VERSIONS CONTAINING 400+ QUESTIONS/ACTUAL
EXAM QUESTIONS WITH COMPLETE SOLUTIONS/GRADE
A+ ASSURED
These are high-difficulty, clinically focused, scenario-based multiple-choice
questions designed to reflect ICHS final exam style.
ICHS PHARMACOLOGY FINAL EXAM – QUESTIONS 1–50
Most Tested • Most Difficult • Longest Form
Instructions: Select the ONE best answer.
1.
A 65-year-old male with chronic kidney disease is prescribed gentamicin for a
severe infection. Which parameter is MOST important to monitor?
A. Liver function tests
B. Serum creatinine
C. Blood glucose
D. Hemoglobin
Answer: B
2.
,Which class of antihypertensive drugs works by inhibiting the conversion of
angiotensin I to angiotensin II?
A. Beta-blockers
B. ACE inhibitors
C. Calcium channel blockers
D. Diuretics
Answer: B
3.
A patient on warfarin develops a high INR. Which medication can rapidly reverse
its anticoagulant effect in an emergency?
A. Vitamin K
B. Protamine sulfate
C. Furosemide
D. Heparin
Answer: A
4.
A 50-year-old male is prescribed metformin for type 2 diabetes. Which adverse
effect is MOST commonly associated with this drug?
A. Hypoglycemia
B. Lactic acidosis
C. Hyperkalemia
D. Hypertension
Answer: B
5.
,Which drug class is contraindicated in patients with a history of peptic ulcer
disease due to risk of GI bleeding?
A. ACE inhibitors
B. NSAIDs
C. Beta-blockers
D. Statins
Answer: B
6.
A patient presents with acute asthma exacerbation. Which drug is the FIRST-line
for rapid bronchodilation?
A. Salmeterol
B. Albuterol
C. Montelukast
D. Ipratropium
Answer: B
7.
Which antibiotic is bactericidal and inhibits bacterial cell wall synthesis?
A. Ciprofloxacin
B. Vancomycin
C. Erythromycin
D. Tetracycline
Answer: B
8.
Which of the following drugs is classified as a loop diuretic?
, A. Hydrochlorothiazide
B. Furosemide
C. Spironolactone
D. Amiloride
Answer: B
9.
A patient receiving digoxin shows nausea, vomiting, and visual changes. What is
the MOST likely cause?
A. Hypokalemia
B. Digoxin toxicity
C. Hypernatremia
D. Bradycardia
Answer: B
10.
Which medication is the first-line treatment for anaphylaxis?
A. Diphenhydramine
B. Epinephrine
C. Hydrocortisone
D. Albuterol
Answer: B
11.
Which class of drugs decreases mortality in heart failure with reduced ejection
fraction?
A. Beta-blockers
B. Calcium channel blockers