Adverse drug rxns quiz

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What are the principal features of pharmacological adverse effects of drugs?

They are dose-related and predictable based on the drug's known pharmacological actions

What is the main feature of overdose toxicity of a drug?

It is not always dose-related

What is the therapeutic index of a drug?

The ratio of the toxic dose to the effective dose

What are the main features of drug idiosyncrasy?

<p>They are not dose-related and unpredictable</p> Signup and view all the answers

Which of the following best describes drug misuse?

<p>Using a drug inappropriately</p> Signup and view all the answers

What characterizes drug addiction?

<p>Compulsive drug use</p> Signup and view all the answers

How are side effects usually resolved?

<p>After several weeks of drug use</p> Signup and view all the answers

What are adverse effects related to?

<p>Undesirable deleterious effects</p> Signup and view all the answers

What can drug overdose toxicity result from?

<p>Administration of doses higher than therapeutic doses</p> Signup and view all the answers

What is the most common type of adverse effect?

<p>Pharmacological</p> Signup and view all the answers

What are side effects related to?

<p>Pharmacological properties of the drug</p> Signup and view all the answers

What does physical dependence involve?

<p>Body adapting to a drug</p> Signup and view all the answers

How can unwanted drug effects be classified?

<p>Based on frequency, seriousness, and underlying mechanisms</p> Signup and view all the answers

What is the definition of drug abuse?

<p>Using a drug for non-medical purposes</p> Signup and view all the answers

What can drug overdose toxicity lead to?

<p>Serious or lethal effects</p> Signup and view all the answers

What are cytotoxic and immunological adverse effects usually unrelated to?

<p>The drug's mechanisms of action</p> Signup and view all the answers

Which stage of gestation is most sensitive to morphological teratogenic effects?

<p>First trimester</p> Signup and view all the answers

What is the general relationship between drug molecular weight and the ability to cross the placenta?

<p>Drugs with low molecular weight can generally cross the placenta, while those with high molecular weight cross poorly</p> Signup and view all the answers

What is the primary difference in sensitivity to teratogenic effects between fetal and adult tissues?

<p>Fetal tissues are more sensitive than adults'</p> Signup and view all the answers

What type of effects on the fetus can result from decreased placental blood flow or maternal diseases compromising fetal growth?

<p>Indirect effects</p> Signup and view all the answers

What characterizes the functional teratogenic effects that the fetal stage is most sensitive to?

<p>They may become evident only after many years</p> Signup and view all the answers

What is the similarity between drug carcinogenesis and that caused by other chemicals?

<p>Effects are dose-dependent, additive, and irreversible</p> Signup and view all the answers

What happens to most cancer-causing chemicals before they exert their carcinogenic effects?

<p>They are metabolically activated into toxic and carcinogenic intermediates</p> Signup and view all the answers

How many drugs have demonstrated carcinogenic activity in laboratory animals?

<p>About 1000</p> Signup and view all the answers

What is known about the number of drugs with known or suspected carcinogenic activity in humans?

<p>The number is small</p> Signup and view all the answers

Which substances are known to have carcinogenic activity in humans?

<p>Anticancer drugs and alcohol</p> Signup and view all the answers

What does drug misuse refer to?

<p>Using a substance for a purpose not consistent with legal or medical guidelines</p> Signup and view all the answers

What do drug abuse, addiction, and substance use disorder involve?

<p>Repetitive drug taking for non-medical purposes</p> Signup and view all the answers

Study Notes

Mechanisms of Drug Teratogenesis

  • Drugs with a low molecular weight (MW) can generally cross the placenta, while those with MW exceeding 1000 cross poorly.
  • Direct effects of drugs on the fetus can be toxic or teratogenic, with fetal tissues being more sensitive than adults'.
  • Teratogens cause abnormal in utero development or malformations, which are irreversible and dose-dependent.
  • Indirect effects on the fetus can result from decreased placental blood flow or maternal diseases compromising fetal growth.
  • Susceptibility to teratogenic agents varies during gestation, with the embryonic stage being most sensitive to morphological teratogenic effects.
  • The fetal stage is most sensitive to functional teratogenic effects, which may become evident only after many years.
  • Drug carcinogenesis is similar to that caused by other chemicals, with effects being dose-dependent, additive, and irreversible.
  • Most cancer-causing chemicals are metabolically activated into toxic and carcinogenic intermediates.
  • About 1000 drugs have demonstrated carcinogenic activity in laboratory animals, but the number with known or suspected carcinogenic activity in humans is small.
  • Anticancer drugs and alcohol are known to have carcinogenic activity in humans.
  • Drug misuse refers to using a substance for a purpose not consistent with legal or medical guidelines.
  • Drug abuse, addiction, and substance use disorder involve repetitive drug taking for non-medical purposes, with addiction referring to drug craving and compulsive drug seeking behavior.

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