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A drug whose elimination kinetics is of first order, reaches a steady-state plasma concentration of 40 mg/L when administered at an infusion rate of 10 mg/h to a certain patient. What will be the equilibrium concentration reached if it is administered at a rate of 40 mg/h to that same patient?
40 mg/L.
10 mg/L.
160 mg/L.
Pharmacology
80 mg/L.
120
4
16ef882d-c6a1-4ff8-a61c-4b0a77496efd
2022
Which of these medications can be subject to a biowaiver?
Transdermal patches of a class III antiparkinsonian from the Biopharmaceutical Classification System.
Sublingual tablets of a class III coronary vasodilator from the Biopharmaceutical Classification System.
Immediate release tablets of a Class I antihypertensive from the Biopharmaceutical Classification System.
Pharmacology
Extended release tablets of a class I antipsychotic from the Biopharmaceutical Classification System.
121
4
e3ce5e5c-3e26-4c53-8127-c25fd10fb467
2022
In eukaryotes, the biosynthesis of non-nitrogenous phospholipids, such as phosphatidylinositol, is carried out by the condensation of:
Diacylglycerol and inositol.
CDP-diacilglycerol and inositol.
CDP-diacylglycerol and inositol-phosphate.
Pharmacology
Diacylglycerol and CDP-inositol.
122
1
5bcb9973-0bb7-4683-8ed2-1a69bab68e63
2022
It is correct in relation to the β-oxidation and lipogenesis of palmitic acid (16:0):
The malonyl-CoA synthesized by acetyl-CoA carboxylase, acts as an inhibitor of β-oxidation.
In β-oxidation, the intermediates are attached to ACP, whereas the intermediates of lipogenesis are attached to CoA.
In both metabolic pathways, the last reaction is catalyzed by palmitoyl thioesterase.
Pharmacology
The β-ketoacyl reductase consumes NADH, while the 3-L-hydroxyacyl-CoA dehydrogenase consumes NADPH.
123
2
55436b27-79cf-4400-9c48-e78d9c042a92
2022
The use of pyruvate as a gluconeogenic substrate is favored when, in the mitochondria, due to the effect of acetyl-CoA, it occurs:
The inhibition of hexokinase and the activation of malate dehydrogenase.
The activation of pyruvate kinase and the inhibition of phosphoenolpyruvate carboxykinase.
The activation of lactate dehydrogenase and the inhibition of glucose 6-phosphatase.
Pharmacology
The inhibition of the pyruvate dehydrogenase complex and the activation of pyruvate carboxylase.
124
3
e877a23f-8c43-440d-a685-8c5ab44a47c5
2022
The enzyme complexes of pyruvate dehydrogenase and α-ketoglutarate dehydrogenase, have in common that:
In the presence of a high [NADH] / [NAD+] ratio, its catalytic activity is enhanced.
They catalyze a dehydrogenation reaction of the substrate and the formation of an Acetyl-CoA molecule.
To complete the reaction they catalyze, they need the participation of thiamine pyrophosphate, lipoate, coenzyme A, FAD, and NAD+.
Pharmacology
They catalyze the oxidative decarboxylation of the substrate, through an exergonic reaction that generates an ATP molecule.
125
4
7ac9de23-a291-485f-aaf9-1030491683bf
2022
Indicate which of the following associations between coenzyme and the reaction in which they participate is correct:
Thiamine pyrophosphate - Acyl group transfer reactions.
Coenzyme A - Alkylation reactions.
Pyridoxal phosphate — Aldehyde group transfer reactions.
Pharmacology
Biocytin - Carboxylation reactions.
126
3
de6aff6d-398a-4d1c-98ac-da9896004e10
2022
In eukaryotes, the reaction of glycine with succinyl-CoA that leads to the synthesis of δ-aminolevulinic acid, constitutes the first reaction of the biosynthesis of:
The gangliosides.
The prostaglandins.
The Plasmalogens.
Pharmacology
The porphyrins.
127
3
0e8f66b2-2814-406c-8a74-1f8d149feb8d
2022
In an enzymatically catalyzed reaction, the presence of a competitive inhibitor:
After joining the active center of the enzyme, it modifies the KM of the reaction (apparent KM) in the following way: Apparent KM = α KM.
It interacts with the active center of the enzyme, resulting in a decrease of the Vmax of the reaction.
It interacts indistinctly with the free enzyme or with the enzyme-substrate complex, resulting in the reduction of the Vmax and the KM of the reaction.
Pharmacology
It does not modify the interaction between the enzyme and the substrate, but when the inhibitor binds to the enzyme-substrate complex, it distorts the active center, preventing the transformation of the substrate.
