Essential Medicines and Drug Metabolism Quiz
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What is the primary purpose of essential medicines as defined by the WHO?

  • To be the latest medicines available in the market
  • To treat all diseases regardless of public health relevance
  • To provide options for pharmaceutical companies
  • To satisfy the healthcare needs of the population (correct)
  • Why should the selection of essential medicines be a continuous process?

  • To decrease the cost of healthcare overall
  • To align with changing public health priorities and new pharmacological knowledge (correct)
  • To ensure outdated medications are still used
  • To increase the number of medicines available
  • What are essential medicines selected based on?

  • Market demand and pharmaceutical promotions
  • Historical usage data
  • Popularity among healthcare providers
  • Rational treatment guidelines and evidence on efficacy and safety (correct)
  • How many medicines were included in India's National List of Essential Medicines revised in 2011?

    <p>348</p> Signup and view all the answers

    What role does the WHO Model List of Essential Drugs serve?

    <p>It is a guideline that can be adapted by countries according to their needs</p> Signup and view all the answers

    What is a prerequisite for medicines to be categorized as essential?

    <p>They should meet priority healthcare needs and be affordable</p> Signup and view all the answers

    What was the first year the WHO published its Model List of Essential Drugs?

    <p>1977</p> Signup and view all the answers

    What is a key component in the continuous selection of essential medicines?

    <p>Recent advancements in pharmacology and treatment guidelines</p> Signup and view all the answers

    What is the purpose of rendering nonpolar compounds polar in drug metabolism?

    <p>To allow for easier excretion in urine</p> Signup and view all the answers

    Which of the following drugs undergoes minimal biotransformation and is primarily excreted unchanged?

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

    Which organ is primarily responsible for drug metabolism?

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

    What are biotransformation reactions mainly classified into?

    <p>Nonsynthetic/Phase I</p> Signup and view all the answers

    Which of the following pairs correctly represents a drug and its active metabolite?

    <p>Procainamide — N-acetyl procainamide</p> Signup and view all the answers

    Which condition can alter the volume of many drugs by affecting body water distribution?

    <p>Congestive heart failure</p> Signup and view all the answers

    What characterizes the initial distribution of highly lipid-soluble drugs?

    <p>They initially go to organs with high blood flow</p> Signup and view all the answers

    How long does the hypnotic action of oral diazepam typically last?

    <p>6-8 hours</p> Signup and view all the answers

    What is the reason for the termination of drug action due to redistribution?

    <p>Withdrawal from highly perfused sites</p> Signup and view all the answers

    What is a key feature of the blood-brain barrier?

    <p>It has tight junctions between endothelial cells</p> Signup and view all the answers

    Which drug's action is characterized by rapid redistribution and a short duration?

    <p>Thiopentone sodium</p> Signup and view all the answers

    What happens to the perfusion high capacity sites when a drug is given repeatedly over long periods?

    <p>They get progressively filled up</p> Signup and view all the answers

    What is the primary factor that affects the speed of redistribution of a drug?

    <p>Lipid solubility of the drug</p> Signup and view all the answers

    What can potentially lower or modify the exposure of a fetus to an administered drug?

    <p>Maternal drug metabolism in the placenta</p> Signup and view all the answers

    What is indicated by a high degree of protein binding of a drug?

    <p>The drug may remain active for a longer period</p> Signup and view all the answers

    What happens to the bound fraction of a drug that is not available for action?

    <p>It is in equilibrium with the free drug in plasma</p> Signup and view all the answers

    Which of the following statements regarding drug binding is true?

    <p>Higher affinity drugs displace lower affinity drugs</p> Signup and view all the answers

    If only 1% of a drug that is 99% protein bound is displaced, what is the expected change in the free form concentration?

    <p>It will be doubled</p> Signup and view all the answers

    What is the primary effect of protein binding on drug metabolism and excretion?

