Summary

This document contains pharmacology questions focusing on topics including historical drug use, clinical trials, and neurotransmitters. The questions cover various aspects of pharmacology and drug development. It likely serves as study material for a pharmacology course.

Full Transcript

## How Has Historical Use of Chemicals Contributed to the Advancement of Pharmacology? 1. **Weaponized poisons at higher doses were found to have therapeutic effects.** 2. **Use of sulfa drugs lead to the development of the first synthetic antibacterial compounds.** 3. **Historical use of natural c...

## How Has Historical Use of Chemicals Contributed to the Advancement of Pharmacology? 1. **Weaponized poisons at higher doses were found to have therapeutic effects.** 2. **Use of sulfa drugs lead to the development of the first synthetic antibacterial compounds.** 3. **Historical use of natural compounds at ultra low doses resulted in therapeutic effects.** 4. **Extraction of chemical compounds from man-made poisons that resulted in large-scale human epidemics led to the discovery of drugs still used today.** ## Which One of the Historical Drugs Listed is Still Used Clinically Today? 1. **Morphine** ## Phase 3 Clinical Trials Can Employ a Placebo. Which One of the Statements Most Accurately Describes a Placebo? 1. **A placebo is defined as an inert substance masquerading as a drug.** 2. **Placebo therapy provides satisfactory relief in approximately 55% of sick anxious patients.** 3. **The likelihood of placebo effects is greater in normal volunteers than in sick anxious patients under stress.** 4. **Placebo responses are well understood and thus need not be controlled in a phase 3 study.** ## The Sound and Long Established Way to Prove or Disprove the Value of a New Medication or Treatment is a Randomized Controlled Trial (RCT). This Means That: 1. **Patients are selected and assigned to various test groups based on their characteristics.** 2. **All patients receive the new drug or the control drug (gold-standard or placebo) on alternating days.** 3. **The people who administer the drugs do not know who is receiving the new drug.** 4. **The outcomes measured should preferably be subjective.** ## Purpose|Stage -------|------- Effectiveness and safety in large number of patients|Phase 3 Clinical Trial Safety and tolerability in healthy volunteers|Phase 1 Clinical Trial Discovery of lead compounds|Research and Discovery Target Effectiveness and safety in small number of patients|Phase 2 Clinical Trial Post-market surveillance for adverse effects and safety|Phase 4 Clinical Trial Safety and potential efficacy in laboratory animals|Preclinical Trial ## Drug A Can Only Relieve Pain of Mild Intensity. Drug B, On the Other Hand, Relieves Pain of Very Marked Intensity. From This Information, One Can Conclude That: 1. **Drug B has greater efficacy than Drug A.** ## The Therapeutic Range is Best Described as? 1. **The range of blood concentrations where the drug is effective and unacceptable toxicities do not occur.** ## The Ultra-Short Duration of Action of Thiopental is Due to: 1. **Redistribution of the drug from the brain to muscle and fat.** ## A Drug Can Be Given to a Patient Both Intravenously and Orally. What Should Be Considered When Selecting the Most Appropriate Dosage for the Patient's Situation? 1. **Differences in bioavailability need to be carefully considered.** ## Penicillin Has the Ability to Combine with Proteins to Form Antigens, and a Small Percentage of the Population Receiving Penicillin Experience Adverse Effects. This Adverse Effect is Properly Classified as: 1. **A drug allergy** ## The TD50 of a Drug in Rats Was Found to be 50 Milligrams/Kilogram. The ED50 of the Same Drug in Rats Was 1 Milligram/Kilogram. From This Information, One Can Calculate That the Therapeutic Index of the Drug in Rats is: 1. **50** ## The Primary Excitatory Neurotransmitter in the Brain Is: 1. **Glutamate** ## Which Statement Most Accurately Describes Chemical Transmission? 1. **Most synaptic transmission is chemically mediated.**

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