Pharmacology Quiz on Drug Metabolism
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Questions and Answers

The area postrema, crucial for triggering vomiting, is activated by which type of substances?

  • Neurotransmitters
  • Toxic substances in the blood (correct)
  • Endorphins
  • Hormones
  • Which of these factors does not directly influence a drug's absorption?

  • The drug's lipid solubility
  • The individual's body temperature (correct)
  • The concentration gradient of the drug
  • The ionization state of the drug
  • What term describes drugs that pose a risk to developing fetuses and should be avoided by women of childbearing age?

  • Placental crossing
  • Psychoactive
  • Highly lipid-soluble
  • Teratogenic (correct)
  • Which of the following does not directly influence a drug's pharmacokinetics?

    <p>The specific actions that the drug has on the body (B)</p> Signup and view all the answers

    Where does the majority of drug metabolism occur, and what does it typically do to the drug’s solubility?

    <p>Liver; increases water solubility (D)</p> Signup and view all the answers

    Which statement about microsomal enzymes in the liver is incorrect?

    <p>They are highly specific and act only on certain compounds (B)</p> Signup and view all the answers

    What kind of tolerance develops due to cellular adaptations that occur following the presence of a specific substance?

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

    During the two stages of liver biotransformation, phase I changes are considered ________ and include processes such as ________.

    <p>Nonsynthetic; oxidation (B)</p> Signup and view all the answers

    What phenomenon does this scenario illustrate: Participants, warned of a drug's potential negative side effects, experience them - even when given an inert substance?

    <p>The nocebo effect (D)</p> Signup and view all the answers

    Which term describes the interaction of drug molecules with their biological targets, such as receptors?

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

    Depot binding of a drug refers to when the drug binds to which of the following?

    <p>Inactive (silent) sites. (B)</p> Signup and view all the answers

    The reduced response to a drug after repeated administration, requiring an increase in dosage to achieve the original effect, is best described as:

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

    Both agonists and antagonists bind to receptors; this binding ability is called ______, but only agonists exhibit ______, which leads to a response.

    <p>affinity; efficacy (A)</p> Signup and view all the answers

    Which option is NOT a primary focus of pharmacogenetics studies?

    <p>Assessing addiction potential (A)</p> Signup and view all the answers

    What is the measure of drug safety found by comparing the toxic dose in 50% of the population against the therapeutic dose in 50%?

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

    A pharmacoepigenetic perspective on drug response considers factors related to:

    <p>factors that can alter gene function due to environmental and behavioral factors (A)</p> Signup and view all the answers

    The sympathetic nervous system is primarily responsible for which type of functions, and what neurotransmitters does it utilize?

    <p>Fight-or-flight; acetylcholine and norepinephrine (A)</p> Signup and view all the answers

    During which period is a neuron completely unable to generate another action potential, regardless of the stimulus strength?

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

    Which statement about action potentials is NOT accurate?

    <p>Extreme excitation will result in a very large action potential. (C)</p> Signup and view all the answers

    In a myelinated axon, where are action potentials regenerated to facilitate rapid signal transmission?

    <p>At gaps in the myelin known as nodes of Ranvier. (D)</p> Signup and view all the answers

    Which of the following statements is NOT true about local potentials?

    <p>They occur only if threshold is reached. (C)</p> Signup and view all the answers

    Which of the following correctly matches the glial cells with their functions?

    <p>oligodendroglia; astrocytes (B)</p> Signup and view all the answers

    Which part of the neuron is crucial for initiating an action potential due to the high concentration of voltage-gated sodium channels?

    <p>Voltage-gated Na+ channels (A)</p> Signup and view all the answers

    Saxitoxin is a neurotoxin that can cause breathing problems. What is its primary mechanism of action?

    <p>Blocking voltage-gated Na+ channels (C)</p> Signup and view all the answers

    Study Notes

    Quiz 1

    • Question 1: Toxic substances trigger vomiting by activating the choroid plexus, not the blood-brain barrier, area postrema, or median eminence.

    • Question 2: Drug absorption depends on lipid solubility, ionization, body temperature, and drug concentration. Ionization is the exception.

    • Question 3: Teratogenic drugs should be avoided by women of childbearing age as they can harm a developing fetus. Drugs are teratogenic if they cross the placental barrier and are highly lipid-soluble.

    • Question 4: The route of administration does not affect a drug's pharmacokinetics. Lipid solubility, however, does.

