Phases of Drug Metabolism
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Questions and Answers

What is the primary function of Phase I metabolism in drug metabolism?

  • To decrease renal elimination of drugs
  • To attach substituent groups to the drug
  • To introduce groups that can undergo Phase II reactions (correct)
  • To increase lipid solubility of drugs

What is the most common Phase I reaction catalyzed by CYP450 enzymes?

  • Reduction
  • Oxidation (correct)
  • Glucuronidation
  • Hydrolysis

Which of the following enzymes is NOT a Phase I metabolic enzyme?

  • UDP-glucuronosyltransferase (UGT's) (correct)
  • Azo reductase
  • CYP450
  • Aldehyde dehydrogenase

What is the purpose of the catalytic cycle of CYP450 enzymes?

<p>To split molecular oxygen (B)</p> Signup and view all the answers

Which of the following is a consequence of inhibition of the CYP450 system?

<p>Drug levels increase (C)</p> Signup and view all the answers

What is the main difference between Phase I and Phase II metabolism?

<p>Phase I introduces functional groups, while Phase II attaches solubilizing groups (B)</p> Signup and view all the answers

What is the primary function of flavin monooxygenase in Phase I metabolism?

<p>To catalyze oxidation reactions of nitrogen-containing functional groups (B)</p> Signup and view all the answers

Which of the following is an example of a Phase I oxidation reaction?

<p>Oxidation of a primary alcohol (A)</p> Signup and view all the answers

What is the classification of CYP3A4 enzyme?

<p>Family 3, Subfamily A (A)</p> Signup and view all the answers

What is the purpose of sulphonation in Phase II metabolism?

<p>To attach a solubilizing group to the drug (D)</p> Signup and view all the answers

What is the primary purpose of drug metabolism in the body?

<p>To convert non-polar substances into polar substances for excretion (D)</p> Signup and view all the answers

What is the main site of drug metabolism in the body?

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

What is the result of Phase I metabolic reactions?

<p>Conversion of a non-polar substance into a polar substance (C)</p> Signup and view all the answers

What is the consequence of converting an active drug into an inactive metabolite?

<p>Termination of drug action (A)</p> Signup and view all the answers

Which of the following is an example of an active drug being converted into an active metabolite?

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

What is the role of enzymes in drug metabolism?

<p>To catalyze the chemical conversion of one drug into another (C)</p> Signup and view all the answers

What is the result of coadministering two drugs that are metabolized by the same enzyme?

<p>Reduced metabolism of one or both drugs (A)</p> Signup and view all the answers

What is the effect of CYP450 inducers on drug metabolism?

<p>Increase the metabolism of drugs (D)</p> Signup and view all the answers

Which of the following is an example of a CYP450 inhibitor?

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

What is the consequence of drug-drug interactions involving synergism?

<p>Increased effect of one or both drugs (A)</p> Signup and view all the answers

What is the purpose of identifying the CYP that metabolizes a drug?

<p>To avoid coadministering drugs that are metabolized by the same enzyme (B)</p> Signup and view all the answers

What is the effect of CYP450 inhibitors on the therapeutic concentration of drugs?

<p>Increase the therapeutic concentration of drugs (B)</p> Signup and view all the answers

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