BMS161 General Pharmacology Quiz
40 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary difference between single-blind and double-blind techniques in experimental studies?

  • Single-blind studies involve only the participants being aware of the treatment group assignments, while double-blind studies involve only the researcher being unaware of the assignments.
  • Single-blind studies involve only the participants knowing the treatment group assignments, while double-blind studies involve both the researcher and participants being unaware of the assignments.
  • Single-blind studies involve only the researcher knowing the treatment group assignments, while double-blind studies involve both the researcher and participants being unaware of the assignments. (correct)
  • Single-blind studies involve only the researcher being aware of the treatment group assignments, while double-blind studies involve only the participants being unaware of the assignments.
  • Which of the following is NOT a mechanism of drug absorption from the gastrointestinal tract?

  • Active transport
  • Passive diffusion
  • Osmosis (correct)
  • Facilitated diffusion
  • Which of the following statements accurately describes the relationship between blood flow and drug absorption?

  • Increased blood flow to the absorption site decreases drug absorption rate.
  • Decreased blood flow to the absorption site increases drug absorption rate.
  • Blood flow has no significant impact on drug absorption rate.
  • Increased blood flow to the absorption site increases drug absorption rate. (correct)
  • Which of the following is a characteristic of carrier-mediated transport?

    <p>Can transport molecules against the concentration gradient but requires ATP. (B)</p> Signup and view all the answers

    Which of the following is a common example of active transport in drug absorption?

    <p>L-dopa absorption into the brain (A)</p> Signup and view all the answers

    What is the primary focus of the course 'Foundations of Pharmacology' as indicated in the provided text?

    <p>Understanding the mechanisms of drug action and the body's response to them. (D)</p> Signup and view all the answers

    Which of the following statements about drug absorption and pH is TRUE?

    <p>Weak acids are best absorbed in acidic environments. (B)</p> Signup and view all the answers

    Why is it important to consider the total surface area available for absorption when studying drug absorption?

    <p>Larger surface areas increase the rate of drug absorption. (A)</p> Signup and view all the answers

    What is the significance of the pKa of a drug and the pH of the medium in which it is present?

    <p>They are critical factors in influencing drug absorption and excretion. (B)</p> Signup and view all the answers

    What is the role of p-glycoprotein in drug absorption and distribution?

    <p>It acts as a transmembrane efflux pump, reducing drug concentration in the bloodstream. (A)</p> Signup and view all the answers

    What is the main organ responsible for metabolism (biotransformation) of drugs?

    <p>Liver (A)</p> Signup and view all the answers

    Which of the following is NOT a factor affecting drug bioavailability?

    <p>Patient's emotional state (D)</p> Signup and view all the answers

    The text mentions 'SGD: Discussion, free reading.' What does this most likely refer to?

    <p>A specific assessment method involving self-directed group learning. (B)</p> Signup and view all the answers

    Which of the following is NOT listed as a required resource for the course?

    <p>Pharmacology: A Text for Students and Professionals (3rd edition) (B)</p> Signup and view all the answers

    What is the primary goal of the section titled 'Pharmacokinetics- 1- Absorption'?

    <p>To explain how drugs move through the body from administration to reaching their target sites. (B)</p> Signup and view all the answers

    What is the difference between pharmacokinetics and pharmacodynamics, as indicated by the text?

    <p>Pharmacokinetics focuses on how drugs are absorbed and eliminated, while pharmacodynamics focuses on how drugs interact with the body. (D)</p> Signup and view all the answers

    What is the primary purpose of administering drugs?

    <p>To treat, diagnose, or prevent diseases (C)</p> Signup and view all the answers

    Which of the following are sources of drugs?

    <p>Natural, semi-synthetic, and synthetic sources (B)</p> Signup and view all the answers

    What distinguishes Phase III clinical trials?

    <p>Conducted as double-blind studies on large patient groups (D)</p> Signup and view all the answers

    What is the role of a placebo in clinical studies?

    <p>To differentiate drug effects from psychological reactions (B)</p> Signup and view all the answers

    Which of the following is a key aspect of Phase I clinical trials?

    <p>Focuses on safety and pharmacokinetics with healthy volunteers (B)</p> Signup and view all the answers

    What is a common misconception about the use of placebos?

