POSITIVEMEDPG
JIPMER NOVEMBER 2017 – EVIDENCE BASED REVIEW
[An AID to JIPMER NOVEMBER 2018 Aspirants]
| Type of Questions | Numbers [approx] |
| Recent Drugs [2017] | 3 |
| Genes / Chromosomes | 10 |
| Repeats [Recent&Remote] | 45-50 |
| “HIGH END”Questions[Harrison based] | 30-40 |
| HIGH YIELD Topics – Hematology, Genetics, Infections | 40 |
WISDOM CAPSULE
[for JIPMER November 2018 candidates]
- Remote Repeats are also important [in fact more important than Recent Repeats******]
- RECENT FDA approved drugs,to be known [HARRISON 20th NEW DRUGS-MASTER CHART can cover Most of the QUESTIONS of recent drugs in JIPMER November 2018 Exam]
- High yield Zones-Hematology,Genetics,Infections
- “HIGH END” questions predominatly HARRISON-20th based
- Formulas of common physiological paramaters
EVIDENCE BASED REVIEW OF JIPMER NOVEMBER 2017- EXAM
REPEATS
RECENT REPEATS [LAST 3 YEARS - arbitarily 2014-2017 ]
[The choices might not be the same in the exam]
1. Marrow failure with pancreatic insufficiency and malabsorption is seen in which of the following [JIPMER NOVEMBER 2017] [JIPMER MAY 2017]
a) Dyskeratosis congenita
B) Shwachman-Diamond syndrome
c) Diamond blackfan Syndrome
d) Fanconis syndrome
Ans B
2. MYD 88 is associated with which of the following tumor [JIPMER NOVEMBER 2017] [Rpt-MAY 2017]
a. Waldenstrom’s macroglobulinemia
b. Hodgkins lymphoma
c. Hairy cell leukemia
d. Polycythemia vera
Ans A
3. Which of the following antidiabetic drug can be given safely in a renal failure patient [JIPMER NOVEMBER 2017] [Rpt-2016]
a)Linagliptin
b)Sitagliptin
c)Canagaflozasin
d)Metformin
Ans A
4. Which of the following disease is due to Peroxisomes defect [JIPMER NOVEMBER 2017] [Rpt-MAY 2017]
a. Zellweger syndrome
b)Jamaican vomiting sickness
c) Reyes sundrome
d) CJD
Ans A
5. Half life of Iodine 125 is [JIPMER NOVEMBER 2017]
a)13 hrs
b) 8 days
c) 60
Ans C
6. Cordocentesis for prenatal diagnosis is done at which week of pregnancy [JIPMER-NOVEMBER 2017] [JIPMER- 2015]
a) 10-12weeks
b) 12-14 weeks
c) 14-16 weeks
d) 18-20 weeks
Ans D
7. In Duplication of ureter ,the upper ureter opens in the bladder [JIPMER NOVEMBER 2017] [JIPMER NOV 2016 rpt]
a. Caudal and medial to lower
b. Lateral and lower to lower ureter
c. Caudal and lateral
d. medial
ANS B
8. In case of double ureter the where doss the upper ureter join bladder [JIPMER NOV 2016]
a. Lateral and lower to lower ureter b. Medial and lower to lower ureter c. Lateral and higher d. Medial and above
9. Vascularisation of cornea seen in dificiency of [JIPMER NOVEMBER 2017] [AIIMS MAY 2014Rpt]
a. B2
b. B3
c. B1
Ans A
Circumcorneal vascularization is observed in deficiency of: [AIIMS May 2014]
a. Vitamin D
b. Thiamine
c. Riboflavin
d. Biotin
Ans B
REMOTE REPEATS [BEFORE 2014-arbitarily]
1. Schwartz formula for creatinine clearance calculation includes all of the following parameter except [JIPMER NOVEMBER 2017] [AIIMS 2006 Rpt]
a) Height
b) Serum Creatinine
c)age
d)
