Misc Flashcards
Which of the following is not a narcotic analgesic?
Levorphanol
Oxycodone
Fentanyl
Dextromethorphan
Hydromorphone
Dextromethorphan
Oxazepam is a metabolite of:
Nitrazepam
Clorazepate and clonazepam
Flurazepam
Diazepam and flurazepam
Chlordiazepoxide, diazepam and clorazepate
Chlordiazepoxide, diazepam and clorazepate
Alcohol is:
Distributed throughout the total body water
Metabolized by the kidneys
A mild stimulant
Largely excreted unchanged
Metabolized by lactate dehydrogenase
Distributed throughout the total body water
The relationship that exists between the weight of alcohol distributed between the air phase and the aqueous phase in a closed system at equilibrium is described as:
Henry’s Law
Widmark’s Law
Charles’ Law
Dubowski’s Law
Levine’s Law
Henry’s Law
Hemolysis is a characteristic toxic effect of which of the following?
Arsine
Thallium
Mercury
Lead
Nickel
Arsine
The concentration of ethanol in the blood can be estimated from urine. A urine ethanol concentration of 260 mg/dL is equivalent to a post-absorptive blood ethanol level of:
260 mg/dL
200 mg/dL
130 mg/dL
348 mg/dL
65 mg/dL
200 mg/dL
Knowing the Volume of Distribution (Vd) of a drug and its plasma concentration (Cp), it is possible to estimate the administered dosage (D) by using the formula:
D=Cp x Vd
D = Cp / Vd
D = Vd / Cp
D = 0.693 / Cp x Vd
D = 0.693 x Cp
D=Cp x Vd
This container type does not contain any preservative:
Red top tube
Royal blue top tube
Green top tube
Gray top tube
Lavender top tube
Red top tube
In performing a benzodiazepine test, the ability of a method to distinguish between diazepam and other benzodiazepines is a function of its:
Precision
Reproducibility
Specificity
Accuracy
Sensitivity
Specificity
The following drug is frequently analyzed in plasma specimens by GC-NPD is:
Ethanol
Doxepin
Chlordane
Tetrahydrocannabinol
Acetone
Doxepin
Drug A is more polar than Drug B. In a reverse-phase chromatography system:
Drug A has a longer retention time than Drug B
Drug A elutes before Drug B
Increasing the polarity of the mobile phase means Drug B and Drug A elute at the same retention time
Increasing the polarity of the mobile phase means Drug B elutes before Drug A
Drug A elutes after Drug B
Drug A elutes before Drug B
Which one of the following compounds is a conjugating agent used by the human liver in detoxification metabolism?
Hyaluronic acid
Aspartic acid
Lactic acid
Benzoic acid
Glucuronic acid
In a zero-order process:
Drugs are eliminated at the same rate as a first-order processes
A half-life cannot be determined
The amount of drug eliminated from the body occurs at an inconsistent rate
A constant amount of drug is eliminated per unit time
A constant fraction of drug is eliminated per unit time
A constant amount of drug is eliminated per unit time
One way to increase the migration of a non-polar solute on a non-polar adsorbent is to:
Add more polar solvent
Decrease the amount of solute
Increase the volume of solvent mixture
Add a more non-polar solvent
None of the above
Add a more non-polar solvent
Which one of the following analytical methods gives the most information about the structure of organic compounds?
Atomic absorption spectroscopy
Fluorimetry
Gas chromatography
Flame photometry
Infrared spectrophotometry
Infrared spectrophotometry
The Henderson-Hasselbach equation is used to calculate the pH of pOH of a solution containing a:
Buffer system
Salt of a strong acid and strong base
Salt of a weak acid and strong base or a salt of a strong acid and weak base
Weak acid or weak base
Strong acid or strong base
Buffer system
An electron-capture detector measures:
The number of coulombs consumed
A decrease in standing current
A decrease in radioactivity
An increase in radioactivity
An increase in standing current
A decrease in standing current
The injection port of a gas chromatography is generally kept at a temperature:
At a temperature just hot enough to produce instantaneous evaporation of the entire sample
300 degrees higher than the oven temperature
100-200 degrees lower than the oven temperature
At the same temperature as the initial oven temperature
25-50 degrees lower than the oven temperature
At a temperature just hot enough to produce instantaneous evaporation of the entire sample
An n-demethyl metabolite of cocaine produced by liver cytochrome p450:
Methylecgonidine
Ethylcocaine
Ecgonine methyl ester
Benzoylecgonine
Norcocaine
Norcocaine
A transesterification product formed when cocaine is used with alcohol:
Benzoylecgonine
Ecgonine methyl ester
Norcocaine
Ethylcocaine
Methylecgonidine
Ethylcocaine
A homogenous immunoassay where the label attached to the drug is glucose-6-phosphate dehydrogenase:
ELISA
EMIT
FPIA
CEDIA
KIMS
EMIT
Removal of the liquid mobile phase in LC-MS is a process called:
Dissociation
Electrospray ionization
Desolvation
Chemical ionization
Atmospheric pressure ionization
Desolvation
These are the two main functions of the LC-MS interface:
Desolvation and ionization
Dissociation and ionization
Desolvation and dissociation
Desolvation and ion isolation
Ionization and ion isolation
Desolvation and ionization
In MS/MS analysis, this quadrupole functions as the collision cell:
Q1
Q2
Q3
Q4
Q2
In a first-order process:
Drugs are eliminated at the same rate as a first-order processes
The amount of drug eliminated from the body occurs at an inconsistent rate
A half-life cannot be determined
A constant amount of drug is eliminated per unit time
