Pharmacokinetics
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Questions and Answers

What is the main advantage of using extended-release tablets of oral morphine?

  • Rapid absorption
  • Reduced frequency of administration (correct)
  • Bypass of first-pass metabolism
  • Higher bioavailability

Which route of administration involves placing the drug under the tongue or between the cheek and gum?

  • Intravenous
  • Sublingual / Buccal (correct)
  • Intramuscular
  • Subcutaneous

Why is parenteral administration preferred for drugs like heparin and insulin?

  • Rapid absorption
  • Reduced side effects
  • Avoidance of first-pass metabolism
  • High bioavailability (correct)

What is a significant advantage of sublingual and buccal routes of drug administration?

<p>Ease of administration (A)</p> Signup and view all the answers

What are some factors that can influence drug absorption unrelated to the chemistry of the drug?

<p>Particle size, salt form, and crystal polymorphism (A)</p> Signup and view all the answers

How are two drug formulations considered therapeutically equivalent?

<p>They have similar clinical and safety profiles (B)</p> Signup and view all the answers

In drug distribution, where does a drug reversibly leave before entering the tissues?

<p>Bloodstream (D)</p> Signup and view all the answers

Why are some drugs like insulin destroyed in the gastrointestinal tract?

<p>Because of enteric coatings (D)</p> Signup and view all the answers

Which injection route provides absorption via simple diffusion and is slower than the IV route?

<p>Intradermal (ID) (D)</p> Signup and view all the answers

Which injection route minimizes the risks of hemolysis or thrombosis associated with IV injection?

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

Which injection route should not be used with drugs that cause tissue irritation to avoid severe pain and necrosis?

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

Which route of administration provides rapid delivery of drug across the large surface area of mucous membranes of the respiratory tract?

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

What is the equation to calculate the Volume of Distribution (Vd)?

<p>Vd = C0 (D)</p> Signup and view all the answers

In which compartment would a drug be effectively trapped if it is too large to pass through the capillaries' slit junctions?

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

What type of distribution does heparin show in terms of its Volume of Distribution (Vd)?

<p>Low Vd approximating the plasma volume (C)</p> Signup and view all the answers

Which water compartment in the body does a drug enter if it can pass through the endothelial slit junctions of the capillaries?

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

Enteral administration is the least common method of drug administration.

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

Oral administration of drugs is easily self-administered and does not require close monitoring.

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

Activated charcoal may be used as an antidote for overdoses of orally administered drugs.

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

The low gastric pH enhances the absorption of all types of drugs taken orally.

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

Sublingual and buccal routes of drug administration provide slow absorption due to the harsh gastrointestinal environment.

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

Parenteral administration is preferred for drugs that are unstable in the gastrointestinal (GI) tract, such as insulin.

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

Extended-release tablets of oral morphine require more frequent administration compared to the immediate-release tablets.

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

Drugs administered via the sublingual route are absorbed under the gum.

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

Orally administered drugs always provide 100% bioavailability due to rapid absorption into the systemic circulation.

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

Bioavailability is determined by comparing plasma levels of a drug after a specific route of administration with levels achieved by intramuscular administration.

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

First-pass hepatic metabolism occurs when a drug enters the systemic circulation before passing through the liver or gut wall.

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

Total body clearance is the sum of all clearances from only drug-metabolizing organs.

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

The liver plays no role in drug clearance through metabolism or excretion into the bile.

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

The area under the curve (AUC) can be measured by plotting plasma concentrations of a drug over time.

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

Excretion of drugs into sweat, saliva, tears, hair, and skin occurs to a large extent.

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

Breast milk is not a potential source of undesirable side effects to a breast-feeding infant.

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

Why is parenteral administration preferred for drugs like insulin?

<p>Insulin is unstable in the gastrointestinal tract (A)</p> Signup and view all the answers

What advantage do sublingual and buccal routes of drug administration offer over other routes?

<p>Avoidance of first-pass metabolism (A)</p> Signup and view all the answers

Why are extended-release tablets of oral morphine more convenient than immediate-release tablets?

