Exam 1: Magalong Flashcards
The following falls under the realm of medical pharmacology?
A. Use of vaccine for prevention of a disease
B. Use of drug for diagnosis of disease
C. Use of antibiotics for treatment of infections
D. AOTA
D. AOTA
Which does not describe a drug?
A. It is a chemical with known structure.
B. It usually binds to regulatory molecules.
C. It is specific with its actions.
D. It activates or inhibits normal body processes.
C. It is specific with its actions.
A drug can do the following things:
a. can modulate a new cellular function
b. can create a cellular function
c. exert a spectrum of pharmacological actions and effects
d. a and c
e. AOTA
D. A and C
(a. can modulate a new cellular function
c. exert a spectrum of pharmacological actions and effects)
Which best describes a drug? A. with absolute specificity B. Brings changes in biological function through chemical action C. Needs to bind to receptor D. Create new function
B. Brings changes in biological function through chemical action
Which is true of the history of pharmacology?
A. In the 7th century, herbal medicine emerged.
B. Advancements in the knowledge of physiology and chemistry led to better evidence for therapeutic claims.
C. In recent years, biotechnology has emerged as a major basis of pharmacology.
D. Biopharmaceutics is the use of genetic information in the manufacture of drugs.
C. In recent years, biotechnology has emerged as a major basis of pharmacology.
Which of the following is correct?
A. Pharmacokinetics is what the drug does to the body.
B. Pharmacodynamics is what the body does to the drug.
C. Selectivity is reciprocal.
D. There are drugs that are completely specific to a particular receptor.
C. Selectivity is reciprocal.
The WHO defines essential medicines as:
A. All drugs produced by local manufacturers.
B. Drugs that answer the priority health care needs of the community.
C. Drugs intended to be used to modify or to explore physiological system or pathological states fo the benefit of the recipient.
D. All the expensive drugs.
B. Drugs that answer the priority health care needs of the community.
Which is TRUE of Drug Action?
A. All drug molecules exert a chemical influence on cells initially through receptors.
B. Specificity of drug receptor interaction is reciprocal.
C. Occupation of receptor always transforms the receptor to an active conformational state.
D. Drug is effective if it affects the most number of tissues and cells as possible.
B. Specificity of drug receptor interaction is reciprocal.
Compared to the sigmoid curve of a full agonist in the log dose vs. effect curve, the partial agonist: A. will shift parallel to the right B. will shift parallel to the left C. Emax will be higher D. Emax will be lower
D. Emax will be lower
Compared to the sigmoid curve of a full agonist in the log dose vs. effect curve, the presence of a competitive antagonist will: A. shift to the right B. shift to the left C. Emax will be higher D. Emax will be lower
A. shift to the right
Which receptor modulates the allergic receptor
A. Beta adrenergic receptor
B. Histamine-1 receptor
C. Opiate receptor
D. Angiotensin converting enzyme converting receptor
B. Histamine-1 receptor
Which receptors activate the sympathetic nervous system (epinephrine)?
A. Beta adrenergic receptor
B. Histamine-1 receptor
C. Opiate receptor
D. Angiotensin converting enzyme converting receptor
A. Beta adrenergic receptor
Which receptors mimic the action of narcotics in the CNS (morphine)
A. Beta adrenergic receptor
B. Histamine-1 receptor
C. Opiate receptor
D. Angiotensin converting enzyme converting receptor
C. Opiate receptor
Which receptors usually control the rate of Angiotensin conversion to its active form Angiotensin II
A. Beta adrenergic receptor
B. Histamine-1 receptor
C. Opiate receptor
D. Angiotensin converting enzyme converting receptor
D. Angiotensin converting enzyme converting receptor
Covalent bonds are usually irreversible.
A. True
B. False
A. True
Agonist binding has both affinity and efficacy, antagonist binding also has both affinity and efficacy.
A. True
B. False
B. False
T/F
Antagonists have no affinity and no efficacy
F.
Antagonists have affinity and no efficacy
If spare receptors are present, the agonist can still reach maximum effect in the presence of noncompetitive antagonist.
A. True
B. False
A. True
True of digoxin A. Bioavailability is 75% B. Half life is 40 hours C. 2/3 is unchanged excreted in kidney D. Inhibits Na-K ATPase pump
Samplex Answer: D. Inhibits Na-K ATPase pump.
JV’s Answer: All are true
Bioavailability of digoxin is 60-80%
Half life is 36-48 hours
50-70% is excreted unchanged in the urine
Digoxin binds to a site on the extracellular aspect of the α-subunit of the Na+/K+ ATPase pump in the membranes of heart cells (myocytes) and decreases its function.