    <p>They can elicit reactions unrelated to pharmacologic effects (C)</p> Signup and view all the answers

    What type of substances are NOT considered sources of drugs?

    <p>Only psychological treatments (A)</p> Signup and view all the answers

    Which of the following statements about pharmacovigilance is correct?

    <p>It monitors drug effects after market approval (A)</p> Signup and view all the answers

    What effect does P-glycoprotein have on drug absorption?

    <p>Decreases drug absorption by pumping drugs out of cells (D)</p> Signup and view all the answers

    What is the significance of the dissociation constant (pKa) in drug absorption?

    <p>It determines the ionization of drugs at specific pH levels (D)</p> Signup and view all the answers

    How does gastric emptying affect drug absorption?

    <p>Slower gastric emptying can lead to slower absorption (C)</p> Signup and view all the answers

    Which of the following statements about bioavailability is accurate?

    <p>It is the amount of drug that reaches systemic circulation and is available for effect (D)</p> Signup and view all the answers

    Why is aspirin trapped in gastric mucosal cells?

    <p>It is primarily non-ionized in the acidic environment of the stomach (B)</p> Signup and view all the answers

    What happens during acidification of urine in drug poisoning?

    <p>It enhances drug ionization and decreases reabsorption (C)</p> Signup and view all the answers

    In terms of drug absorption, how do un-ionized drugs behave compared to ionized drugs?

    <p>Un-ionized drugs are lipophilic and can cross membranes for absorption (B)</p> Signup and view all the answers

    What common factor can influence the bioavailability of a drug?

    <p>The presence of food in the gastrointestinal tract (C)</p> Signup and view all the answers

    Which of the following factors related to the drug itself primarily affects dissolution rather than disintegration?

    <p>The molecular weight and solubility of the drug (C)</p> Signup and view all the answers

    What is a primary concern regarding drug stability within the gastrointestinal tract (GIT)?

    <p>GIT secretions which can result in drug destruction (B)</p> Signup and view all the answers

    Which process is best defined as the metabolism of a drug before it reaches systemic circulation?

    <p>First-pass effect (C)</p> Signup and view all the answers

    The hepatic first-pass effect refers to drugs being metabolized primarily in the:

    <p>Portal circulation, delivering drugs to the liver (D)</p> Signup and view all the answers

    Which of the following would NOT reduce hepatic first pass metabolism?

    <p>Increased blood flow in the portal circulation (B)</p> Signup and view all the answers

    Which routes of administration are primarily associated with the first-pass effect?

    <p>Oral and rectal (C)</p> Signup and view all the answers

    Which route of administration is LEAST likely to be affected by the first-pass effect?

    <p>Intravenous (C)</p> Signup and view all the answers

    A drug with properties that are significantly affected by the first-pass effect would be best administered via which method?

    <p>Subcutaneous (B)</p> Signup and view all the answers

    Flashcards

    Pharmacokinetics

    The study of how the body affects a drug, including absorption, distribution, metabolism, and excretion.

    Pharmacodynamics

    The study of how a drug affects the body, including its mechanism of action and therapeutic effects.

    Bioavailability

    The measure of how much of a drug reaches the bloodstream after administration.

    Lipid Solubility

    The tendency of a drug to dissolve in fat or oil. This affects how easily a drug can cross cell membranes.

    Signup and view all the flashcards

    Absorption

    The process of a drug being absorbed into the bloodstream from the site of administration.

    Signup and view all the flashcards

    P-glycoprotein

    A protein found in cells that pumps certain drugs out of the body. It affects a drug's serum level.

    Signup and view all the flashcards

    pH of Medium

    The pH of the environment can affect a drug's ionization, which can influence its absorption and excretion.

    Signup and view all the flashcards

    pKa of a Drug

    The measure of a drug's tendency to exist in its ionized form. This affects how well a drug can cross cell membranes.

    Signup and view all the flashcards

    Placebo

    A substance with no pharmacological effect used to control for psychological effects or to compare against an active drug.

    Signup and view all the flashcards

    Inert substance

    A drug that has no inherent medicinal properties, used to control for placebo effects in research studies.

    Signup and view all the flashcards

    Drug absorption

    The process by which a drug enters the bloodstream, often through the digestive system, skin, or injection.

    Signup and view all the flashcards

    Drug distribution

    The way a drug is transported throughout the body, reaching its intended target and other tissues.

