarding cardiac glycosides are true except –
A. They inhibit the activity of the Na+/K
+-ATPase B. They decrease intracellular
concentrations of calcium in myocytes C. They increase vagal tone D. They have a
very low therapeutic index
B
45. All of the following statements regarding cardiac glycosides are true except –
A. Digoxin is a mild inotrope B. Digoxin increases vagal tone C. Digoxin has a longer
half-life than digitoxin D. Digoxin acts by inhibiting the Na+/K
+-ATPase
C
46. Which is the most cardiac manifestation of glycosides intoxication?
A. Atrioventricular junctional rhythm B. Second-degree atrioventricular blockade C.
Ventricular tachycardia D. All the above
D
47. The manifestations of glycosides intoxication are –
A. Visual changes B. Ventricular tachyarrhythmias C. Gastrointestinal disturbances
D. All of the above
D
48. For digitalis-induced arrhythmias the following drug is favored –
A. VerapamilB. AmiodaroneC. LidocaineD. Propanolol
C
49. Bacteristatic effect is –
A. Inhibition of bacterial cell division B. Inhibition of young bacterial cells growth C.
Destroying of bacterial cells D. Formation of bacterial cells
A
50. Which of the following groups of antibiotics demonstrates a bacteristatic effect?
A. Carbapenems B. Macrolides C. Aminoglycosides D. Cephalosporins
B
51. Which of the following antibiotics contains a beta-lactam ring in their chemical
structure? A. Penicillins B. Cephalosporins C. Carbapenems and monobactams D. All of the
above
D
52. Tick the drug belonging to antibiotics-macrolides –
A. Neomycin B. Doxycycline C. Erythromycin D. Cefotaxime
C
53. Tick the drug belonging to antibiotics-carbapenems –
A. Aztreonam B. Amoxacillin C. Imipinem D. Clarithromycin
C
54. Tick the drug belonging to antibiotics-monobactams –
A. Ampicillin B. Bicillin-5 C. Aztreonam D. Imipinem
C
55. Which of the following coenzymes is of vitamin origin?
A. Riboxine B. Coenzyme Q10 C. Piridixal-5-phosphate D. Lipoic acid
C
56. Which of the following coenzymes is not of vitamin origin?
A. Coenzyme Q10 B. Magnesium C. Carnitine D. All of the above
D
57. Which of the following antienzymes is a MAO inhibitor?
A. Physostigmine B. Selegiline C. Acetazolamide D. Disulfiram
B
58. Which of the following antienzymes is a carbonic anhydrase inhibitor?
A. Physostigmine B. Selegiline C. Aminocaproic acid D. Acetazolamide
D
59. Which of the following antienzymes is a xantine oxidase inhibitor?
A. Physostigmine B. Allopurinol C. Aminocaproic acid D. Acetazolamide
B
60. Which of the following antienzymes is an aromatase inhibitor used in cancer therapy?
A. Physostigmine B. Allopurinol C. Aminocaproic acid D. Aminoglutethimide
D
Paper III
61. Drugs present in the blood in the form of –
A. Colloidal dispersion B. Solution C. Suspension D. Emulsion
A
62. Sustained release dosage form follows –
A. Zero order release B. First order release C. Slow First order release D. Second
order release
C
63. Bioavailability of extra-vascular route is – B
Pharmakon Comprehensive Pharmaceutical Pharmacology
320
A. >1 B. <1 C. = 1 D. ≥1
64. 1. Which statement best describes bioavailability?
A. Relation between the physical and the chemical properties of a drug and its systemic
absorption B. Measurement of the rate and amount of therapeutically active drug that
reaches the systemic circulation C. Movement of the drug into body tissues over time
D. Dissolution of the drug in the gastrointestinal tract
B
65. 2. The route of drug administration that gives the most rapid onset of the
pharmacologic effect is –
A. Intramuscular injection B. Intravenous injection C. Intradermal injection D.
Peroral administration
B
66. 3. The route of drug administration that provides complete (100%) bioavailability is – A. Intramuscular injection B. Intravenous injection C. Intradermal injection D.
