Pharmacodynamics II Flashcards

1
Q

What does selectivity refer to in drug actions?

A

Selectivity refers to a drug’s ability to preferentially affect certain receptors or biological pathways over others.

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2
Q

True or False: A drug with high selectivity will have many side effects.

A

False

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3
Q

Fill in the blank: The strength of the interaction between a drug and its receptor is known as _____ .

A

affinity

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4
Q

What is affinity in the context of drug actions?

A

Affinity is a measure of how tightly a drug binds to its receptor.

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5
Q

Which term describes the amount of drug needed to produce a desired effect?

A

potency

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6
Q

True or False: A more potent drug requires a higher dose to achieve the same effect as a less potent drug.

A

False

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7
Q

What does efficacy refer to in drug actions?

A

Efficacy refers to the maximum effect a drug can produce, regardless of dose.

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8
Q

Multiple Choice: Which of the following affects a drug’s efficacy? A) Dose B) Drug-receptor interaction C) Affinity

A

B) Drug-receptor interaction

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9
Q

What is the relationship between potency and dose?

A

Higher potency means a lower dose is required to achieve the desired effect.

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10
Q

True or False: A drug can be potent but have low efficacy.

A

True

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11
Q

Fill in the blank: A drug that activates a receptor and produces a biological response is called an _____ .

A

agonist

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12
Q

What is an antagonist in pharmacology?

A

An antagonist is a drug that binds to a receptor but does not activate it, blocking the action of agonists.

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13
Q

Multiple Choice: Which property would be most important for a drug designed to target a specific disease with minimal side effects? A) Selectivity B) Efficacy C) Potency

A

A) Selectivity

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14
Q

How does a drug’s selectivity impact its therapeutic window?

A

Higher selectivity generally leads to a wider therapeutic window, reducing the risk of side effects.

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15
Q

What is the significance of a drug’s half-life in relation to its potency?

A

Half-life affects how long a drug remains active in the body, which can influence its overall potency in achieving therapeutic effects.

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16
Q

True or False: All drugs with high affinity are also highly potent.

A

False

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17
Q

Fill in the blank: The _____ is the dose at which a drug produces 50% of its maximum effect.

A

ED50

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18
Q

What does a dose-response curve illustrate?

A

A dose-response curve illustrates the relationship between drug dose and the magnitude of its effect.

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19
Q

Multiple Choice: Which of the following factors does NOT influence drug selectivity? A) Chemical structure B) Dose C) Receptor distribution

A

B) Dose

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20
Q

What is the difference between intrinsic activity and efficacy?

A

Intrinsic activity refers to the ability of a drug to activate a receptor, while efficacy refers to the maximum response achievable.

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21
Q

True or False: Efficacy is always proportional to potency.

A

False

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22
Q

Fill in the blank: A drug with low affinity will require _____ concentrations to achieve its effects.

A

higher

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23
Q

What is a competitive antagonist?

A

A competitive antagonist is a substance that binds to the same site as an agonist but does not activate the receptor, preventing the agonist from eliciting a response.

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24
Q

Multiple Choice: Which term best describes the effectiveness of a drug at its target receptor? A) Affinity B) Efficacy C) Potency

A

B) Efficacy

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25
Q

What is the primary goal of drug design in relation to selectivity?

A

The primary goal is to create drugs that selectively target specific receptors or pathways to minimize side effects.

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26
Q

What is an agonist?

A

An agonist is a substance that activates a receptor to produce a biological response.

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27
Q

What is a partial agonist?

A

A partial agonist is a substance that binds to a receptor and produces a response, but not to the full extent that a full agonist would.

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28
Q

What is an inverse agonist?

A

An inverse agonist is a substance that binds to a receptor and induces a response opposite to that of an agonist.

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29
Q

True or False: An agonist can only activate a receptor.

A

True

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30
Q

Fill in the blank: A partial agonist has __________ activity compared to a full agonist.

A

lower

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31
Q

Which type of agonist would decrease the activity of a receptor?

A

Inverse agonist

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32
Q

Multiple Choice: Which of the following is an example of an agonist?

A

Morphine

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33
Q

What is the primary difference between a full agonist and a partial agonist?

A

A full agonist fully activates the receptor, while a partial agonist activates it only partially.

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34
Q

True or False: Partial agonists can act as antagonists in the presence of a full agonist.

