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In the hepatic biosynthesis of palmitate in mammals:
The limiting stage of the pathway is catalyzed by the biotin-dependent acetyl Co-A carboxylase.
The following molecules are consumed: 7 malonyl-CoA + 1 acetyl-CoA + 7 ATP + 14 FADH2.
Two reduction reactions take place, catalyzed respectively by the acyl-CoA dehydrogenase and the L-3-hydroxyacyl-CoA dehydrogenase.
Pharmacology
During the action of fatty acid synthase, the formed intermediates remain covalently attached to the sulfhydryl group of coenzyme A.
115
2
4738054d-7fa3-40be-8f23-8002d21dba32
2021
In the biosynthesis of cholesterol and the ketone bodies acetoacetate and beta-hydroxybutyrate, it can be affirmed that:
The enzyme hydroxymethylglutaryl-CoA (HMG-CoA) reductase participates in both pathways.
These are pathways that are activated when acetyl-CoA concentrations are low.
The formation of hydroxymethylglutaryl-CoA (HMG-CoA) is carried out in the cytosol during cholesterol biosynthesis and in the mitochondria during the synthesis of ketone bodies.
Pharmacology
The enzymes involved in ketogenesis and cholesterogenesis are located in the cytosol.
116
4
29874998-0305-4a86-bfb0-6ff5b8740db9
2021
The open reading frame of a gene is:
The starting place of transcription.
The sequence of the proximal promoter.
The DNA sequence comprised between a start codon and a stop codon.
Pharmacology
The sequence of introns.
117
4
ff9e904c-b8f1-4b92-b5bf-a085daa8eba4
2021
The vectors with the greatest cloning capacity are:
Yeast Artificial Chromosomes (YACs).
Plasmids.
Artificial bacterial chromosomes (BACs).
Pharmacology
Cosmids.
118
2
8c91d9f0-7fac-4090-8874-2638302ada3d
2021
The PCR (polymerase chain reaction) can be defined as:
Method of DNA cloning in a cellular system.
Technique for in vitro amplification of specific DNA sequences.
Oligonucleotide synthesis method.
Pharmacology
Enzyme-mediated amplification technique.
119
1
30c188bb-d047-445e-be34-ab8ae06b858e
2021
The unwinding and overwinding of DNA are controlled by enzymes:
Topoisomerases.
Helicases.
Telomerases.
Pharmacology
DNA ligases.
120
2
6ee0fc2f-fc47-4f0b-bffd-4adfa795774d
2021
As for the DNA repair by base excision, which statement is true?:
The DNA photolyase enzymes participate.
Apyrimidinic or apurinic sites are generated.
Thymine dimers participate.
Pharmacology
Requires blue light.
121
1
87e03594-5a4f-41a1-beae-1aa4b5c82e00
2021
Regarding heterochromatin, which statement is false?:
The transcription of a eukaryotic gene is strongly repressed when its DNA is condensed into heterochromatin.
It is transcriptionally active.
It is in a more condensed state than the rest of the chromatin.
Pharmacology
It is associated with the centromeres.
122
1
57cf3bbd-cae7-474c-996c-ed743b7b42ee
2021
Among the following possible causes of hypercalcemia is not found:
Cancer.
Primary hyperparathyroidism.
Excess of vitamin D.
Pharmacology
Acute pancreatitis.
123
3
dbee8615-bead-4b74-a76f-5f714c2f4678
2021
Which of the following analytical parameters does not intervene in the calculation of the anion gap?
Bicarbonate.
Sodium.
Chloride.
Pharmacology
Lactate.
124
3
baabc0f8-b057-454f-b3b7-6435c726f7fc
2021
Regarding the acute complications of diabetes mellitus (diabetic ketoacidosis and nonketotic hyperosmolar coma), indicate the false answer:
One of the triggering factors in both can be an infection.
Hyperosmolar nonketotic coma is the most frequent acute complication in type 1 diabetics.
In diabetic ketoacidosis, there is an increase in the concentration of NADH, which promotes the production of beta-hydroxybutyrate.
Pharmacology
In nonketotic hyperosmolar coma, insulin production prevents ketosis.
125
1
b27af30f-55db-4b8d-99a4-06c7043b2758
2021
Which of the following apolipoproteins activates lecithin cholesterol acyltransferase (LCAT)?:
Apo AI.
Apo B100.
Apo CII.
Pharmacology
Apo E.
126
2
9041c9a6-2042-4b1b-920a-b5ba6f3980ea
2021
Which of the following plasma proteins is useful as a short-term nutritional marker?:
Haptoglobin.
Prealbumin.
Beta2 microglobulin.
