Foundation part 2
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Questions and Answers

Which route of drug administration involves the use of a patch?

  • Intramuscular (IM)
  • Transdermal (correct)
  • Subcutaneous (SC)
  • Intravenous (IV)

Which route of drug administration is rarely used in humans?

  • Oral
  • Sublingual
  • Intravenous (IV)
  • Intraperitoneal (IP) (correct)

Which route of drug administration involves the use of drops?

  • Rectal
  • Inhalation
  • Oral
  • Topical (correct)

Which route of drug administration involves injecting the drug into a muscle?

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

Which route of drug administration involves placing the drug under the tongue?

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

Which route of drug administration is NOT the same as oral administration?

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

Which organ is the main site of drug absorption?

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

Which factor can decrease drug absorption in the gastrointestinal tract?

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

Which factor can affect drug absorption in the gastrointestinal tract?

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

Which of the following factors can affect drug absorption in the gastrointestinal tract?

<p>Age, gender, genetic polymorphism (B)</p> Signup and view all the answers

Which of the following can lead to poor drug absorption in the gastrointestinal tract?

<p>Strong acid or base conditions (A)</p> Signup and view all the answers

Which of the following is NOT a mechanism of drug absorption?

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

Which type of drugs are more likely to be absorbed through passive transport via diffusion?

<p>Lipid-soluble drugs (C)</p> Signup and view all the answers

Which of the following statements about membrane transportation is correct?

<p>The lipophilicity of the drug affects its membrane permeability (B)</p> Signup and view all the answers

Which form of drugs has good membrane permeability?

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

Which factor affects the permeability of drugs through the membrane?

<p>pH of the surrounding environment (D)</p> Signup and view all the answers

Which form of drugs is more easily absorbed in acidic conditions?

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

Which form of drugs is more easily absorbed in alkaline conditions?

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

How are drugs distributed in the body?

<p>They randomly meet with their targets (C)</p> Signup and view all the answers

Which of the following factors can affect the rate of drug distribution in the body?

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

Which of the following factors can affect the extent of drug distribution in the body?

<p>Availability of drug (D)</p> Signup and view all the answers

Which type of drugs are more likely to distribute faster in the body?

<p>Membrane permeable drugs (C)</p> Signup and view all the answers

Which of the following is the most important plasma protein that binds with acidic and some basic drugs?

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

What percentage of drug binding is reversible between the free and protein-bound form?

<p>99% (C)</p> Signup and view all the answers

Which form of the drug is pharmacologically active and can freely bind with its targets to exert its effects?

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

Which organ contains drug metabolizing enzymes that can contribute to the first-pass metabolism?

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

What is the primary route of drug excretion from the body?

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

What effect does first-pass metabolism have on drug bioavailability?

<p>Reduces drug bioavailability (B)</p> Signup and view all the answers

Which of the following factors can affect the extent of first-pass metabolism?

<p>The route of administration and the drug dose (C)</p> Signup and view all the answers

What happens to the drug level and bioavailability during first-pass metabolism?

<p>The drug level decreases and bioavailability decreases (C)</p> Signup and view all the answers

What is the role of drug metabolizing enzymes in first-pass metabolism?

<p>They metabolize a portion of the drug (B)</p> Signup and view all the answers

Which organ is the primary site for drug metabolism?

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

What is the main objective of drug metabolism?

<p>To enhance drug hydrophilicity (B)</p> Signup and view all the answers

What are the two stages of drug metabolism?

<p>Phase 1 and Phase 2 (B)</p> Signup and view all the answers

Which type of reaction in Phase 1 metabolism involves the addition of a new -OH group directly?

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

Which of the following is NOT a type of reaction in Phase 1 metabolism?

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

Which of the following enzymes is responsible for glucuronidation in Phase 2 metabolism?

<p>UDP-glucuronyltransferase (D)</p> Signup and view all the answers

Which products of Phase 2 metabolism are ready to be excreted in urine?

<p>Water-soluble products (A)</p> Signup and view all the answers

During drug overdose, what happens to Phase 2 metabolism?

