Pharmacodynamics Flashcards

1
Q

It is the study of what the drug does to our body

A

Pharmacodynamics

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2
Q

A study of biochemical and physiological effects of the drug on the body

A

Pharmacodynamics

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3
Q

These are the macromolecules to where the medication binds to

A

Drug receptors

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4
Q

What is a drug-receptor

A

target molecules with which a drug molecule has to combine in order to elicit a response

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5
Q

When a drug binds to a receptor, what most likely to happen?

A

Ion channel will open or close
Biochemical messengers are activated
A normal cellular function is physically inhibited
a cellular function is “turned on”

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6
Q

types of biochemical messengers

A

cAMP
cGMP
Ca2+
inositol phosphate

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7
Q

Why must a receptor be selective in its ligand characteristics?

A

It has to be selective so it could elicit a response to a proper chemical signal and not to meaningless ones

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8
Q

These have a high selective affinity for the drug molecule

A

receptor site or recognition site

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9
Q

these are best-characterized drug receptors

A

regulatory proteins

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10
Q

Proteins that are considered as drug-receptor

A
Regulatory proteins
enzymes
transport proteins
structural proteins
nucleic acid
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11
Q

which of the following is an example of a receptor that could be classified as an enzyme?

  • Na+ k+ ATPase
  • tubulin
  • dihydrofolate reductase
  • NOTA
A

Dihydrofolate reductase

Na+ k+ ATPase is for transport proteins
tubulin is for structural proteins

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12
Q

Which of the following is true about noncompetitive antagonists?

a. surmountable
b. interact with receptors at a different site as the agonist
c. reversible
d. produced by antagonists that have the ability to activate receptors

A

Interact with receptors at a different site

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13
Q

These are components of endogenous molecules that bind drug without initiating events leading to any of the drug’s effect

A

Inert Binding sites

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14
Q

When albumin binds to a receptor but its interaction does not elicit a drug effect is an example of

A

inert binding sites

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15
Q

this refers to the strength of binding between a drug and its receptor

A

affinity

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16
Q

examples of inert binding sites

A

albumin and orosomucoid

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17
Q

it is the transduction process between occupancy of the receptors and drug response

A

coupling

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18
Q

Which of the class of receptors mediate the actions of hormones?

a. enzymes
b. structural proteins
c. nucleic acid
d. transport
e. regulatory proteins

A

Regulatory proteins

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19
Q

The type of drug interaction shown by the harmful effect observed in a person who takes a dose of alcohol and a dose of barbiturate:

a. additive
b. potentiation
c. antagonism
d. synergism

A

Synergism

20
Q

This exists if the maximum drug response is obtained at less than the saturation of receptors

A

Spare receptors

21
Q

this can fully activate the effector system when it binds to the receptor

A

agonist

22
Q

Which of the following is recognized to be the most common type of receptors in the body?

a. receptors that open /close ion channels
b. G-protein-coupled receptors
c. receptor for lipid-soluble agents

A

G-protein-coupled receptors

23
Q

A kind of agonist that fails to produce maximal effects even when all the receptors are occupied by the agonist:

a. strong agonist
b. full agonist
c. weak agonist
d. partial agonist

A

Partial agonist

24
Q

a kind of agonist that must be bound to many drugs before it can elicit its maximal effect

A

weak agonist

25
Q

An agent that can bind to a receptor and inhibit or block responses

A

antagonist

26
Q

This type of agonist binds with the receptor at the same site as the agonists

A

Competitive agonist

27
Q

True or False

Competitive antagonist binds to a receptor in a reversible way

A

True

28
Q

This induces a change in the receptor that resulted to agonist being unable to recognize binding sites

A

Noncompetitive antagonist

29
Q

This is similar to a competitive antagonist but the only difference is, this binds with the receptor permanently

A

Irreversibly antagonist

30
Q

When a drug binds to a receptor, one of the following actions is likely to occur, except:

a. a cellular function is turned on
b. an ion channel is permanently configured
c. biochemical messengers are activated
d. a normal cellular function is physically inhibited

A

An ion channel is permanently configured

31
Q

Which of the following is/are example(s) of physiologic antagonism:

a. protamine and heparin
b. dimercaprol and lead
c. cortisol and insulin
d. pralidoxime and phosphorus

A

cortisol and insulin

histamine and epinephrine

32
Q

This type of antagonist involves two agonists which cancel one another

A

Physiologic antagonist

33
Q

Which of the following substances works with ligand-activated receptors?

a. insulin
b. corticosteroid
c. epinephrine
d. acetylcholine

A

acetylcholine

34
Q

A type of chemical agonist that is a chelator of lead and some other toxic chemicals

A

Dimercaprol

35
Q

A positively charged protein that can be used to counteract histamine

A

Protamine

36
Q

Molecules that translate the drug-receptor interaction into a change in cellular activity

A

effectors

37
Q

The best example of an effector

A

adenylyl cyclase

38
Q

Tyrosine Kinase Effector is both

A

effector and receptor

39
Q

Which of the following forms of antagonisms does not involve interactions of drugs at a receptor but instead directly interacts with the drug being antagonized?

a. chemical antagonism
b. noncompetitive antagonism
c. physiologic antagonism
d. irreversible antagonism

A

Chemical antagonism

40
Q

Example of agents that bind to intercellular receptors

A
corticosteroids
mineralocorticoids
sex steroids
vitamin d
thyroid hormone
nitric oxide
41
Q

Gs protein-coupled receptor that stimulates cAMP

A

epinephrine and norepinephrine

42
Q

Gi protein-coupled receptor that inhibits cAMP

A

acetylcholine and adenosine

43
Q

Gq protein-coupled receptors that activate the inositol triphosphate pathway

A

norepinephrine, angiotensin II, and endothelin-1

44
Q

types of excitatory amino acids

A

glycine, aspartate, and glutamate

45
Q

The following receptors are found outside, except:

a. receptor that open/close ion channels
b. g-protein-coupled receptors
c. receptor for lipid-soluble agents
d. enzyme-linked receptors

A

receptor for lipid-soluble agents

46
Q

occurs when the drug has little to no effect on a given variable greatly amplifies the effect of another drug on variable

A

Potentiation

47
Q

two drugs with the same effect, when given together, produce an effect that is greater in magnitude

A

synergism