Drug Interactions and Dosage Adjustment Quiz
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Questions and Answers

What type of drug interactions can affect the processes of drug absorption, distribution, metabolism, and excretion?

  • Pharmacogenomic interactions
  • Pharmacodynamic interactions
  • Pharmacokinetic interactions (correct)
  • Pharmacological interactions

Which factor leads to increased absorption of weak acids in a basic environment?

  • Altered gut motility
  • Chelation mechanisms
  • Alkaline pH (correct)
  • Proton pump inhibitors

What effect does the induction of P-glycoprotein by rifampin have on the absorption of digoxin?

  • Faster elimination from the body
  • No effect on absorption
  • Increased absorption
  • Decreased absorption (correct)

Which drug interaction results in reduced absorption due to the formation of less soluble chelates?

<p>Antacids with Al³+ and/or Mg²+ (B)</p> Signup and view all the answers

What is the primary consequence of delaying gastric emptying on drug absorption?

<p>Decreased rate of drug absorption (B)</p> Signup and view all the answers

How do weak bases behave in an acidic environment in terms of absorbability?

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

What is the major enzyme responsible for the metabolism of 40% of drugs?

<p>CYP3A4 (D)</p> Signup and view all the answers

Enzyme induction can lead to increased drug metabolism by:

<p>Enhancing enzyme activity (D)</p> Signup and view all the answers

Which drug inhibits the absorption of digoxin by interfering with P-glycoprotein?

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

How long may enzyme induction take to develop and wear off?

<p>3 weeks (A)</p> Signup and view all the answers

What effect does enzyme induction have on the metabolism of co-administered drugs?

<p>Increases their metabolism (D)</p> Signup and view all the answers

Which enzyme is NOT a major metabolizing enzyme in phase 1 of drug metabolism?

<p>CYP2D6 (A)</p> Signup and view all the answers

What is the effect of rifampin on oral contraceptives, oral hypoglycemics, sildenafil, and tacrolimus/ciclosporin?

<p>Increased hepatic metabolism via CYP3A4 induction, leading to accelerated elimination and reduced efficacy (C)</p> Signup and view all the answers

Which of the following statements about enzyme inhibition is correct?

<p>It may occur within 2-3 days, leading to rapid development of toxicity (D)</p> Signup and view all the answers

What is the effect of macrolides on antihistamines like astemizole and sildenafil?

<p>Decreased hepatic metabolism, leading to delayed elimination and increased toxicity (D)</p> Signup and view all the answers

How does a change in urinary pH affect the excretion of acidic and basic drugs?

<p>Acidic drugs are excreted more in alkaline urine, and basic drugs are excreted more in acidic urine (B)</p> Signup and view all the answers

What is the effect of quinidine on drug excretion?

<p>Increases tubular passive reabsorption, leading to increased risk of toxicity (D)</p> Signup and view all the answers

What is the effect of aspirin on drug excretion?

<p>Decreases tubular passive reabsorption, leading to increased clearance (B)</p> Signup and view all the answers

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