Pharmacology
Albumin.
127
1
d131fe10-ed9c-4d67-8c68-6d999202907a
2021
What is not a metabolic consequence of deficiencies in mitochondrial beta oxidation of fatty acids?:
Hyperketonemia.
Lower ability to obtain energy.
Hypoglycemia.
Pharmacology
Hyperammonemia.
128
2
3923a477-3d72-47a1-b23c-b3f712322590
2021
To achieve the maximum buffering capacity in a buffer, prepared by mixing a base and an acid at the same concentration in the correct proportion of both, the pKa of the acid should be:
± 2 units of the desired pH value.
± 1 unit from the desired pH value.
± 4 units from the desired pH value.
Pharmacology
± 3 units of the desired pH value.
129
1
68244f2a-a734-4da1-a549-b472e0604581
2021
The ability of an analytical method to not undergo alterations when the experimental conditions in which it is developed slightly vary, is known as:
Precision.
Accuracy.
Robustness.
Pharmacology
Selectivity.
130
4
0c6d7586-cf7b-4c4d-98db-39dd78b8436f
2021
In redox assessments, if a visual indicator is used to detect the end point of the assessment, the normal potential of the indicator should be approximately equal to:
Normal potential of the redox pair of the analyte.
Potential of the equivalence point in titration.
Normal potential of the solvent in which the titration reaction takes place.
Pharmacology
Normal potential of the redox pair of the titrant.
131
1
924e5c57-df7a-4447-8345-3a29093d0273
2021
In a complexometric evaluation in the presence of auxiliary complexing agent and at a certain pH, it holds that the conditional formation constant KF'' is:
Greater than the conditional formation constant KF'.
Greater than the absolute formation constant KF.
Less than the conditional formation constant KF'.
Pharmacology
The same as the conditional formation constant KF’.
132
4
44a4ba43-dc22-4237-8428-61ed4064fad9
2021
The pH of a 0.1 M NaHCO3 solution compared to a 0.01 M NaHCO3 solution:
It is a smaller unit since the concentration of the salt is 10 times higher.
It is a larger unit since the concentration of the salt is 10 times greater.
The pH is the same for both solutions because they are sodium salts.
Pharmacology
The pH is the same for both solutions as it depends on the values of the constants Ka1 and Ka2.
133
3
3d375bde-c910-4675-bb30-effe5a18b651
2021
For a first-order kinetic reaction, the Arrhenius equation (k= A·e(-Ea/RT)) states that:
The activation energy (Ea) is temperature dependent.
The pre-exponential factor (A) defines the frequency of effective collisions.
The kinetic constant (k) decreases as the activation energy (Ea) increases.
Pharmacology
The kinetic constant (k) decreases as the temperature increases.
135
4
1ad019c7-9aee-44f5-9b21-0243b5562548
2021
The integrated Clausius-Clapeyron equation for liquid-vapor equilibrium, establishes that when the external pressure decreases:
The vaporization temperature decreases.
The vaporization temperature increases.
The enthalpy of vaporization decreases.
Pharmacology
The enthalpy of vaporization increases.
136
2
1aa1d896-6b67-412d-93e8-9aad9c85eb8b
2021
Henry's Law states that for an ideal diluted solution:
The solubility of a gas in a solution is inversely proportional to Henry's constant for that gas.
The solubility of a gas in a solution is proportional to the Henry's constant for that gas.
Henry's constant does not depend on the nature of the gas.
Pharmacology
By reducing the partial pressure of the gas, the solubility in the solution increases.
137
2
94404bee-8d75-4337-b56e-ec62b78c963a
2021
Chemically modified silica chromatographic columns, C18, are used in chromatography of:
Partition (distribution) in reverse phase.
Partition (distribution) in normal phase.
Size exclusion.
Pharmacology
Ion exchange.
138
2
b2ec3b76-c9dd-473e-8de4-536aff175dff
2021
What effect is observed in the UV-Vis absorption spectrum when replacing the -C=C- grouping present in a compound with the conjugated -C=C-C=C- grouping?
Bathochromic shift and hypsochromic effect.
Bathochromic shift and hyperchromic effect.
Hypsochromic shift and hypochromic effect.
Pharmacology
Hypsochromic shift and hyperchromic effect.
139
1
6cda12df-39b2-4752-85cf-8dd931c80375
2021
The convergence of the two factors specified below results in a clear increase in fluorescence intensity:
The increase in the viscosity of the solution and the presence of dissolved oxygen in the medium.
The decrease in the viscosity of the solution and the absence of dissolved oxygen in the medium.
The increase in the temperature of the solution and the presence of dissolved oxygen in the medium.