    Quiz 2

    • Question 5: Microsomal enzymes in the liver are not highly specific; they act on multiple compounds. They are found on the smooth endoplasmic reticulum. The CYP450 family is a significant part of these enzymes. They metabolize toxins, pollutants, and drugs.

    • Question 6: Biotransformation in the liver has two stages. Phase 1 involves nonsynthetic reactions, like oxidation. Phase 2 involves synthetic reactions, like conjugation.

    • Question 7: The nocebo effect is illustrated when participants are warned about negative drug effects and experience them (even if the drug is inert).

    Quiz 3

    • Question 8: Depot binding occurs when a drug binds to inactive sites, competing for binding sites, rather than their target sites. It often occurs when drugs are excreted before binding to their target sites.

    • Question 9: Bioavailability is the amount of drug remaining in the blood that is free to bind to specific target sites after administration. First-pass effects reduce a drug’s bioavailability as the drug is broken down before reaching specific target sites.

    • Question 10: Drug metabolism primarily happens in the liver and makes the drug more water-soluble for excretion.

    Quiz 2 - continued

    • Question 1: Tolerance is a cellular adaptation to a drug, not a cross-drug effect or drug disposition.

    Quiz 3 - continued

    • Question 1: Pharmacodynamics describes how drugs interact with targets to produce effects, while pharmacokinetics is the body’s handling of drugs.

    Pharmacokinetics and Pharmacodynamics Questions

    • Question 2: Pharmacodynamics describes how drugs interact with their targets to create effects; pharmacokinetics, however, describes how the body handles the drugs.

    • Question 3: Chronic use of a drug may lead to drug tolerance, which is the need for a higher dose to achieve the same effect, not sensitization (increased responsiveness), antagonism (blocking effect), or potentiation (enhanced effect).

    • Question 4: Agonists and antagonists both have affinity and can interact. Only agonists have significant efficacy.

    Quiz 4 - continued

    • Question 5: Pharmacogenetics goals include minimizing serious side effects, selecting the best drug, and predicting treatment outcome, but not assessing addiction potential.

    • Question 6: The therapeutic index compares a drug’s therapeutic dose to its toxic dose; a higher index indicates better safety.

    • Question 7: Pharmacoepigenetic approaches look at factors that alter gene function, including environmental and behavioral factors, rather than only behavioral factors or individual blood types; they involve testing at different doses over time

    • Question 8: Drug sensitization is a phenomenon where repeated drug use leads to increased responsiveness to later doses of the same drug.

    Quiz 5 - Continued

    • Question 9: Repeated drug use can cause biotransformation changes in the body, affecting both the original drug and other drugs. Enzyme induction is a type of biotransformation that accelerates drug metabolism.

    • Question 10: Constitutive activity is a baseline receptor-activation state in the absence of a neurotransmitter or drug, not the steady state, maximal efficacy, or upregulation.

    Quiz 6 - continued

    • Question 1: The sympathetic nervous system is responsible for the "fight-or-flight" response (along with energy conservation use of specific neurotransmitters, like acetylcholine and norepinephrine) and its neurotransmitters.

    • Question 2: The absolute refractory period is a time frame in which no further action potentials can occur after an action potential, due to ion channels being inactivated.

    • Question 3: Action potentials are "all-or-none"; their intensity remains constant regardless of the stimulus strength.

    • Question 4: Myelinated nerve fibers regenerate action potentials at nodes of Ranvier, skipping segments—a process called saltatory conduction— making nerve impulse transmission more rapid.

    • Question 5: Local potentials are not all-or-none and can vary depending on the stimulus; they also spread passively from the site of generation.

    Quiz 7 - continued

    • Question 6: The myelin sheath is formed by oligodendroglia in the central nervous system (CNS) and Schwann cells in the peripheral nervous system.

    • Question 7: Glial cells are crucial for maintaining neuronal function by providing structural support, metabolic support, and insulation.

    • Question 8: Action potentials are generated at the axon hillock, the area where the axon is connected to the soma (cell body), which is primarily due to voltage-gated sodium channels.

    Quiz 8 - continued

    • Question 9: Some toxic substances, like saxitoxin, block voltage-gated Na+ channels, disrupting nerve impulse transmission.

    • Question 10: Protein synthesis involves transcription factors activating a promoter region of DNA, leading to mRNA production. The mRNA then moves to the ribosomes for protein translation.

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