Module 1 Flashcards

1
Q

Plays an important role in buffering the concentration of a drug because bound drug does not contribute directly to the concentration gradient that drives diffusion

A

Inert binding site

-nonregulatory molecules

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2
Q

In acute toxicity, it involves administration of incrementing doses of the agent up to the lethal level in at least 2 species- True or False

A

True

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3
Q

The description of all pharmacologic effects of a drug

A

Pharmacologic profile

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4
Q

Involves the study of the fertility effects of the candidate drug and its teratogenic and mutagenic effects

A

Reproductive toxicity

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5
Q

A 55 year old woman with hypertension is to betreated with a vasodilator. Drug X and Y have the same mechanism of action. Drug X in a dose of 5 mg produces the same decrease in BP as 500mg of drug Y. Which of the following best describes these results?
A. Drug y is less efficacious than drug x
B. Drug x is about 100 times more potent than drug y
C. Toxicity of drug x is less than drig y
D. Drug x has wider therapeutic window than y
E. Drug x will have shorter duration of action than y bec less drugx is present over the time course of drug action

A

B

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6
Q
Receptors are macromolecules that
A. Are designed to attract drugs
B. Resistant to antagonist
C. Exist as target for physiologic nt and hormones
D. only on the outer surface of cell
E. Only on the inside of cell
A

C.

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7
Q

All of the following are capable of initiating signal transduction process except
A. Combination of an agonist with receptor
B. Combination of an antagonist with receptor
C. Combination of nt with receptor
D. Combination of hormmone with receptor

A

B.

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8
Q
Which of the following chemical bonds would create an irreversible combination of an antagonist with its receptor?
A. Ionic
B. Hydrogen
C. Van der waals 
D. Covalent
A

D.

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9
Q
Potency is determined by
A. Affitnity alone
B. Efficacy alone
C. Affinity and efficacy
D. Affinity and intrinsic activity
E. Efficacy and intrinsic activity
A

C.

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10
Q

Passage of the drugfrom its site of administration into the blood

A

Absorption

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11
Q

Delivery of the drug to the tissues

A

Distribution

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12
Q

Ratio of the concentration of the drug in two immiscible phases a nonpolar liquid or organic solvent (membrane) and an aqeojs buffer (plasma)

A

Lipid -water coefficient

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13
Q

Measure of relative affinity os a drug for the lipid and aqeojs phases

A

Partition coefficient

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14
Q
Following oral administration, a drug is absorbed into the body, wherein ir can exert its action. For a drug given orally, the primary site of drug absorption is
A. Esophagus
B. Stomach
C. Upper portion of SI
D. Large intestine
A

C.

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15
Q
Patients can exhibit alteration in the rate and extent of drug absorption because of variuos factors. All of the following factors might affect the rateand/or extent of drug absorption except
A. Gastricemptying time
B. Intestinal motility
C. Food
D. Formulation of drug
D. Generic form
A

E.

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16
Q
Which of the following organs or tissues is a potential sit for drug accumulation of lead that has been ingested?
A. Eyes
B. Fat
C. Bone
D. Lungs
E. Blood
A

C.

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17
Q

Most important of phase II conjugation reactions

A

Glucoronidation

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18
Q

Activated form of glucuronic acid

A

Uridine diphosphate glucuronic acid

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19
Q

What drug is given without regard for infant’s dimnihed capacity for hepatic detoxification that causes grey baby syndrome

A

Chlorampenicol

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20
Q

What enzyme is responsible for the grey baby syndrome

A

Immature glucuronosyl transferase activity

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21
Q

Phenytoin undergoes phase I to produce 4-OH-phenytoin with the use of what enzyme

A

Cytochrome p450

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22
Q

To be able to transform complete phenytoin undergoes phase II with the help of what enzyme

A

UDP glucuronosyl transferase

23
Q

Drug that undergo metabolism but phase II preceded phase I reaction

24
Q

Primary phase I enzyme system involved in oxidation metabolism

25
Most abundantly expressed
CYP3A4
26
Expressed only in the fetusand rapidly disappears after birth
CYP3A7
27
Second most common isoform, most knwon for its propensity to exhibit genetic polymorphism
CYP2D6
28
Metabolizes important drugs with narrow therapeutic index
CYP2C9
29
The primary organ of removal for most drugs, especially for those that are water soluble and nlt volatile
Kidney
30
Concentration of a drug in the body are measured analytically and the results plotted against time
Concentratin time profile
31
Maximum concentration achieved in the blood
C-max
32
Time needed to reach c-max
T-max
33
Indicator of overall exposure of a person to a drug
AUC
34
Which of the following is true about the drug concentration time profiles of DRug X when given PO and SL
D. PO formulation would have a lower c-max
35
Quantitation of the effects of drug-receptor binding as a function of dose, it also provide information about the nature of thr drug- receptor interaction
Dose-response curve
36
The amount of drug entering the body is equal to the amount of drug eliminated in a given period
Steady state
37
Fracton of administered drug that reaches the systemic circulation
Bioavailability
38
The larger the presystemic elimination, the smaller is the bioavailability of an orally administered drug T or F
True
39
Reflects the xtent of absorption of the drug
AUC
40
Oral administration of drug has limited efficacy because of
First pass hepatic metabolism
41
Volume of blood from which drug can be completely removed per unit of time
Clearance
42
Concentration of drug measured in the blood to the total amount of drug in the body
Volume of distribution
43
Indicator of the overall distribution of a drug in the body
Volume of distribution
44
Drug exhibit much lower affinity for plasma proteins than for their receptor T or F
True
45
Protein binding of most drugs increases linearly with concentration except
Sulfonamides and salicylate
46
The concentration achieved are proportional to the dose given follows
Linear PK
47
Alternating periods of administration of test drug, placebo preparation and the standard treatment, if any, in each subject
Crossover design
48
What phase of clinical trials that finds the maximum tolerated dose
Phase I
49
Phase where it determine efficacy of drug (proof of concept)
Phase II
50
Single blind design
Phase II
51
The smaller the EC50, the greater the potency of the drug | T or F
True
52
The smaller the kd, the greater affinityof the drug for its receptor
True
53
Nearer the axis, the greater affinity
True
54
Ec50
Spare receptor