quiz questions Flashcards

1
Q

Drugs that block the action of an endogenous hormone are known as:

A

antagonists

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2
Q

which type of receptor actiivates signal transduction pathways inside the cell by directly phosphorylating target proteins?

A

receptor tyrosine kinase

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3
Q

if a drug is dissolved at a concentration of 1 x 10^-9 M, this could also be expressed as:

A

1 nanomolar (nM)

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4
Q

one reason that spare receptors occur is because of:

A

signal amplification by second messenger pathways

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5
Q

if a drug has a low Kd, we can alsp say that is has a

A

high affinity

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6
Q

What is assocated with receptor antagonism that is surmountable (can be overcome by adding more agonist)?

A

competitive antagonist

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7
Q

if a drug has a narrow therapeutic index, thismeans that:

A

the difference between its therapeutic dose and a toic dose is small

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8
Q

a weak acid drug with a pKa of 6.2 is taken orally. In the stomach, it will be:

A

almost completely non-ionized (protonated)

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9
Q

what property would enhance the distribution of a drug into the brain

A

high lipid solubility

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10
Q

Phase I metabolic reactions

A

typically involve oxidaiton, reduction or hydrolysis

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11
Q

alcohol enhances acetaminophen toxicity because it

A

induces enzymes that form the toxic metabolite (NAPQI)

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12
Q

which way does a noncompetitive antagonist shift the dose-response curve

A

the curve will be shifted to the right and plateau at less than 100%

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13
Q

a patient experiences an allergic reaction to pinicillin. This is an example of _ toxicity

A

idiosyncratic

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14
Q

a drug undergoes extensive metabolism in the liver via the first pass effect. This means that it will have:

A

low bioavailability

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15
Q

compared to extensive metabolizers, patients whoa re CYP2D6 poor metabolizers will experience _ analgesia when they take codeine

A

less

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16
Q

if a drug has a high volume of distribution, this indicates that

A

a large fraction of the drug dose leaves the plasma and binds to tissue sites

17
Q

in a heart that is beating at a normal resting rate of 70 bpm, what would be the effect of compete blockade of muscarininc receptors by a muscarinic antagonist drug

A

the heart rate would increase to approx. 100 bpm

18
Q

what is not a location where nicotinic acetylcholine receptors are typically found

A

parasympathetic target organs

19
Q

many organs recieve dual innervation from both divisions of the autonomic nervous system. an importnat exception is

A

the blood vessel, which only recieve sympathetic innervation

20
Q

what is the mechanism of action and effect for organophosphates

A

inhibition of acetylcholinesterase leading to a cholinomimetic effect

21
Q

the drug bethanechol is

A

a muscarininc agonist