    Signup and view all the flashcards

    Drug metabolism

    The breakdown of a drug into inactive metabolites, primarily by the liver, making it easier to excrete.

    Signup and view all the flashcards

    Drug excretion

    The removal of a drug and its metabolites from the body, usually through urine, feces, or breath.

    Signup and view all the flashcards

    Double-Blind Technique

    A technique in which neither the researcher nor the participant knows who is receiving the treatment or the placebo. This minimizes bias and ensures objective results.

    Signup and view all the flashcards

    Single-Blind Technique

    A type of study where only the participant is unaware of whether they are receiving the treatment or the placebo, while the researcher knows.

    Signup and view all the flashcards

    Disintegration

    The process by which a dosage form breaks down into smaller particles, allowing for drug release.

    Signup and view all the flashcards

    Dissolution

    The process by which drug particles dissolve into molecules, allowing them to be absorbed.

    Signup and view all the flashcards

    Dosage Form Factors

    Factors that influence the breakdown and release of a drug from its dosage form.

    Signup and view all the flashcards

    First-Pass Effect

    The process of a drug being metabolized in the liver, gut wall, or lungs before it reaches systemic circulation.

    Signup and view all the flashcards

    Hepatic First-Pass Effect

    The metabolism of a drug in the liver before it reaches systemic circulation.

    Signup and view all the flashcards

    Factors Affecting Drug Absorption

    Factors that can affect the drug's absorption and distribution.

    Signup and view all the flashcards

    Membrane Permeability

    The ability of a drug to pass through cell membranes.

    Signup and view all the flashcards

    Ionization Ratio

    The ratio of ionized to unionized drug molecules in a solution.

    Signup and view all the flashcards

    Protein Binding

    A drug's tendency to remain bound to proteins in the bloodstream.

    Signup and view all the flashcards

    Dissociation Constant (pKa)

    The pH at which half of the drug molecules are ionized and half are unionized.

    Signup and view all the flashcards

    Genetic Variability in Drug Metabolism

    The variation in how drugs are metabolized by different individuals.

    Signup and view all the flashcards

    Study Notes

    Course Information

    • Course name: BMS161 (1): General Pharmacology
    • Course description: Introduction to General Pharmacology, followed by Pharmacokinetics: Absorption
    • Professor: Ahmed Nour Eldin Hassan
    • Assistant Professor: Nevien Fekry Abdalla
    • Lecturer: Mai Ebeid
    • Semester: Spring 2024
    • University: Galala University, Arizona State University
    • Practical skills focus: How to find knowledge; How to calculate dose; and How to find D.I.
    • Learning resources:
      • Whalen K, Finkel R, and Panavelil TA (2018). Lippincott's Illustrated reviews: Pharmacology (7th edition). Lippincott Williams and Wilkins.
      • Bertram G. Katzung, Suzan B. Masters, and Anthony J. Trevor (2020). Basic and Clinical Pharmacology (15th edition). McGraw Hill, New York.
      • H.P. Rang, M.M. Dale, J.M. Ritter, R.J. Flower, and G. Henderson (2016). Rang and Dale's Pharmacology (8th edition). Churchill Livingstone Elsevier, Edinburgh, UK.

    Pharmacology Course: Foundations

    • Course Focus: Pharmacokinetics, Pharmacodynamics, Cholinergic nervous system, Adrenergic nervous system, General Chemotherapy, Autacoids, and Principles of cancer chemotherapy
    • Learning Methods: Discussion, free reading (moderator)
    • Assessment:
    • No specific assessments are named, just instructions on learning, not assessment

    Pharmacokinetic-1-Absorption

    • Intended learning objectives:
      • Explain the difference between pharmacokinetics and pharmacodynamics
      • Recognize the importance of pKa of a drug & pH of medium in drug ionization and lipid solubility
      • Describe the role of P-glycoprotein in affecting serum drug levels
      • Compare different drug administration routes
      • Define drug bioavailability
      • List factors that affect bioavailability
      • Predict the effect of liver diseases on drug pharmacokinetics

    Drug Information

    • Drugs are chemical substances used for treatment, diagnosis, and prevention.
      • Chemical name
      • Nonproprietary (Generic) name
      • Proprietary (brand) name
    • Examples of drugs:
      • Paracetamol (Acetaminophen)
      • Panadol
      • Abimol
      • Pyral

