Ex1Lec1 Questions Flashcards

1
Q
Select 2 Phase I reactions associated with drug metabolism
Hydrolysis 
Reduction
Conjugation
Synthetic
A

Answer: hydrolysis, reduction

Phase 1 includes hydrolysis, oxidation, reduction

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2
Q

The study of absorption, distribution, metabolism, and excretion of drugs is known as

A

Pharmacokinetics

What the body does to a drug

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3
Q

A drug that is metabolized at a constant rate is said to undergo the

A

Zero order kinetics

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4
Q

That absorption and distribution of a drug would fall under the study of

A

Pharmacokinetics

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5
Q

ADME

A

Pharmacokinetics - what the body does to the drug.

Absorption, distribution, metabolism, excretion

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6
Q

______ route of administration requires a significantly higher dosage to achieve a therapeutic plasma concentration

A

Oral - due to first pass metabolism

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7
Q
Which of the following processes is a phase II metabolic reaction?
A. Oxidation
B. Reduction
C. Hydrolysis
D. Conjugation
A

D

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8
Q

If liver enzymes are exposed to particular compounds or drugs over a period of time, they will increase their activity, resulting in an increased ability to metabolize. This is referred to as

A

Hepatic enzyme induction

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9
Q

You administer a drug that has a half-life of ten minutes and has an initial plasma concentration of 50 mg/dL. At ten minutes, the plasma concentration is 45 mg/dL, and at 20 minutes, it is 40 mg/dL. This drug undergoes ________-order kinetics

A

Zero-order Kinetics

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10
Q

First order kinetics

A

Each half life decreases the concentration by 50%

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11
Q

Zero order kinetics

A

Decreases by fixed amount with each half life

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12
Q
What layer of skin is the rate-limiting layer for the absorption of eutectic mixture of local anesthetic (EMLA) cream?
A. stratum corneum
	B. stratum basale
	C. stratum granulosum
	D. stratum spinosum
A

Answer: A
The epidermis is the outer layer of skin. It contains 5 layers. From bottom to top the layers are named: stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum. The stratum corneum is the rate-limiting layer of skin for the absorption of transcutaneous drugs.

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13
Q

Ideally, a medication used for a transdermal application has:
A. a molecular weight less than 1000 daltons
B. a daily dose requirement between 15 and 20 mg
C. a pH between 10 and 12
D. absolutely no water-solubility characteristics

A

A
The characteristics of an ideal transdermal drug are that it have a molecular weight less than 1000 daltons, have both water and lipid solubility characteristics, have a pH between 5 and 9 in an aqueous solution, exhibit no histamine-releasing effects, and have a daily dose requirement less than 10 mg.

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14
Q
Which of the following measurements predicts the time it takes for 50% of a drug to be eliminated from the central compartment when a continuous infusion is discontinued?
A. Volume of distribution
	B. Concentration-response curve
	C. Steady-state plasma concentration
	D. Context-sensitive half-time
A

Answer: D
The context-sensitive half-time predicts the time it takes for 50% of a drug to be eliminated from the central compartment when a continuous infusion is discontinued. The volume of distribution describes the virtual volume into which the drug is distributed. The steady-state plasma concentration corresponds to the steady concentration at the site of action and is determined by a concentration-response curve. It should be noted that context sensitive half-times are computer models that only predict the time for 50% of the drug in the central compartment to be eliminated. It does not predict the time for recovery from the drug.

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15
Q

ED50 refers to

A

The time it takes for 50% of a drug to be eliminated

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16
Q

Erythromycin administration in patients taking theophylline can lead to

A

Theophylline toxicity

17
Q
Hepatic clearance is the product of the hepatic blood flow and the drug's
	A. hepatic extraction ratio
	B. plasma concentration
	C. half-time
	D. protein binding ratio
A

A: hepatic extraction ratio

18
Q

Dose-response curves provide information about all of the following aspects of pharmacologic effects except:
A. Steady-state plasma concentration
B. Potency
C. Efficacy
D. The rate of increasing drug effect with an increasing dose

A

Answer: A

19
Q
The study of the intrinsic responsiveness of the body to a drug is known as
A. pharmacokinetics
	B. pharmacodynamics
	C. sensitivity and specificity
	D. receptor theory
A

B. Pharmacodynamics

Or what the drug does to the body

20
Q

The maximum duration that a single transdermal medication patch would be effective is about

A

7 days

21
Q
Which of the following plasma proteins binds preferably to acidic drugs?
A. Alpha-1 acid glycoprotein
	B. Albumin
	C. Beta-globulin
	D. Transcortin
A

Answer: Albumin

22
Q

Alpha-1 acid glycoprotein bind preferably to _____ drugs

A

Basic

23
Q

What term refers to the dose of a drug required to produce a given effect in 50 percent of subjects?

A

Potency

24
Q

ED50

A

Potency

25
Q

The lag time between the rapid rise in the plasma concentration of an anesthetic drug and the onset of its clinical effect is referred to as

A

Hysteresis

26
Q

After administration of fentanyl, the onset of the drug effect lags 2-3 minutes behind peak plasma concentration. This is an example of _______

A

Hysteresis