Renal Physiology and Drug Excretion Quiz
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Questions and Answers

What is the definition of absolute bioavailability (Fabs)?

  • Fabs = Fraction of administered dose that is delivered to the systemic circulation
  • Fabs = The bioavailability of a drug when administered via an intravascular dosage form compared to the bioavailability of the same drug administered IV
  • Fabs = (AUC dosage A/AUC dosage B) × (Dose B/Dose A)
  • Fabs = (AUC non-IV/AUC IV) × (Dose IV/Dose non-IV) (correct)
  • What is the formula used to calculate the adjusted daily dose of a drug that is eliminated exclusively by the kidneys?

  • Adjusted daily dose = (X0)NR * (Dose IV/Dose non-IV)
  • Adjusted daily dose = (X0)NR * Bioavailability (F)
  • Adjusted daily dose = (X0)NR * Normal creatinine clearance / Patient's creatinine clearance
  • Adjusted daily dose = (X0)NR * Patient's creatinine clearance / Normal creatinine clearance (correct)
  • What is the definition of relative (comparative) bioavailability (Frel)?

  • Frel = (AUC non-IV/AUC IV) × (Dose IV/Dose non-IV)
  • Frel = The bioavailability of a drug when administered via an extravascular dosage form compared to the bioavailability of the same drug administered IV
  • Frel = (AUC dosage A/AUC dosage B) × (Dose B/Dose A) (correct)
  • Frel = Fraction of administered dose that is delivered to the systemic circulation
  • Which of the following is NOT a factor affecting bioavailability?

    <p>Renal clearance</p> Signup and view all the answers

    Which of the following best describes glomerular filtration?

    <p>The filtration of blood through the glomerular capillaries into the Bowman's capsule</p> Signup and view all the answers

    What is the primary mechanism by which drugs are eliminated from the body when they are being eliminated exclusively by the kidneys?

    <p>Glomerular filtration</p> Signup and view all the answers

    Which process involves the removal of drug molecules from the blood by the kidney?

    <p>Active tubular secretion</p> Signup and view all the answers

    What is the term for the volume of serum or blood completely cleared of drug per unit time?

    <p>Clearance rate</p> Signup and view all the answers

    Which parameter is defined as the fraction of drug that is removed from the blood as it crosses an eliminating organ?

    <p>Extraction ratio</p> Signup and view all the answers

    What does renal clearance measure specifically?

    <p>Volume of serum cleared of drug by the kidney</p> Signup and view all the answers

    Which equation defines the rate of renal excretion based on renal clearance and drug plasma concentration?

    <p>$ ext{Clearance rate} = ext{Renal clearance} imes ext{Drug plasma concentration}$</p> Signup and view all the answers

    Which mechanism involves the physical movement of a drug from the kidney tubules back to the blood?

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

    What is the normal range of creatinine clearance for adult males?

    <p>120 ± 20 mL/min</p> Signup and view all the answers

    What is the normal range of serum creatinine concentration for adult women?

    <p>6.0 - 10.0 mg/dL</p> Signup and view all the answers

    Which statement regarding creatinine clearance is true?

    <p>A reduced creatinine clearance requires dose adjustment for renally eliminated drugs.</p> Signup and view all the answers

    If a drug's normal dose is 250 mg four times a day, how can the dose be adjusted for a patient with reduced creatinine clearance?

    <p>Decrease the frequency to three or two times a day.</p> Signup and view all the answers

    Which of the following processes is involved in creatinine clearance?

    <p>Glomerular filtration</p> Signup and view all the answers

    What is the significance of creatinine clearance in the context of drug dosing?

    <p>It is a valuable parameter for calculating dosage regimens, especially in elderly patients.</p> Signup and view all the answers

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