Peroral administration
B
67. 4. After peroral administration, drugs generally are absorbed best from the – A. Buccal cavity B. Stomach C. Duodenum D. Ileum
C
68. 5. The characteristics of an active transport process include all of the following except
for which one? A. Active transport moves drug molecules against a concentration gradient B. Active
transport follows Fick’s law of diffusion C. Active transport is a carrier-mediated
transport system D. Active transport requires energy
B
69. 6. The passage of drug molecules from a region of high drug concentration to a region
of low drug concentration is known as –
A. Active transport B. Bioavailability C. Biopharmaceutics D. Simple diffusion
D
70. 7. Which equation describes the rate of drug dissolution from a tablet?
A. Fick’s law B. Henderson-Hasselbalch equation C. Law of mass action D. Noyes-
Whitney equation
D
71. 8. Which condition usually increases the rate of drug dissolution from a tablet?
A. Increase in the particle size of the drug B. Decrease in the surface area of the drug
C. Use of the free acid or free base form of the drug D. Use of the ionized, or salt, form
of the drug
D
72. 9. Dose dumping is a problem in the formulation of –
A. Compressed tablets B. Modified-release drug products C. Hard gelatin capsules
D. Soft gelatin capsules
B
73. 10. The rate-limiting step in the bioavailability of a lipid-soluble drug formulated as
an immediate-release compressed tablet is the rate of –
A. Disintegration of the tablet and release of the drug B. Dissolution of the drug C.
Transport of the drug molecules across the intestinal mucosal cells D. Blood flow to the
gastrointestinal tract
B
74. 11. The extent of ionization of a weak electrolyte drug depends on the –
A. pH of the media and pKa of the drug B. Oil to water partition coefficient of the drug
C. Particle size and surface area of the drug D. Noyes–Whitney equation for the drug
A
75. 12. The rate of drug bioavailability is most rapid when the drug is formulated as a –
A. Controlled-release product B. Hard gelatin capsule C. Compressed tablet D.
Solution
D
76. 13. The amount of drug that a transdermal patch (i.e., transdermal drug delivery
system) delivers within a 24-hrs period depends on the –
A. Patch composition, which includes an occlusive backing and an adhesive film in contact
with the skin B. Affinity of the drug for the formulation matrix relative to its affinity for
the stratum corneum C. Rate of drug partitioning and/or diffusion through the patch to
the skin surface D. All of the above
D
77. 1. Creatinine clearance is used as a measurement of – A. Renal excretion rate B. Glomerular filtration rate C. Active renal secretion D.
Passive renal absorption
B
78. 12. The earliest evidence that a drug is stored in tissue is – A. An increase in plasma protein binding B. A large apparent volume of distribution
(VD) C. A decrease in the rate of formation of metabolites by the liver D. An increase
in the number of side effects produced by the drug
B
79. 13. The intensity of the pharmacologic action of a drug is most dependent on the –
A. Concentration of the drug at the receptor site B. Elimination half-life (t1/2) of the drug
C. Onset time of the drug after oral administration D. Minimum toxic concentration
(MTC) of the drug in plasma
A
80. 14. Drugs that show nonlinear pharmacokinetics have which property? B
Sample Question for ‘A’ Grade Pharmacy Registration Examination
321
A. A constant ratio of drug metabolites is formed as the administered dose increases B.
The elimination half-life (t1/2) increases as the administered dose increases C. The area
under the plasma drug concentration versus time curve (AUC) increases in direct
proportion to an increase in the administered dose D. Both low and high doses follow
first-order elimination kinetics
81. 15. The loading dose (DL) of a drug is usually based on the – A. Total body clearance (ClT) of the drug B. Percentage of drug bound to plasma
proteins C. Fraction of drug excreted unchanged in the urine D. Apparent volume of
distribution (VD) and desired drug concentration in plasma
D
82. 16. The renal clearance of inulin is used as a measurement of –
A. Effective renal blood flow B. Rate of renal drug excretion C. Intrinsic enzyme
activity D. GFR
D
83. 17. All of the following statements about plasma protein binding of a drug are true
except which one?
A. Displacement of a drug from plasma protein binding sites results in a transient increased
volume of distribution (VD) B. Displacement of a drug from plasma protein binding
sites makes more free drug available for glomerular filtration C. Displacement of a
potent drug that is normally > 95% bound may cause toxicity D. Drugs that are highly
bound to plasma proteins generally have a greater VD compared with drugs that are highly
bound to tissue proteins
D
84. 18. The onset time for a drug given orally is the time for the drug to – A. Reach the peak plasma drug concentration B. Reach the MEC C. Reach the MTC
D. Begin to be eliminated from the body
B
85. 19. The initial distribution of a drug into tissue is determined chiefly by the –
A. Rate of blood flow to tissue B. GFR C. Stomach emptying time D. Affinity of
the drug for tissue
A
86. 20. Which tissue has the greatest capacity to biotransform drugs?
