Subject

Pharmacology revision with active recall

Pharmacology is a memory subject with a logic underneath: mechanisms, receptors and why a drug causes the effects it does. Active recall works best when questions test that logic, not just drug names. Here is what that looks like.

Example: from a lecture excerpt to questions

Lecture excerpt

Adrenaline is added to local anaesthetics such as lidocaine. Its alpha-1 mediated vasoconstriction slows absorption from the injection site, which prolongs the block and reduces systemic toxicity. In patients taking a non-selective beta-blocker, adrenaline's beta-2 vasodilation is blocked, leaving unopposed alpha-1 vasoconstriction.

Question 1

Why does adding adrenaline to lidocaine prolong the anaesthetic block?

  • A. It increases sodium channel binding of lidocaine
  • B. It causes local vasoconstriction, slowing absorption from the site ✓
  • C. It inhibits hepatic metabolism of lidocaine
  • D. It increases the lipid solubility of lidocaine

Why: Alpha-1 vasoconstriction keeps lidocaine at the site for longer. It does not change how the drug binds sodium channels, and liver metabolism is not affected locally.

Question 2

A 58-year-old man taking propranolol for hypertension receives a local anaesthetic containing adrenaline. Which response is most likely?

  • A. Hypotension with reflex tachycardia
  • B. No change in blood pressure
  • C. A marked rise in blood pressure with reflex bradycardia ✓
  • D. Bronchodilation with a fall in blood pressure

Why: Propranolol blocks beta-2 vasodilation, so adrenaline's alpha-1 effect is unopposed: blood pressure rises and the baroreceptor reflex slows the heart.

You ask Cue: Why is it riskier to give adrenaline to someone on propranolol?

Propranolol is non-selective, so it blocks the beta-2 receptors that normally cause some vasodilation. Adrenaline's alpha-1 vasoconstriction is then unopposed, so blood pressure can rise sharply, with a reflex drop in heart rate. p.4

Example generated from a short sample excerpt. In recalled.fyi, every question and answer comes from the material you upload.

What to turn into questions

How recalled.fyi helps

Try it on your own lecture. Upload a PDF or slides and get a summary, a quiz and Cue in minutes. Free plan, no card needed.

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Questions

Can it handle long pharmacology PDFs?

Yes. Large PDFs are split into parts, each with its own summary and quiz, so a whole course fits.

Will it use US or UK drug names?

Questions follow the names used in your material, so if your lectures say adrenaline, so will your quiz.

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