Pharmacology Drug Administration Quiz
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Questions and Answers

What is the most direct way to administer a drug to the central nervous system (CNS)?

  • Intramuscular (IM) administration
  • Oral administration
  • Epidural administration (correct)
  • Intravenous (IV) administration
  • Which of these routes of administration is most likely to result in a significant first-pass effect?

  • Subcutaneous (SC)
  • Intravenous (IV)
  • Intramuscular (IM)
  • Oral (PO) (correct)
  • What is the term for the movement of a drug from the site of administration to the circulatory system?

  • Distribution
  • Absorption (correct)
  • Metabolism
  • Excretion
  • Which of the following factors can affect the rate of drug absorption?

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

    Which of these is NOT a benefit of using a transdermal drug delivery method?

    <p>Suitable for rapid delivery of high drug doses (D)</p> Signup and view all the answers

    What is the primary advantage of intravenous (IV) administration?

    <p>Most rapid and accurate blood concentration (A)</p> Signup and view all the answers

    Which of these are examples of efflux transporters?

    <p>p-glycoprotein (B), multidrug resistance protein-1 (C)</p> Signup and view all the answers

    Which route of administration is most likely to cause irritation of the nasal passages?

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

    What is the name of the area in the medulla that allows direct detection of toxins in the blood?

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

    Which type of molecule is most likely to freely diffuse across cell membranes?

    <p>Non-polar molecules (A)</p> Signup and view all the answers

    Which route of administration bypasses the first-pass effect and the blood-brain barrier?

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

    Which of the following tissues can act as drug depots?

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

    Which of these is NOT a factor affecting drug concentration?

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

    What is a consequence of rapid drug binding to depots?

    <p>Slower onset of action (C)</p> Signup and view all the answers

    Which of these scenarios would lead to a person requiring a higher dose of a drug?

    <p>High binding to depots (D)</p> Signup and view all the answers

    What is the term for a molecule that is 'fears water' and 'loves fat'?

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

    Which of the following is the most convenient route for drug administration?

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

    Which of these is a potential disadvantage of administering a drug via inhalation?

    <p>Irritation of nasal passages (A)</p> Signup and view all the answers

    Which route of administration is NOT suitable for administering drugs that need to be delivered quickly to the brain?

    <p>Oral (PO) (A)</p> Signup and view all the answers

    Which of these is a disadvantage of using a sublingual route of administration?

    <p>Slow and variable absorption (C)</p> Signup and view all the answers

    Which of these is a potential advantage of administering a drug transdermally?

    <p>Controlled and prolonged absorption (C)</p> Signup and view all the answers

    What is the primary means of drug excretion?

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

    What is the term for a drug that reduces the activity of an enzyme?

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

    What type of enzyme activity is associated with genetic polymorphism?

    <p>First-order kinetics (B)</p> Signup and view all the answers

    What is the primary factor that contributes to drug tolerance?

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

    Which of the following factors is NOT a major factor in drug metabolism?

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

    What is the process known as when two drugs compete for the same enzyme?

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

    What is the term used to describe the time it takes for half of a drug to be eliminated from the body?

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

    Which of the following is NOT a route of drug excretion?

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

    What is the primary effect of metabolism on a drug?

    <p>It makes the drug more water-soluble. (B)</p> Signup and view all the answers

    What is a key factor affecting the rate of drug absorption?

    <p>The drug's route of administration. (B)</p> Signup and view all the answers

    How do lipophilic molecules affect drug absorption?

    <p>They are easily absorbed due to their affinity for cell membranes. (D)</p> Signup and view all the answers

    What is the primary function of depot binding?

    <p>It reduces the effective concentration of a drug in the body. (C)</p> Signup and view all the answers

    Which of the following is the most likely consequence of a drug interaction?

    <p>Increased drug metabolism. (A)</p> Signup and view all the answers

    What is the primary role of the kidneys in drug excretion?

    <p>Filtering and removing water-soluble drug products. (B)</p> Signup and view all the answers

    What characteristic of a molecule is most likely to facilitate its excretion through the kidneys?

    <p>Hydrophilic (affinity for water). (D)</p> Signup and view all the answers

    What is the significance of the term 'first-order kinetics' in regards to drug excretion?