A constant fraction of drug is eliminated per unit time
A constant fraction of drug is eliminated per unit time
The main purpose is to increase the water solubility of compounds to facilitate elimination:
Phase I metabolism
First-pass effect
Hepatic excretion
Phase II metabolism
Renal excretion
Phase II metabolism
When performing a liquid/liquid extraction the pH should be adjusted to create:
Salts
Non-ionized drug
Amphoteric drug
Ionized drug
Isoelectric drug
Non-ionized drug
Microorganism activity in whole blood can be prevented by the addition of this substance:
EDTA
Potassium oxalate
1% sodium citrate
1% sodium fluoride
Lithium heparin
1% sodium fluoride
When testing for CO by Conway diffusion a solution containing this substance is added to the center well:
Sodium hydrosulfite
1% o-cresol and ammonium hydroxide
Palladium chloride
Sulfuric Acid
Trinder reagent
Palladium chloride
The addition of this substance reduces oxyhemoglobin and methemoglobin to hemoglobin while leaving carboxyhemoglobin unaffected:
Sulfuric Acid
Trinder reagent
1% o-cresol and ammonium hydroxide
Sodium hydrosulfite
Palladium chloride
Sodium hydrosulfite
The acetylation of morphine yields this substance:
Norcodeine
Hydromorphone
6-acetylmorphine
Codeine
Heroin
Heroin
The collection of blood in a collection container with this preservative can produce falsely elevated GHB concentrations:
Lithium heparin
1% sodium fluoride
Potassium oxalate
Citrate
1% sodium citrate
Citrate
The type of LC when the stationary phase is very polar and the mobile phase has low polarity:
Normal phase chromatography
Non-polar phase chromatography
Polar phase chromatography
Gradient elution chromatography
Reverse phase chromatography
Normal phase chromatography
The type of MS where only a few mass-to-charge ratios are monitored:
Full scan
Collision-induced dissociation
Full monitoring
Selected ion monitoring
Specific ion monitoring
Selected ion monitoring
When preparing samples, one sample inadvertently had 1/2 the internal standard added. One approach to obtain the drug concentration in the sample is to:
Divide the raw result by 2.5
Multiply the raw result by 2
Divide the raw result by 2
Multiply the raw result by 2.5
Divide the raw result by 0.5
Divide the raw result by 2
This substance produces a metabolic acidosis with severe visual disturbances leading to blindness:
Ethanol
Methanol
Isopropanol
Acetone
Ethylene glycol
Methanol
This substance produces a metabolic acidosis with hypocalcemia and calcium oxalate crystalluria:
Methanol
Isopropanol
Acetone
Ethanol
Ethylene glycol
Ethylene glycol
This substance binds Hb about 200 times more strongly than oxygen:
Arsine
CO
CN
As
COHb
CO
Treatment for overdose includes naloxone:
Cocaine
Opiates
Benzodiazepines
PCP
Ethanol
Opiates
True/False: Blood and plasma concentrations are not necessarily equivalent with many toxicants
True
True/False: Heroin is an active drug even before it is metabolized to 6-acetylmorphine.
False
True/False: Cocaine metabolism is an example of ester hydrolysis.
True
True/False: Alcohol has an affinity for water and distributes itself throughout the body organs and tissues in proportion to their water content.
True
True/False: Blood alcohol concentration is proportional to the volume of alcohol consumed, but inversely related to the volume of distribution in an individual.
True
True/False: Small amounts of CN may be produced during long-term refrigerated storage of whole blood specimens.
True
True/False: Heroin is rapidly inactivated in blood by hydrolysis to 6-acetylmorphine and morphine.
False
True/False: Carboxyhemoglobin saturation of the blood can be determined by oxidation of the oxyhemoglobin to hemoglobin.
False
True/False: The approximate blood:breath concentration ratio for ethanol is 1:2100.
False
True/False: Carbon monoxide poisoning causes a characteristic blue-green coloration of the skin.
False
Advantages of IV injection include:
Blood concentrations are not affected by apparent volume of distribution
Serum protein binding has less effect on pharmacokinetics
Avoids first pass metabolism
Can regulate dose by rate of infusion
C and D
C and D
A characteristic feature of any form of chromatography is the:
Calculation of an Rf value for the separated analytes
Use of a mobile and a stationary phase
Use of an inert carrier gas
Separation of analytes that soluble in water
All of the above
Use of a mobile and a stationary phase
This is an important determinant of renal elimination of PCP:
Blood pH
Urine pH
Hepatic function
Route of administration
Volume of Distribution
Urine pH
A standard containing acetone is injected on a gas chromatograph at 50°C. The acetone produces a peak at 4.2 minutes. A sample is then injected on the same gas chromatograph. There are peaks at 3.1, 4.2 and 7.4 minutes. In can be concluded that:
The mixture has three components, but acetone is not one of them
The mixture has at least three components, one of which must be acetone
The mixture has at least three components, one of which might be acetone
The mixture has three components, one of which must be acetone
The mixture has at least three components, but acetone is not one of them
The mixture has at least three components, one of which might be acetone
The process by which a compound is chemically changed, producing a new compound that has properties more amenable to a particular analytical method:
Derivatization
Phase I metabolism
Phase II metabolism
Reduction
Sulfation
Derivatization