Drug Half-Life and Protein Binding Quiz
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Questions and Answers

What is one of the reasons for a long half-life of a drug in the body?

  • Small volume of distribution
  • High drug metabolism rate
  • Favorable molecular properties for rapid elimination
  • Low degree of protein binding (correct)

Why does diazepam have a long elimination half-life?

  • Small volume of distribution
  • Low lipophilicity
  • Extensive drug metabolism
  • Low extraction ratio (correct)

What is the main cause for the longer elimination half-life of diazepam in some subjects?

  • Small volume of distribution
  • Genetic polymorphism affecting drug clearance (correct)
  • Large extraction ratio
  • High drug metabolism rate

Which factor contributes to the variations in diazepam metabolism among individuals?

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

In subjects who are fast metabolizers, what still contributes to the long elimination half-lives of diazepam?

<p>Small volume of distribution (B)</p> Signup and view all the answers

What is the impact of drug protein binding on the clearance and half-life of diazepam?

<p>Protein binding prolongs clearance and half-life (A)</p> Signup and view all the answers

How does a decrease in protein binding affect drug distribution?

<p>Increases availability of drug to interact at receptor sites (C)</p> Signup and view all the answers

What impact does an increased free drug concentration have on drug distribution?

<p>Enhances drug crossing cell membranes (B)</p> Signup and view all the answers

Which equation is used to relate VD, Cl, and half-life of drugs?

<p>$\ln 2 \times \frac{D}{Cl}$ (C)</p> Signup and view all the answers

What does an increase in free drug concentration lead to in terms of pharmacologic effects?

<p>Intensified pharmacologic effect (D)</p> Signup and view all the answers

How does a decrease in protein binding affect the metabolism of a drug?

<p>Increases the rate of metabolism (B)</p> Signup and view all the answers

In pharmacokinetics, how would a lower total steady-state drug concentration but similar steady-state free drug concentration be explained?

<p>Increased metabolism rate (D)</p> Signup and view all the answers

What is the primary factor contributing to the loss of drug from the receptor site?

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

How can rapid IV injection affect the intensity of action of highly protein-bound drugs?

<p>Increase the intensity of action (C)</p> Signup and view all the answers

What was the observed effect on the hypotensive effect of diazoxide when injected rapidly IV compared to a slower injection?

<p>Increased hypotensive effect (A)</p> Signup and view all the answers

What was the free diazoxide serum level when the serum levels were 100 mg/mL?

<p>20.6% (A)</p> Signup and view all the answers

How did the slow injection of diazoxide affect its free serum level?

<p>Decreased the free serum level (D)</p> Signup and view all the answers

What factor contributed to the transient high free diazoxide concentration after a rapid IV injection?

<p>Initial saturation of protein-binding sites (A)</p> Signup and view all the answers

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