Questions and Answers
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?
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Which of the following best describes drug misuse?
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What characterizes drug addiction?
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How are side effects usually resolved?
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What are adverse effects related to?
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What can drug overdose toxicity result from?
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What is the most common type of adverse effect?
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What are side effects related to?
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What does physical dependence involve?
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How can unwanted drug effects be classified?
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What is the definition of drug abuse?
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What can drug overdose toxicity lead to?
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What are cytotoxic and immunological adverse effects usually unrelated to?
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Which stage of gestation is most sensitive to morphological teratogenic effects?
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What is the general relationship between drug molecular weight and the ability to cross the placenta?
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What is the primary difference in sensitivity to teratogenic effects between fetal and adult tissues?
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What type of effects on the fetus can result from decreased placental blood flow or maternal diseases compromising fetal growth?
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What characterizes the functional teratogenic effects that the fetal stage is most sensitive to?
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What is the similarity between drug carcinogenesis and that caused by other chemicals?
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What happens to most cancer-causing chemicals before they exert their carcinogenic effects?
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How many drugs have demonstrated carcinogenic activity in laboratory animals?
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What is known about the number of drugs with known or suspected carcinogenic activity in humans?
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Which substances are known to have carcinogenic activity in humans?
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What does drug misuse refer to?
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What do drug abuse, addiction, and substance use disorder involve?
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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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