In SCHWARTZ formula for calculation of creatinine clearance in a child, the constant depends on the following except, [AIIMS NOV 2006]
a) Age
b) Method of estimation of creatinine
c) Mass
d) Severity of renal failure
Ans (d)
2. Which of the following radiation is emitted by Phosphorus 32 [JIPMER NOVEMBER 2017] [AI-2006 Rpt]
a) alfa rays
b) Beta rays
c) Gamma rays
d) Neutrons
Ans B
Phosphorous – 32 emits: [AI-2006]
a) Beta particles
b) Alfa particles
c) Neutrons
d) X – rays
Ans A
3. Microsatellite dna is [JIPMER NOVEMBER 2017][ AI-2006Rpt]
a. 2-6 nucleotides repeats
b. 6-10 nucleotide repeats
c. 10-14 nucleotide repeats
Ans A
Microsatellite sequence is: [AI-2006]
a) Small satellite
b) Extra chromosomal DNA
c) Short sequence (2-5) repeat DNA
d) Looped – DNA
Ans C
4. A HIV patient was admitted for evaluation of chronic diarrhea.His stool examination revealed a cyst of 8-10 micron in size.Which of the following could be the diagnosis [JIPMER NOVEMBER 2017] [AIIMS May-2009 Rpt ]
a) Cryptosporidia
b) Isosporiaisis
c) Cyclospora
d) Giardia
Ans C
25 years old male presented with diarrhea for 6 months. On examination the causative agent was found to be acid fast with 12 micro meter diameter. The most likely agent is –[AIIMS MAY 2009]
a) Cryptosporidium b) Isospora
c) Cyclospora d) Giardia
Ans (C)
5. Tubes cast is applied for which bone [JIPMER NOVEMBER 2017Rpt] [AI 2007]
a. patella
b. Capitate
c. Calcaneum
d. Talus
Ans A
Tube cast applied in # around [AI 2007]
a) Shoulder b) Hip
c) Pelvis d) Knee
Ans (d)
6. Lipoprotein lipase activated by which lipoprotein [JIPMER NOVEMBER 2017] [AI 2008 rpt]
a. Apo c II
b. Apo CI
c. Apo Ai
d. Apo B100
Ans-A
TRUE about apoprotein-C is [AI-2008]
a)
b) Apoprotein C-I activates Lipoprotein lipase
c) Apoprotein C-II activates Lipoprotein lipase
d) Apoprotein C-III activates Lipoprotein lipase
Ans (C)
7. SIRS includes all except: [JIPMER NOVEMBER 2017] [AI 2009 rpt]
a. Leukocytosis
b. Thrombocytopenia
c. Hypothermia
d. Oral temperature more than 38°C
Ans: b
SIRS includes all except: [AI 2009]
a. Leukocytosis
b. Thrombocytopenia
c. Hypothermia
d. Oral temperature more than 38°C
Ans: b
8. Lubiprostone is a [JIPMER NOVEMBER 2017][ALL INDIA-2012 Rpt]
a. Chloride channel activator
b. Chloride channel inhibitor
c. Sodium channel activator
d. Sodium channel inhibitor
Ans A
Irritable Bowel Syndrome is an important disease of the modern world. Drug for the treatment of IBS, Constipating type is: [AI-2012]
a) Lubiprostone
b) Ivabradine
c) Cholestyramine
d) Alosetron
Ans (a)
9. Lisfranc amputation is done for [JIPMER NOVEMBER 2017] [AI-2011 Rpt]
a) Tarsometatarsal amputation
b) Midtarsal amputation
c) Ankle amputation
d) Below knee amputation
Ans A
Lisfranc amputation is done for [AI-2011]
a) Tarsometatarsal amputation
b) Midtarsal amputation
c) Ankle amputation
d) Below knee amputation
Ans A
10. ANCA-Antineutrophilic cytoplasmic antibody is not associated with [JIPMER NOVEMBER 2017] [AIIMS NOV 2000Rpt]
a. Wegeners granulomatosis