Study of the the drug effects on population. A. Biopharmaceutics B. Pharmacogenetics C. Pharmacogenomics D. Pharmacoepidemiology
D. Pharmacoepidemiology
Deals with the development of new drug delivery systems and new dosage forms. A. Biopharmaceutics B. Pharmacogenetics C. Pharmacogenomics D. Pharmacoepidemiology
A. Biopharmaceutics
Deals with genetically mediated variations in drug responses. A. Biopharmaceutics B. Pharmacogenetics C. Pharmacogenomics D. Pharmacoepidemiology
B. Pharmacogenetics
The use of genetic information to guide the choice of drug therapy on an individual basis A. Biopharmaceutics B. Pharmacogenetics C. Pharmacogenomics D. Pharmacoepidemiology
C. Pharmacogenomics
Allosteric activator causes effects: A. Greater than agonist alone B. Less than agonist alone C. Equal to agonist alone D. Opposite the action of agonist
A. Greater than agonist alone
What effect does an allosteric activator exert on a drug? A. Decrease the efficacy of a drug B. Increase in the efficacy of the drug C. Effect depends on the drug D. None of the above
B. Increase in the efficacy of the drug
The most important concept in pharmacodynamics is the A. Therapeutic triangle B. Scatchard plot C. semi-log dose response curve D. presence of agonist/antagonist E. All of the above
C. semi-log dose response curve
The Scatchard plot
A. Is a graphic representation used in the analysis of binding phenomena in which concentration of bound ligand divided by that of the free ligand bound ligand is plotted against concentration of bound ligand
B. Is a straight line plot for one binding site (may also represent several binding sites) where the x axis intercept is B (bound drug) and the slope is -1/Kd (negative reciprocal of the dissociation/association constant)
C. Defines an equation for calculating the affinity constant of a ligand with a protein or receptor
D. Is a curve of B/F (bound ligand/free ligand) versus B (bound ligand)
E. All of the above
E. All of the above
Components of the Therapeutic Triangle or Pharmacotherapy-Psychotherapy Triangle
A Physician
A Nonmedical Psychotherapist
A Patient
The most popular method to linearize binding data. It is the graphic information on ligand affinity (KD) and the density of receptors (BMAX).
Scatchard Plot
Term used to refer to a drug which exhibits some properties of an agonist and some properties of an antagonist, an example of which are opiods.
Agonist-antagonist
The Scatchard plot
a. defines an equation for calculating the affinity constant of a ligand with a receptor
b. it is a graphic representation for the analysis of binding phenomena in which the bound-ligand concentration divided by the free ligand-concentration is plotted versus the bound-ligand concentration
c. is a plot of bound-ligand/free-ligand (B/F) versus the bound-ligand (B)
d. may be represented by a straight line for one binding site where the x-axis intercept is the bound-ligand (B) while the slope is the negative reciprocal of the dissociation/association constant (-1/Kd)
e. all of the above
e. all of the above
The log-dose effect relationship shows:
a. a hyperbolic curve
b. a sigmoid curve
c. the four characteristics – potency, efficacy, slope and variability
d. a and c
e. b and c
E. B and C
The log-dose effect relationship shows a sigmoid curve and the four characteristics – potency, efficacy, slope and variability.
Graded dose-response curve at logarithmic scale:
A. Hyperbola
B. Sigmoid
C. 4 parameters: efficacy, potency, slope, variability
D. AOTA
E. B & C only
E. B & C only
The graded dose-response curve as represented by the semi-logarithmic curve
a. is a sigmoid curve
b. is a hyperbolic curve
c. consists of 4 parameters: efficacy, potency, slope and variability
d. a and c
e. b and c
d. a and c
The semilogarithmic graded dose response curve has the following characteristics:
A. It is a sigmoid curve
B. It consists of 4 parameters: slope, potency, variability, maximal effect
C. The magnitude of the response decreases with greater concentration of the unbound drug at the receptor site
D. A & B only
D. A & B only
Classes of drugs are best described according to:
a. source whether natural or synthetic
b. chemical structure
c. therapeutic use and therapeutic effect
d. all of the above
e. b and c
c. therapeutic use and therapeutic effect
What is the usual basis used to classify drugs?
Drug action
While receptors regulate biochemical and physiological activity, they are themselves subject to regulatory and homeostatic controls like
a. upregulation due to continued stimulation of cells with agonists
b. down regulation due to covalent bonding or relocalization or destruction of receptors
c. upregulation due to synthesis of new receptors
d. aota
e. b and c
e. b and c
Receptors which regulate biochemical and physiological functions are in themselves subject to regulatory and homeostatic controls which come in the form of
a. up regulation or hyperactivity or supersensitivity due to the synthesis of new receptors
b. up regulation due to continued stimulation of cells with agonists
c. down regulation or desensitization/refractoriness due to covalent bonding or relocalization or destruction of receptors
d. all of the above
e. a and c only
e. a and c only
Receptors which regulate biochemical and physiological functions are in themselves subject to regulatory homeostatic control, which come in the form of:
A. Upregulation
B. Downregulation or desensitization
C. Both
C. Both
True of competitive and noncompetitive agonists
a. reversible and irreversible respectively
b. have intrinsic activity only
c. have affinity only
d. have both affinity and intrinsic activity
e. a and d
e. a and d
The most important properties of any drug product is/are:
a. efficacy and safety
b. efficacy, safety and quality
c. efficacy, potency and safety
d. cost, efficacy, potency, safety, quality
b. efficacy, safety and quality
The three most important properties of a drug product are
A. efficacy, safety, quality
B. efficacy, lack of significant toxicity and quality
C. potency, safety and quality
D. a and b
E. a and c
D. a and b
“lack of significant toxicity” is synonymous to safety, making choice A and B identical
The Quantal dose response curve has the following:
a. usually a Gaussian/ normal curve
b. always shows dose and response
c. affected by frequency, rate and dose of drug
d. describes low, middle, and high dose
e. all of the above
e. all of the above