A

True

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35
Q

What happens when an inverse agonist binds to a receptor?

A

It stabilizes the receptor in an inactive state, reducing its activity.

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36
Q

Fill in the blank: Agonists typically __________ the physiological response of a receptor.

A

increase

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37
Q

Multiple Choice: Which of the following describes the action of an inverse agonist?

A

It reduces receptor activity.

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38
Q

What role do agonists play in pharmacology?

A

They are used to mimic the action of natural substances in the body.

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39
Q

True or False: All agonists lead to an increase in the physiological response.

A

False

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40
Q

What is the effect of a partial agonist in a system with no other agonists present?

A

It will activate the receptor but not to the maximum effect.

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41
Q

True or False: Inverse agonists can be used therapeutically to counteract the effects of agonists.

42
Q

Multiple Choice: Which type of drug would you use to decrease the effect of an overactive receptor?

A

Inverse agonist

43
Q

What is a common characteristic of all three types: agonist, partial agonist, and inverse agonist?

A

They all bind to receptors.

44
Q

Fill in the blank: The presence of a __________ can change the efficacy of a partial agonist.

A

full agonist

45
Q

What kind of response does a full agonist produce?

A

A maximal response.

46
Q

True or False: Inverse agonists can only act on certain types of receptors.

47
Q

What is the significance of understanding the differences between agonists, partial agonists, and inverse agonists in drug development?

A

It helps in designing drugs that target specific receptor activities.

48
Q

Multiple Choice: Which of the following best describes a partial agonist’s effect in the presence of a full agonist?

A

It competes for the receptor and may reduce the overall effect.

49
Q

What therapeutic applications can inverse agonists have?

A

They can be used to treat conditions caused by receptor overactivity.

50
Q

Fill in the blank: An agonist’s ability to activate a receptor is referred to as its __________.

51
Q

True or False: Partial agonists can have both agonist and antagonist properties depending on the context.

52
Q

What is a reversible competitive antagonist?

A

A reversible competitive antagonist is a substance that binds to a receptor and can be displaced by the agonist, allowing for competitive inhibition.

53
Q

What characterizes an irreversible competitive antagonist?

A

An irreversible competitive antagonist binds permanently to the receptor, preventing the agonist from eliciting a response.

54
Q

True or False: Reversible antagonists can be displaced by increasing the concentration of an agonist.

55
Q

Fill in the blank: An irreversible antagonist forms a __________ bond with the receptor.

56
Q

What effect does a reversible competitive antagonist have on the dose-response curve?

A

It shifts the dose-response curve to the right without changing the maximum response.

57
Q

What happens to the dose-response curve with an irreversible antagonist?

A

It reduces the maximum response and may also shift the curve to the right.

58
Q

Which type of antagonist typically requires a higher concentration of agonist to achieve a response?

A

Reversible competitive antagonist

59
Q

Multiple Choice: Which of the following is an example of a reversible competitive antagonist? A) Naloxone B) Aspirin C) Propranolol

A

C) Propranolol

60
Q

True or False: Irreversible antagonists can be outcompeted by agonists.

61
Q

What is the primary mechanism of action for reversible competitive antagonists?

A

They compete with agonists for binding to the same receptor site.

62
Q

What type of antagonist would be more effective in a situation requiring quick reversal of effects?

A

Reversible competitive antagonist

63
Q

Short Answer: Name a common irreversible antagonist used in clinical settings.

A

Phenoxybenzamine

64
Q

Fill in the blank: The binding of a reversible antagonist is __________.

A

non-covalent

65
Q

True or False: The effects of irreversible antagonists can be overcome by administering more agonist.

66
Q

What happens to receptor availability when an irreversible antagonist is administered?

A

The receptor becomes permanently unavailable for agonist binding.

67
Q

Multiple Choice: Which type of antagonist can lead to long-lasting effects even after it is removed from the system? A) Reversible B) Irreversible

A

B) Irreversible

68
Q

Short Answer: What type of bond is primarily formed by irreversible antagonists?

A

Covalent bond

69
Q

Fill in the blank: The use of __________ can help reverse the effects of a reversible competitive antagonist.

70
Q

What is the clinical significance of understanding the difference between reversible and irreversible antagonists?

A

It helps in choosing the appropriate treatment for patients based on the desired duration of action.

71
Q

True or False: Reversible antagonists can lead to a complete blockade of receptor activity.