A. Brain B. Kidney C. Liver D. Lung
C
87. 25. If digoxin has a half-life of 35 hrs how long will it take for a toxic plasma
concentration of 8 ng/mL to decline to a therapeutic plasma concentration of 2
ng/mL?
A. 17.5 hrs B. 35 hrs C. 70 hrs D. 105 hrs
C
88. Two most important sites for drug elimination are – A. Pulmonary and liver B. Liver and gastrointestinal tract C. Kidney and liver D.
Skin and liver
C
89. Termination of pharmacological action of thiopental occurs mainly by – A. Metabolism B. Excretion C. Redistribution D. Absorption
C
90. Which of the following has hepatic high hepatic first pass effect?
A. Atenolol B. Propranolol C. Paracetamol D. Aspirin
B
Paper IV
91. Moisture content is determined from sample by –
A. Azeotropic distilation B. Gravimetric analysis C. Thermogravimetric analysis D.
Karl Fischer procedure
D
92. What is the wavelength of UV radiation?
A. 100-200 nm B. 200-400 nm C. 400-600 nm D. 600-800 nm
B
93. In UV analysis the sample should be in –
A. Solution form B. Suspension form C. Emulsion form D. Semisolid form
A
94. HPLC column are made of –
A. Glass B. Stainless steel C. Plastic D. Fiber
B
95. In size exclusion chromatography, which molecules come first?
A. Very small B. Small C. Large D. Intermediate
C
96. Which of the following is used in partition chromatography?
A. Aluminium B. Silica gel C. Carbon D. Cupper
B
97. The infrared radiation will result in which molecular activity?
A. Molecular vibration B. Molecular rotation C. Molecular ionization D. Molecular
movement
A
98. For UV/VIS spectroscopic study a chemical compound must contain –
A. Functional group B. Ring structure C. Halogen D. Chromophore
D
99. Gas chromatography may be –
A. Absorption chromatography B. Adsorption chromatography C. Column
chromatography D. Partition chromatography
C
100. Usually the length of the column of gas chromatogram is – D
Pharmakon Comprehensive Pharmaceutical Pharmacology
322
A. 4-10 feet B. 5-17 feet C. 8-15 feet D. 6-12 feet
101. Light source used in IR spectrophotometer is –
A. Duterium lamp B. Sodium lamp C. Tungsten lamp D. Zirconium lamp
A
102. What is determined by UV spectrophotometer?
A. Chemical structure B. Functional group C. Double bond or triple bond D.
Molecular weight
C
103. What is determined by IR spectrophotometer?
A. Chemical structure B. Functional group C. Double bond or triple bond D.
Molecular weight
B
104. Which one is Lambert’s low?
A. I = I0 10-ax
B. I = I0 10-a
C. I = I0 10-acx
D. I = abc
A
105. Maximum moisture allowed for non-aqueous titration is –
A. 0.2 % B. 0.05 % C. 0.005 % D. 0.75 -5
B
106. Drug design may –
A. Structure based B. Ligand based C. Both B and C D. None of the above
C
107. Rofecoxib was withdraw from the worldwide market on –
A. 2010 B. 2006 C. 2004 D. 2000
C
108. Which of the following carbocation is more stable?
A. 10 B. 2
0 C. 3
0 D. 4
0
C
109. Isoniazide is derived from –
A. Glucoronidation B. Esterification C. Methylation D. Acetylation
D
110. What is the size of the resin bed used in solid phase synthesis?
A. 30-120 µm B. 80-200 µm C. 50-300 µm D. 70-400 µm
B
111. Ranitidine contains ring of –
A. Furan B. Pyrrole C. Thiophane D. Benzene
C
112. Ppaverine contains ring of –
A. Indole B. Isoquinoline C. Imidazole D. Quinoline
B
113. Acetaminophen and aspirin combinely form –
A. Paracetamol B. Simethicone C. Benorylate D. Xanthinol
D
114. Which type of drug may accumulate in the body fat?
A. Highly lipophilic B. Poorly Lipophilic C. Highly hydrophilic D. Hydrophilic
A