    <p>The excretion rate is directly proportional to the drug concentration. (A)</p> Signup and view all the answers

    What are the four principal components of pharmacokinetics?

    <p>Absorption, Distribution, Metabolism, Excretion (D)</p> Signup and view all the answers

    What is the meaning of 'Depot binding' in the context of pharmacokinetics?

    <p>The binding of a drug to non-target tissues, which can delay or reduce its effect. (D)</p> Signup and view all the answers

    What is the primary goal of 'metabolism' in pharmacokinetics?

    <p>To convert the drug into a form that can be easily excreted. (C)</p> Signup and view all the answers

    What is the difference between 'drug actions' and 'drug effects'?

    <p>Drug actions are the specific molecular changes that occur when the drug binds to a receptor, while drug effects are the resulting physiological or psychological alterations. (A)</p> Signup and view all the answers

    Which of the following is NOT a component of pharmacokinetics?

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

    How does pharmacokinetics contribute to the clinical use of drugs?

    <p>Pharmacokinetics helps to determine the best way to administer drugs. (A)</p> Signup and view all the answers

    What is the difference between an agonist and an antagonist?

    <p>An agonist activates a receptor, while an antagonist blocks it. (C)</p> Signup and view all the answers

    What is the primary focus of 'neuro-psychopharmacology'?

    <p>The study of drug actions on the central nervous system and their effects on behavior (C)</p> Signup and view all the answers

    What is the primary factor determining a drug's ability to cross cell membranes?

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

    Which of the following body compartments has a relatively small surface area, resulting in slower drug absorption?

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

    What happens to the solubility of aspirin in the blood compared to the stomach?

    <p>Aspirin becomes more soluble in the blood. (C)</p> Signup and view all the answers

    What is the primary reason for the blood-brain barrier's (BBB) resistance to large molecule drugs?

    <p>Large molecules are too bulky to pass through the tight junctions of brain capillaries. (C)</p> Signup and view all the answers

    Which of the following drugs is more likely to readily cross the BBB?

    <p>A non-polar drug with high lipid solubility (B)</p> Signup and view all the answers

    What is the significance of the pKa value of a drug in terms of its absorption?

    <p>The pKa dictates the ratio of ionized to non-ionized forms of the drug at a given pH. (A)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding drug distribution?

    <p>Drug distribution is influenced by both blood flow and tissue characteristics. (C)</p> Signup and view all the answers

    What is TRUE about the permeability of peripheral capillaries compared to brain capillaries?

    <p>Peripheral capillaries are more permeable than brain capillaries. (B)</p> Signup and view all the answers

    What is the main reason behind the limited access of most small molecule pharmaceuticals to the brain?

    <p>The BBB effectively blocks the entry of most drugs into the brain. (A)</p> Signup and view all the answers

    Which of the following accurately describes the role of transporters in drug distribution?

    <p>Transporters are involved in the active transport of drugs across cell membranes. (A)</p> Signup and view all the answers

    Flashcards

    Pharmacokinetics

    The study of how drugs are absorbed, distributed, metabolized, and excreted in the body.

    ADME

    An acronym for Absorption, Distribution, Metabolism, and Excretion of drugs.

    Absorption

    The process of a drug entering the body fluids after administration.

    Distribution

    The dispersal of a drug throughout the body fluids to target tissues.

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    Metabolism

    The biotransformation or inactivation of drugs into metabolites within the body.

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    Drug Actions

    Molecular changes due to drug binding at target sites or receptors.

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    Drug Effects

    Overall physiological or psychological changes resulting from drug actions.

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    Receptor-Ligand Interaction

    The relationship between receptors on cells and the ligands (including drugs) that bind to them.

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    Efflux Transporters

    Proteins that actively remove drugs from the extracellular fluid, like p-glycoprotein.

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    Blood-Brain Barrier (BBB)

    A selective barrier that protects the brain but has specific sites for direct blood access.

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    Depot Binding

    Inactive drug binding sites that decrease drug concentration in circulation and prolong effect.

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    Therapeutic Outcome

    The effect of a drug on a patient influenced by depot binding characteristics.

