Pharmacodynamics 1

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True or false: Drug toxicity occurs when drug levels exceed the therapeutic range?

True

True or false: Tolerance refers to an increased responsiveness to a drug over the course of therapy?

False

True or false: Tachyphylaxis refers to a rapid decrease in response to a drug?

True

True or false: The placebo effect is a drug response attributed to the chemical properties of the drug?

False

True or false: Drug interaction refers to an altered or modified effect of a drug due to interaction with other drugs?

True

True or false: Drug-nutrient interaction occurs when food enhances the body's pharmacokinetic response to drugs?

False

True or false: Tyramine-rich foods should be avoided when taking monoamine oxidase inhibitor (MAOI) antidepressants?

True

True or false: Protein-energy malnutrition (PEM) can alter pharmacokinetic processes and drug responses?

True

True or false: Drug-laboratory interactions can lead to misinterpretation or invalidation of test results?

True

True or false: Drug-laboratory interactions can lead to missed or erroneous clinical diagnosis?

True

Match the following adverse drug reactions with their corresponding management strategies:

Dermatological Reactions = Administer antihistamines, corticosteroids Liver Damage = Monitor liver function tests, discontinue hepatotoxic drugs Renal Damage = Adjust dosages based on renal function Bone Marrow Depression = Use growth factors

Match the following drug response phenomena with their definitions:

Tolerance = Decreased responsiveness to a drug over the course of therapy Tachyphylaxis = Rapid decrease in response to a drug Placebo Effect = Drug response not attributed to the chemical properties of the drug Drug Interaction = Altered or modified action or effect of a drug as a result of interaction with one or multiple drugs

Match the drug interaction types with their descriptions:

Drug Incompatibility = Chemical or physical reaction that occurs among two or more drugs in vitro Drug Nutrient Interaction = Food may increase, decrease, or delay the body’s pharmacokinetic response to drugs Drug-laboratory Interactions = May lead to misinterpretation or invalidation of test results

Match the following drug-induced conditions with their monitoring methods:

Liver Damage = Monitor liver function tests, jaundice Renal Damage = Monitor renal function, decreased urine output Bone Marrow Depression = Monitor blood counts, anemia, bleeding Teratogenicity = Monitor pregnant patients for fetal anomalies

Match the following conditions with their effects on drug pharmacokinetics:

Protein-energy malnutrition (PEM) = May alter pharmacokinetic processes and drug responses, resulting in toxicity Drug Toxicity = Occurs when drug levels exceed the therapeutic range Tolerance = Requires a higher dosage of drug to achieve the same therapeutic response

Which of the following is NOT a potential side effect of drug toxicity?

Ulcers in the oral cavity

Which of the following is a potential management strategy for liver damage caused by drug toxicity?

Monitor liver function tests and jaundice

Which of the following is a potential effect of bone marrow depression?

Decreased blood cell production

Which of the following is a potential consequence of teratogenicity?

Birth defects or developmental abnormalities

Which of the following is NOT a drug response phenomenon?

Drug-laboratory interaction

Which of the following is a potential consequence of drug-nutrient interaction?

Altered pharmacokinetic response to drugs

Which of the following is a potential consequence of drug-laboratory interaction?

Misinterpretation or invalidation of test results

Which of the following is a potential consequence of protein-energy malnutrition (PEM)?

Altered pharmacokinetic processes and drug responses

Which of the following is a potential consequence of drug-nutrient interaction?

Altered pharmacokinetic response to drugs

Which of the following is a potential consequence of drug-laboratory interaction?