115. In solution phase synthesis –
A. Purification is easy B. Scale up is expensive C. Easy automation D. Reaction
monitoring is easy
B
116. Merifield solid phase synthesis can be used in –
A. Peptone synthesis B. Peptide synthesis C. Polysaccharide synthesis D. Lipid
synthesis
D
117. Lead optimization can be performed by –
A. Soft drug synthesis B. Hard drug synthesis C. Topliss sequential method D.
Sequential simplex optimization
C
118. What are drug target?
A. Enzyme B. Receptor C. Carrier D. All of the above
D
119. Histamine synthesis needs –
A. HCHO B. HCl C. CH3CHO D. CH3COOH
B
120. n-Butane and iso-butane are the example of –
A. Chain isomer B. Structural isomer C. Position isomer D. None of the above
A
Paper V
121. What do you mean by 4P?
A. Product, price, place, promotion B. People, price, place, promotion C. Product,
price, place, prince D. Product, price, people, promotion
A
122. Marketing is best defined as –
A. Matching a product with its market B. Promoting and selling products C.
Facilitating exchange relationships D. Distributing products at the right price to stores
C
123. A physical, concrete product you can touch is –
A. Service B. Good C. Idea D. Concept
B
124. Staffing is behaviorally related to – A. Organizing B. Controlling C. Managing D. Proceeding
A
125. POS stand for –
A. Point of structure B. Point of sale C. Product of structure D. Product of sale
B
126. The overall recruit process will be controlled by – A. HR B. GM C. Manager D. In charge
A
Sample Question for ‘A’ Grade Pharmacy Registration Examination
323
127. The fundamental purposes for the existence of any organization is described by its – A. Mission B. Politics C. Vision D. Strategy
A
128. Which of the following is not an operating strategy? A. Response B. Differentiation C. Marketing D. Low cost leadership
C
129. The acronym SWOT stands for –
A. Strengths, weakness, opportunities and threats B. Strengths, weakness, opportunities
and transport C. Strengths, weakness, opportunities and transport D. Special weapons
for operations timelines
A
130. The UPC is also known as the – A. Price level B. Product code C. Bar code D. Product level
C
131. One of the most important activities in business is the management of the 4M’s A. Men, machines, material and money B. Mind, machines, material and money C.
Mom, machines, material and money D. Market, machines, material and money
A
132. Mary Parker Follet termed management as – A. The use of people and other resources to accomplish objectives B. The process of
designing and maintaining an environment in which individuals, working together in
groups, efficiently accomplish selected aims C. The act of getting things done through
people D. A process, by which managers create, direct, maintain, and operate purposive
organizations through systematic, coordinated, cooperative human effort
C
133. What are the functions of manager? A. Planning, organizing, staffing, leading and carping B. Planning, organizing, staffing,
leading and controlling C. Planning, organizing, staffing, leading and caring D.
Planning, organizing, staffing, leading and cling
B
134. During the early 1970s, Robert K. Kalz identified three kinds of skills for
administrators. These are –
A. Technical, human and leading skills B. Technical, human and controlling skills C.
Technical, human and organizing skills D. Technical, human and conceptual skills
D
135. Which one of the following is considered as father of scientific management? A. Taylor B. Gisvold C. Foy D. Graham Petrick
