Formative quizzes Flashcards

1
Q

Which of the following statements is TRUE concerning agonists?

a.	 An agonist is an agent that by binding to a receptor initiates a cellular response

b.	 All receptors are inactive unless an agonist is bound

c.	 An agonists that inhibits a cellular function has an efficacy less than zero

d.	 All agonists bind to the extracellular portion of their respective receptors
A

An agonist is an agent that by binding to a receptor initiates a cellular response

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2
Q

Which of the following statements below are FALSE?

a.	 Proteins that function as drug targets generally show a high degree of ligand specificity

b.	 The great majority of drugs act with complete specificity

c.	 A small change in a molecule, eg. alteration in chirality, can inactivate the molecule

d.	 A useful drug must act selectively on particular cells and tissues
A

The great majority of drugs act with complete specificity

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3
Q

The total number of agonist binding sites in a preparation can be determined from which of the following?

a.	 concentration-response curve

b.	 scatchard plot

c.	 schild plot

d.	 Using the Hill Equation
A

scatchard plot

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4
Q

Four agonists (A, B, C & D) all contract the guinea-pig ileum preparation by acting upon muscarinic receptors. The concentration-response curves for each agonist is shown in the graph below.

Which of the statements is TRUE

a.	 When given together, the response to a given concentration of A and B will be greater than that of either given alone

b.	 When given together, the response to a given concentration of A and B will be less than that of either given alone

c.	 When given together, the response to a maximum concentration of B and C will be greater than that of either given alone

d.	 When given together, the response to a sub-maximum concentration of B and C will be less than that of either given alone
A

When given together, the response to a given concentration of A and B will be less than that of either given alone

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5
Q

Which is TRUE about a pro-drug?

a.	 it is a more ‘active’ form of a drug

b.	 it is a drug that binds particularly well to proteins found in the plasma

c.	 it is a drug that needs to undergo metabolism to form an active drug

d.	 none of the above
A

c.
it is a drug that needs to undergo metabolism to form an active drug

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6
Q

Which of the following statements about the administration and absorption of a drug are true

a.	 All weak acids, given orally are rapidly absorbed in the stomach

b.	 Strong bases, given orally, are well absorbed in the small intestine

c.	 Sublingual administration of a drug avoids first-pass metabolism

d.	 Drugs are only given orally if they are intended to be absorbed from the gastrointestinal tract
A

Sublingual administration of a drug avoids first-pass metabolism

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7
Q

Which of the following is TRUE regarding the effect of pH on the urinary excretion of drugs

a.	 urinary alkalinization has no effect on the excretion of weak bases

b.	 urinary alkalinization accelerates excretion of weak acids

c.	 urinary acidification accelerates excretion of weak acids

d.	 urinary acidification accelerates excretion of weak acids and bases
A

urinary alkalinization accelerates excretion of weak acids

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8
Q

Which of the following statements is FALSE about the clinical useful effects of NSAIDs?

a.	 They reduce body temperature

b.	 They reduce pain of musculoskeletal origin

c.	 They eliminate local inflammation

d.	 They decrease oedema
A

They eliminate local inflammation

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9
Q

The most common adverse effect of most NSAIDs is:

a.	 thrombosis

b.	 skin rash

c.	 gastrointestinal distress

d.	 renal impairment
A

GI distress

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10
Q

Which of the following is TRUE about DMARDs

a.	 like NSAIDs they only reduce the symptoms of disease

b.	 they are used in the treatment of rheumatoid arthritis

c.	 they are antagonists of glucocorticoid receptors

d.	 are commonly used to suppress rejection of transplanted organs
A

b.
they are used in the treatment of rheumatoid arthritis

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11
Q

Which of the following statements is true of the mechanism of action of benzodiazepine agonists?

they bind to the GABA site on postsynaptic GABA receptors

they act as agonists on presynaptic GABA receptors

the act on postsynaptic GABA receptors causing chloride channels to open

They augment the action of GABA by increasing the number of chloride channels opened by a given concentration of GABA.

A

They augment the action of GABA by increasing the number of chloride channels opened by a given concentration of GABA.

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12
Q

Which of the following statements is incorrect about epilepsy?

Grand mal: tonic/clonic seizures with loss of consciousness

Petit mal: absence seizures , not associated with convulsions

Partial seizures involving the hypothalamus are associated with loss of consciousness

A seizure may be triggered by fatigue

A

Partial seizures involving the hypothalamus are associated with loss of consciousness

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13
Q

Which of the following statements is NOT true about tricyclic antidepressants?

haloperidol is a classic example

they can cause urinary retention

they can cause sedation

they inhibit both noradrenaline and 5HT uptake

A

haloperidol is a classic example

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14
Q

Which of the following is TRUE about diazepam?

it is an agonist at GABAA receptors

it is an inverse agonist at GABAA receptors

it is an allosteric regulator of GABAA receptors

it is an antagonist at GABAB receptors

A

it is an allosteric regulator of GABAA receptors

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15
Q

Which of the following is FALSE about GABAA receptors?

A.	 they are therapeutic target of anxiolytics

B.	   they are a therapeutic target of anti-convulsants

C.	 they couple to Gi proteins to inhibit the activity of adenylate cyclase 

D.	 overdose of agonists at these receptors can be lethal
A

they couple to Gi proteins to inhibit the activity of adenylate cyclase

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16
Q

Cocaine inhibits the uptake of:

choline into nerve terminals

noradrenaline and dopamine into nerve terminals

ACh into nerve terminals

noradrenaline into smooth muscle cells

A

noradrenaline and dopamine into nerve terminals

17
Q

Which of the following is true about GABApentin?

it interacts with a subunit of voltage-gated calcium channels

it is a full agonist at GABAA receptors

it is a full agonist at GABAB receptors

it is a non-selective GABA receptor antagonist

A

it interacts with a subunit of voltage-gated calcium channels

18
Q

Which of the following is TRUE about zolpidem?

it can produce a significant hangover effect

it has a very short duration of action

it is a useful for the short term treatment of anxiety

it is an inverse agonist of GABAA receptors

A

it has a very short duration of action

19
Q

Which if any of the following classes of compound are NOT used to treat anxiety?

selective serotonin reuptake inhibitors (SSRIs)

benzodiazepine-receptor agonists

beta adrenoceptor antagonists

5-HT1 receptor antagonists

A

5-HT1 receptor antagonists

20
Q

Most inhalational anaesthetics are excreted:

in the faeces

in the urine

from the lungs

in sweat

A

from the lungs