<p>It becomes saturated at its highest capacity (D)</p> Signup and view all the answers

Which of the following is a major excretion system for drugs?

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

What is the primary route of drug excretion from the body?

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

What is enterohepatic circulation?

<p>The process of drug reabsorption to the portal and systemic circulation (D)</p> Signup and view all the answers

Which mechanism is the most effective for drug elimination in the kidneys?

<p>Active tubular secretion (D)</p> Signup and view all the answers

What factors can affect active tubular secretion of drugs?

<p>Competition and inhibition of transporters (B)</p> Signup and view all the answers

Which part of the kidney is mainly responsible for tubular reabsorption of lipophilic drugs?

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

Which type of drug target can be bound by an agonist to activate its action?

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

Which type of drug target can be bound by an antagonist to block the action of an agonist?

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

Which type of drug target can be inhibited by a drug to act as a false substrate?

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

What is the primary objective of drug metabolism?

<p>To convert drugs into inactive or less active forms (D)</p> Signup and view all the answers

Which type of drug target is associated with ligand-gated ion channels?

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

Which type of dose-response curve is used to measure the response of a single model, such as cells or animals, to the concentration or dose of an agonist?

<p>Graded dose-response curve (B)</p> Signup and view all the answers

What does the half-maximal effective dose (ED50) represent in a graded dose-response curve?

<p>The concentration or dose of an agonist that produces 50% of the maximum effect (D)</p> Signup and view all the answers

What happens to the response of a drug after it reaches its maximal effect in a dose-response relationship?

<p>The response remains the same despite higher doses (B)</p> Signup and view all the answers

Which of the following accurately describes affinity in relation to drug binding?

<p>Affinity refers to the strength of a drug binding to a receptor. (D)</p> Signup and view all the answers

How is the equilibrium dissociation constant (Kd) calculated to determine drug affinity?

<p>By measuring the percentage of receptor occupied vs dose of drug. (A)</p> Signup and view all the answers

What does a smaller Kd value indicate about drug affinity?

<p>A smaller Kd value indicates greater affinity. (D)</p> Signup and view all the answers

What is the purpose of calculating the ED50 of a drug?

<p>To assess the potency of the drug (A)</p> Signup and view all the answers

What is a common misconception about drug potency?

<p>Maximal effect (EMAX) of the drug is always 100% (C)</p> Signup and view all the answers

Which method is used to determine the efficacy of a drug?

<p>Comparing the Emax from a graph of graded dose-response (A)</p> Signup and view all the answers

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

<p>Full agonists have higher efficacy and can produce a maximal response, while partial agonists have lower efficacy and cannot produce a maximal response (A)</p> Signup and view all the answers

What is the meaning of Emax in the context of drug efficacy?

<p>The maximum effect that a drug can achieve (B)</p> Signup and view all the answers

Which type of antagonist binds at a different site of the receptor, mostly permanently, and cannot be overcome by increasing agonist concentration?

<p>Non-competitive antagonist (D)</p> Signup and view all the answers

What effect does the presence of a competitive antagonist have on the potency of agonists?

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

Which type of antagonist competes with agonists for binding at the agonist recognition site reversibly?

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

Which of the following statements about drug selectivity is correct?

<p>A selective drug can differentiate between different targets. (D)</p> Signup and view all the answers

Which of the following statements about drug specificity is correct?

<p>Specificity refers to the number of different mechanisms involved in a drug's action. (A)</p> Signup and view all the answers

Which of the following statements about drug selectivity and specificity is correct?

<p>Specificity refers to a drug's ability to differentiate between different targets. (C)</p> Signup and view all the answers

Which of the following best defines the therapeutic index?

<p>The ratio of the amount of a therapeutic agent that causes the therapeutic effect to the amount that causes toxicity (C)</p> Signup and view all the answers

Which of the following statements about drugs with a low therapeutic index is true?

<p>They can be difficult to use unless therapeutic dose monitoring is in operation (C)</p> Signup and view all the answers

What is the importance of the therapeutic window and index in indicating a drug's safety?