b. Chrug strauss syndrome
c. Microscopic polyangitis
d. PAN
Ans D
ANCA is NOT associated with which of the following diseases: [AIIMS NOV 2000]
a) Wegener’s granulomatosis
b) Henoch schonlein purpura
c) Microscopic PAN
d) Chrug Strauss syndrome
Ans (b)
11. Which of the following is the abductor of vocal cord [JIPMER 2017][JIPMER 2013Rpt]
a. Cricothyroid
b. Posterior cricoartyenoid
c. Interarytenoid
d. Lateral Crico arytenoids
Ans b
Abductor of vocal cord is [JIPMER 2013]
a. Posterior cricoarytenoid
b. Cricothroid
c. Interarytenoid
d. Lateral cricoarytenoid
Ans A
12. Osteoclast marker all except [JIPMER NOVEMBER 2017] (AIIMS MAY 2008 Rpt)
a. Ntelopeptide
b. C-telopeptide
c. propeptide of type I procollagen
d. Acid phosphatase
Ans C
Bone resorption markers are except (AIIMS MAY 2008)
a) Tartarate resistant alk. Phosphatase (TRAP)
b) Osteocalcin
c) Cross linked-N-telopeptides
d) Urine total free deoxypyridinoline
Ans (b)
13. Trans-Juglar intrahepatic portosystemic shunt first complication expected is post-operative period [JIPMER NOVEMBER 2017] [2006]
a. hepatic encephalopathy
b. bleeding
c. Jaundice
d. Diarrhoea
Ans A
14. Which of the following disease is due to defect in alfa oxidation [JIPMER NOVEMBER 2017] [AIIMS NOV 2008 Rpt]
a. Refsum disease
b. Zellweger disease
c. Reyes syndrome
d.all
Ans A
Refsum’s disease is due to deficiency of which of the following enzyme? [AIIMS NOV 2008]
a) Malonate dehydrogenase
b) Thiophorase
c) Succinate thiokinase
d) Phytanic alpha oxidase
Ans (D)
15. Which of the following is not a sign of malignant gastric ulcer on radiographic studies? [JIPMER NOVEMBER 2017][AIIMS DEC 1998]
a. Carmen sign
b. Hampton's line
c. Nodular gastric ulcer mound
d. Abrupt transition between normal and abnormal mucosa several cms away from the ulcer crater.
Ans B
Malignant gastric ulcers are characterized by A/E: [AIIMS DEC 1998]
a) ulcer extents beyound the gastric wall
b) Mucosal rugae stop far of ulcers
c) Eccentric crater
d) Margins are raised
Ans (a)
16. Youngs operation is done for [JIPMER NOVEMBER 2017]
A) Atrophic rhinitis
b) Rhinophyma
c) Hypertrophic Rhinitis
d) Rhinitis sicca
Ans A
17. Kohlers disease is due to osteonecrosis of [JIPMER NOVEMBER 2017]
a) Navicular bone
b) Talus
c) Cuboid
d) Calcaneum
Ans A
18. Which of the following has a good prognosis in ALL [JIPMER NOVEMBER 2017]
a) Hyperploidy
b) t(4.14)
c) t(8.14)
d) t(9,22)
Ans A
19. Which of the following is Not derived from mesoderm [JIPMER NOVEMBER 2017]
a. Suprarenal medulla
b. Suprarenal Cortex
c. cardiac musculature
d. skeletal musculature
Ans A
20. Intelligent quotient-IQ is measured by which of the following formula [JIPMER NOVEMBER 2017]
a. (Mental age/chronological age)/100
b. (Chronological age/Mental age)/100
c. (Mental age/chronological age)/10
d. (Chronological age/Mental age)/10
Ans A
21. Which of the following paramater is not seen in Restrictive lung disease [JIPMER NOVEMBER 2017]
a. FRC increased
b. FEV1 decreased
c. FVC decreased
d.