A
136. Bangladesh Pharmaceutical Society (BPS) published the –
A. Bangladesh Pharmaceutical Journal B. National Formulary of Bangladesh C.
Pharmachronicle D. All of the above
D
137. In education sector, the regulatory affairs are supervised by the PCB empowered by
the Pharmacy ordinance of – A. 1975 B. 1976 C. 1982 D. 2005
B
138. In case of pharmaceutical industry sector, the regulatory affair are supervised by the
–
A. PCB B. DGHS C. DGDA D. DGFP
C
139. At present we have _______ drug testing laboratory A. 5 B. 3 C. 2 D. 7
C
140. The Bengal drug rule was promulgated in – A. 1946 B. 1947 C. 1952 D. 1976
A
141. Poison act was promulgated in – A. 1946 B. 1982 C. 1919 D. 1991
C
142. For paracetamol tragedy which one is responsible? A. Ethylene glycol B. Diethylene glycol C. Glycerol D. Propylene glycol
B
143. Narcotic drug law contains – A. 41 sections B. 09 sections C. 05 sections D. 56 sections
D
144. BPS was formed in –
A. 1950 B. 1968 C. 1982 D. 1919
B
145. In 1990-1993, paracetamol tragedy killed _______ children in Bangladesh A. 339 B. 393 C. 993 D. 333
B
146. Patent law protect the right of – A. Inventor B. Investor C. Employer D. Merchandiser
A
147. The duration of DTAB is –
A. 2 years B. 3 years C. 5 years D. 6 years
B
148. The penalty for hawking of drug in the open places is – A. 2 years B. 5 years C. 7 years D. 9 years
A
149. The number of ex-officio member in PCB is – A. 4 B. 6 C. 8 D. 12
A
150. The Drug (Control) Ordinance 1982 contains – A. 25 sections B. 27 sections C. 37 sections D. 34 sections
A
Pharmakon Comprehensive Pharmaceutical Pharmacology
324
References
325
1. Brunton, Laurence L. et al., eds. Goodman and Gilman’s The Pharmacological Basis of Therapeutics. 12th
ed.
New York: Mc Graw Hill, 2011. Print.
2. Katzung, Bertram G. et al., Basic and Clinical Pharmacology. 12th
ed. New York: Mc Graw Hill, 2012. Print.
3. Clark, Michelle A. et al., Lippincott’s Illustrated Reviews Pharmacology. 5th
ed. New York: Lippincott
Williams & Wilkins, 2012. Print.
4. Rang, H P. et al., Rang and Dales Pharmacology. 7th
ed. New York: Churchill Livingstone Elsevier, 2012.
Print.
5. Brody,Theodore M. et al., Human Pharmacology: Molecular to Clinical. 2th
ed. United Stated of America:
Mosby, 1994. Print.
6. Golan, David E. et al., eds. Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy. 1th
ed.
New York: Lippincott Williams & Wilkins, 2005. Print.
7. Goth, Andres. et al., eds. Medical Pharmacology: Principles and Concept. 11th
ed. United Stated of America:
Mosby, 1984. Print.
8. Jacob, Leonard S. NMS Pharmacology. 4th
ed. London: Williams & Wilkins, 1996. Print.
9. Randall. Michael D., et al., Fasttrack Pharmacology. 2th
ed. London: Pharmaceutical Press, 2009. Print.
10. Berry, Tricia M. Clinical Pharmacology Made Incredibly Easy. 3th
ed. New York: Lippincott Williams &
Wilkins, 2009. Print.
11. Craig, Charles R. et al., Modern Pharmacology with Clinical Applications. 6th
ed. New York: Lippincott
Williams & Wilkins, 2009. Print.
12. Tripathi, kd. Essential of Medical Pharmacology. 6th
ed. New Delhi: Jaypee, 2008. Print.
13. Stern, Arnold. et al., Pre Test Pharmacology. 10th
ed. New York: Mc Graw Hill, 2002. Print.
14. Rosenfeld, Gary C. BRS Phrmacology. 5th
ed. New York: Lippincott Williams & Wilkins, 2010. Print.
15. Ritter, James M. et al., A Textbook of Clinical Pharmacology and Therapeutics. 5th
ed. UK: Hodder Arnold,
2008. Print.
16. Trevor, Anthony J. et al., Katzung and Trevor's Pharmacology:Examination and Board Review. 8th
ed. New
York: Mc Graw Hill, 2008. Print.
17. Tofield, Christopher. et al., Hands-on Guide to Clinical Pharmacology. 2th
ed. UK: Blackwell Publishing
Ltd, 2005. Print.
18. Xie, Wen. eds. Nuclear Receptors in Drug Metabolism. 9th
ed. New Jersey: John Wiley & Sons, Inc., 2009.
Print.
19. T., E. Peck. et al., Pharmacology for Anaesthesia and Intensive Care. 1th
ed. London: Greenwich Medical
Media Ltd., 2000. Print.
20. Wells PharmD, Barbara G. et al., eds. Pharmacotherapy Handbook. 6th
ed. New York: Mc Graw Hill, 2006.
Print.
21. Maisto, Stephen A. et al., Drug Use and Abuse. 6th
ed. United States: Wadsworth Cengage Learning, 2011.
Print.
22. Chisholm-Burns, Marie A. et al., eds. Pharmacotherapy Principles & Practice. 1th
ed. New York: Mc Graw
Hill, 2008. Print.