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    Individual Drug Efficacy

    Variations in drug effects due to different amounts of drug binding in individuals.

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    Excretion

    Removal of substances or metabolites from the body.

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    Routes of administration

    Different ways to deliver drugs into the body.

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    Oral administration (PO)

    Drug delivery via the mouth, safe and economical.

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    Intravenous (IV)

    Direct drug delivery into the bloodstream for rapid effect.

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    First-pass metabolism

    Liver metabolizes drug before it reaches systemic circulation.

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    Drug Polarity

    The characteristic that determines a drug's solubility and membrane crossing ability.

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    Inhalation route

    Drug delivery through the lungs for rapid absorption.

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    Transdermal route

    Drug delivery through the skin for controlled absorption.

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    Passive Diffusion

    Movement of drugs across membranes without energy, down concentration gradients.

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    Lipid Soluble Drugs

    Non-polar drugs that can easily diffuse through cell membranes.

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    Intramuscular (IM)

    Drug injection into muscle for slower absorption.

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    pKa Value

    The pH at which a drug is 50% ionized and 50% non-ionized.

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    Subcutaneous (SC)

    Drug delivery beneath the skin for slow absorption.

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    Topical administration

    Drug delivery directly to a specific area of skin or mucous membrane.

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    Ionized vs. Non-Ionized

    Ionized drugs are charged, non-ionized drugs are uncharged and can diffuse.

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    Solubility

    The ability of a drug to dissolve in a solvent, affecting absorption.

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    Polarity of molecules

    Refers to whether molecules are hydrophilic or lipophilic, impacting drug behavior.

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    Absorption Factors

    Intrinsic drug properties and environmental pH that affect absorption rates.

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    Intestinal Absorption

    The primary site for drug absorption due to its large surface area.

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    Drug absorption

    Movement of a drug from administration site to the bloodstream.

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    Drug Distribution

    Dispersion of drugs throughout the body after entering circulation.

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    Polar molecules

    Molecules that are water-soluble and hydrophilic.

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    Biotransformation

    The chemical alteration of a drug by the body, resulting in metabolites.

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    CyP450 enzymes

    Enzymes that metabolize drugs into active or inactive forms.

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    First Order Kinetics

    A type of drug elimination where a constant fraction is removed over time.

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    Lipophilic Molecules

    Non-polar molecules that are easily absorbed in the body.

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    Hydrophilic Molecules

    Polar molecules that dissolve easily in water and are well distributed.

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    Drug Competition

    When multiple drugs compete for the same metabolic pathways, affecting effectiveness.

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    Enzyme Induction

    Repeated drug use increases liver enzymes, enhancing drug biotransformation.

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    Enzyme Inhibition

    Drugs like MAOIs decrease metabolism of themselves and other drugs by targeting enzymes.

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    Genetic Polymorphisms

    Variations in genes affect metabolism rates among individuals.

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    Poor Metabolizers (PM)

    Individuals with limited CYP2D6 genes, leading to slower drug metabolism.

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    Extensive Metabolizers (EM)

    Individuals with normal CYP2D6 function, process drugs efficiently.

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    Half-Life (t½)

    The time required to eliminate half of a drug from circulation.

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    Study Notes

    Pharmacology - Pharmacokinetics and Pharmacodynamics

    • Pharmacology is the study of how drugs affect the body
    • Neuropharmacology focuses on the effects of drugs on the brain and subsequent actions on behavior
    • Drug actions refer to specific molecular changes resulting from drug binding to a receptor
    • Drug effects involve widespread alterations in physiology or psychology arising from drug actions
    • Pharmacokinetics examines the factors influencing drug bioavailability and efficacy within the human body—everything besides the actions of the drug

    Learning Objectives

    • Understanding and applying pharmacokinetic principles, focusing on drugs impacting the brain.
    • Examining drug administration and absorption mechanisms, distribution, metabolism, and excretion pathways
    • Reviewing receptor-ligand interactions and distinguishing among ligand-receptor, drug-receptor, and enzyme-substrate interactions.
    • Differentiating between drug-receptor interactions, resulting effects, agonists versus antagonists, competitive and non-competitive binding, allosteric effects, and partial/inverse agonists.
    • Describing long-term drug use effects such as drug tolerance, sensitization, and dependence.

