Pharm- INBDE Final Test Questions with
Correct Detailed Answers 2026/2027.
What are the Local anesthetic esters? - Answer procaine
cocaine
tetracaine
benzocaine
What is the Short acting local anesthetic? - Answer procaine
What are the moderate acting local anesthetics? - Answer lidocaine
prilocaine
mepivicaine
What are the long acting local anesthetics? - Answer bupivicaine
tetracaine
etidocaine
Where are amides metabolized? - Answer liver
Where are esters metabolized? - Answer plasma
What causes methemoglobinemia? - Answer prilocaine
How many mg of lidocaine in 2% lido 1 ml? - Answer 20 mg
What happens from high plasma local anesthetic levels, toxicity, injected into artery? - Answer
CNS excitation - lidocaine effect
What happens from too much epinephrine? - Answer increase heart rate
What are effects of cocaine? - Answer powerful CNS stimulation
vasoconstriction
, What is MOA of cocaine? - Answer Competitively blocks DA reuptake -> increased D1/D2
receptor activation.
Also effects NE/5HT levels, cerebral blood flow, and cerebral glucose use (hence, the Sfx of non-
hemorrhagic cerebral infarcts).
What is prescribed for broadest Gram negative spectrum? - Answer ampicillin
How is Penicillin G administered and why? - Answer injection - acid resistant
What is prescribed for B-lactamase resistant bacteria? - Answer dicloxicillin
What is prescribed for pseudomonas? - Answer carbenicillin
What is prescribed for endocarditis? - Answer ampicillin/gentamycin - aminoglycoside
When is prophylactic antibiotic prescribed? - Answer endocarditis
cardiac shunts
cardiac valves
is inhibiting cell wall synthesis bactericidal or bacteriostatic? - Answer bactericidal
Is interfering with protein synthesis bacteriostatic or bactericidal? - Answer bacteriostatic
What is Nystatin MOA? - Answer bind to ergosterol
What are sulfonamides MOA? - Answer bind to PABA in folic acid synthesis
What is a complication of clindamycin? - Answer GI upset and pseudomonas. colitis from
overgrowth of Clostridium difficile
What causes aplastic anemia? - Answer chloramphenicol
failure of bone marrow to produce enough RBC
What is complication of tetracycline? - Answer liver damage
Correct Detailed Answers 2026/2027.
What are the Local anesthetic esters? - Answer procaine
cocaine
tetracaine
benzocaine
What is the Short acting local anesthetic? - Answer procaine
What are the moderate acting local anesthetics? - Answer lidocaine
prilocaine
mepivicaine
What are the long acting local anesthetics? - Answer bupivicaine
tetracaine
etidocaine
Where are amides metabolized? - Answer liver
Where are esters metabolized? - Answer plasma
What causes methemoglobinemia? - Answer prilocaine
How many mg of lidocaine in 2% lido 1 ml? - Answer 20 mg
What happens from high plasma local anesthetic levels, toxicity, injected into artery? - Answer
CNS excitation - lidocaine effect
What happens from too much epinephrine? - Answer increase heart rate
What are effects of cocaine? - Answer powerful CNS stimulation
vasoconstriction
, What is MOA of cocaine? - Answer Competitively blocks DA reuptake -> increased D1/D2
receptor activation.
Also effects NE/5HT levels, cerebral blood flow, and cerebral glucose use (hence, the Sfx of non-
hemorrhagic cerebral infarcts).
What is prescribed for broadest Gram negative spectrum? - Answer ampicillin
How is Penicillin G administered and why? - Answer injection - acid resistant
What is prescribed for B-lactamase resistant bacteria? - Answer dicloxicillin
What is prescribed for pseudomonas? - Answer carbenicillin
What is prescribed for endocarditis? - Answer ampicillin/gentamycin - aminoglycoside
When is prophylactic antibiotic prescribed? - Answer endocarditis
cardiac shunts
cardiac valves
is inhibiting cell wall synthesis bactericidal or bacteriostatic? - Answer bactericidal
Is interfering with protein synthesis bacteriostatic or bactericidal? - Answer bacteriostatic
What is Nystatin MOA? - Answer bind to ergosterol
What are sulfonamides MOA? - Answer bind to PABA in folic acid synthesis
What is a complication of clindamycin? - Answer GI upset and pseudomonas. colitis from
overgrowth of Clostridium difficile
What causes aplastic anemia? - Answer chloramphenicol
failure of bone marrow to produce enough RBC
What is complication of tetracycline? - Answer liver damage
