Which of the following drugs is associated with the reaction of Cinchonism?

Correct Answer: B

Rationale: The correct answer is B: Quinidine. Cinchonism is a condition caused by the toxicity of Cinchona alkaloids, which are found in drugs like quinine and quinidine. Quinidine is specifically known to cause symptoms of cinchonism such as tinnitus, headache, blurred vision, and nausea. Valproic acid (choice A) is an anticonvulsant, not associated with cinchonism. Isoniazid (choice C) is an antibiotic used to treat tuberculosis and does not cause cinchonism. Ethosuximide (choice D) is an anticonvulsant used to treat absence seizures and is not linked to cinchonism.

Correct Answer: D

Rationale: Step 1: Ethosuximide is the correct answer as it is a known trigger for Stevens-Johnson syndrome due to its association with hypersensitivity reactions. Step 2: Valproic acid can cause liver toxicity but is not typically linked to Stevens-Johnson syndrome. Step 3: Quinidine is associated with drug-induced lupus but not commonly known to cause Stevens-Johnson syndrome. Step 4: Isoniazid is linked to drug-induced hepatitis but not typically associated with Stevens-Johnson syndrome. In summary, Ethosuximide is the correct choice due to its well-documented association with Stevens-Johnson syndrome, while the other options are linked to different adverse effects.

Correct Answer: B

Rationale: The correct answer is B: Quinidine. Cinchonism is a condition caused by the toxicity of Cinchona alkaloids, which are found in drugs like quinine and quinidine. Quinidine is specifically known to cause symptoms of cinchonism such as tinnitus, headache, blurred vision, and nausea. Valproic acid (choice A) is an anticonvulsant, not associated with cinchonism. Isoniazid (choice C) is an antibiotic used to treat tuberculosis and does not cause cinchonism. Ethosuximide (choice D) is an anticonvulsant used to treat absence seizures and is not linked to cinchonism.

Correct Answer: B

Rationale: The correct answer is B: Hypotension. Prednisone toxicity typically causes hypertension, not hypotension. Prednisone can lead to increased blood pressure due to its sodium-retaining effects. Cataracts (A), Psychosis (C), and Acne (D) are all known side effects of Prednisone toxicity. Cataracts can form due to long-term steroid use, psychosis can occur especially at higher doses, and acne is a common skin side effect. Therefore, hypotension is the odd one out among the choices given.

Correct Answer: C

Rationale: Rationale: Lansoprazole is a proton pump inhibitor used to reduce stomach acid production. Hypertension is a condition related to high blood pressure and is not treated with Lansoprazole. Zollinger-Ellison syndrome, gastritis, and reflux are all conditions that can be treated with Lansoprazole due to its ability to reduce stomach acid. Therefore, choice C is the correct answer.

Correct Answer: D

Rationale: The correct answer is D: Sexual dysfunction. Nifedipine is a calcium channel blocker that primarily causes vasodilation by relaxing blood vessels. Sexual dysfunction is not a common side effect associated with Nifedipine use. Nausea, flushed appearance, and vertigo are potential side effects of Nifedipine due to its mechanism of action on the cardiovascular system. Therefore, D is the correct choice as it does not align with the expected side effects of Nifedipine.

Correct Answer: A

Rationale: Protamine is the antidote for Heparin toxicity because it binds to Heparin and forms a stable complex, neutralizing its anticoagulant effects. Protamine sulfate is positively charged, while Heparin is negatively charged, allowing them to bind effectively. Methylene blue is used to treat methemoglobinemia, not Heparin toxicity. N-acetylcysteine is used for acetaminophen overdose, and Glucagon is used for beta-blocker overdose.

Correct Answer: D

Rationale: Nifedipine is a calcium channel blocker primarily used to treat angina, arrhythmias, and hypertension due to its vasodilatory effect. However, it does not treat fluid retention as it does not have diuretic properties. Therefore, the correct answer is D. Choice A, B, and C are incorrect because nifedipine is commonly used to manage these conditions.

Correct Answer: A

Rationale: The correct answer is A: Insomnia. Levothyroxine is a thyroid hormone replacement medication used to treat hypothyroidism. An overdose of levothyroxine can lead to hyperthyroidism symptoms, such as insomnia. This occurs due to an excess of thyroid hormone in the body, which can increase metabolism and disrupt sleep patterns. The other choices (B: Constipation, C: Drowsiness, D: Hypoactive deep-tendon reflexes) are not typical manifestations of a levothyroxine overdose. Constipation and drowsiness are more commonly associated with hypothyroidism, the condition being treated with levothyroxine. Hypoactive deep-tendon reflexes are not a typical symptom of either hypothyroidism or hyperthyroidism.