128
2
53cfc1ee-a99a-4df9-a24d-48c84b3ef850
2022
Uncoupling agents, such as 2,4-dinitrophenol, prevent the synthesis of ATP because:
They interact with cytochrome A, of complex IV (cytochrome C oxidase) of the respiratory chain, blocking the flow of electrons and the reduction of mitochondrial O2.
They introduce H+ into the mitochondrial matrix, dissipating the electrochemical gradient generated by the electron transport chain.
They introduce electrons into the mitochondrial matrix, which produce the partial reduction of mitochondrial O2 and the synthesis of the superoxide radical.
Pharmacology
They interact with the Fo subunit of ATP synthase, preventing the formation of the phosphoanhydride bond between ADP and Pi.
129
1
d8c1cc20-725b-4069-902f-14792a5bcbd9
2022
Ketogenic amino acids are characterized because their hydrocarbon chain degrades to:
Propionyl-CoA.
Glutamate.
Acetyl-CoA.
Pharmacology
Succinyl-CoA.
130
4
fc2bda08-a44d-4694-9b44-c93db5f94fd9
2022
Which three enzymes catalyze irreversible reactions of muscular glycolysis?
Hexokinase, phosphofructokinase-1 and pyruvate kinase.
Aldolase, glyceraldehyde 3-phosphate dehydrogenase, and pyruvate kinase.
Glucokinase, phosphoglycerate kinase and pyruvate kinase.
Pharmacology
Phosphoglycerate kinase, enolase, and pyruvate kinase.
131
2
5d587a45-ffd7-4b29-b21f-a3938104ec65
2022
The hemoglobin molecule in which the ferrous ion (Fe2+) is oxidized to ferric (Fe3+) is called:
Hemoglobin S.
Oxyhemoglobin.
Reduced hemoglobin.
Pharmacology
Methemoglobin.
132
3
6f715e4e-29b2-4e97-983e-b952b486d191
2022
What is the metabolic function of fermentation?
Generate waste products that can be eliminated.
Consume CO2.
Obtain oxidized NAD+.
Pharmacology
Convert sugars into acetate and its derivative compounds.
133
4
778b7c4e-3e80-4ddb-9b8d-cafe83805946
2022
The chylomicrons transport lipids from:
The intestine towards the peripheral tissues.
The liver towards the peripheral tissues.
Peripheral tissues towards the liver.
Pharmacology
The intestine towards the liver.
134
2
76a91aed-6c01-4c15-98d4-8dd97bb396b3
2022
It is possible to selectively investigate the maternal lineage through markers in the:
Centromere.
Pseudogene.
Transfer RNA.
Pharmacology
Mitochondrial DNA.
135
3
699bf049-f1c3-4ed1-9c12-1abfa4c717d3
2022
What is the nucleotide sequence that is present in the gene, but not in the mature messenger RNA?
Promoter.
Exon.
Intensifier.
Pharmacology
Intron.
136
3
d88666f8-3858-4541-90a1-8f8bf5f99f8c
2022
Regarding helicases, which statement is true?:
They separate the two strands of nucleic acid utilizing the energy from ATP.
They are proteins that cause alterations in the quaternary structure of RNA.
Its fundamental role is to bind the DNA.
Pharmacology
They bind to single-strand DNA.
137
2
10dbf002-854f-4242-a2d6-4170d1de5981
2022
A transposon or transposable genetic element is:
A segment of DNA that has undergone a mutation due to a shift.
A T4 plasmid.
A DNA sequence capable of replicating and inserting a copy into a different location of the genome.
Pharmacology
A slightly modified cosmid.
138
4
97380bcd-13fe-4995-a084-1ba46bdd8f30
2022
The formation of a disulfide bond between polypeptide chains is an example of structure:
Secondary.
Primary.
Quaternary.
Pharmacology
Tertiary.
139
3
a47c9e84-3929-4fe0-b690-6dfe46f02ced
2022
Nonsense mutations in the coding DNA are substitutions that:
They modify the specificity of the affected codon to another amino acid.
They cause a shift in the reading frame of the protein.
They change one amino acid for another chemically similar one.
Pharmacology
They introduce termination codons in genes.
140
3
1e390d90-2eaa-44c2-8a1c-85fb72176977
2022
In relation to truncated genes, which answer is correct?:
These are genes that show little homology in the DNA sequence.
They are incomplete copies of the gene, due to loss of a region located at one of the ends (5' or 3').
They are grouped genes.
Pharmacology
They are the repetitive regions of the genes.
141
1
0b6d3675-0883-4a1e-b6ec-4b96ec7a9cfd
2022
In the process of synthesizing a recombinant DNA molecule:
Plasmids, phages, and yeast chromosomes can be used as cloning vectors.
The joining of two or more enzyme fragments is required.
Recombinant DNA is synonymous with complementary DNA.
Pharmacology
The cloning vector can be either a DNA molecule or an RNA molecule.
