Pharmacokinetics .
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Questions and Answers

Which process is responsible for transporting Vitamin B12 across the gut wall?

  • Exocytosis
  • Active transport
  • Endocytosis (correct)
  • Diffusion

What is the main factor affecting drug absorption discussed in the text?

  • Temperature
  • Pressure
  • Light exposure
  • Effect of pH (correct)

Why do weak acids pass through membranes more readily?

  • Because the protonated form penetrates through membranes
  • Because the uncharged, protonated form can permeate through membranes (correct)
  • Because they are charged
  • Because they are positively charged

What determines the distribution of a drug between its ionized and unionized forms?

<p>pKa and ambient pH of the drug (D)</p> Signup and view all the answers

What is the most common and safest route of drug administration?

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

Why are oral drugs easily self-administered?

<p>They can be swallowed (D)</p> Signup and view all the answers

What complicates the pathways involved in oral drug absorption?

<p>Low gastric pH (D)</p> Signup and view all the answers

Why is activated charcoal used in cases of oral drug overdose?

<p>To prevent drug absorption (B)</p> Signup and view all the answers

What does Volume of Distribution (Vd) compare the distribution of a drug with?

<p>Volumes of the water compartments in the body (D)</p> Signup and view all the answers

Which compartment has a low Volume of Distribution similar to plasma volume?

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

What is bioavailability?

<p>The percentage of a drug that reaches the systemic circulation after a specific route of administration (D)</p> Signup and view all the answers

In which compartment would a hydrophilic drug with low molecular weight distribute more readily?

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

Why does orally administered drugs often undergo first-pass metabolism?

<p>Because the liver metabolizes the drug before it reaches the systemic circulation (A)</p> Signup and view all the answers

What is the formula for calculating Volume of Distribution (Vd)?

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

What does the area under the curve (AUC) measure in pharmacokinetics?

<p>Total drug exposure over time after administration (D)</p> Signup and view all the answers

How does first-pass hepatic metabolism affect bioavailability?

<p>Decreases the amount of unchanged drug reaching the systemic circulation (B)</p> Signup and view all the answers

Volume of Distribution (Vd) has a physiologic or physical basis.

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

A drug with high molecular weight or extensive protein binding would have a low Volume of Distribution (Vd).

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

Heparin shows characteristics of distribution similar to Extracellular Fluid.

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

A hydrophilic drug with a low molecular weight can easily distribute into the interstitial fluid.

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

Metabolism leads to production of products with decreased polarity.

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

Most drugs are eliminated according to zero-order kinetics.

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

Drug clearance estimates the amount of drug cleared from the body per unit of volume.

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

Kidneys can efficiently eliminate lipophilic drugs that are reabsorbed in the distal convoluted tubules.

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

Drug excretion may occur via sweat, saliva, tears, hair, and skin to a large extent.

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

Total body clearance and drug half-life are not important measures of drug clearance.

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

The liver does not contribute to drug clearance through metabolism or excretion into the bile.

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

The kidney is not a major organ of excretion in drug clearance.

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

Patients with diminished renal or hepatic blood flow may experience a decrease in drug half-life.

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

Increased hepatic blood flow can lead to a decrease in the half-life of a drug.

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

Patients with decreased ability to extract drug from plasma may require an increase in drug dosage.

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

Which process is NOT involved in the elimination of drugs through the kidneys into urine?

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

What is the normal glomerular filtration rate (GFR) approximately in mL/min?

<p>125 (C)</p> Signup and view all the answers

Which factor does NOT influence the passage of drugs into the glomerular filtrate during glomerular filtration?

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

Where do drugs that were not transferred into the glomerular filtrate leave the glomeruli to enter the proximal tubule?

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

Why is intravenous (IV) injection considered the most common parenteral route of drug administration?

<p>It allows for rapid drug delivery to the systemic circulation. (C)</p> Signup and view all the answers

What distinguishes depot preparations used in intramuscular (IM) drug administration from aqueous solutions?

<p>They are usually suspended in a nonaqueous vehicle. (C)</p> Signup and view all the answers

Which factor contributes to the higher peak plasma concentrations seen when drugs are administered as an IV bolus compared to IV infusion?

<p>Immediate full delivery to the systemic circulation (A)</p> Signup and view all the answers

What is a disadvantage associated with the intradermal route of drug administration?

<p>High potential for pain and fear (C)</p> Signup and view all the answers

Which organ is primarily involved in the elimination of anesthetic gases?

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

Excretion of most drugs into which of the following occurs only to a small extent?

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

Total body clearance is the sum of clearances from which drug-processing and drug-eliminating organs?

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

What is a potential source of undesirable side effects to a breast-feeding infant regarding drug clearance through metabolism?

<p>Medications taken by the mother (D)</p> Signup and view all the answers

What is the primary location where secretion of drugs occurs in the kidneys?

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

How does manipulating urine pH help increase drug clearance in the kidneys?

<p>By increasing the fraction of ionized drug in the lumen (D)</p> Signup and view all the answers

Which process is responsible for increasing the elimination of weak bases from the body?

<p>Acidification of the urine (A)</p> Signup and view all the answers

What can be done to decrease the reabsorption of weak acids in a patient presenting with an overdose?

<p>Alkalinization of the urine (C)</p> Signup and view all the answers

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