1S Q2 (mom) Flashcards
This receptor is usually inhibited rather than activated
a. Regulatory proteins
b. Enzyme
c. Transport protein
d. Structural protein
b
The best characterized drug receptors are:
a. Regulatory protein
b. Enzyme
c. Transport protein
d. Structural protein
a
Binding with these molecules will result to no detectable changes in the function of the biologic system
a. Effector
b. Receptor
c. Inert Binding Site
d. Spare Receptor
c
Produces full maximal effect when receptors are saturated
a. Full agonist
b. Partial agonist
c. Competitive antagonist
d. Irreversible antagonist
a
Produces less than the full effect, even when it has saturated the receptors:
a. Full Agonist
b. Partial Agonist
c. Competitive Antagonist
d. Irreversible Antagonist
b
Secondary messenger that mediate most hormonal response
a. cAMP
b. Calcium
c. PIP
d. cGMP
a
The dose at which 50% of the test population exhibit unintended effects:
a. ED50
b. LD50
c. MD50
d. TD50
d
Maximal efficacy & potency are derived from this
a. Graded dose-response relationship
b. Quantal-dose response relationship
c. both
d. neither
a
Decreased sensitivity acquired as a result of exposure to the drug
a. Idiosyncratic
b. Tolerance
c. Hyporeactive
d. Hypereactive
b
Down regulation which varies the drug response is due to:
a. Variation in drug concentration
b. alteration in endogenous ligands
c. alteration in receptor
d. changes in 2nd messenger
c
measured with a graded dose-response curve but not with quantal dose response curve
a. Maximal Efficacy
b. Potency
c. Clinical sensitivity
d. Tachyphylaxis
a
Drug interaction wherein one drug enhances the effect of another by inhibiting its metabolizing enyzme
a. Additive
b. Antagonism
c. Synergistic
D. Potentiation
d
binds to the drug inhibited
a. competitive antagonist
b. irreversible antagonist
c. chemical antagonist
d. physiologic antagonist
e. None of the above
c
binds to the drug receptor
a. competitive antagonist
b. irreversible antagonist
c. chemical antagonist
d. physiologic antagonist
e. None of the above
a
binds via covalent bonds
a. competitive antagonist
b. irreversible antagonist
c. chemical antagonist
d. physiologic antagonist
e. None of the above
b
utilizes another regulatory pathway
a. competitive antagonist
b. irreversible antagonist
c. chemical antagonist
d. physiologic antagonist
e. None of the above
d
receptor dimerization
a. lipid soluble drug
b. intracellular enzymatic
c. ligand-gated ion channel
d. tyrosine kinase mediated
e. g-protein mediated
d
epinephrine
a. lipid soluble drug
b. intracellular enzymatic
c. ligand-gated ion channel
d. tyrosine kinase mediated
e. g-protein mediated
e
insulin
a. lipid soluble drug
b. intracellular enzymatic
c. ligand-gated ion channel
d. tyrosine kinase mediated
e. g-protein mediated
d
GABA
a. lipid soluble drug
b. intracellular enzymatic
c. ligand-gated ion channel
d. tyrosine kinase mediated
e. g-protein mediated
c
used by neurons in synapse
a. lipid soluble drug
b. intracellular enzymatic
c. ligand-gated ion channel
d. tyrosine kinase mediated
e. g-protein mediated
c
increase cGMP phosphodiesterase
a. Gt1, Gt2
b. Gi1, Gi2, Gi3
c. Golf
d. Gq
e. Gs
a
increase phospholipase C
a. Gt1, Gt2
b. Gi1, Gi2, Gi3
c. Golf
d. Gq
e. Gs
d
increase adenylyl cyclase
a. Gt1, Gt2
b. Gi1, Gi2, Gi3
c. Golf
d. Gq
e. Gs
e
decrease adenylyl cyclase
a. Gt1, Gt2
b. Gi1, Gi2, Gi3
c. Golf
d. Gq
e. Gs
b
opens cardiac K+ channels
a. Gt1, Gt2
b. Gi1, Gi2, Gi3
c. Golf
d. Gq
e. Gs
b
With spare receptors:
1. Kd
2. EC50
a. 1>2
b. 1<2
c. 1=2
a
Drug Affinity:
1. Kd = 10
2. Kd = 100
a. 1>2
b. 1<2
c. 1=2
a
Margin of Safety:
1. Therapeutic index = 2
2. Therapeutic index = 50
a. 1>2
b. 1<2
c. 1=2
b
- ED50
- Efficacy
a. increase in 1 is followed by an increase in 2
b. increase in 1 is followed by a decrease in 2
c. increase in 1 will not affect 2
c
- TD50
- Drug Safety
a. increase in 1 is followed by an increase in 2
b. increase in 1 is followed by a decrease in 2
c. increase in 1 will not affect 2
a
- Irreversible antagonist
- Emax
a. increase in 1 is followed by an increase in 2
b. increase in 1 is followed by a decrease in 2
c. increase in 1 will not affect 2
b
- EC50
- Potency
a. increase in 1 is followed by an increase in 2
b. increase in 1 is followed by a decrease in 2
c. increase in 1 will not affect 2
b
T or F:
LD50 is the median toxic dose and means that 50% of the individuals manifested the toxic effects
F
T or F:
A very safe drug might be expected to have a very large toxic dose and a much larger effective dose
F
T or F:
Drug interactions are expected to produce adverse effects
F