Pharmacology
The decrease in the temperature of the solution and the absence of dissolved oxygen in the medium.
140
3
3bef08bd-69d6-411f-a1b3-c1968e187d04
2021
Which of these coupled techniques is the choice in the quantitative determination of metallic elements?
Infrared absorption spectrometry - mass spectrometry (IR-MS).
Gas chromatography - mass spectrometry (GC-MS).
Atomic absorption spectrometry - mass spectrometry (AAS-MS).
Pharmacology
Inductively coupled plasma - mass spectrometry (ICP-MS) atomic emission spectrometry.
141
3
c44f4fbb-e82a-406d-a935-e281945b01c3
2021
Which of the following detectors is considered a universal detector in HPLC?:
Fluorescence detector.
Infrared detector.
Voltamperometric detector.
Pharmacology
Refractive Index Detector.
142
3
55cf02ea-95e4-4153-827f-4603aafb5214
2021
Which of these potentials is directly proportional to the log ai, where ai is the activity of the analyte ion?
Liquid-junction potential.
Asymmetry potential.
Surface potential.
Pharmacology
Diffusion potential.
143
4
d0eb097b-bf41-4683-8ceb-37542cf435ef
2021
In a mass spectrometer with a time-of-flight ion analyzer, the first ions to reach the detector are:
Those with higher mass.
Those of lesser mass.
Those with lower charge.
Pharmacology
Those with the highest load.
144
1
220a292e-b22f-4426-9f67-5048ff10972c
2021
Which of the following characteristics is unique to the graphite furnace as an atomizer compared to the flame?:
The sample is consumed continuously.
Does not allow the analysis of solid samples.
It is useful for microsamples.
Pharmacology
Requires a large amount of sample.
145
4
724c74ee-f0fe-4ac5-8870-e9f9b051544a
2021
Fluorescence is a luminescent process of photon emission that is characterized by bringing molecules to the excited state through energy:
Provided by heat.
Provided by electrical discharges.
Generated during the course of a chemical reaction.
Pharmacology
Provided by UV or visible photons.
146
3
659f98f5-ea16-4ef8-b44c-b387d6142e39
2021
Which of the following symptoms of cardiotoxicity is not common after a cocaine overdose?:
Parasympathomimetic effects.
Myocardial infarction.
Arrhythmias.
Pharmacology
Myocardial ischemia.
147
2
eba01bc6-5d1b-48e1-8cef-803b8c24842b
2021
What treatment is recommended for a patient poisoned by an organophosphorus insecticide?
Succinylcholine.
Morphine.
Acetylcholine.
Pharmacology
Atropine.
148
3
18699468-b16a-446f-818c-f02f3cb37457
2021
Dimethylcyclohexane has three isomers with the methyl groups occupying the 1,2-, 1,3- and 1,4- positions of the molecule. Which of the following isomers presents a more stable chair conformation?
Trans-1,2-dimethylcyclohexane.
Cis-1,2-dimethylcyclohexane.
Cis-1,4-dimethylcyclohexane.
Pharmacology
Trans-1,3-dimethylcyclohexane.
149
2
15a0da80-b21c-40de-a35e-6ea550f5ed83
2021
Which of the following reactions is used for the synthesis of beta-hydroxycarbonyl compounds?
Michael reaction.
Aldol Reaction.
Cannizzaro Reaction.
Pharmacology
Claisen Reaction.
150
1
795181df-a100-488d-9990-796ddcfc1513
2021
Which of the following molecules can have a meso stereoisomer?:
2,3-dihydroxybutanoic acid.
3-Amino-2-butanol.
2,3-Pentanediol.
Pharmacology
2,3-Butanediol.
151
3
cbd505cf-1b82-4262-b26b-f3993091557e
2021
The Gabriel synthesis is used for the preparation of:
Amines.
Amides.
Amino Acids.
Pharmacology
Diazonium salts.
152
2
330add47-1da3-4248-bcb9-16a3273497de
2021
Which of the following is primarily an ionic compound?:
Boron trifluoride (BF3).
Carbon dioxide (CO2).
Hydrogen chloride (HCl).
Pharmacology
Calcium Fluoride (CaF2).
153
3
f81ff833-3f82-4420-8b9d-235a0e986d9d
2021
If the electronic configuration of the Co3+ ion is [Ar]3d6, a low-spin octahedral complex of Co3+ will have the following number of unpaired electrons:
Three.
Six.
Four.
Pharmacology
None.
154
3
4163d362-f7e6-474b-b31e-5538e60c114f
2021
Indicate the correct statement:
The radius of an anion is larger than that of its neutral atom.
