WK 8: Pharmacodynamics 1
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Questions and Answers

What type of inhibition occurs when the inhibitor forms a covalent adduct with the enzyme?

  • Irreversible inhibition (correct)
  • Non-competitive inhibition
  • Mixed inhibition
  • Competitive inhibition
  • Which enzyme inhibitor is mentioned in the text as an example of irreversible inhibition?

  • Magnesium hydroxide
  • Organic phosphates
  • Penicillin (correct)
  • Glycoprotein peptidase
  • What happens when the concentration of substrate ([S]) increases concerning the inhibition by an inhibitor ([I])?

  • Inhibition by [I] remains constant
  • Inhibition by [I] decreases
  • Inhibition by [I] increases (correct)
  • Inhibition by [I] becomes irreversible
  • Which class of drugs acts on enzymes through simple chemical processes, according to the text?

    <p>Basic inorganic compounds</p> Signup and view all the answers

    What term describes the gradual decrease in responsiveness to a drug, requiring larger doses to achieve the same effect?

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

    Which mechanism do osmotic laxatives and diuretics rely on to exert their effects?

    <p>Physical action</p> Signup and view all the answers

    Which term describes compounds that bind but do NOT activate receptors?

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

    In reversible competitive antagonism, how do antagonists act?

    <p>By preventing the attachment of endogenous agonists</p> Signup and view all the answers

    Which mechanism of antagonism involves the agonist binding to a site different from the ligand binding site?

    <p>Non-competitive antagonism</p> Signup and view all the answers

    What happens in irreversible antagonism?

    <p>Proteins can only be reactivated by resynthesis</p> Signup and view all the answers

    Which type of drug interaction involves passive transport across a cell membrane along its concentration gradient?

    <p>Passive transport facilitation</p> Signup and view all the answers

    What is the primary effect of drug antagonists on endogenous agonists?

    <p>Reduction or blockage</p> Signup and view all the answers

    What mechanism typically leads to a gradual decrease in responsiveness to a drug?

    <p>Conformational changes in the receptor</p> Signup and view all the answers

    Which process can result in the active extrusion of a drug from cells?

    <p>Decrease in receptor expression</p> Signup and view all the answers

    What type of inhibition involves the competitive binding of a molecule to the active site of an enzyme?

    <p>Competitive inhibition</p> Signup and view all the answers

    In drug interactions with transporters, what can lead to the active extrusion of the drug?

    <p>Conformational changes in the receptor</p> Signup and view all the answers

    What is a common outcome of non-competitive enzyme inhibition?

    <p>Allosteric regulation</p> Signup and view all the answers

    Which of the following can contribute to a decrease in drug efficacy over time?

    <p>Exhaustion of mediators</p> Signup and view all the answers

    What is the direction of movement of a substance in active transport?

    <p>From low to high concentration</p> Signup and view all the answers

    What is the result of a drug blocking calcium channels in the heart and smooth muscle?

    <p>Reduced contractility</p> Signup and view all the answers

    What is the mechanism of action of local anaesthetics on sodium channels?

    <p>Blocking of sodium channels</p> Signup and view all the answers

    What type of interaction is involved in the blocking of channels by drug molecules?

    <p>Physical blocking</p> Signup and view all the answers

    What type of transport is involved in the movement of substances against their concentration gradient?

    <p>Active transport</p> Signup and view all the answers

    What is the target of drugs that act on transporters?

    <p>Transport proteins</p> Signup and view all the answers

    What is required for the transport of ions and larger molecules across the cell membrane against their concentration gradient?

    <p>Active transport</p> Signup and view all the answers

    How do antidepressants affect the activity of neurotransmitters?

    <p>They inhibit the reuptake of neurotransmitters</p> Signup and view all the answers

    What is the mechanism of competitive inhibition?

    <p>A drug acts as a substrate analogue to reversibly block the enzyme's active site</p> Signup and view all the answers

    What is the effect of increasing the substrate concentration on competitive inhibition?

    <p>It overcomes the inhibition</p> Signup and view all the answers

    How do non-competitive inhibitors bind to the enzyme?

    <p>They bind to a site different from the active site, indirectly blocking the enzyme's function</p> Signup and view all the answers

    What is the main difference between competitive and non-competitive inhibition?

    <p>The site of inhibition on the enzyme</p> Signup and view all the answers

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