72
Q

What happens to the efficacy of an agonist in the presence of a reversible antagonist?

A

The efficacy is reduced, but not eliminated.

73
Q

Multiple Choice: Which antagonist type would be preferred for a temporary blockade in anesthesia? A) Reversible B) Irreversible

A

A) Reversible

74
Q

Short Answer: What is the primary therapeutic use of irreversible antagonists?

A

To provide long-lasting effects in conditions like hypertension.

75
Q

Fill in the blank: __________ is an example of a reversible antagonist that competes with acetylcholine.

76
Q

What is the effect of increasing the concentration of an agonist when a reversible antagonist is present?

A

It can restore the effect of the agonist.

77
Q

True or False: Both reversible and irreversible antagonists can be used in pharmacological treatments.

78
Q

What is a common clinical scenario for using reversible competitive antagonists?

A

To manage acute allergic reactions.

79
Q

What is orthosteric modulation?

A

Orthosteric modulation refers to the direct binding of a ligand to the active site of a receptor.

80
Q

What is allosteric modulation?

A

Allosteric modulation involves the binding of a ligand to a site other than the active site, resulting in a change in receptor activity.

81
Q

True or False: Orthosteric modulators can only activate receptors.

A

False. Orthosteric modulators can either activate or inhibit receptors.

82
Q

Fill in the blank: Allosteric modulators can enhance or inhibit the effects of ___________ at the active site.

A

orthosteric ligands

83
Q

Which type of modulation typically has a more selective effect on receptor activity?

A

Allosteric modulation

84
Q

What is the main advantage of allosteric modulators over orthosteric modulators?

A

Allosteric modulators can provide more nuanced control over receptor activity and reduce side effects.

85
Q

Which type of modulation is more likely to lead to receptor desensitization?

A

Orthosteric modulation

86
Q

Multiple choice: Which of the following is an example of orthosteric modulation? A) Binding of a neurotransmitter to a receptor B) Binding of a drug to an allosteric site C) Binding of a hormone to a receptor’s regulatory site

A

A) Binding of a neurotransmitter to a receptor

87
Q

What does the term ‘allosteric site’ refer to?

A

An allosteric site is a location on a receptor where a ligand can bind, apart from the active site, influencing receptor function.

88
Q

True or False: Allosteric modulators can only act as inhibitors.

A

False. Allosteric modulators can act as either enhancers or inhibitors.

89
Q

What is a potential drawback of using orthosteric drugs?

A

Orthosteric drugs may cause receptor desensitization or downregulation over time.

90
Q

Fill in the blank: ___________ modulation can lead to changes in receptor conformation without directly blocking the active site.

A

Allosteric

91
Q

What is a key characteristic of orthosteric ligands?

A

They compete with other ligands for the same binding site on the receptor.

92
Q

Multiple choice: Which statement is true regarding allosteric modulators? A) They bind exclusively to the active site B) They can alter the receptor’s response to orthosteric ligands C) They are always antagonists

A

B) They can alter the receptor’s response to orthosteric ligands

93
Q

What is the effect of an allosteric enhancer?

A

An allosteric enhancer increases the efficacy of the orthosteric ligand.

94
Q

True or False: Allosteric modulators can only be small molecules.

A

False. Allosteric modulators can be both small molecules and larger biomolecules.

95
Q

What role do orthosteric modulators play in pharmaceuticals?

A

Orthosteric modulators are commonly used as drugs to directly activate or inhibit receptor activity.

96
Q

Fill in the blank: Allosteric modulation can lead to ___________ responses to stimuli.

A

differential

97
Q

What type of modulation is often associated with fewer side effects?

A

Allosteric modulation

98
Q

Multiple choice: Which of the following can be a result of orthosteric modulation? A) Increased specificity B) Competitive inhibition C) Non-competitive enhancement

A

B) Competitive inhibition

99
Q

What is a common application of allosteric modulation in drug design?

A

To create drugs that selectively enhance or inhibit receptor activity without competing with natural ligands.

100
Q

True or False: Allosteric modulators can change the shape of the receptor.

101
Q

What is one reason researchers explore allosteric sites for drug development?

A

Allosteric sites provide opportunities for more selective and safer therapeutic agents.

102
Q

What happens when an allosteric inhibitor binds to a receptor?

A

It decreases the receptor’s response to an orthosteric ligand.