142
2
f3203cea-d069-452b-b1cc-8ddb3bbe6a29
2022
The mismatch repair mechanism corrects DNA errors introduced by:
Deamination.
Ultraviolet light.
Non-homologous recombination.
Pharmacology
DNA Replication.
143
3
52a86e72-198f-48e7-bf18-6d9b108df669
2022
Which of the following biological magnitudes does not see its concentration modified with intense exercise?:
Lactate dehydrogenase.
Creatine kinase.
Alanine aminotransferase.
Pharmacology
White blood cells.
144
4
8dddc662-a217-4d59-87e0-bbd789a5ac11
2022
Indicate the incorrect answer in relation to trace elements:
Iodine deficiency causes hyperthyroidism.
A common technique for its quantification is atomic absorption spectrometry.
Zinc deficiency causes immunological alterations, skin lesions, and alopecia.
Pharmacology
For the determinations of iron, zinc, and manganese, hemolyzed samples should be avoided.
145
2
47ac74f3-dffb-44d2-8347-fc4e1d384ab6
2022
Indicate the incorrect answer:
In the syndrome of inappropriate antidiuretic hormone secretion, hyponatremia occurs.
In nephrogenic diabetes insipidus, there is a hypovolemic hypernatremia.
In acute renal failure, hypokalemia occurs.
Pharmacology
One cause of hypokalemia is hyperaldosteronism.
146
4
ba6b7252-cbd7-4ce8-95ba-f95fae6d85b3
2022
Which of the following biochemical markers is not of bone formation?:
Osteocalcin.
Bone alkaline phosphatase.
Type 1 collagen propeptide.
Pharmacology
Pyridoline.
147
3
45cc0b7c-fd1c-4171-9335-47a6d11018e9
2022
Which of the following hormones is not counter-regulatory to insulin?:
Cortisol.
Adrenaline.
Thyrotropin.
Pharmacology
Placental lactogen.
148
4
cc66b6ca-04b3-41aa-858b-d9d135e2d9e7
2022
Which of the following apolipoproteins has a structure similar to plasminogen but without its enzymatic activity?:
Apo E.
Apo(a).
Apo CII.
Pharmacology
Apo AI.
149
1
7c31ae12-a4fa-43f2-8f8b-a32c1ba781b3
2022
Which of the following volumetric analyses is associated with the use of conditional formation constants?
Precipitation.
Acid-base.
Complex formation.
Pharmacology
Redox (oxidation-reduction).
150
4
25f92340-c9e6-48ac-a57c-0ec4a81e2b20
2022
What is the composition of the Jones reductor used in redox titrations?
Sodium thiosulfate.
Ammonium ferrous sulfate.
Amalgamated Zinc.
Pharmacology
Silver chloride.
151
4
362885fe-48d7-467e-a1e8-00aa116fc4b3
2022
With what primary standard would the standardization of a potassium permanganate solution be carried out, for use in redox titrations?
Ammonium nitrate and cerium (IV).
Sodium oxalate.
Ethylenediamine sulfate.
Pharmacology
Sodium bismuthate.
152
1
fc3ae902-de15-4958-92e7-d1a1ef93b672
2022
The pH of a 0.01 M solution of sodium dihydrogen phosphate [pKa1 (H3PO4) = 2.15; pKa2 (H3PO4) = 7.21; pKa3 (H3PO4) = 12.33]:
It is between 3.0 and 7.0.
It is less than 3.0.
It is greater than 9.0.
Pharmacology
It is between 7.0 and 9.0.
153
2
b9b8aa62-9743-4d38-8ac7-f3eafd31f853
2022
The sensitivity of an analytical method is evaluated based on:
The relative error of the measurement.
The coefficient of variation of a series of measurements.
The ordinate at the origin of the calibration line.
Pharmacology
The slope of the calibration line.
154
3
d08ec306-08bf-4edb-ba91-404ccfee0435
2022
In the determination of Fe(II) with potassium dichromate as a titrating reagent, the following is used to detect the end point of the titration:
An electrochemical cell composed of a Fe indicating electrode and a reference electrode.
The murexide indicator, as it possesses redox properties.
The starch paste because it binds to the titrating reagent indicating the endpoint.
Pharmacology
An electrochemical cell formed by a Pt indicator electrode and a reference electrode.
155
3
7f78e874-d7ce-4de6-b7e2-bbb0f5b6611b
2022
The use of halogenated solvents, such as dichloromethane, to dissolve a fluorescent compound results in:
A decrease in the fluorescence signal, because it increases the likelihood of a crossover occurring between systems.
An increase in the fluorescence signal, because it increases the probability of a crossover occurring between systems.
A decrease in the fluorescence signal, because it increases the probability of vibrational relaxation.