    Drug Sources

    • Natural sources:
      • Plants (e.g., atropine, morphine, peppermint)
      • Animals (e.g., insulin)
      • Microorganisms (e.g., penicillin)
      • Minerals (e.g., iron, calcium)
    • Semi-synthetic
    • Synthetic:
      • Chemical synthesis (e.g., aspirin)
      • Biological synthesis (using recombinant DNA technology, e.g., human insulin, erythropoietin)

    Drug Journey From Discovery to Market

    • Animal studies
    • Clinical trials (Phase I, II, and III)
    • Post-marketing pharmacovigilance
    • Safety and efficacy are important factors.

    Single vs. Double-Blind Techniques

    • Uses of placebo: Inert substance to distinguish pharmacodynamic from psychological effects of medication,
    • Single-blind: Patients unaware; Physician knows; Clinical Pharmacologist knows
    • Double-blind: Both patients and Physician unaware

    Division of General Pharmacology

    • Pharmacodynamics: Mechanism of drug action; biochemical & physiological effects (intended & unintended)
    • Pharmacokinetics: Absorption; Distribution; Metabolism (Biotransformation); and Excretion (ADME)

    Pharmacokinetics Detailed

    • Study of the kinetics of effective drug doses
    • Absorption: Transfer of drug from administration site to bloodstream
    • Blood distribution: Distribution to site of action and other organs
    • Elimination: Clearance through Excretion and Metabolism

    Absorption Mechanisms

    • Passive diffusion: concentration gradient, no ATP or carrier needed
    • Facilitated diffusion: concentration gradient, carrier needed, no ATP needed
    • Active transport: with or against concentration gradient, ATP and a carrier needed
    • Endocytosis (e.g., Vitamin B12)
    • Exocytosis (e.g., neurotransmitter release)

    Carrier Transport System

    • Saturable: limited absorption
    • Competition: endogenous substrate competes for carrier with the drug, e.g. Amino Acids carrier to Brain ➤ L-Dopa (Drug)

    Factors Influencing Passive Absorption

    • Effect of pH on drug absorption
    • Blood flow to the absorption site (e.g., in cases of shock affecting insulin absorption)
    • Total surface area for absorption (e.g., intestine vs. stomach)
    • Contact time at the absorption site
    • Expression of P-glycoprotein
    • Expression of P-glycoprotein

    P-Glycoprotein

    • Associated with multidrug resistance

    Effect of pH on Drug Absorption

    • Ionization of Drugs: Ionized drugs (charged) are hydrophilic and cannot cross membranes, while non-ionized drugs (uncharged) are lipophilic

    Bioavailability

    • Percentage of drug that reaches systemic circulation after a route of administration
    • Calculated by (AUC oral/ AUC IV) *100%

    Factors Influencing Bioavailability from GIT

    • Disintegration of drug
    • Dissolution of drug particles into molecules
    • Drug stability
    • Gut pH
    • Drug's pKa
    • Absorption ability

    First-Pass Effect (First-pass metabolism)

    • Metabolism of a drug during its first pass through the liver, gut wall, or lungs before reaching the systemic circulation
    • Effect: Reduced bioavailability
    • Factors reducing first-pass metabolism: Reduced portal blood flow; Inhibition of hepatic metabolizing enzymes
    • Example drugs: Nitroglycerin, propranolol, erythromycin

    Routes of Administration

    • Enteral
    • Parental (Intravenous, Intramuscular, Subcutaneous, Intradermal, Intrathecal, Epidural, Intra-arterial, Inhalation, Intra-articular)
    • Topical (For Systemic and local effects like eye, skin, nose, lung)
    • Suitable dosage forms for each route

    Rational Professional Prescription

    • A concluding statement of the lecture with a thanks to the students.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on General Pharmacology, focusing on key concepts in Pharmacokinetics such as absorption. This quiz is designed to reinforce the practical skills you need for calculating doses and finding drug information. Get ready to challenge yourself as you dive into this essential field of study.

    More Like This

    Pharmacology: Drug Absorption and Distribution
    24 questions
    Pharmacology Drug Absorption Quiz
    24 questions
    Pharmacology: Bioavailability and Drug Absorption
    50 questions
    Use Quizgecko on...
    Browser
    Browser