The radius of a cation is larger than that of its neutral atom.
Ions with the same charge have the same size.
Pharmacology
Isoelectronic ions have the same ionic radius.
155
2
ea05ba57-f658-4a68-a0fb-c2ed605ed398
2021
Which of the following is a nonpolar molecule with polar bonds?:
PF3.
N2.
SO2.
Pharmacology
BF3.
156
3
978e3c3e-614f-43ad-9031-181336bda721
2021
If two atomic orbitals s from two different atoms are combined (overlap), it will form:
A hybrid s2 orbital.
A molecular orbital σ (sigma) bonding and another anti-bonding.
A bonding molecular orbital sigma (σ) and another non-bonding one.
Pharmacology
A bonding molecular π (pi) orbital and another anti-bonding one.
157
1
5f59d9b1-bad2-40a0-b9ff-420a6ae71b79
2021
In regards to a random variable x characteristic of a given population in which a sample of n subjects has been selected, it is called:
Statistic: any descriptive measure related to the variable x in the population.
Parameter: Any descriptive measure related to the variable x in the population.
Statistic: any non-descriptive measure related to the variable x in the sample.
Pharmacology
Parameter: any non-descriptive measurement related to the variable x in the sample.
158
1
81bb46e6-2085-44a8-996a-41c56c0acecb
2021
The positive predictive value of a diagnostic test for a disease depends on:
Of the specificity of the test, but not of its sensitivity nor the prevalence of the disease.
Of the sensitivity of the test, but not of its specificity nor the prevalence of the disease.
Both the sensitivity and specificity of the test as well as the prevalence of the disease.
Pharmacology
Of the sensitivity and specificity of the test, but not of the prevalence of the disease.
159
4
00aac353-1eec-474e-8bec-1cfa7294f9d7
2021
The nationality of the patients included in a clinical trial is a variable:
Categorical with more than 2 categories.
Binary categorical.
Discrete quantitative.
Pharmacology
Ordinal categorical.
160
2
5351752c-8e20-40dd-86b5-87b009d60539
2021
The α (alpha) value in a prediction interval of a proportion indicates the probability of:
Contain the sample proportions p.
Contain the proportion of the population π (pi).
Do not contain the sample proportions p.
Pharmacology
Do not contain the proportion of the population π (pi).
161
4
ed4a4bf7-50ab-417c-9312-b3c484dcc21e
2021
What is the validity period of the first authorization of a medication?
5 years.
3 years.
Undefined.
Pharmacology
10 years.
162
2
34f15101-21d5-4c04-8169-de7ed7d075eb
2021
The permanent body for communication and information of the various Health Services, both among them and with the State Administration, is:
The Interterritorial Council of the National Health System.
The Comprehensive Health Plan.
The Institute of Health Information.
Pharmacology
The Agency of Quality of the National Health System.
163
2
fc866fdd-8e9b-4f0a-a542-4e4e5b4aa2d8
2021
The TSI 001 code applies to the official prescriptions of the National Health System:
For users exempt from contribution.
For users with a reduced contribution of 10%.
For prescriptions of non-subsidized medications and health products.
Pharmacology
For users with a contribution of 40%.
164
2
f6ac3d72-e811-49c2-a08f-aaef098d020e
2021
The technical responsibility for the acquisition of medications in hospitals corresponds to the Service of:
Hospital Pharmacy.
Clinical Pharmacology.
Hospital Pharmacy, in collaboration with Clinical Pharmacology.
Pharmacology
Supplies.
165
2
070a6ba1-6c29-43f0-81fb-544690493b17
2021
Establishing a drug information service for all hospital staff, an in-hospital pharmacovigilance system, systematic studies of drug utilization, and activities of clinical pharmacokinetics, is the function of:
The Hospital Pharmacy Service.
The Clinical Pharmacology Service.
The Hospital Pharmacy Service in collaboration with the Clinical Pharmacology and other clinical services of the hospital.
Pharmacology
The direction of the hospital.
166
4
4c7876f0-3cc3-465a-9daa-9fc2e26626c8
2021
What is an adjuvant in a vaccine?
A contamination of the antigen purification, without effect on the immune system.
An immune system activator to increase the efficacy of the vaccine.
A component of the vaccine to minimize harm to the patient.
Pharmacology
An antigen purity enhancer to increase the specificity of the vaccine.
167
1
1d92d040-d2a6-4b19-b423-c05eb29cd6d1
2021
Which circulating blood cells differentiate into macrophages in tissues?
Monocytes.
Neutrophils.
Circulating myeloid progenitor cells.
Pharmacology
Immature macrophages.
