Drug Metabolism and Pharmacological Actions Quiz

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18 Questions

What is the term for the phenomenon where a drug is conjugated either rapidly or slowly with acetyl-CoA in the human population?

Acetylation polymorphism

Which populations are classified as slow acetylators based on differences in N-acetyltransferase activity?

Egyptians and some Western European groups

Which of the following is NOT true about slow acetylators?

Conjugate drugs with acetyl-CoA rapidly

What is the main cause of acetylation polymorphism in individuals?

Genetic differences in N-acetyltransferase activity

Which of the following drugs exemplifies acetylation polymorphism?

Isoniazid

What is the objective of methylation in the metabolic pathway?

Biosynthesis of endogenous compounds

What type of metabolites does methylation generally not lead to?

Polar or water-soluble metabolites

Which activated coenzyme is involved in methylation reactions?

S-adenosylmethionine (SAM)

Which enzyme carries out O-methylation of important neurotransmitters like norepinephrine and dopamine?

Catechol-O-methyltransferase (COMT)

Which type of methylation do transferases specifically methylating histamine, serotonin, and epinephrine not usually participate in?

Metabolism of xenobiotics

What feature does COMT require for carrying out methylation reactions?

Catecholic functionality

Which phase pathways are drugs and xenobiotics often metabolized by to give several metabolites?

Phase I and phase II pathways

Which enzyme is primarily involved in methylation reactions in the body?

S-adenosylmethionine

Which type of drug derivative undergoes methylation reactions to form methylated products?

Quaternary ammonium derivatives

Which biological factor can affect the activity of methyltransferases and consequently alter drug metabolism?

All of the above

Which factor determines the stereoselectivity of substrates in methylation reactions?

Substrate stereoselectivity

Which factor can lead to the accumulation of toxic levels of a drug due to decreased metabolic elimination?

Decreased enzyme activity

Which factor can decrease the intensity and duration of drug action as well as its efficacy?

Increased rate of metabolism

Test your knowledge on drug metabolism and its impact on pharmacological actions and toxicity. Explore how alterations in drug metabolism can affect the intensity, duration, and potential toxicity of a drug.

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