Pharmacology Chapter on Drug Metabolism
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Questions and Answers

Which type of receptors are primarily involved in adrenergic peripheral responses?

  • Alpha receptors (correct)
  • Beta receptors (correct)
  • Muscarinic receptors
  • All of the above
  • Which system is responsible for the fight, flight, or fright responses?

  • Parasympathetic
  • Dopaminergic
  • Enteric
  • Sympathetic (correct)
  • In pharmacologic stress testing, which condition should not be managed by using beta blockers?

  • Heart failure
  • Septic shock
  • Hypotension (correct)
  • Angina pectoris
  • Which substance stimulates the release of neurotransmitters?

    <p>Cholinergic agonist</p> Signup and view all the answers

    What condition results from the overstimulation of alpha 1 receptors?

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

    Which medication is commonly used for cardiogenic shock management?

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

    Which agent is NOT an anticholinergic medication?

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

    Which factor will primarily influence the distribution characteristics of Drug A compared to Drug B?

    <p>The binding affinity to plasma proteins</p> Signup and view all the answers

    In what condition are nonselective alpha blockers, such as phentolamine, useful?

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

    Which major plasma protein is primarily involved in the distribution of weak acids?

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

    What is the term for a substance that is inactive but transforms into an active drug in the body?

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

    In general, which form of the drug is absorbed more rapidly?

    <p>Unionized form</p> Signup and view all the answers

    What is the primary purpose of biotransformation reactions?

    <p>Both A and C</p> Signup and view all the answers

    What does drug metabolism generally result in?

    <p>More polar compounds</p> Signup and view all the answers

    How does a reduced particle size of a drug affect its absorption?

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

    Which of the following describes the effect of decreasing particle size on dissolution rate?

    <p>Dissolution rate increases</p> Signup and view all the answers

    Which crystal form results in the best dissolution rate?

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

    What type of site in the biophase allows drug molecules to bind?

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

    What type of transport describes drug molecules moving through aqueous solutions via pores?

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

    If organs and tissues are well perfused, how does this affect drug distribution?

    <p>Distribution is faster</p> Signup and view all the answers

    What is a typical outcome of beta-receptor blockade?

    <p>Decreased heart rate</p> Signup and view all the answers

    What happens to drugs that are poorly lipid soluble or extensively ionized at blood pH?

    <p>They penetrate the CNS very slowly</p> Signup and view all the answers

    If Drug A is more lipophilic than Drug B, what implication does this have?

    <p>Drug A will likely distribute more extensively within the body</p> Signup and view all the answers

    Which option represents a potential outcome for a drug poorly absorbed in the body?

    <p>The drug may remain inactive</p> Signup and view all the answers

    Study Notes

    Biotransformation

    • Involves drug metabolism, aiming to deactivate and promote the elimination of inactive drugs.

    Drug Particle Size

    • Reducing particle size increases its absorption, disintegration, and overall dissolution rate.

    Drug Crystal Forms

    • Amorphous and meta-stable polymorph crystal forms provide the best dissolution rate.

    Drug Binding Sites

    • Drug molecules bind to various sites within the biophase, including fluid compartments, unit membranes, and receptors.

    Drug Distribution

    • Albumin is the primary plasma protein responsible for distributing weak acids.

    Prodrugs

    • Prodrugs are inactive or less active substances that are converted into active drugs within the body.

    Drug Metabolism

    • Drug metabolism typically results in the formation of more polar compounds, facilitating their elimination.

    Drug Transport

    • Convective transport involves drug molecules moving with the liquid through pores.

    CNS Drug Penetration

    • Drugs poorly soluble in lipids or extensively ionized in blood may struggle to penetrate the CNS due to their poor permeability.

    Drug Distribution and Perfusion

    • Well-perfused organs and tissues experience faster drug distribution.

    Lipophilicity and Distribution

    • More lipophilic drugs distribute better than less lipophilic drugs.

    Drug-Receptor Interaction

    • The binding of a drug molecule to a receptor is known as affinity.

    Drug Absorption

    • The unionized form of a drug is typically absorbed faster than the ionized form.

    Drug Dissolution Rate

    • Decreasing particle size increases the surface area and subsequently enhances the dissolution rate.

    Beta-Receptor Blockade

    • Blocking beta receptors commonly leads to bradycardia (slow heart rate), and in some cases, arrythmias.

    Drug Action

    • The duration of drug action depends on the drug's half-life.

    Pharmacology

    • Posology concerns the dosage and administration of drugs.

    Adrenergic Receptor Types

    • Alpha and Beta receptors are responsible for mediating adrenergic peripheral responses.

    Dopamine

    • Dopamine is released by amphetamine, adrenergic agonists, and anticholinesterase agents.

    Shock Management

    • Dobutamine, dopamine, epinephrine, and norepinephrine are used in cardiogenic shock management.

    Alpha 1 Receptor Overstimulation

    • Alpha 1 receptor overstimulation can cause vasoconstriction.

    Alpha Blockers

    • Non-selective alpha blockers like phentolamine and phenoxybenzamine are helpful in managing specific conditions.

    Sympathetic Nervous System

    • The sympathetic nervous system is responsible for "fight-or-flight" responses.

    Neurotransmitter Release

    • Amphetamines and oxytocin stimulate the release of neurotransmitters.

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    Description

    This quiz covers key concepts in pharmacology, focusing on biotransformation, drug particle size, crystal forms, binding sites, distribution, and metabolism. Test your knowledge on how drugs are absorbed, processed, and eliminated in the body.

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