    <p>It reduces the availability for metabolism and excretion</p> Signup and view all the answers

    Which type of drugs might have limited access to the fetus due to their structure?

    <p>Nonlipid-soluble drugs</p> Signup and view all the answers

    What is a likely consequence of having multiple drugs bind to the same site on the albumin molecule?

    <p>Potential displacement and altered drug concentrations</p> Signup and view all the answers

    What is the possible reason for the 60-year-old woman's failure to respond to oral iron medication after starting antacid tablets?

    <p>Antacids bind to iron and reduce its absorption.</p> Signup and view all the answers

    Which drug's binding is reduced in patients suffering from uraemia?

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

    What could explain the symptoms of anxiety, sweating, and weakness experienced by the type-2 diabetes patient after taking aspirin?

    <p>Aspirin may have led to hypoglycemia.</p> Signup and view all the answers

    Which alternative analgesic should a type-2 diabetes patient take instead of aspirin to avoid hypoglycemia?

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

    In which condition is propranolol binding increased?

    <p>In pregnant women.</p> Signup and view all the answers

    What is biotransformation in the context of pharmacology?

    <p>The chemical alteration of a drug in the body.</p> Signup and view all the answers

    Which of the following drugs is transformed into an active metabolite?

    <p>All of the above.</p> Signup and view all the answers

    What can occur with drugs that selectively bind to specific intracellular organelles?

    <p>Increased toxicity in unaffected organs</p> Signup and view all the answers

    What type of transport utilizes energy derived from ATP hydrolysis to move substrates against their concentration gradient?

    <p>Primary active transport</p> Signup and view all the answers

    Which mechanism allows a substrate to be transported along its concentration gradient without the need for energy?

    <p>Facilitated diffusion</p> Signup and view all the answers

    In which type of transport does a carrier move one substrate against its gradient while another substrate moves in the same direction along its gradient?

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

    What is the role of the SLC transporter in facilitated diffusion?

    <p>It facilitates passive transport of poorly diffusible substrates</p> Signup and view all the answers

    Which type of transport specifically involves the movement of substances in opposite directions across a membrane?

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

    What characterizes primary active transport compared to facilitated diffusion?

    <p>Moves substrates against their concentration gradient using ATP hydrolysis</p> Signup and view all the answers

    Which of the following is an example of a poorly diffusible substrate that can utilize facilitated diffusion?

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

    Which transporter is mentioned as being involved in the absorption of levodopa and methyl dopa from the gut?

    <p>Solute carrier transporter</p> Signup and view all the answers

    Study Notes

    General Pharmacological Principles

    • Pharmacology is the science of drugs. It deals with the interaction of drugs with living systems.
    • A 'drug' is any substance that can produce a biological response.
    • Pharmacodynamics describes what the drug does to the body, including physiological and biochemical effects and mechanisms of action.
    • Pharmacokinetics describes what the body does to the drug, including absorption, distribution, transformation and excretion.

    Chapter 1 Introduction, Routes of Drug Administration

    • Pharmacology encompasses all aspects of drug knowledge relevant to effective and safe medicinal use.
    • Initially, drugs were mostly crude natural substances with limited efficacy.
    • Modern pharmacology has elucidated drug mechanisms of action at various levels, like organ systems, subcellular, and macromolecular levels.
    • Two main divisions of pharmacology are pharmacodynamics and pharmacokinetics.
    • Drug nomenclature includes chemical names, nonproprietary names, and brand names.
    • Pharmacopoeias and formularies are official compendia.
    • Clinical pharmacology studies drugs in humans, including pharmacodynamics, pharmacokinetics, efficacy, and safety evaluations.

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    Description

    Test your knowledge on essential medicines as defined by the WHO and their selection criteria. This quiz covers key concepts related to drug metabolism, biotransformation reactions, and the WHO Model List of Essential Drugs. Challenge yourself with questions about India's National List of Essential Medicines and the roles of different drugs in the body.

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