Which of the following is not a side effect of the ACE Inhibitor (Captopril)?

Correct Answer: D

Rationale: The correct answer is D: Congestion. ACE Inhibitors like Captopril do not typically cause congestion as a side effect. The main reason is that ACE inhibitors work by dilating blood vessels, which helps reduce blood pressure and improve blood flow. Congestion is more commonly associated with conditions like allergies or upper respiratory infections. A: Rash - Possible side effect of ACE inhibitors, but not specific to Captopril. B: Angioedema - Rare but serious side effect of ACE inhibitors, including Captopril. C: Cough - Common side effect of ACE inhibitors due to increased bradykinin levels.

Correct Answer: C

Rationale: The correct answer is C: Antifungal. Drugs ending in the suffix (azole) are commonly used to treat fungal infections. The suffix indicates that the drug belongs to the azole class, which specifically targets fungal pathogens by inhibiting their growth. Therefore, a drug ending in (azole) is classified as an antifungal medication. Summary of other choices: A: H - Incorrect. There is no pharmacological relevance to the suffix (azole) in relation to the letter H. B: ACE inhibitor - Incorrect. Drugs ending in (pril) are commonly ACE inhibitors, not those ending in (azole). D: Beta agonist - Incorrect. Drugs ending in (ol) or (olol) are typically beta agonists, not those ending in (azole).

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.

Correct Answer: D

Rationale: The correct answer is D: Distal convoluted tubule. Potassium-sparing diuretics, such as spironolactone, act on the distal convoluted tubule by blocking the aldosterone receptor, which leads to decreased sodium reabsorption and potassium retention. This mechanism helps to promote diuresis while preventing potassium loss. Choices A, B, and C are incorrect because potassium-sparing diuretics do not primarily affect the proximal convoluted tubule, loop of Henle, or collecting duct in the kidney.

Correct Answer: A

Rationale: The correct answer is A: Quinidine. Quinidine is a class IA antiarrhythmic drug that blocks sodium channels in a use-dependent manner, which means it preferentially blocks channels that are open or have a rapid firing rate during depolarization. This action results in a decrease in conduction velocity and refractory period. Disopyramide is a class IA antiarrhythmic but does not specifically block sodium channels. Amiodarone is a class III antiarrhythmic that primarily affects potassium channels. Propafenone is a class IC antiarrhythmic that has minimal effects on sodium channel blockade. Therefore, Quinidine is the correct choice as a class IA sodium channel blocker.

Correct Answer: B

Rationale: The correct answer is B: ACE inhibitor. Drugs ending in the suffix (-pril) typically refer to ACE inhibitors, which are commonly used to treat hypertension and heart failure by inhibiting the angiotensin-converting enzyme. ACE inhibitors do not belong to the categories mentioned in the other choices. Choice A (H) is vague and does not provide any relevant information. Choice C (Antifungal) is incorrect as drugs ending in (-pril) are not typically used to treat fungal infections. Choice D (Beta agonist) is also incorrect as drugs ending in (-pril) do not belong to the class of beta agonists, which are used to treat conditions like asthma and COPD.

Correct Answer: D

Rationale: The correct answer is D: Hyperactivity. Clozapine is an antipsychotic drug used for schizophrenia treatment. Agranulocytosis is a known severe side effect of Clozapine. Hyperactivity is not a known effect of Clozapine, as it actually has a sedative effect due to its mechanism of action in the brain. Therefore, option D is the correct answer. Options A, B, and C are incorrect as agranulocytosis is a known side effect, Clozapine is an antipsychotic drug, and it is commonly used for schizophrenia treatment.

Correct Answer: B

Rationale: Barbiturates are central nervous system depressants used to treat seizures, insomnia, and anxiety. However, they can worsen hypotension as they can cause vasodilation and decrease blood pressure. Choice B is correct because using barbiturates in hypotensive patients can lead to further lowering of blood pressure, potentially causing harm. Choices A, C, and D are incorrect as barbiturates are commonly used to treat seizures, insomnia, and anxiety, respectively, due to their sedative and anticonvulsant properties.

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.