Pharmacology
An increase in the fluorescence signal, because it increases the probability of external conversion.
156
2
c0e460d3-5ab7-4167-9d59-596b3c00dee7
2022
According to the Van Deemter equation, the equivalent height of the theoretical plate increases when:
Decreases the internal diameter of the column.
Increase the particle diameter of the stationary phase.
Increases the diffusion coefficient of the solute in the stationary phase.
Pharmacology
Decreases the thickness of the liquid coating in the stationary phase.
157
1
95e133ed-351c-4d1b-a286-6fe4ed5554e2
2022
Which of the ionization systems in mass spectrometry uses reactive gaseous ions to achieve the production of ions?
Bombardment by fast atoms.
Bombardment by electron impact.
Chemical Ionization.
Pharmacology
MALDI (Matrix-Assisted Laser Desorption/Ionization).
158
4
4a429d09-0581-49c0-ba5f-0f632ff28fc3
2022
Which of the following wave parameters of an electromagnetic radiation always remains constant, regardless of the medium of propagation?
Speed.
Frequency.
Wavelength.
Pharmacology
Wavenumber.
159
1
79a4ca2a-d579-419b-af16-5094f83cea0c
2022
The inductive coupling source in atomic emission spectrometry (ICP-AES), also known as the torch, is composed of:
Three concentric tubes through which argon currents flow.
A tube through which a stream of argon flows.
Three concentric tubes through which air-hydrogen currents flow.
Pharmacology
A tube through which a stream of air-hydrogen flows.
160
2
eaaac4f4-1436-41d9-aba8-0ce3769ae458
2022
An increase in temperature results in a broadening of the spectral lines in atomic spectrometry:
Through natural widening and Doppler effect.
By Doppler effect and by pressure.
Due to natural expansion and the Planck effect.
Pharmacology
By Planck effect and by pressure.
161
1
177ec83a-3dfc-44f0-b9ed-1e338d7915f5
2022
A photometric assessment was carried out at a wavelength where neither the analyte nor the reaction product absorb, and only the titrant absorbs. Under these conditions, the absorbance:
It only grows after the equivalence point.
It constantly grows from the beginning to the end of the assessment.
Does not change after the equivalence point.
Pharmacology
It only grows before the equivalence point.
162
2
14834ce9-867f-410e-8685-82927e07d8f9
2022
In an infrared (IR) spectrometer, the molecular chlorine (Cl2):
It generates an absorption band in the region of 2500 cm-1 which corresponds to the bending vibration.
It generates an absorption band in the region of 1500 cm-1 that corresponds to the tension vibration.
Absorption is not observed in the IR region because this molecule lacks a permanent dipole moment.
Pharmacology
It generates an absorption band in the region of 4000 cm-1.
163
4
3009b362-7aa4-4d0e-8986-f56737d6db73
2022
In gas chromatography, elution with a temperature ramp or gradient is the most suitable option for the resolution of analytes.
Volatile substances with very similar boiling points.
Volatile substances with very different boiling points.
Volatile and non-volatile with very similar boiling points.
Pharmacology
Volatile and non-volatile substances with very different boiling points.
164
1
dcef3636-5bab-4261-8c8a-65767c41d6d3
2022
Which of the following detectors for liquid chromatography is incompatible with the gradient elution method?:
Fluorescence.
Absorbance.
Refractive index.
Pharmacology
Electrochemical.
165
4
45e385f0-e8e7-473e-ad14-af7069815e37
2022
If a non-volatile, charge-free solute is added to a pure liquid solvent, forming an ideal solution:
A variation occurs in the vapor pressure of the solution that depends on the nature of the solute.
The vapor pressure of the solution does not change since the solute is not volatile.
There is an increase in the vapor pressure of the solution due to the increase in concentration.
Pharmacology
A decrease in the vapor pressure of the solution occurs that does not depend on the nature of the solute.
166
3
c75ff314-7eba-463a-ad5d-aace88cb65bc
2022
Dilute solutions were prepared in the same solvent of the following non-volatile substances: glucose (C6H12O6), sucrose (C12H22O4), maltotriose (C18H32O16), and glycerol (C3H8O3). The concentration expressed in g/L is the same for all of them. Which one has the lowest freezing point?
Sucrose.
Glucose.
Glycerol.
Pharmacology
Maltotriose.
167
4
1602a854-2dbb-4d15-a871-d6fed08cb349
2022
In a constant temperature experiment of a drug's stability in solution, it is observed that the time required for the drug concentration to be half of the initial (t1/2) is proportional to the initial concentration of this [A0] and inversely proportional to twice the kinetic constant (2k), that is, t1/2=[A0]/(2k). It can be deduced that the kinetics of the process is:
First order.
Zero order.
Of third order.