168
2
ace5de09-5150-4a28-bce8-19050ae90da5
2021
Where does the activation of T lymphocytes specific for an antigen occur?
In any place where they encounter the antigen.
In the lymph nodes, through contact with dendritic cells.
At the site of infection, when coming into contact with the pathogen.
Pharmacology
In any place where you find an immature dendritic cell.
169
1
4b06905c-3f5a-4645-8e89-b8695825042f
2021
Multivalent antigens of microbial origin can activate B lymphocytes through the receptor of:
B lymphocyte (BCR) and signals provided by the union of microbial products to pattern recognition receptors, but without the help of the T lymphocyte.
B lymphocyte (BCR) signals provided by the binding of microbial products to pattern recognition receptors and with the essential help of T lymphocytes.
B lymphocyte (BCR) and cytokines provided by helper CD8+ T lymphocytes.
Pharmacology
T lymphocyte (TCR) and signals provided by the binding of microbial products to pattern recognition receptors.
170
2
9fe1f7eb-bdcf-4d56-8351-18a276ea8b49
2021
B cells are activated and differentiate into plasma cells that secrete high affinity antibodies in:
The lymph nodes.
The thymus.
The moment when the antigen binds to the TCR and receives stimulation from a dendritic cell.
Pharmacology
The bone marrow.
171
2
0b08bff1-2aa8-4d2e-84ae-625aed1227b3
2021
T lymphocytes with alpha/beta TCR, CD4+ or CD8+ predominate in the periphery, but there are other subpopulations. What are the TCRs and the main ligands of these subpopulations?
Cells: T CD4+ regulatory - TCRalpha/beta. Non-peptide and MHC-unrestricted ligands.
Cells: T CD8+ - TCRalpha/beta. Ligands: peptides presented by MHC-II.
Cells: NKT - TCRalpha/beta. Ligands: lipids presented by CD1.
Pharmacology
Cells: T gamma-delta - TCRgamma/delta. Ligands: hydrophobic peptides presented by MHC-II.
172
4
ba57bfa1-da37-4290-8a5e-398bc0dcb6af
2021
Opsonization refers to:
The fixation of complement proteins and/or antibodies on the surface of particulate antigens to facilitate their phagocytosis.
The mechanism of natural immunity for pathogen lysis mediated by lysozyme.
The interaction of antibodies with Fc receptors expressed in phagocytic cells (ADCC), which facilitate phagocytosis.
Pharmacology
The fixation of cytokines on the surface of particulate antigens, which facilitate their phagocytosis.
173
2
b77c7545-e9c7-455c-87cd-c10ce6216ac5
2021
Which of the following relationships between molecules and function is incorrect?:
TCR-CD8 - peptide/MHC I, first activation signal of cytotoxic T lymphocytes.
TCR-CD4 - peptide/MHC II, first activation signal of helper T lymphocytes.
CD40 - CD40L, second activation signal of B lymphocytes.
Pharmacology
CTLA4 - CD80/86, second activation signal of helper T lymphocytes.
174
3
4d07f29f-68e1-4f31-ae7d-a9123c1f2894
2021
The general processing of exogenous antigens occurs:
Through all the nucleated cells of the organism.
After the presentation by the APCs.
In the form of peptides by proteolytic enzymes of the cytosol.
Pharmacology
In the endosomal compartments with low pH.
175
3
a8fa3912-439d-4aae-8f53-79eddd919e57
2021
The susceptibility to developing an allergic reaction can be inherited due to a genetic predisposition that favors the production of IgE antibodies. However, the antigen to which an individual is allergic is not inherited. Which of the following statements better explains this apparent contradiction?:
The MHC molecules, which present the allergen to the B cells, are inherited.
The repertoire of B lymphocytes from the progenitor is not inherited; the rearrangement of the BCR is random and independent of the antigen.
In response to the allergen, atopic individuals produce more IL-4, which induces the isotype switch to IgE.
Pharmacology
The repertoire of B lymphocytes in atopic individuals is skewed and therefore there will always be specific IgEs for the allergen.
176
4
27bf36d1-401d-4ec4-88ae-cfc697888351
2021
Indicate which of these statements is not true regarding the Spearman correlation coefficient:
It is used to compare quantitative variables.
It is used to verify linear relationships.
It is calculated from orderings of values.
Pharmacology
It is greatly affected by values that are abnormally far from the central values.
177
3
579a72ff-99ce-404f-a1c8-9c765e3f136b
2021
Which of the following statements about brucellosis is correct?:
It is an endemic disease in the Mediterranean basin.
It is also known as Carrion's disease.
It is a disease exclusively found in humans.
