exam 1 concepts. 1060
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Questions and Answers

Which of the following is the most important property of an ideal drug?

  • Ease of administration
  • Selectivity
  • Safety
  • Effectiveness (correct)
  • What is the primary therapeutic objective of drug therapy?

  • To avoid side effects completely
  • To increase the body's response to all medications
  • To provide maximum benefit with minimal harm (correct)
  • To cure all diseases
  • Under the Controlled Substances Act, which DEA schedule has the highest risk for abuse?

  • Schedule I (correct)
  • Schedule II
  • Schedule III
  • Schedule V
  • Which phase of drug development involves the largest sample size for testing the drug's efficacy and monitoring adverse reactions?

    <p>Phase III</p> Signup and view all the answers

    Which pharmacokinetic process involves the removal of drugs from the body?

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

    A nurse administering medications is the last line of defense to ensure patient safety. What is the nurse's primary responsibility in this role?

    <p>Verify the medication order for accuracy</p> Signup and view all the answers

    What is the primary process by which most drugs cross cell membranes during absorption?

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

    Which route of drug administration typically results in the fastest absorption?

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

    What factor influences whether a drug is lipid-soluble or water-soluble during absorption?

    <p>Ionization state</p> Signup and view all the answers

    Where is an acidic drug most likely absorbed in the gastrointestinal tract?

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

    Which of the following drugs is most likely to cross the blood-brain barrier?

    <p>A lipid-soluble drug</p> Signup and view all the answers

    Which of the following statements about P-glycoprotein is correct?

    <p>It transports drugs out of cells, reducing drug absorption.</p> Signup and view all the answers

    Which pharmaceutical preparation dissolves in the intestine rather than the stomach?

    <p>Enteric-coated tablet</p> Signup and view all the answers

    What happens to a basic drug in the acidic environment of the stomach?

    <p>It becomes ionized and is not absorbed.</p> Signup and view all the answers

    Which factor is not a determinant of drug absorption?

    <p>Drug's therapeutic class</p> Signup and view all the answers

    What term describes the accumulation of drugs on the side of a membrane where the pH favors ionization?

    <p>Ion trapping</p> Signup and view all the answers

    What is the primary site for drug absorption following oral administration?

    <p>Small intestine</p> Signup and view all the answers

    Which factor most significantly impacts the bioavailability of a drug?

    <p>Type of drug preparation</p> Signup and view all the answers

    Why should enteric-coated tablets not be crushed or chewed?

    <p>Crushing can cause rapid drug release and potential overdose.</p> Signup and view all the answers

    Which type of drug passes most easily through the lipid cell membranes?

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

    What effect does fatty food have on the absorption of oral drugs?

    <p>Slows down drug absorption</p> Signup and view all the answers

    Which preparation of a drug is generally more bioavailable?

    <p>Soluble liquid form</p> Signup and view all the answers

    Which of the following statements about drug absorption is correct?

    <p>Non-ionized drugs are lipid-soluble and pass easily through membranes.</p> Signup and view all the answers

    Why is insulin not administered orally?

    <p>It is broken down by digestive enzymes.</p> Signup and view all the answers

    What happens to a drug in a sustained-release form if it is crushed before administration?

    <p>It causes immediate release and risk of overdose.</p> Signup and view all the answers

    Which of the following factors can delay drug absorption in the gastrointestinal (G.I.) tract?

    <p>Vasoconstriction due to prolonged fasting</p> Signup and view all the answers

    Study Notes

    Intro to Pharmacy

    • Ideal Drug Property: Effectiveness is the most important property
    • Therapeutic Objective: To provide maximum benefit with minimal harm
    • Schedule I Drugs: Highest risk for abuse (e.g., heroin)
    • Phase III Trials: Involve the largest sample size for testing efficacy and monitoring adverse reactions
    • Generic Names: Preferred for safety in written/oral communication as they are standardized and non-proprietary, reducing confusion

    Pharmacokinetics

    • Absorption: The primary process by which most drugs cross cell membranes to enter the bloodstream, using passive diffusion.
    • Fastest Absorption Route: Intravenous administration
    • Factors influencing Drug Absorption: Ionization state (lipid-soluble vs water-soluble)

    Drug Absorption Locations

    • Stomach: Acidic environment where acidic drugs are best absorbed
    • Small Intestine: Primary site for absorption due to large surface area (folds and villi)

    Drug Names and Preparation

    • Enteric-coated tablets: Designed to dissolve in the intestine, not in the stomach. Crushing them can cause rapid release and overdose potential
    • Absorption and Bioavailability: Type of preparation influences bioavailability. Solubility/Dissolvability: Soluble liquid forms more bioavailable.

    Other Key Concepts

    • P-glycoprotein: Transports drugs out of cells, reducing absorption
    • Ion Trapping: Drug accumulation on the side of a membrane where pH favors ionization (makes the drug less able to cross the membrane).
    • Drug Absorption factors: blood flow to the absorption site, rate of dissolution, and surface area for absorption.
    • Bioavailability: influenced by drug preparation type, impacting absorption
    • Insulin Administration: Not administered orally because it's broken down by digestive enzymes in the stomach.
    • Prolonged Fasting: Can cause vasoconstriction of blood vessels in the GI tract, slowing drug absorption.

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    Description

    This quiz covers essential concepts in pharmacy including drug properties, therapeutic objectives, and pharmacokinetics. It delves into drug absorption mechanisms and locations, providing a comprehensive look at the foundational knowledge required for pharmacy studies. Ideal for students and professionals alike.

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