Pharmacology
Of second order.
168
1
f9755c87-14a1-4223-abdc-40a140c8edba
2022
The internal energy (∆U) of a process that occurs at constant volume in a closed system is:
∆U=qv+w.
∆U=0.
∆U=∆H.
Pharmacology
∆U=qv.
169
3
08924b66-0532-4a15-85fa-c223f962d209
2022
The ideal diluted dissolution model, Henry's law, applied to the solubility of gases in liquid solvents indicates that:
The solubility of a gas in a liquid is directly proportional to Henry's constant, KH.
The solubility of a gas in a liquid is inversely proportional to Henry's constant, KH.
The solubility of a gas is inversely proportional to the pressure above the solution.
Pharmacology
The solubility of a gas in a liquid does not depend on pressure, it is constant.
170
1
f425a0b4-2056-4598-887f-81f6b226d106
2022
What is the correct statement regarding the risk of severe liver damage following an overdose of paracetamol?
Increases in patients with induction of cytochrome P450.
Increases in patients with excess sulfation enzymes.
Increases in patients with induction of glucuronidation enzymes.
Pharmacology
Decreases in patients with glutathione deficiency.
171
2
91b67682-0f77-4442-89c7-6b303908d21b
2022
What type of neurons are affected by the compound 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine, known as MPTP?
Glutamatergic neurons.
Dopaminergic neurons.
Cholinergic neurons.
Pharmacology
Serotonergic neurons.
172
1
b01420c2-210b-4844-8350-da441a403190
2022
Which of the following substituted cyclohexanes has a greater preference for positioning the substituent in the equatorial position in the chair conformation?:
Tert-butylcyclohexane.
Methylcyclohexane.
Hydroxycyclohexane.
Pharmacology
Chlorocyclohexane.
173
2
ffa0c21f-1c90-4f4f-8f9b-6af8babdc683
2022
The formation of carbocations as reaction intermediates occurs in reactions of:
Nucleophilic addition to ketones.
Bimolecular nucleophilic substitution on halogenated derivatives.
Electrophilic addition to alkenes.
Pharmacology
Michael addition.
174
4
ab86155d-5223-42ac-88ac-2de6732b395c
2022
Indicate which of the following amines would be the most basic:
4-Methylaniline.
Aniline.
Methylamine.
Pharmacology
N,N-Diethylamine.
175
3
e6ef91e4-e673-4a58-8542-4e08fcdc175c
2022
For the synthesis of the amino acid alanine, in its racemic form, through a reductive amination process, which of the indicated acids should be used as the starting material?:
2-Chloropropionic acid.
2-Oxopropanoic acid.
2-oxobutanoic acid.
Pharmacology
2-Hydroxypropanoic acid.
176
1
bc1732de-b3b1-4244-96da-769a56eef5a9
2022
Which of the following alcohols is more acidic?:
2,2,2-Trifluoroethanol.
Ethanol.
p-Aminophenol.
Pharmacology
p-Chlorophenol.
177
3
c7c99a48-e7dc-44df-b0c1-6b7908cd689e
2022
Which compound has the highest lattice energy?
MgO.
MgF2.
NaF.
Pharmacology
Na2O.
178
2
8bde2952-67cd-48e7-9d81-45f76620d626
2022
In metals, the electrical conductivity:
Decreases as the temperature increases.
Increases as the temperature increases.
It does not depend on the number of valence electrons.
Pharmacology
It is independent of the temperature.
179
2
19df614f-69e6-4e2a-8d4c-6768f6e9991f
2022
Which of the following proposals orders the orbital functions according to their shielding ability?:
3s < 3p <3d.
1s < 2s < 3s.
3s > 3p > 3d.
Pharmacology
3s = 3p = 3d.
180
4
ac1cf110-dca1-40a2-ab99-2b613e6fb6ea
2022
The molecular structure of xenon tetrafluoride (XeF4) is square planar, what hybridization scheme is consistent with this geometry?
sp3.
sp3d.
sp3d2.
Pharmacology
sp.
181
4
13f26253-7073-4541-a3ea-8335185ade15
2022
The stem and leaf diagram is a:
Distribution of means and medians obtained from different sample sizes.
Botanical classification.
Distribution of frequency of categorical data.
Pharmacology
Distribution of frequencies of a quantitative variable.
183
3
2b7b6baa-1da3-4491-a466-41fc5d7cc27b
2022
In a platykurtic distribution of values of a quantitative variable, the values:
They accumulate in queues as compared to a normal distribution.
They are distributed according to the Normal Law.
They are always distributed asymmetrically.
Pharmacology
They accumulate in the center of the distribution compared to a normal distribution.
184
2
769134f0-ef76-445a-81bd-ebdf473a2961
2022
Indicate which of the following statements about dispersion in a data series is true:
The standard deviation is the average of the differences between each value of the variable and the arithmetic mean of the distribution of values.