Misinterpretation or invalidation of test results

Patients taking monoamine oxidase inhibitors (MAOIs) should avoid consuming tyramine-rich foods such as cheese, wine, organ meats, beer, yogurt, sour cream, or bananas to prevent a hypertensive ______.

crisis

The placebo effect is a drug response not attributed to the chemical properties of the drug, but rather influenced by the beliefs, attitudes, and expectations of the ______.

patient

Drug-nutrient interaction occurs when food may increase, decrease, or delay the body’s pharmacokinetic response to ______.

drugs

Drug-laboratory interactions may lead to misinterpretation or invalidation of test results, resulting in additional health care costs associated with unnecessary repeat laboratory testing or additional ______.

testing

Protein-energy malnutrition (PEM) may alter pharmacokinetic processes and drug responses, resulting in ______.

toxicity

Patients may experience increased ______ and hyperactivity when older and taking narcotics

stimulation

Adverse drug reactions are always ______ and must be reported and documented

undesirable

An ______ reaction is an immune response that occurs after prior sensitization to a drug

allergic

Physical ______ develops when the body has adapted to drug exposure and will result in withdrawal symptoms if drug use is stopped

dependence

Drug toxicity occurs when drug levels exceed the therapeutic ______

range

Patients with protein-energy malnutrition (PEM) may have altered pharmacokinetics, such as decreased drug absorption and decreased ______ binding

protein

Drug-laboratory interactions may lead to misinterpretation or invalidation of test results, resulting in additional health care costs associated with unnecessary repeat laboratory testing or additional ______

testing

The placebo effect is a drug response not attributed to the chemical properties of the drug, but rather influenced by the beliefs, attitudes, and expectations of the ______

patient

The therapeutic index is the difference between the ______ and toxic dose

therapeutic dose

The therapeutic range is a range of doses that produce a therapeutic response without causing significant ______ effect in patients

adverse

Therapeutic Dose - is the dose of a drug that produces a therapeutic response in ______ of the population

50%

Toxic Dose - is the dose of a drug that produces a toxic response in ______ of the population

50%

Pharmacodynamics is the study of the effects of drugs on the body and how they do it. A drug’s primary effect is the desirable response, and the secondary effect may be desirable or ______.

undesirable

The primary effect of diphenhydramine is to treat the symptoms of allergy; the secondary effect is a central nervous system (CNS) depression that causes ______.

drowsiness

Dose-response relationship is the body’s physiologic response to changes in drug concentration at the site of ______.

action

Stimulation is a drug response that ______ intrinsic activity

enhances

Antagonist drugs ______ receptor activation and block a response

prevent

Hypersensitivity is an excessively ______ response of a patient to a drug

responsive

Patients with G6PD deficiency may develop varying degrees of red blood cell ______ when exposed to drugs such as sulfonamides or aspirin

hemolysis

Insomnia and excitement may occur when some children and older adults are given benzodiazepines for sedation

paradoxical effect

Patients taking certain antipsychotic drugs may develop a syndrome whose symptoms closely resemble those of Parkinson disease

iatrogenic

Pharmacodynamics is the study of the effects of drugs on the body and how they do it. A drug’s primary effect is the desirable response, and the secondary effect may be desirable or ______.

undesirable

A drug with high potency, such as fentanyl, produces significant therapeutic responses at low concentrations; a drug with low potency, such as codeine, produces minimal therapeutic responses at low ______.

concentrations

The therapeutic index is the ratio between the toxic dose of a drug and the therapeutic ______ of a drug. Drugs with a high therapeutic index are safe.

dose

Drug-laboratory interactions may lead to misinterpretation or invalidation of test results, resulting in additional health care costs associated with unnecessary repeat laboratory testing or additional ______

testing

Drug-nutrient interaction occurs when food may increase, decrease, or delay the body’s pharmacokinetic response to ______.

drugs

Patients with protein-energy malnutrition (PEM) may have altered pharmacokinetics, such as decreased drug absorption and decreased ______ binding

protein

True or false: Protein-energy malnutrition (PEM) can alter pharmacokinetic processes and drug responses?

true

Match the following drug interaction types with their descriptions:

Match the following adverse drug reactions with their corresponding management strategies:

Test your knowledge on side effects, adverse drug reactions, and drug toxicity in relation to aging and receptor sensitivity. Explore how older individuals may react differently to narcotics and why hyperactivity rather than sedation is often observed.

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