Pharmacokinetics: Elimination Rate and Distribution

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Questions and Answers

What does the formula T1/2 life CL = rate of elimination/concentration Vd= amount of drug in the body/Total conc in plasma represent?

  • The calculation of bioavailability of a drug
  • The fraction of the administered dose of a drug that reaches the systemic circulation
  • The relationship between the volume of distribution and the total concentration of a drug in plasma (correct)
  • The rate of elimination of a drug from the body

What is the process called when a drug administered into the body has some of its proportion carried away in the portal system to the liver before reaching the target site?

  • First pass metabolism (correct)
  • Systemic circulation
  • Pharmacological effect
  • Bioavailability

What is the main factor that determines how easily a non-ionized drug can diffuse across cell membranes?

  • The drug's ionic state
  • The drug's capillary permeability
  • The drug's lipid solubility (correct)
  • The drug's ability to bind to plasma proteins

What is the term for the fraction of the administered dose of a drug that reaches the systemic circulation in a chemically unchanged state?

<p>Bioavailability (B)</p> Signup and view all the answers

What is the time taken for 50% of a given concentration of a drug to be eliminated?

<p>Half-life (t1/2) (C)</p> Signup and view all the answers

What is the term for the movement of a drug from the blood to the interstitial or extracellular fluid?

<p>Distribution (D)</p> Signup and view all the answers

What are the three main compartments that a drug can be distributed into in the body?

<p>Intravascular, interstitial, and intracellular (A)</p> Signup and view all the answers

What is the route of administration that has an absolute bioavailability of 1 (F=1 or 100% bioavailable)?

<p>Intravenous route (B)</p> Signup and view all the answers

What is the formula for calculating the bioavailability of a drug?

<p>B.A = AUC of a given route/AUC of I.V (C)</p> Signup and view all the answers

Which of the following is NOT a determinant of drug distribution?

<p>Age of the patient (C)</p> Signup and view all the answers

What is the term for the form of a drug that is bound to plasma proteins and cannot elicit its action?

<p>Bound form (C)</p> Signup and view all the answers

Which organ receives the highest blood flow and therefore has a higher distribution of drugs?

<p>Brain (B)</p> Signup and view all the answers

What type of metabolism do drugs like verapamil, lidocaine, and propranolol undergo?

<p>Pre-systemic or first-pass metabolism (D)</p> Signup and view all the answers

What is the purpose of metabolic reactions in the liver?

<p>To convert the drug into a more polar chemical that can be easily excreted (A)</p> Signup and view all the answers

What is the phase I reaction also known as?

<p>Functionalization (D)</p> Signup and view all the answers

Where are cytochrome P450 systems located?

<p>Within the endoplasmic reticulum of hepatocytes (A)</p> Signup and view all the answers

What is the result of enzyme induction in phase I reactions?

<p>Drug interactions (A)</p> Signup and view all the answers

What are the types of phase I reactions?

<p>Hydrolysis, oxidation, reduction, demethylation (B)</p> Signup and view all the answers

What happens when free forms of a drug are reduced or excreted?

<p>Bound forms gradually become unbound and begin to elicit an action (C)</p> Signup and view all the answers

What is the apparent volume of distribution (Vd) equivalent to?

<p>The dose of the drug divided by the concentration in the blood (C)</p> Signup and view all the answers

What affects the rate of blood flow to different tissues?

<p>The varying rates of blood flow to different tissues (A)</p> Signup and view all the answers

What is the primary location where drug metabolism occurs?

<p>The liver (C)</p> Signup and view all the answers

What is the result of an increase in the volume of distribution (Vd) on the half-life (t1/2) of a drug?

<p>The half-life increases (B)</p> Signup and view all the answers

What happens to a drug if it is sufficiently polar after Phase I?

<p>It is directly excreted (D)</p> Signup and view all the answers

What type of conjugation reaction occurs with sulfuric acid?

<p>Sulfuric conjugation (D)</p> Signup and view all the answers

What is a characteristic of polar metabolites produced in Phase II?

<p>They are not reabsorbed by the kidney (D)</p> Signup and view all the answers

What is an example of a pro-drug?

<p>Enalapril (D)</p> Signup and view all the answers

What is a factor that influences biotransformation?

<p>All of the above (D)</p> Signup and view all the answers

What is an example of an enzyme inducer?

<p>Carbamazepine (C)</p> Signup and view all the answers

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