Pharmacology
The treatment of choice is doxycycline combined with rifampicin for at least 2 weeks.
178
2
8475acb8-1d79-469e-ab57-ee34fdfa8bd1
2021
Metronidazole is a derivative of nitroimidazole that is used as an antiparasitic and against anaerobic bacteria and whose mechanism of action, once inside the bacterial cell, is based on:
Its oxidation and formation of electrophilic species, which act on the DNA.
Its reduction and the subsequent formation of free radicals, which act on the DNA.
The inhibition of aromatase.
Pharmacology
Its action as a DNA intercalator.
179
1
16f437a0-3be4-41d1-bc47-a30ae58b6b28
2021
Which drug can be combined with cyclophosphamide to reduce its renal toxicity and why?
Aliskiren, for inhibiting the formation of a toxic metabolite.
Propranolol, for reducing blood pressure.
Probenecid, because it blocks the renal secretion of the drug.
Pharmacology
Sodium 2-mercaptoethanesulfonate, as it is a nucleophile.
180
3
ca80c8a2-d3f0-4f54-bae1-efff5ca17b86
2021
A drug with low intestinal permeability and with a solubility such that the maximum unit dose is completely dissolved in 200 mL of different buffered aqueous solutions with a pH between 1 and 7.5, to which class of the Biopharmaceutical Classification System (BCS) does it belong?
Class II.
Class I.
Class IV.
Pharmacology
Class III.
181
3
2385b373-68ce-4258-a6b3-26e56331f139
2021
What characterizes secondary active transport?
That takes advantage of the energy released in the hydrolysis of the ATP molecule to transport another molecule or ion against the concentration gradient.
That utilizes the energy released by the transport of an ion along the concentration gradient to transport another molecule or ion against the concentration gradient.
That it does not require energy as it takes advantage of the diffusion of molecules in hydrophobic molecular environments.
Pharmacology
That takes advantage of the concentration gradient in such a way that it always acts in favor of it.
182
1
0ec9b6ee-bbd3-4762-9018-6739195c7015
2021
Which of the following drugs prevents the formation of thrombi by inhibiting Factor Xa?:
Prasugrel.
Tirofiban.
Apixaban.
Pharmacology
Protamine sulfate.
183
4
3c710741-270e-40bf-b750-2d98912856dd
2021
Indicate the correct relationship between active ingredient/pharmacological activity:
Cathinone/nicotinic receptor agonist.
Ephedrine/muscarinic blocker.
Physostigmine/cholinesterase inhibitor.
Pharmacology
Pilocarpine/alpha-2 adrenergic receptor blocker.
184
4
cbbbe6c6-f57f-4d29-98a2-613b67edd04a
2021
Indicate the correct answer regarding the group of toxins known as "polychlorinated biphenyls":
They act as estrogen disruptors.
They are pollutants with little persistence in the environment.
The effects of these compounds on the thyroid gland are not known.
Pharmacology
Mostly they are substances of natural origin.
185
2
4935daca-fce6-4ffe-b2bd-b99862fba2db
2021
What is the general chemical structure of catechol-O-methyltransferase inhibitors?
3,5-Dihydroxyacids.
Propargylamines.
5-Nitroimidazoles.
Pharmacology
Nitrocatechols.
1
3
dd5c1858-5ca1-45ed-bf16-d2663603d9f7
2020
Vildagliptin is a dipeptidyl peptidase IV (DPP IV) inhibitor used in the treatment of Type II diabetes. What is the fragment responsible for its covalent binding to the target?
Diphenylpropylamine.
Cyanopyrrolidine.
Sulfonylurea.
Pharmacology
Tryptamine.
2
1
274fdf2b-4d35-4fb6-9a96-b37e92f504b3
2020
Which group is responsible for the loss of activity of natural tetracyclines, both in acidic and basic medium?
The carbonyl groups at positions 1 and 11.
The hydroxyl group in position 6.
The fragments of beta-hydroxycarbonyl.
Pharmacology
The amide group at position 2.
3
1
54ed4f90-9d98-498c-be00-cd688fbd6657
2020
In the bioactivation of cyclophosphamide, a metabolite responsible for the main side effect of this drug, hemorrhagic cystitis, is produced. What is this metabolite?
Ethanol.
Formaldehyde.
Acrolein.
Pharmacology
Sodium Acetate.
4
4
03cc1c11-62cd-45d7-9da8-ac50e4a4d61c
2020
The antimalarial agent cycloguanil is administered as cycloguanil pamoate. What is the purpose of forming this salt?
Promote storage in fatty tissues and slow release into the bloodstream.
Increase its aqueous solubility for its intravenous administration.