The variance is the square root of the standard deviation.
The variance is the average of the sum of squares of the differences between each value of the variable and the arithmetic mean of the distribution of values.
Pharmacology
The variance is the average of the differences between each value of the variable and the arithmetic mean of the distribution of values.
185
4
661addab-c860-4747-8a63-ddf9b2325265
2022
Indicate which of the following statements about percentiles is true:
The quartiles are each of the 4 values of a variable that divide the ordered sample into 4 groups of equal size.
These are not measures of position.
The quartiles are each of the 4 values of a variable that divide the ordered sample into 3 groups of equal size.
Pharmacology
The quartiles are each of the 3 values of a variable that divide the ordered sample into 4 groups of equal size.
186
3
8b185d76-6568-4a3a-9835-cf2e3435482e
2022
Which of the following is not an example of a risk sharing agreement?
The pharmacy of a hospital negotiates a 40% discount on the price of posaconazole from a certain laboratory.
The price at which a hospital pharmacy acquires romiplostim decreases by 20% if the annual purchase exceeds 1,000 units.
The price paid to a laboratory for the purchase of somatropin varies depending on the height the patient grows in a certain period of time.
Pharmacology
A laboratory finances the treatment from the tenth cycle of chemotherapy with its new monoclonal antibody for breast cancer.
187
2
27943c1b-136a-4ab6-af92-38b8745fddce
2022
Which of the following active ingredients does not have a biosimilar?:
Erlotinib.
Filgrastim.
Enoxaparin.
Pharmacology
Glargine Insulin.
188
2
1abc1cfc-5aa0-4e8e-a012-5b546e8a39b9
2022
What is true regarding the Official Nomenclature of Pharmaceutical Provision?:
It is the Database of the Ministry of Health regarding pharmaceutical provision in the National Health System.
It is the entity responsible for assigning each active ingredient its Spanish Common Name (DOE).
It is a department of the Spanish Agency of Medicines and Medical Devices (AEMPS) responsible for the evaluation of generic medicines.
Pharmacology
It is the committee responsible for accepting or denying the brand name as the denomination of the medication.
189
2
5ad8af34-e769-4f9d-843b-63057440af23
2022
The design and execution of a multicenter clinical trial is complex and requires the participation of multiple stakeholders. Which of the following statements is correct?:
The principal investigator is the individual, company, institution or organization responsible for initiating, managing and arranging the financing of a clinical trial.
The monitor cannot be part of the research team.
The monitor is the person in charge of conducting the clinical trial at a clinical trial center.
Pharmacology
The investigator's manual is the document where the objectives, design, methodology, statistical considerations, and organization of a clinical trial are described.
190
1
db0b7968-84b3-4027-ade1-5e1171cddf9b
2022
Which of the following options is incorrect in relation to the so-called advanced therapy medicinal products?
An advanced therapy medication, not industrially manufactured and produced in a hospital institution, can be exported to other hospitals that request it without the need for new authorizations.
This denomination includes gene therapy drugs, somatic cell therapy drugs, tissue engineering drugs or products, and combined advanced therapy drugs.
The T cell therapy with chimeric antigen receptors (CAR-T) is an example of an advanced therapy medicinal product.
Pharmacology
An implant tissue that has not been substantially manipulated and is going to be used with the same essential function in the donor and recipient would not be considered an advanced therapy despite using cells.
191
2
a7b18964-2b47-40aa-b2c5-39556597bf29
2022
The recognition of self antigens is synonymous with autoimmune disease. Indicate whether this statement is true or false:
True, because our repertoire of T and B lymphocytes is self-reactive and this is the only factor associated with autoimmunity.
False, because the autoimmune disease only triggers if antigens from pathogens that mimic self-antigens are recognized.
True, because autoimmunity is always triggered whenever there is recognition of autoantigens.
Pharmacology
False, because the recognition occurs to maintain the pool of T or B lymphocytes and additional factors are required to break tolerance.
192
3
74eceb42-b2e9-4cbd-b9b0-a625d53a0859
2022
Which molecules will be involved in the processing and presentation of antigens from a pathogen that enters the antigen-presenting cell via the endocytic route to induce a good immune response?
Class II MHC, calreticulin, ERP57, CLIP.
Invariant chain, HLA-DM, TAP.
CLIP, HLA-DM, HLA-DQ.
Pharmacology
CD4, invariant chain, tapasin, calnexin, HLA-DR.
193
4
e1f35d27-9a5e-4c62-9116-e5f84071bab5
2022
In which of the following situations would the classical pathway of the Complement System not be activated to induce inflammation?:
Gram-negative bacteria recognized by IgA.