    Neuro-Psychopharmacology

    • Neuro-psychopharmacology studies drug effects on the central nervous system and the resultant impact on human behavior.

    Principal Components (ADME)

    • Absorption: Drug administration and absorption into body fluids (e.g., bloodstream)
    • Distribution: Drug dispersal throughout body fluids to target tissues
    • Metabolism: Biotransformation or inactivation of drugs into metabolites.
    • Excretion: Removal of substances or metabolites from the body

    Routes of Administration

    • Oral (PO): Preferred for clinical use; drugs are absorbed through the gastrointestinal tract.
    • Intravenous (IV): Most rapid; drugs are directly injected into the bloodstream.
    • Intramuscular (IM): Used for slow, even distribution; drugs are injected into muscle tissue.
    • Subcutaneous (SC): Drugs are injected into the fatty tissue beneath the skin.
    • Inhalation: Drugs are inhaled and absorbed by the lungs; this method is frequently used for rapid effects
    • Intranasal: Drugs are administered through the nasal passages/membranes.
    • Sublingual: Drugs are placed under the tongue for rapid absorption.
    • Transdermal: Drugs are absorbed through the skin..
    • Intraperitoneal: Used in animals for direct access to the abdominal cavity
    • Intracranial: Used to deliver drugs directly into the cerebrospinal fluid (CSF), but mostly for experiments due to difficulty in humans
    • Intracerebroventricular, intracisternal, intrathecal: Used for delivery to CSF, but mostly for experiments on animals.

    Pharmacokinetic Factors

    • First-pass metabolism: Drug breaks down in the liver prior to reaching the systemic circulation, decreasing its bioavailability.
    • Blood-brain barrier (BBB): Limits passage of many drugs to the brain; only lipophilic substances cross easily.
    • Depot binding: Drugs bind to inactive sites; this reduces the amount of free drug and can impact the efficacy and duration of action
    • Competition among drugs: Different drugs compete for binding to the same receptor or metabolizing enzymes, affecting efficacy.
    • Drug polarity: Nonpolar, lipid-soluble drugs readily diffuse across cell membranes; polar, charged drugs face greater barriers.
    • Factors affecting absorption: Drug concentration, physiological factors (e.g., body size, age, pH), metabolic or digestive breakdown, and drug solubility. -Factors affecting absorption:** Intrinsic drug properties (especially polarity and solubility), pH of body compartments, and surface area of absorption sites (e.g., stomach versus intestines).
    • Other Factors that Influence Metabolism:
    • Enzyme induction: Repeated use of a drug can lead to increased levels of liver enzymes, which may lead to increased metabolism of other drugs.
    • Enzyme inhibition: Certain drugs can inhibit enzymes involved in metabolism, which can lead to increased levels of other drugs in the blood.
    • Drug Competition: Competition for enzymes may prevent some drugs from being metabolized efficiently.
    • Individual differences: Different individuals have different rates of metabolism due to factors like age, sex, and genetics.

    Drug Metabolism

    • Biotransformation and elimination affect bioavailability
    • Primarily occurs in the liver under control of microsomal enzymes (e.g., cytochrome P450 (CYP) system).
    • Metabolism often involves two phases; Phase I often involves altering the drug structure while Phase II often involves conjugation of the altered drug with other substances.
    • Factors influencing metabolism: enzyme induction/inhibition, drug competition, individual variability.

    Drug Excretion

    • Primary means of drug excretion is through urine after filtration by the kidneys.
    • Drugs are typically eliminated via first-order kinetics (exponential elimination).
    • Important physiological factors: rates, and potential for individual variation

    Key Points of Pharmacokinetics

    • Administration and absorption are critical
    • Distribution affects drug actions, depot binding is a factor
    • Drug metabolism changes drug structure and efficacy
    • Excretion removes drugs through various pathways.

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    Description

    Test your knowledge on drug administration routes and absorption in pharmacology with this quiz. Explore key concepts such as first-pass effect, intravenous administration advantages, and the factors affecting drug absorption. This quiz is essential for understanding drug delivery methods to the central nervous system.

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