Decrease its aqueous solubility so that it acts at the intestinal level.
Pharmacology
Facilitate the drug metabolism by the parasite.
5
2
fdc97a9f-9a45-48f7-adf2-68fa2ee45044
2020
Which part of the indinavir structure is responsible for its activity as an HIV protease inhibitor?
The hydroxyethylene fragment.
The pyridine ring.
The bulky indane over an amide bond.
Pharmacology
The tertiary amine of the piperidine ring.
6
2
033e9fe5-2c9d-470c-ad39-447c1e91c15d
2020
Loperamide is an antidiarrheal drug that was designed with the aim of turning the side effect of constipation from a family of compounds, into its main action. To which family does loperamide belong?
Sartans.
Tricyclic antidepressants.
Opioids.
Pharmacology
Benzodiazepines.
7
4
c46ed7c3-8e92-4e47-ad20-83e1ddd5a7ad
2020
Which of the following individual modifications to the structure of hydrocortisone does not lead to an increase in its anti-inflammatory activity?:
Introduction of a fluorine atom in the alpha 6 position.
Introduction of a methyl group at the 6 alpha position.
Introduction of an additional double bond between carbons 1 and 2.
Pharmacology
Removal of the hydroxyl from the 21st position.
8
3
60f21bff-b640-4718-831c-076208a726d6
2020
Many drugs and their phase I metabolites are eliminated conjugated with glucuronic acid. Which of the following statements referring to this transformation is false?:
The reaction takes place with electrophilic substrates.
It is catalyzed by a transferase.
The formation of the glucuronide occurs with the inversion of the configuration of the anomeric carbon of the sugar.
Pharmacology
Glucuronic acid intervenes activated with a uridine-diphosphate substituent.
9
2
1891dba7-2f49-4d3b-8596-2ba89ab80fd6
2020
Atenolol, an aryloxypropanolamine, is a second-generation beta-blocker that demonstrates cardioselectivity. What is this due to?:
To the configuration of the stereocenter, which is "S".
To the formation of a rigid structure by intramolecular hydrogen bonding that better binds to the receptor.
To the substituent in the "para" position of the aromatic ring, capable of forming a hydrogen bond with the receptor.
Pharmacology
In the absence of the two hydroxyls of the catechol.
10
4
67fde95c-7c64-492f-98cd-ae151b265632
2020
Betanecol is an acetylcholine analog that has a carbamate group in its structure instead of an ester. What consequence does this substitution have?
The carbamate group can establish a hydrogen bond with the receptor, but the ester group cannot.
The carbamate group is more lipophilic than the ester group and promotes absorption.
The carbamate group hydrolyzes more quickly than the ester and its action is shorter.
Pharmacology
The carbamate group improves oral stability since the ester hydrolyzes rapidly.
11
3
87c60616-0eb3-4324-bef3-9c7e40852e12
2020
What effect does the introduction of a hydroxyl group at position 3 of benzodiazepines have?
Facilitates its binding to the target.
It makes them prodrugs.
Increases the binding to plasma proteins.
Pharmacology
Promotes rapid elimination.
12
3
e2361e2f-5998-47f7-be2a-de2429df7124
2020
What property does the introduction of an alkyloxyimino group in the alpha position of the acylamino substituent at the 7th position of the ring confer to cefuroxime?
Greater stability against acids.
Greater stability against beta-lactamases.
Better ability to cross the blood-brain barrier.
Pharmacology
Increase in activity.
13
1
6ca027fa-9527-40b0-a301-9a620c4a5f9d
2020
Which of the following Candida species often presents resistance to the 3 available groups of antifungal drugs (echinocandins, azoles, and polyenes)?:
Candida auris.
Candida albicans.
Candida parapsilosis.
Pharmacology
Candida krusei.
14
2
aaa4ae97-8130-49f2-985c-029c78d5e400
2020
Which species of Aspergillus shows primary resistance to amphotericin B?
A. terreus.
A. fumigatus.
A. versicolor.
Pharmacology
A. niger.
15
2
fbcdd2b2-0534-4043-a4e7-d7f164dc36d9
2020
Which antifungal would you use for the treatment of a mucormycosis?
Itraconazole.
Fluconazole.
Posaconazole.
Pharmacology
Voriconazole.
16
4
5f791600-c1b3-4db4-8d10-ad73faaa4c7b
2020
Indicate the correct answer about Bordetella pertussis:
The infection that most commonly causes is osteomyelitis.
It is the causal agent of diphtheria.
It produces various virulence factors, such as pertussis toxin, dermonecrotic toxin, or tracheal cytotoxin.
Pharmacology
The treatment of choice for the infections it causes is a cephalosporin.