Ans B
22. Which of the following segment in preserved in Lumbar sympathectomy [JIPMER NOVEMBER 2017]
a. L1
b. L2
c. L3
d. L4
Ans A
23. The human major histocompatibility complex (MHC), commonly called the human leukocyte antigen (HLA) complex occupies [JIPMER NOVEMBER 2017]
a) short arm of chromosme 6
b) long arm of chromosme 6
c) short arm of chromosome 4
d) long arm of chromosome 4
Ans A
24. Sabin Fieldman test is used in the diagnosis for which of the following infection [JIPMER NOVEMBER 2017]
a) Toxoplasmosis
b) Cysticercosis
c) Leishmaniasis
d) Typanosomiasis
Ans A
25. Winter bottom sign is seen in which of the following infection [JIPMER NOVEMBER 2017]
a) Leishmaniatropica
b) Leishmaniadonovani (kala-azar)
c) Leishmaniabrasiliensis (espundia)
d) Trypanosomagambiense (Gambian sleeping sickness)
Ans D
MODIFIED REPEATS
1. 1st trimester most reliable criteria for gestational age estimation [JIPMER NOVEMBER 2017] [AIIMS NOV 2002 Rpt]
a. CRL
b. femur length
c. BPD
d. Weight
Ans A
Best parameter for estimation of fetal age by ultrasound in third trimester is: [AIIMS NOV 2002]
a) Femur length
b) biparietal diameter
c) Abdominal circumference
d) Inter-ocular distance
Ans (a)
2. Which of the following statement regarding FAP is a False statement [JIPMER NOVEMBER 2017]
a. autosomal recessive
b. 100 polyps in colon
c. duodenal polyps
d. extraintestinal manifestation are seen in all
Ans ?D
Which statement is false regarding familial adenomatous polyposis: [AIIMS JUNE 1999]
a) Males are usually carriers
b) Autosomal dominant inheritance
c) If not treated progress to malignancy in 100% of cases
d) Males and females are affected equally
Ans (a)
3. Loss of Y chromosome is associated with which of the following type of renal cell carcinoma [JIPMER NOVEMBER 2017] [AI 2010 RPT]
a) Clear cell
b) Chromophobe
c) papillary
d) Duct of bellini
Ans C
Chromophobe variant of Renal cell carcinoma is associated with (AI 2010)
A. VHL gene mutations
B. Trisomyof7 and 17 (+7, +17)
C. 3 p deletions (3p-)
D. Monosomy of 1
Ans (d)
4. Mutation in 22q11 is associated with which of the following [JIPMER NOVEMBER 2017]
a. hypercalcemia
b. conotruncal anamolies
c. thymic hyperplasia
d.
Ans B
5. Time dependent pharmacokinetics is seen in which of the following drug [JIPMER NOVEMBER 2017] [AIIMS May 2014 Rpt]
a) Amikacin
b) Ciprofloxacin
c) Azithromycin
d) Pencillin
Ans D
Time dependent killing and prolonged post-antibiotics effect is seen with: [AIIMS May 2014]
a. Fluoroquinolones
b. Beta lactam antibiotics
c. Clindamycin
d. Erythromycin
Ans (C)
6. Alpha helix is formed by which of the following amino acid [JIPMER NOVEMBER 2017] [JIPMER 2011rpt]
a. methionine
b. glycine
c. Lysine
d. Histidine
Alpha helix formation is inhibited by [JIPMER 2011]
a. Glutamate
b. Valine
c. Tryptophan
d. Proline
Ans D
An amino acid which does not participate in α helix formation is [AI 1996]
a) Leucine
b) Glycine
c) Proline
d) Lysine
Ans (c)
GENES/CHROMOSOMES
[Better to know your GENES well, for JIPMER NOVEMBER 2018 examinations!]
1) Early onset Alzheimer is associated with which of the following chromosome [ JIPMER NOVEMBER 2017]
a. Chromosome 1
b. Chromosome 14
c. Chromosome 10
d. Chromosome 21
Ans b
| Gene | Chromosome |
| * APP gene | 21 |
| * Presenilin 1 | 14***** |
| * Presenilin 2 | 1 |
| * APO ‘Episilon’ | 19 |
| * a2 macroglobulin | 10 |
* The POLES Team was pleased to have provided the above tabular column in POLES 2017 ,Which now looks Tailor Made for this question****
2) Retinoblastoma gene is true except [JIPMER NOVEMBER 2017]
a. Autosomal dominant inheritance (seen in familial retinoblastoma)
b. needs both copies mutation – two hit
c. Chr 13p14
d. tumor suppressor gene
ANS C
3) MYD 88 is associated with which of the following tumor [JIPMER NOVEMBER 2017][Rpt-MAY 2017]
a. Waldenstrom’s macroglobulinemia
b. Hodgkins lymphoma
c. Hairy cell leukemia
d. Polycythemia vera
Ans A
4) The human major histocompatibility complex (MHC), commonly called the human leukocyte antigen (HLA) complex occupies [JIPMER NOVEMBER 2017]
a) short arm of chromosme 6
b) long arm of chromosme 6
c) short arm of chromosome 4
d) long arm of chromosome 4
Ans A
5) The chromosome associated with alfa 1 antitrypsin deficiency is [JIPMER NOVEMBER 2017]
a) 10
b) 12
c) 14
d) 21
Ans C
6) Mutation in 22q11 is associated with which of the following [JIPMER NOVEMBER 2017]
a. hypercalcemia
b. conotruncal anamolies
c. thymic hyperplasia
d.
