Pharmacokinetics MCQ
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Questions and Answers

Which mechanism of drug absorption involves the drug binding to a cell membrane and being engulfed?

  • Facilitated diffusion
  • Active transport
  • Passive diffusion
  • Endocytosis (correct)
  • Which factor negatively affects the absorption of local anesthetics when co-administered?

  • Coadministration of vitamin B12
  • Coadministration of adrenaline (correct)
  • Coadministration of ferrous iron
  • Coadministration of calcium
  • What happens to weak acids when placed in an alkaline solution?

  • They become unchanged
  • They become more lipid-soluble
  • They become more water-soluble
  • They become more ionized (correct)
  • What can be inferred about a drug with high lipid solubility in terms of absorption?

    <p>Increased absorption</p> Signup and view all the answers

    What does the term bioavailability refer to?

    <p>Percentage of drug reaching systemic circulation</p> Signup and view all the answers

    Which route of drug administration guarantees 100% bioavailability?

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

    What is the 'first pass effect' in pharmacology?

    <p>Metabolism of the drug before it reaches systemic circulation</p> Signup and view all the answers

    Which drug is significantly affected by the hepatic first pass effect?

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

    What is the primary focus of pharmacokinetics?

    <p>Drug absorption, distribution, metabolism, and excretion</p> Signup and view all the answers

    Which route of drug administration has the fastest absorption rate?

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

    Which factor increases drug absorption?

    <p>High lipid solubility</p> Signup and view all the answers

    What role does metabolism play in pharmacokinetics?

    <p>Breaks down drugs into metabolites</p> Signup and view all the answers

    What is the effect of calcium on the absorption of tetracyclines?

    <p>Decreases absorption</p> Signup and view all the answers

    What is the term for the pH at which drug ionization is equal to its unionized form?

    <p>Dissociation constant (pKa)</p> Signup and view all the answers

    Which type of transport involves the movement of substances from high to low concentration without energy?

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

    Which factor related to patients affects drug absorption?

    <p>Route of administration</p> Signup and view all the answers

    What is the primary function of biotransformation in pharmacology?

    <p>To convert lipid-soluble drugs into water-soluble metabolites</p> Signup and view all the answers

    Which process can shorten the effective duration of a drug in the body?

    <p>Enzyme induction</p> Signup and view all the answers

    Which factor primarily influences the extent of drug distribution in the body?

    <p>Plasma protein binding</p> Signup and view all the answers

    What is a significant consequence of a drug having a long elimination half-life?

    <p>Prolonged drug action in the body</p> Signup and view all the answers

    What occurs to a prodrug in the body during metabolism?

    <p>It is transformed into an active form</p> Signup and view all the answers

    How does inflammation affect the permeability of the blood-brain barrier?

    <p>It can enhance permeability</p> Signup and view all the answers

    Which drug is associated with significant teratogenic effects when it crosses the placental barrier?

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

    What is the result of enzyme inhibition on a drug's pharmacological actions?

    <p>Enhanced toxicity</p> Signup and view all the answers

    Study Notes

    Pharmacokinetics MCQ

    • Pharmacokinetics: Focuses on drug absorption, distribution, metabolism, and excretion.
    • Drug absorption: Passage of a drug from the site of administration to systemic circulation.
    • Primary mechanism: Passive diffusion; active transport also exists.
    • Factors affecting Absorption:
      • Lipid solubility: High is better
      • Ionization: Low pH for weak acids, high pH for weak bases improves absorption
      • Drug solubility
      • Route of administration (Oral, IV, etc).
    • Factors influencing drug metabolism:
      • Enzyme induction/inhibition
      • Co-administration of other drugs
    • Factors related to patients:
      • Ionization
      • Route of administration
    • Hepatic first-pass effect: Metabolism of a drug by the liver before reaching systemic circulation. Propranolol is affected by the hepatic first-pass effect.
    • Bioavailability: Percentage of a drug reaching systemic circulation unchanged. IV has 100%. Oral is affected by first pass.
    • Biotransformation: (Metabolism): Converting drugs into water-soluble metabolites
      • Importance: Increased drug excretion, reduced toxicity, alteration of pharmacological effects
    • Drug binding to plasma proteins: In inactive form, affects distribution.
    • Blood-brain barrier: Prevents certain drugs from entering the brain.
    • Placental barrier: Certain drugs can cross and cause teratogenicity (birth defects).
    • Enzyme induction: Increased metabolism of drugs, and reduced drug efficacy/half-life. Increased absorption rate.
    • Enzyme inhibition: Decreased metabolism of drugs and increased drug toxicity
    • Major sites for drug metabolism: Liver.
    • Primary sites for drug excretion: Kidneys
    • Elimination half-life (t1/2): Time for half the drug to be eliminated.
    • First-pass effect: Reduction in drug bioavailability due to initial metabolism in the liver.

    General Pharmacology MCQ (Specific Questions)

    • Primary focus of pharmacokinetics: Drug absorption, distribution, metabolism, and excretion.
    • Drug absorption: Absorption across biological membranes is primarily via passive diffusion.
    • Absorption process: Drug movement across membrane from site of administration to systemic circulation.
    • Main drug absorption mechanism (biological membranes): Passive diffusion
    • Energy requirement for drug movement: Active transport requires energy (e.g. endocytosis).
    • Fastest absorption route: Intravenous.
    • Factors that increase drug absorption: High lipid solubility, low pH for weak acids, and high for weak bases.
    • Role of metabolism: Breakdown drugs into metabolites.
    • Effect of calcium on tetracycline absorption: Decreases absorption.
    • pKa: pH at which ionization of a drug is equal to its unionized form.
    • Factors affecting drug absorption: Systemic circulation, vascularity, and nature of the compound.
    • Transport types:
      • Passive diffusion (no energy)
      • Active transport (energy required for movement)
      • Facilitated diffusion (no energy, facilitated by a carrier).
    • Least suitable route during shock: Oral.
    • Weak acids in alkaline solutions: Become more ionized.
    • Drug absorption mechanism (envelopment): Endocytosis
    • Local anesthetic absorption decrease: Co-administration.
    • Efficient drug form (absorption): Solution.
    • High lipid solubility effect: Increased absorption.
    • Effect of higher pKa on weak acid: Weaker acid.

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    Description

    Test your knowledge on pharmacokinetics with this quiz focusing on drug absorption, distribution, metabolism, and excretion. Explore the factors affecting drug metabolism and the hepatic first-pass effect in a series of multiple-choice questions. Ideal for students and professionals in pharmacology and medicine.

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