17
4
ccb5f7ae-f82b-4251-a813-57145426cbcd
2020
Which microorganism causes typhoid fever?:
Salmonella serotype Typhi.
Rickettsia typhi.
Shigella dysenteriae.
Pharmacology
Rickettsia prowazekii.
18
2
e501cbd7-8690-410d-920f-855b7fd77c8a
2020
The Lady Windermere syndrome refers to an infection of the middle lobe of the lung and the lingula caused by the following microorganism:
Mycobacterium tuberculosis complex.
Mycobacterium avium complex.
Mycobacterium kansasii.
Pharmacology
Mycobacterium xenopi.
19
1
95198de9-e0b1-4ce0-bc7c-8693bee93124
2020
What is the antibiotic of choice for the treatment of Listeria meningitis?
Ceftriaxone.
Ampicillin.
Phosphomycin.
Pharmacology
Cefepime.
20
1
42734c4d-b01a-44ad-887b-d87394c9b71f
2020
Which of the following options is false in relation to Nocardia?:
In the Gram stain, branched gram-negative bacilli are observed.
It is partially acid-alcohol resistant.
Sulfonamides are the antibiotics of choice in the treatment of nocardiosis.
Pharmacology
It can cause lung, skin, or central nervous system disease.
21
2
72f55d55-7249-4963-b8ee-cb9c45c018aa
2020
Indicate the false option regarding Legionella:
The detection of the antigen in urine for the diagnosis of Legionella pneumonia presents a specificity greater than 95%.
The infection is acquired by inhaling aerosols of contaminated water.
Levofloxacin and azithromycin are drugs of choice for the treatment of severe disease in immunocompromised patients.
Pharmacology
Legionella pneumophila serogroup 2 causes more than 95% of cases of community-acquired legionellosis.
22
3
acbaa395-3e1c-4444-aff4-9e9981b91693
2020
Which of the following relationships between microorganism and infection is false?:
Escherichia coli O157:H7 - Hemolytic Uremic Syndrome.
Mycobacterium ulcerans - Buruli ulcer.
Clostridium botulinum - Gas gangrene.
Pharmacology
Yersinia pestis - Bubonic plague.
23
4
9902ed0b-3238-4697-87f0-624b5fd10903
2020
Which of the following immunodeficiencies is associated with a higher predisposition to disseminated infections by Neisseria species?:
C2 Complement Deficiency.
IgA Deficiency.
Deficiency of complement C6, C7, C8 or C9.
Pharmacology
DiGeorge Syndrome.
24
4
d6031085-4768-4690-adb8-aef7d4cddda0
2020
Which of the following vaccines contains capsular polysaccharides?:
Vaccine against Clostridium tetani.
Triple Bacterial Vaccine (DTP).
Vaccine against Vibrio cholerae.
Pharmacology
Vaccine against Haemophilus influenzae B.
25
3
70ea4e3f-ac82-40b0-8da1-784182181b77
2020
Which of the following toxins from Staphylococcus aureus belongs to a class of polypeptides known as superantigens?:
TSST-1 (Toxic Shock Syndrome Toxin-1).
Panton-Valentine Leukocidin.
Exfoliative Toxin B.
Pharmacology
Alpha toxin.
26
2
0ee255f9-f24e-4725-a548-ad66688ffdce
2020
Which of the following streptococci is beta hemolytic?:
Streptococcus pneumoniae.
Streptococcus pyogenes.
Streptococcus mutans.
Pharmacology
Streptococcus sobrinus.
27
1
eb8be346-9f61-43d6-bd30-61612a7bd17b
2020
Which of the following bacteria give a positive result in the CAMP test?:
Streptococcus pyogenes and Listeria monocytogenes.
Streptococcus agalactiae and Listeria monocytogenes.
Streptococcus pyogenes and Haemophilus influenzae.
Pharmacology
Streptococcus agalactiae and Haemophilus influenzae.
28
1
2007ad59-08b9-40db-ab42-c28ac666d73b
2020
Which of the following parasites does not have a cosmopolitan distribution?:
Clonorchis sinensis.
Acanthamoeba castellanii.
Leishmania infantum.
Pharmacology
Dicrocoelium dendriticum.
29
2
bd394168-e8df-4156-bd91-b2850073cf75
2020
What is the correct tandem in relation to the parasite and the location of the organism from where it is possible to recover it?:
Taenia saginata - central nervous system.
Dientamoeba fragilis - liver.
Paragonimus westermani - bone marrow.
Pharmacology
Taenia solium - muscle.
30
3
9c70636f-9821-4198-bf02-af3fa1ee4ab2
2020