Ans B
7) Carcinoma breast is associated with which of the following [JIPMER NOVEMBER 2017]
a) Ca 15-3
b) Ca 27-9
b) Ca 19-9
d)
Ans A
8) Which of the following gene is associated with endometrial carcinoma [JIPMER NOVEMBER 2017]
a) PTEN
b) APC
c) MLH
The most heartening aspect was all the genetic questions were covered methodically in POLES 2017
9) Steven johnson syndrome due to carbamazepine is seen in Individuals with which of the following HLA [JIPMER NOVEMBER 2017]
a) HLA B 1502
b) HLA B 5701
c) HLA B 5708
d) HLA B 1505
Ans A
“HIGH END Questions”[TOUGH ONES]
[This list might differ from individual to individual; we have tried to provide the consensus]
1) Number of trays required in thanatorium
2) 'Pie in the sky' appearance
1. The recent drug for Acute Myeloid Leukemia [JIPMER NOVEMBER 2O17]
a. Midostaurin
b. Imatinib
c. Ponitunib
Ans A
2. In Hereditary Haemorrhagic telangiectasia, ALK 1 is positive in which of the following type [JIPMER NOVEMBER 2017 ]
a. type 1
b. type 2
c. type 3
d. type 4
ANS A
3. PCSK9 inhibitor drug [JIPMER NOVEMBER 2017]
A Alirocumab
B Linotinib
C Abxcicimab
D
Ans A
HARRISON UPDATES-20th EDITION[NOT PRESENT IN 19th edition]
PCSK9 inhibitors
Evolocumab
Alirocumab******
4. The lattest drug approved for advanced metastatic Carcinoma breast [JIPMER NOVEMBER 2017]
a) Abemaciclib
b) Ixabipilone
c) Ribociclib
d)
Ans A
5. Which of the following is not true regarding Plasmodium Knowlesi [JIPMER NOVEMBER 2017]
a) also called monkey malaria
b) common in africa
c)
d)
Ans B
6. Early onset Alzheimer is associated with which of the following chromosome [JIPMER NOVEMBER 2017]
a. Chromosome 1
b. Chromosome 14
c. Chromosome 10
d. Chromosome 21
Ans B
7. Severe noise induced hearing is seen in exposure of which of the following? [JIPMER NOVEMBER 2017] [options are elusive]
a. Car engine idle at 10 feet away
b. Power mower
c. Niagra falls
d. noisy night street
Ans ?D
8. Which of the following statement regarding Severe Aplastic anemia is false [JIPMER NOVEMBER 2017]
a) Neuutrophil count less than 1500
b) platelet count less than 1Lakh
c) Corrected Retic count less than 1%
d) Absolute retic count less than 60000
Ans A
9. All of the following are true regarding prone position ventilation except [JIPMER NOVEMBER 2017]
a)
b)
c)
d)
10. Klippel-Trenaunay syndrome is associated with all of the following except [JIPMER NOVEMBER 2017
a. gigantism
b.
c.
d.
Ans A
Questions BASED ON HARRISON
EMBRYOGENESIS of JIPMER NOVEMBER 2017 Exam “HIGH END”questions in reference to HARRISON
[Choices might not be the same in the exam]
1) Which of the following is false regarding Leflunomide [JIPMER NOVEMBER 2017]
a) Is used in treatment of Rheumatoid arthritis
b) acts by inhibiting IMPDH enzyme
c) inhibits proliferation of T and B cells
d) it is contraindicated in pregnancy
Ans B
Lead from HARRISON
* Teriflunomide inhibits the mitochondrial enzyme dihydro-orotate dehydrogenase******, which is a key part of the pathway for de novo pyrimidine biosynthesis from carbamoyl phosphate and aspartate.
*It is the active metabolite of the drug leflunomide (FDA-approved for rheumatoid arthritis),
2) Severe noise induced hearing is seen in exposure of which of the following? [JIPMER NOVEMBER 2017] [options are elusive]
a. Car engine idle at 10 feet away
b. Power mower
c. Niagra falls
d. noisy night street
Ans ?D
Lead from HARRISON
| Decibel (Loudness) Level of Common Environmental Noise | |
| Source | Decibel (dB) |
| Weakest sound heard | 0 |
| Whisper | 30 |
| Normal conversation | 55-65 |
| City traffic inside car | 85****** |
| OSHA monitoring requirement begins | 90******* |
| Jackhammer | 95 |
| Subway train at 200 ft | 95 |
| Power mower | 107***** |
| Power saw | 110 |
| Painful sound | 125 |
| Jet engine at 100 feet | 140 |
| 12-gauge shotgun blast | 165 |
| Loudest sound that can occur | 194**** |
3) The recent drug for Acute Myeloid Leukemia [JIPMER NOVEMBER 2O17]
a. Midostaurin
b. Imatinib
c. Ponitunib
d.