<p>A larger value of therapeutic index or therapeutic window indicates a safer drug to use (A)</p> Signup and view all the answers

Which of the following is NOT a mechanism of drug desensitization?

<p>Higher number of receptors in production or receptor internalization (B)</p> Signup and view all the answers

Which of the following best describes tolerance in relation to drug response?

<p>The need for a higher dose to produce the same magnitude of response (B)</p> Signup and view all the answers

What is the difference between tolerance and molecular desensitization?

<p>Tolerance refers to altered drug metabolism, while molecular desensitization refers to the reduction in drug response (C)</p> Signup and view all the answers

Which of the following pathways can lead to tolerance?

<p>Both pharmacokinetic and pharmacodynamic (A)</p> Signup and view all the answers

Which type of cell-cell communication involves the release of chemical messengers (hormones) into the circulatory system to signal distant cells?

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

What type of cell-cell communication signals adjacent cells or communicates with the cell next to it using chemical messengers (cytokines, chemokines)?

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

Which type of cell-cell communication signals a cell via chemical messengers (neurotransmitters) in the synapse?

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

Which of the following statements about steroid hormones is correct?

<p>Steroid hormones can freely cross the cell membrane. (A)</p> Signup and view all the answers

Which of the following is true about the release of steroid hormones into the blood circulation?

<p>The rate of steroid hormone release is correlated to its synthesis rate. (D)</p> Signup and view all the answers

What is the role of the hormone-receptor complex in steroid hormone action?

<p>It serves as a transcription factor to activate gene transcription. (A)</p> Signup and view all the answers

Which of the following is true about peptide hormones?

<p>Peptide hormones are stored in secretory vesicles in the cytoplasm. (B)</p> Signup and view all the answers

What is the role of cAMP in peptide hormone signaling?

<p>cAMP is a secondary messenger that activates protein/enzymes. (A)</p> Signup and view all the answers

Which type of receptor is associated with steroid hormones?

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

Which type of response is characteristic of peptide hormones?

<p>Fast but transient response (C)</p> Signup and view all the answers

Which signaling pathway is activated by peptide hormones?

<p>cAMP production &amp; protein phosphorylation (C)</p> Signup and view all the answers

Which type of control involves the release of a hormone in response to stimulation from another hormone?

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

What is the primary purpose of a negative feedback loop in hormone regulation?

<p>To suppress the stimulus (A)</p> Signup and view all the answers

Which type of feedback loop occurs less commonly but is essential in certain processes?

<p>Positive feedback loop (D)</p> Signup and view all the answers

Which lobe of the pituitary gland is responsible for storing and secreting oxytocin and antidiuretic hormones?

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

Which lobe of the pituitary gland synthesizes and releases growth hormone (GH) and prolactin as direct acting hormones?

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

Which gland regulates and controls the anterior and posterior lobes of the pituitary gland?

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

Which hormone from the anterior pituitary gland targets the bone, liver, and adipose tissue?

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

Which hormone from the anterior pituitary gland is responsible for the secretion of cortisol, aldosterone, and androgens?

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

Which hormone from the posterior pituitary gland is involved in uterus contraction during labor and milk production?

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

Which class of hormones is synthesized from cholesterol?

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

Which class of hormones does not require plasma protein for transportation?

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

Which type of receptors are involved in rapid and transient actions of hormones?

<p>Cell surface receptors (C)</p> Signup and view all the answers

Which type of hormone binds with intracellular receptors?

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

Which hormone serves as a vehicle for hydrophilic hormones that need plasma protein?

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

Which gland produces melatonin?

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

Which of the following statements about the release of peptide hormones is correct?

<p>Peptide hormones are stored in secretory vesicles. (B)</p> Signup and view all the answers

Which of the following is true about the release of amino-acid hormones?

<p>Amino-acid hormones are released into blood circulation by simple diffusion. (B)</p> Signup and view all the answers

Which of the following is NOT a requirement for the release of steroid hormones?