22. Shargel, Leon. et al., Comprehensive Pharmacy Review for NAPLEX. 8th
ed. New York: Lippincott Williams
& Wilkins, 2013. Print.
23. Hall, MS Gary D. et al., Appleton & Lange's Review of Pharmacy. 7th
ed. New York: Lippincott Williams &
Wilkins, 2001. Print.
24. Amran, Md. Shah. et al., Quick Pharmacy Review. 1th
ed. Bangladesh: Ashrafia Boighar, 2014. Print.
25. Amran, Md. Shah. Introduction to Pharmacy. 1th
ed. Bangladesh: Krishnochura Prokashoni, 2010. Print.
26. Amran, Md. Shah. Pharmaceutical Regulatory Affairs and Standards. 1th
ed. Bangladesh: Krishnochura
Prokashoni, 2012. Print.
27. Gleason, Jessica A. Deja Review Pharmacology. 2th
ed. New York: Mc Graw Hill, 2010. Print.
28. Nemire, Ruth E. et al., eds. Pharmacy Student Survival Guide. 2th
ed. New York: Mc Graw Hill, 2009. Print.
29. Moini, Jahangir. The Pharmacy Technician: A Comprehensive Approach. 2th
United States of America:
Cengage Learning, 2011. Print.
30. Bergin, James D. eds. Medicine Recall. 4th
ed. New York: Lippincott Williams & Wilkins, 2011. Print.
References
Pharmakon Comprehensive Pharmaceutical Pharmacology
326
Pharmakon Comprehensive Pharmaceutical Pharmacology
Amran & Prince
Price: TK. 250.00, US$ 20
Cover Design: Md. Waliullah Wali
Publisher: Krishnachura Prokashoni
111, Central Road, Dhaka-1205
E-Mail: [email protected]
Sole Distributor: Altaf Medical Book Center
145, Islamia Market, Nilkhet, Dhaka-1205
ISBN 978-984-8174-72-2
9 789848 174722
Visit us at- www.facebook.com/pages/Pharmakon-Pharmacy/406092529530688
About the Authors
Md. Shah Amran was born in a respectable Muslim family on 15th
June, 1969 in the village of
Dowati of Kachua Upazela under Chandpur District. Md. Amran is the Professor in the Department
of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Dhaka, Dhaka, Bangladesh. He has
occupied 8th
position in the combined merit list in the SSC examination from Comilla Board, and
received Chancellor´s award for this and he has passed HSC from Dhaka Govt. College. He has
passed his Bachelor of Pharmacy and Master of Pharmacy degrees (with the 1st class in each) from
the Department of Pharmacy, University of Dhaka, Dhaka, Bangladesh. Md. Amran has obtained his
PhD degree from the University of Yamanashi, Yamanashi, Japan. He worked as a Pharmacist in the
Beximco Pharmaceuticals Ltd., Gazipur, Bangladesh. Md. Amran is actively engaged in research and
has published more than 70 research articles in the peer reviewed national and international journals.
He has authored eight books entitled “Pharmacy, Pharmaceutical Sector and Healthcare”,
“Introduction to Pharmacy”, “Pharmaceutical Regulatory Affairs and Standards”, “Quick Pharmacy
Review”, “Muktizuddhe Chandpur Kachua Upazela”, “Chandpurer Kachua Upazelar Etihash-
Oitirjya”, “Adorsholipi o Borno Porichoy” and “Jagche Manush Jagche Manobota”.
Md. Sahab Uddin was born in a respectable Muslim family on 25th July, 1992 in the village of
Chandpur of Akhaura Upazela under Brahmanbaria District. Md. Uddin is a distinct person in the
research field of Neuropsychopharmacology. He has authored a number of method, research and
review articles in the peer reviewed international scientific journals. Md. Uddin passed the SSC
examination from Gopinathpur Shahid Babul High School, Brahmanbaria in 2007 and HSC
examination from Cambrian College, Dhaka in 2009. Later on he has passed the Bachelor of
Pharmacy degree in 2014 securing 1st position from the Department of Pharmacy, Southeast
University, Dhaka, Bangladesh. He has developed and validated five methods of
neuropsychopharmacology for the assessment of attention, memory and cognition in human. Md.
Uddin is a scientific minded author and researcher, his numerous articles and books are waiting for
publication.