Ans A
Lead from HARRISON
Selected Agents Under Study for the Treatment of Acute Myeloid Leukemia
| Class of Drugs | Examples of Agents in Class |
| Inhibitors of Mutant proteins | |
| Tyrosine kinase inhibitors IDH2 mutation inhibitor | Dasatinib, midostaurin*****, quizartinib, sorafenib AG-221 |
| Aminopeptide inhibitors HSP-90 antagonists Nedd8 activating enzyme (NAE) inhibitors | Tosedostat******* 17-Allylaminogeldanamycin (17-AAG), DMAG, or derivatives MLN4924 |
4) Which of the following is not true regarding Plasmodium Knowlesi [JIPMER NOVEMBER 2017]
a) also called monkey malaria
b) common in africa
c) Young ring forms resemble those of P. falciparum
d)
Ans B
Lead from HARRISON
Plasmodim knowlesi-Young ring forms resemble those of P. falciparum, while older trophozoites resemble those of P. malariae. Reliable identification requires molecular genotyping.
5) The latest drug approved for advanced metastatic Carcinoma breast [JIPMER NOVEMBER 2017]
a) Abemaciclib
b) Ixabipilone
c) Ribociclib
d) Cetuximab
Abemaciclib is a cyclin dependent kinase inhibitor was approved by FDA in September 2017 for Advanced metastatic breast carcinoma
6) MYD 88 is associated with which of the following tumor [JIPMER NOVEMBER 2017][Rpt-MAY 2017]
a. Waldenstrom’s macroglobulinemia
b. Hodgkins lymphoma
c. Hairy cell leukemia
d. Polycythemia vera
Ans A
Lead from HARRISON
* Lymphoplasmacytic lymphoma is the tissue manifestation of Waldenstrom’s macroglobulinemia . Many of these tumors harbor a specific mutation, L265P, in MYD88*****, a change that Leads to NF-κB activation
7) Guanylate Cyclase-C Agonist used in the management of Irritable bowel syndrome is [JIPMER NOVEMBER 2017]
a) Linaclotide
b) Lubiprostine
c) Tegaserod
d) all
Ans A
Lead from HARRISON
Guanylate Cyclase-C Agonist
* Linaclotide****** is a minimally absorbed 14-amino-acid peptide guanylate cyclase-C (GC-C) agonist that binds to and activates GC-C on the luminal surface of intestinal
epithelium.
8) Which of the following is a PCSK9 inhibitor drug [JIPMER NOVEMBER 2017]
a)alirucumab
b)Cetuximab
c)Abxicimab
d)
Ans A
RELEVANCE OF HARRISON 20th UPDATES for JIPMER NOVEMBER 2018 [ Questions in JIPMER NOVEMBER 2017 ,for which answers were not present in HARRISON 19th,but Present in HARRISON 20th ]
1) PCSK9 inhibitor drug [JIPMER NOVEMBER 2017]
A Alirocumab
B certuximab
CBotezumab
D Tocilizumab
ANS A
REF-HARRISON 20th-Chapter-400
PCSK9 inhibitorsEvolocumab,Alirocumab
2. The lattest drug approved for advanced metastatic Carcinoma breast [JIPMER NOVEMBER 2017]
a) Abemaciclib
b) Ixabipilone
c) Ribociclib
d)
Ans A
REF-HARRISON 20th chapter-68
Palbociclib,
Ribociclib,
Abemaciclib
3 The latest FDA Approved drug for Tardive dyskinesia
a)Valbenazine
b)tetrabenazine
c)valproic acid
d)
ansA
Ref-HARRISON 20th Chapter 428
Valbenazine is an ester of
tetrabenazine that has recently been approved for the treatment of tardive dyskinesia based on results of
efficacy in double blind trials, but it is associated with sleepiness and QT prolongation. It acts as a vesicular
monoamine transporter type 2 (VMAT-2) inhibitor and blocks storage of dopamine
BEST WISHES FOR JIPMER NOVEMBER 2018