Gram positive bacteria recognized by IgM.
Gram-negative bacteria opsonized by C-reactive protein.
Pharmacology
Gram positive bacteria opsonized with IgG.
195
2
8ba1c260-e88c-4031-bdf5-48c3e4dae104
2022
Which statement is a characteristic of memory T cells?:
They are quiescent, with increased reactivity to antigen exposure and therefore responsible for autoimmunity.
They are of constant proliferation without antigen and of increased reactivity to antigen exposure.
They are immortal and activate naive T cells through the secretion of cytokines.
Pharmacology
They are quiescent and have increased reactivity to antigen exposure.
196
3
11f818f8-0e10-47bf-b2cd-92939d36b22a
2022
Which circulating blood cells differentiate into macrophages in the tissues?
Immature macrophages.
Neutrophils.
Circulating myeloid progenitor cells.
Pharmacology
Monocytes.
197
3
97dc97bb-86e6-4d25-af9c-56116b1727f3
2022
What is the main function of the thymus?
It is the organ where memory lymphocytes reside until senescence.
It is the organ where senescent T lymphocytes go to die.
It is the organ where the maturation of T lymphocytes occurs.
Pharmacology
It is the organ where the activation of T lymphocytes specific to an antigen is induced.
198
4
048bc7d8-8384-4edb-8c4d-94fa23932579
2022
The functions of dendritic cells during an infection are:
Migrate from the infection site to the lymph node to produce anti-inflammatory cytokines to activate T lymphocytes.
Phagocytize microbes and eradicate them, secrete inflammatory cytokines (TNFα and IL-1) to promote local inflammation.
Present antigens to the T lymphocytes at the site of infection.
Pharmacology
Transport antigens from the site of infection to the lymph node to present them to the T lymphocytes.
199
3
de0592fc-e2e0-486b-8bab-ecc62185604b
2022
What is the function of CD4+ Th17 lymphocytes?
Produce IL-1, IL-7 and induce an anti-inflammatory response.
Produce IL-1, IL-7 and induce an inflammatory response.
Produce IL-17 and induce an anti-inflammatory response.
Pharmacology
Produce IL-17 and induce an inflammatory response.
200
3
bfca53a1-7910-4630-afa1-b503f9df37a4
2022
Of the following fundamental structures, which one would you select to design an anxiolytic agent?
Dibenzo[b,f]azepine.
Phenothiazine.
1,4-benzodiazepine.
Pharmacology
1,2-benzodiazepine.
201
4
364bdb33-f812-4501-998e-3fbb85c61553
2022
Which of the following statements about Listeria monocytogenes is incorrect?:
Forms catalase and CAMP positive colonies.
It is a gram-positive bacillus.
It has intrinsic resistance to ceftriaxone.
Pharmacology
It does not grow in blood cultures.
202
3
1f336b42-80a8-43e4-a3b3-e4b7f1e5961e
2022
The afferent pathway of the photomotor reflex begins in the retinal photoreceptors and continues through the fibers of the optic nerve to the pretectum, where they make synapses with neurons, which then connect with a nucleus called:
Edinger-Westphal Nucleus.
Geniculate nucleus.
Deiters' Nucleus.
Pharmacology
Budge's ciliospinal nucleus.
203
2
e9881bc7-d97c-4df5-bbb7-081083e28912
2022
A 70-year-old patient, during a surgical procedure, is being treated with unfractionated heparin. 7 days after the start of treatment, she presents with a platelet count of 87,000/µL (200,000 platelets/µL at the start). What measure should be taken?:
Switch to low molecular weight heparin.
Administer protamine sulfate.
Stop the heparin and administer fondaparinux.
Pharmacology
Administer a platelet concentrate.
204
4
2d5b42e7-0116-4d96-948c-cf5c7e3f83f2
2022
Which of the following statements about vancomycin is incorrect?:
It is used orally in the treatment of gastrointestinal infections caused by Clostridioides difficile.
It is an antibiotic from the group of lipopeptides, similar to teicoplanin.
Its mechanism of action is to inhibit the synthesis of the bacterial cell wall.
Pharmacology
It produces adverse effects such as rashes, ototoxicity, and nephrotoxicity.
205
1
cc52169d-46a9-4a1e-9398-9365ae0c30d0
2022
Indicate, from the following NSAIDs, the drug that shows greater selectivity for COX-2:
Ibuprofen.
Acetylsalicylic acid.
Diclofenac.
Pharmacology
Naproxen.
206
4
06cfe3e6-2977-40e3-a92d-62d2737ce1f7
2022
In which of these administration routes is there a greater loss due to hepatic metabolism?:
Percutaneous.
Transpulmonary.
Rectal.
Pharmacology
Oral.