<p>Steroid hormones are stored in secretory vesicles. (B)</p> Signup and view all the answers

Which type of hormone is released into blood circulation by simple diffusion?

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

How are peptide hormones released from storage when needed?

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

Which type of hormone synthesis involves iodination of tyrosine residues?

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

Which part of the adrenal gland produces glucocorticoids?

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

Which hormone is mainly regulated by ACTH?

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

Which zone of the adrenal cortex produces mineralocorticoids, mainly aldosterone?

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

Which disease is characterized by high levels of glucocorticoid (cortisol)?

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

Which adrenal disease is mainly caused by autoimmune factors?

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

Which adrenal disease is characterized by high levels of mineralocorticoid (aldosterone)?

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

Which cell type in the brain is responsible for myelinating the cells in the peripheral nervous system (PNS)?

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

What is the main function of astrocytes in the brain?

<p>Structure support for the brain (D)</p> Signup and view all the answers

What is the role of microglial cells in the brain?

<p>Act as immune cells and respond to injury (D)</p> Signup and view all the answers

Which neurotransmitter is both excitatory and inhibitory?

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

Which neurotransmitter is excitatory via D1 receptors and inhibitory via D2 receptors?

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

Which neuropeptide is excitatory?

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

Which ion(s) experience increased conductance in the post-synaptic cell when a neurotransmitter binds to receptors?

<p>Na+ and K+ (D)</p> Signup and view all the answers

What happens if the threshold is reached in the post-synaptic cell?

<p>Generation of action potential (C)</p> Signup and view all the answers

What is the effect of an inhibitory post-synaptic potential (IPSP) on the post-synaptic neurone?

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

Which ions are typically let through by neurotransmitter receptors?

<p>Sodium, chloride, and potassium (A)</p> Signup and view all the answers

Which neurotransmitter is generally considered inhibitory?

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

What leads to changes within the cell to cause a biological response after neurotransmitter activation?

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

Which class of receptors allows selective movement of ions and is faster in transmitting signals?

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

What is the major neurotransmitter of the nervous system?

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

Which enzyme is responsible for the synthesis of acetylcholine?

<p>Acetyl-Co A (B)</p> Signup and view all the answers

Which type of receptor is activated by acetylcholine to cause depolarization in the post-synaptic cell?

<p>Nicotinic ionotropic receptor (D)</p> Signup and view all the answers

What is the main role of acetylcholinesterase (AChE) in the breakdown of acetylcholine?

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

What is the product of the breakdown of acetylcholine by acetylcholinesterase (AChE)?

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

Which of the following statements about myelin is correct?

<p>Myelin is a substance that helps to transmit electrical signals along the axon of a neuron. (D)</p> Signup and view all the answers

What happens to the speed of electrical signal transmission when myelin is present?

<p>The speed of electrical signal transmission increases. (A)</p> Signup and view all the answers

Which cells are responsible for producing myelin in the central nervous system?

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

Which of the following cells has a more negative resting membrane potential?

<p>Skeletal Muscle Cell (C)</p> Signup and view all the answers

What triggers action potentials in excitable cells like muscle and nerve cells?

<p>Stimulus that alters the resting membrane potential (B)</p> Signup and view all the answers

What maintains the concentration gradient across a cell membrane?

<p>Sodium potassium pump (D)</p> Signup and view all the answers

Which ion plays a major role in generating the resting membrane potential?

<p>Potassium (K+) (B)</p> Signup and view all the answers

What is the approximate value of the resting membrane potential?

<p>-70mV (A)</p> Signup and view all the answers

What is the role of Gibbs and Donnan equilibrium in the resting membrane potential?

<p>They generate a negative charge inside cells with respect to outside (A)</p> Signup and view all the answers

Which ion(s) experience increased conductance during the generation and conductance of an action potential?

<p>VG Na+ open (B)</p> Signup and view all the answers

What is the potential difference during the after-depolarisation phase of an action potential?

<p>+35 mV (D)</p> Signup and view all the answers

What is the term for the period of time between the stimulus and the generation of an action potential?

