NCMA Domain 1: Pharmacology and General Medical Knowledge Welcome to your NCMA Domain 1: Pharmacology and General Medical Knowledge 1. NCMA: Pharmacology and General Medical Knowledge Which of the following medications is primarily metabolized by the cytochrome P450 2D6 enzyme in the liver? A. Warfarin B. Metoprolol C. Furosemide D. Amoxicillin None 2. NCMA: Pharmacology and General Medical Knowledge A patient diagnosed with chronic heart failure is most likely to be prescribed which of the following drug classes to improve symptoms and survival? A. Calcium channel blockers B. ACE inhibitors C. Alpha-1 blockers D. Anticholinergic agents None 3. NCMA: Pharmacology and General Medical Knowledge Which of the following drugs is used as a first-line treatment for a patient diagnosed with type 2 diabetes mellitus? A. Insulin B. Metformin C. Glipizide D. Pioglitazone None 4. NCMA: Pharmacology and General Medical Knowledge In managing a patient with atrial fibrillation, which of the following medications is most effective in preventing stroke? A. Amiodarone B. Digoxin C. Warfarin D. Atorvastatin None 5. NCMA: Pharmacology and General Medical Knowledge Which of the following antibiotic classes works by inhibiting bacterial protein synthesis at the 30S ribosomal subunit? A. Penicillins B. Macrolides C. Tetracyclines D. Fluoroquinolones None 6. NCMA: Pharmacology and General Medical Knowledge A medication order reads: "Administer digoxin 0.25 mg daily." Which of the following is the primary indication for prescribing digoxin? A. Hypertension B. Heart failure C. Diabetes mellitus D. Hyperthyroidism None 7. NCMA: Pharmacology and General Medical Knowledge The mechanism of action of NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) involves: A. Activation of opioid receptors B. Inhibition of cyclooxygenase enzymes C. Blockade of calcium channels D. Inhibition of serotonin reuptake None 8. NCMA: Pharmacology and General Medical Knowledge A patient on chronic therapy with corticosteroids would require close monitoring for the development of: A. Hypoglycemia B. Osteoporosis C. Hypotension D. Bradycardia None 9. NCMA: Pharmacology and General Medical Knowledge Which antihypertensive drug class is specifically recommended for patients with chronic kidney disease due to its protective effects on the kidneys? A. Beta-blockers B. Diuretics C. ACE inhibitors D. Calcium channel blockers None 10. NCMA: Pharmacology and General Medical Knowledge The pharmacological treatment of tuberculosis involves the use of multiple drugs to prevent resistance. Which of the following is NOT typically included in the initial treatment regimen? A. Isoniazid B. Rifampin C. Ethambutol D. Ciprofloxacin None 11. NCMA: Pharmacology and General Medical Knowledge In the context of antiretroviral therapy for HIV, which of the following drug classes acts by inhibiting the enzyme integrase? A. Nucleoside reverse transcriptase inhibitors (NRTIs) B. Non-nucleoside reverse transcriptase inhibitors (NNRTIs) C. Protease inhibitors D. Integrase strand transfer inhibitors (INSTIs) None 12. NCMA: Pharmacology and General Medical Knowledge Which of the following medications is an example of a monoclonal antibody used in the treatment of rheumatoid arthritis? A. Methotrexate B. Ibuprofen C. Adalimumab D. Prednisone None 13. NCMA: Pharmacology and General Medical Knowledge A patient presents with severe depression and a history of bipolar disorder. Which of the following medication classes is contraindicated due to the risk of inducing mania? A. Selective Serotonin Reuptake Inhibitors (SSRIs) B. Mood stabilizers C. Atypical antipsychotics D. Tricyclic antidepressants None 14. NCMA: Pharmacology and General Medical Knowledge In the treatment of acute gout attacks, which of the following medications is primarily used to reduce inflammation? A. Allopurinol B. Colchicine C. Probenecid D. Lisinopril None 15. NCMA: Pharmacology and General Medical Knowledge For a patient with advanced Parkinson's disease experiencing motor fluctuations, which medication might be added to optimize dopamine receptor stimulation? A. Carbidopa B. Levodopa C. Selegiline D. Amantadine None 16. NCMA: Pharmacology and General Medical Knowledge Which of the following antiepileptic drugs is known for its mechanism of action involving sodium channel inhibition? A. Gabapentin B. Phenobarbital C. Carbamazepine D. Topiramate None 17. NCMA: Pharmacology and General Medical Knowledge The primary action of loop diuretics, such as furosemide, in the management of congestive heart failure is to: A. Increase calcium reabsorption B. Decrease blood volume C. Increase potassium levels D. Decrease heart rate None 18. NCMA: Pharmacology and General Medical Knowledge A drug that is classified as a "prodrug" requires which of the following to exert its therapeutic effect? A. Immediate renal excretion B. Direct action on receptors C. Conversion into an active form by metabolic processes D. Combination with another drug None 19. NCMA: Pharmacology and General Medical Knowledge Which of the following is a major adverse effect of aminoglycoside antibiotics such as gentamicin? A. Hypertension B. Ototoxicity C. Hyperglycemia D. Bradyarrhythmias None 20. NCMA: Pharmacology and General Medical Knowledge What is the mechanism of action of glucagon-like peptide-1 (GLP-1) receptor agonists used in the management of type 2 diabetes? A. Increase insulin secretion B. Inhibit glucose absorption in the intestine C. Decrease insulin secretion D. Increase glucose production in the liver None 1 out of 20 Time is Up! Time's up