207
3
8d07676d-1743-440c-b7b4-2286996e42fb
2022
Which of the following plasma proteins is usually not observed in the serum protein profile?:
Haptoglobin.
Prealbumin.
Retinol binding protein.
Pharmacology
Ferroxidase.
208
1
16f3b06c-2eeb-43af-a2f1-9561abc07298
2022
A mass spectrum is the representation of the relative abundance of ions against:
Mass of the ions.
Charge of the ions.
Charge/mass ratio of ions.
Pharmacology
Mass/charge ratio of the ions.
209
3
46148587-7afe-4c22-865d-c14af7372a89
2022
What antidote is indicated for an overdose of anticoagulants like warfarin?
Flumazenil.
Idarucizumab.
Vitamin K.
Pharmacology
Andexanet.
210
4
adbed735-b538-4129-8602-e5a313340487
2022
The orthopramides are a group of antipsychotics that are structurally characterized by being:
Benzoates with a methoxy group in ortho position.
Benzamides with a methoxy group in ortho position.
Benzoates with an amino group in ortho position.
Pharmacology
Benzamides with an ortho amino group.
1
1
7889a4f8-266a-4128-8e17-5ae0707bdf56
2021
Molecules that have similar physical and chemical properties and produce similar physiological effects are called:
Conformational Isomers.
Structural Isomers.
Enantiomers.
Pharmacology
Bioisosteres.
2
3
cb7227d5-c161-4b0c-9d97-95ba44fc3042
2021
What is the reactive species that is formed during the bioactivation process of the antitumor drug dacarbazine (triazenoimidazole derivative)?:
Aziridinium cation.
Hydroxyl radical.
An imino group.
Pharmacology
Methyldiazonium cation.
3
3
b02a0307-8b32-4647-8970-1c7592fa5347
2021
What is suxamethonium (succinylcholine) in relation to decamethonium?
A soft analog.
A prodrug.
A more lipophilic analog.
Pharmacology
A competitive antagonist.
4
2
040cf63a-230b-49b6-87d5-701db082e01f
2021
Captopril, the first marketed inhibitor of angiotensin-converting enzyme (ACE), has a thiol group (mercapto). Why has this group not been retained in subsequently designed analogues?
A carboxylic group interacts better with the zinc cation of the metalloenzyme.
It is not important for the activity of captopril.
Because the organoleptic properties of the analogues are improved.
Pharmacology
Its presence is associated with side effects, such as the occurrence of skin rashes.
5
3
4a7b4fb5-6b29-42a6-a373-8d019169b52b
2021
Benzyl chloroformate, also known as benzyl chlorocarbamate (Cl-Cbz), is a reagent widely used in peptide synthesis. What is its purpose?:
Protect a carboxylic group.
Protect an amino group.
Couple an amino group with a carboxylic group.
Pharmacology
Activate a carboxylic group.
6
1
44b93e69-c9af-4681-80cf-7e472adab1b9
2021
Indicate the correct answer in relation to aryloxypropanolamines that act selectively on beta-1 adrenergic receptors:
The aryl group must be a condensed cycle to establish a strong hydrophobic interaction with the target.
They have a small substituent on the nitrogen.
The amine must be tertiary.
Pharmacology
They present a substituent in the para position of the aromatic ring, which establishes an additional hydrogen bond with the target.
7
3
6a9414ba-b0d1-4a94-abd4-6724b81becb3
2021
What structural requirement must be present in testosterone derivatives for them to be active orally?
A fluorine atom at the alpha 9 position.
An ester group in the 17 beta position.
A heteroatom at position 2.
Pharmacology
A substituent at the 17 alpha position.
8
3
69e26d87-638d-47e6-bc00-693df53c21a3
2021
Which of the following structure-activity relationships is not correct for morphine?
The N-phenethylnormorphine has a more potent analgesic action than morphine.
The presence of a cyclopropylmethyl group on the nitrogen leads to compounds with partial agonist activity.
The reduction of the double bond decreases the analgesic activity.
Pharmacology
The alkylation of the phenolic hydroxyl reduces the analgesic activity.
9
4
961fc5d9-34e2-4cde-a828-371e0ce614cb
2021
Which of the following compounds can be considered a prodrug?:
Tolazamide.
Omeprazole.
Salbutamol.
Pharmacology
Fentanyl.
10
1
4ba9210f-d1bd-4876-a478-926a2e05d50c
2021
What is the role of the cyano group in cimetidine?
It hinders its first pass hepatic metabolism.
It reduces the basicity of the guanidine fragment, facilitating the passage of the drug through membranes.
Increases its affinity for transport proteins, aiding in its passage through membranes.
Pharmacology
Contributes to the electron-accepting nature of the side chain compared to the imidazole ring.
11
1
e0f71f50-dfe7-42c8-bf11-d50dd5376f4f
2021