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

Which of the following is true about the generation and conductance of an action potential?

<p>The local currents drawn to the area of positive charge. (A)</p> Signup and view all the answers

What is the advantage of myelin insulator in saltatory conduction?

<p>It increases the conduction velocity of the action potential. (C)</p> Signup and view all the answers

Which ion channels open first during the initiation of an action potential?

<p>Sodium (Na+) (C)</p> Signup and view all the answers

Which ion(s) experience increased conductance in the post-synaptic cell when a neurotransmitter binds to receptors?

<p>Na+ and K+ (B)</p> Signup and view all the answers

What is the first step in the process of neurotransmitter release at a terminal bouton?

<p>Generation of an action potential (D)</p> Signup and view all the answers

What happens if the threshold for an action potential is reached in the post-synaptic cell?

<p>An action potential is generated (D)</p> Signup and view all the answers

Which part of the nervous system processes, interprets, and stores information, as well as issues orders for motor control of muscles and glands?

<p>Central nervous system (CNS) (B)</p> Signup and view all the answers

How many pairs of cranial nerves are there in the peripheral nervous system (PNS)?

<p>12 pairs (D)</p> Signup and view all the answers

What is the main function of the spinal cord in the nervous system?

<p>To connect between the brain and spinal nerves (C)</p> Signup and view all the answers

Which division of the nervous system regulates the contraction of skeletal muscles?

<p>Somatic nervous system (A)</p> Signup and view all the answers

Which division of the autonomic nervous system prepares the body for an emergency?

<p>Sympathetic nervous system (B)</p> Signup and view all the answers

Which division of the autonomic nervous system is responsible for conserving and restoring energy?

<p>Parasympathetic nervous system (A)</p> Signup and view all the answers

Which fibers of the peripheral nervous system (PNS) convey neural impulses from the sense organs to the central nervous system (CNS)?

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

Which fibers of the peripheral nervous system (PNS) convey neural impulses from the CNS to the effector organs?

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

What are nerves in the peripheral nervous system (PNS) derived from?

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

Which layer of the meninges is inseparable from the surface of the spinal cord?

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

What is the name of the collection of spinal nerve roots that extend inferiorly beyond the termination of the spinal cord?

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

Which layer of the meninges forms a sheath around the spinal cord and extends from the foramen magnum to the lower border of the second sacral (S2) vertebra?

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

Which part of the brain is responsible for connecting the left and right cerebral hemispheres?

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

Which part of the brain remains after the removal of the forebrain and cerebellum?

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

Which meninges surround and protect the brain?

<p>Dura mater, arachnoid mater, pia mater (C)</p> Signup and view all the answers

Which part of the brain is responsible for balance and coordination?

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

Which lobe of the brain is associated with motor function?

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

Which part of the brainstem controls respiratory and cardiac function?

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

Which layer of meninges covers the spinal cord closest to the bone?

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

Which nerve root contains motor fibers?

<p>Anterior (ventral) nerve root (D)</p> Signup and view all the answers

What are the structures connected by the corpus callosum?

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

Which part of the nervous system is responsible for the collection of nerve cell bodies within the CNS?

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

What is the name of the structure that continues as a thread-like structure called filum terminale below the spinal cord?

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

At which vertebral level does the spinal cord commonly terminate in adults?

<p>L1-L2 (C)</p> Signup and view all the answers

Which part of the brain invests the spinal cord closely and continues as a thread-like structure called filum terminale below the spinal cord?

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

What is the collection of nerve cell bodies called within the central nervous system (CNS)?

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

Where does the spinal cord commonly terminate in adults?

<p>At the vertebral level of L1-L2 (B)</p> Signup and view all the answers

Which part of the brain separates the frontal lobe from the parietal and temporal lobes?

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

What are the three layers of meninges that cover the spinal cord called?

<p>Dura mater, arachnoid mater, pia mater (B)</p> Signup and view all the answers

What are the two nerve roots that initially arise from the spinal cord?

<p>Anterior and posterior nerve roots (B)</p> Signup and view all the answers

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