<p>Require less frequent administration (B)</p> Signup and view all the answers

What is a characteristic feature of drugs administered via the sublingual or buccal route?

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

What is a disadvantage of parenteral administration compared to other routes?

<p>Risk of local tissue damage (B)</p> Signup and view all the answers

Which type of drug delivery provides the most control over the amount of drug delivered?

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

What is a characteristic of depot preparations administered intramuscularly?

<p>Absorbed more slowly than aqueous solutions (C)</p> Signup and view all the answers

Which parenteral route would be suitable for drugs that are not absorbed orally, such as rocuronium?

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

Which compartment in the body would a drug be effectively trapped in if it has a low Volume of Distribution (Vd) similar to the plasma volume?

<p>Plasma compartment (D)</p> Signup and view all the answers

What can be inferred about a drug with a high molecular weight and extensive protein binding in terms of its Volume of Distribution (Vd)?

<p>It will have a low Vd approximating the plasma volume (C)</p> Signup and view all the answers

Which water compartment does a drug enter if it can pass through the endothelial slit junctions of capillaries?

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

What is the significance of Volume of Distribution (Vd) when comparing drug distribution with volumes of water compartments in the body?

<p>Vd helps compare drug distribution with body water compartments (C)</p> Signup and view all the answers

Intrathecal and intraventricular routes of drug administration are particularly necessary when:

<p>Local and rapid effects in the central nervous system are needed (C)</p> Signup and view all the answers

The transdermal route of drug administration is advantageous because:

<p>It provides systemic effects through skin application (B)</p> Signup and view all the answers

What is a key reason topical application is used for drug delivery?

<p>To target a specific localized effect (D)</p> Signup and view all the answers

What distinguishes oral inhalation and nasal preparations as a preferred route of drug administration for respiratory disorders?

<p>Direct delivery to the site of action (C)</p> Signup and view all the answers

Where does the excretion of drugs into sweat, saliva, tears, hair, and skin primarily occur?

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

What is the primary role of the liver in drug clearance?

<p>Excretion into bile (C)</p> Signup and view all the answers

What are important measures of drug clearance used to optimize drug therapy and minimize toxicity?

<p>Total body clearance and drug half-life (C)</p> Signup and view all the answers

Which organ is often the major organ of drug excretion?

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

What is a key difference between subcutaneous (SC) injection and intramuscular (IM) injection?

<p>SC injection avoids the risks of hemolysis, unlike IM injection. (B)</p> Signup and view all the answers

Why should drugs causing tissue irritation not be administered via the subcutaneous route?

<p>To avoid severe pain and necrosis. (A)</p> Signup and view all the answers

What characterizes drugs typically administered via the intradermal (ID) route?

<p>Agents for diagnostic determination and desensitization. (B)</p> Signup and view all the answers

In what way do oral inhalation and nasal preparations differ from IV bolus administration in terms of drug effects?

<p>Both IV bolus and oral inhalation provide rapid drug effects. (C)</p> Signup and view all the answers

What factor primarily determines the relative concentrations of the charged and uncharged forms of a drug at its absorption site?

<p>pKa of the drug (B)</p> Signup and view all the answers

Which factor contributes significantly to the distribution equilibrium of a drug in all body water spaces?

<p>Achieving equal concentration in all body water spaces (B)</p> Signup and view all the answers

If a drug has a high pKa value, what can be inferred about its acidity?

<p>It is basic (C)</p> Signup and view all the answers

How does the availability of surface area for absorption differ between the intestine and the stomach?

<p>The intestine has a larger surface area due to brush borders containing microvilli (C)</p> Signup and view all the answers

Which factor can alter drug absorption unrelated to the chemistry of the drug?

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

What defines two drug formulations as therapeutically equivalent?

<p>Similar dosage form and route of administration (B)</p> Signup and view all the answers

What does bioequivalence between two drug formulations indicate?

<p>Comparable bioavailability and peak blood concentrations (A)</p> Signup and view all the answers

Where does drug distribution primarily occur according to the text?

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

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