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Pharm exam 1
Pharm exam 1
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1
What kind of compounds/drugs are able to pass the blood-brain barrier via passive diffusion?
Polar lipid-soluble
Nonpolar, lipid-soluble
Non-lipid soluble
Polar non-lipid soluble
2
What is the most common way drugs pass through biologic membrane?
Passive diffusion
Endocytosis
Facilitated diffusion
Active transport
3
(Def) drugs where small differences in dose or blood conc. May lead to serious therapeutic failures and ADRs
Median lethal dose
Narrow therapeutic index
Large therapeutic index
Median toxic dose
4
What decreases lipid solubility?
Bioavailability
Oxidation
Ionization
Toxicity
5
(Def) a drug’s efficacy is improved by repeatedly diluting it in water
Homeopathy
Law of infinitesimals
Therapeutic effect
Schedule I
6
Which of the following is the name for drugs entering the body via the alimentary canal?
Parental
Enteral
7
Every dose of schedule ___ drug must be accounted for by formal logging procedure?
IV
III
I
II
8
what do alpha 2 drugs treat?
depression
anxiety
hypotension
hypertension
9
(Def) serious events with negative outcomes
Adverse reactions
Toxicity
Side effects
10
When drugs go generic, there can be multiple trade names
True
False
11
Norepinephrine acs on alpha 1 more than alpha 2
True
False
12
which of the following is an antispacitity drug?
tizanidine
clonidine
13
(Def) reaction involving adding a hydrogen or removing an oxygen
Reduction
Conjugation
Oxidation
Hydrolysis
14
A drug can be biological or chemically synthesized
True
False
15
When a company develops a new drug and submits it for approval, a ___ yr patent is issued
15
20
5
30
16
Which drug has the largest efficacy?
Drug B
None of the above
Drug C
Drug A
17
(Def) a branch of health sciences dealing with the prep, dispensing, and proper utilization of drugs
Pharmacy
Pharmacotherapeutics
Pharmacology
Pharmacokinetics
18
(Def) copyrighted name assigned by a pharmaceutical company
Generic name
Fart name
Trade name
Chemical name
19
What are some things that alpha-1 drug agonists treat?
relax the prostate muscles
hypotension
hypertension
nasal conjestion
20
Which of the following is a Cholinergic indirect agonist drug?
Bethanechol
Neostigmine
Atropine
Dicyclomine
21
Acetylcholine is the neurotransmitter for both sympathetic and parasympathetic preganglionic neurons
True
False
22
What describes duration of activity of a drug?
Metabolism
volume distribution
Clearance
Half-life
23
In the stomach, what kinds of drugs will be more lipid-permeable (and be absorbed better)?
Acidic
Basic
24
Which of the following drugs treat glaucoma as a direct agonist?
pilocarpine
physostigmine
dicyclomine
atropine
25
Exogenous drugs can be full agonists, partial agonists, OR antagonists
True
False
26
Nutritional supplement manufacturers need FDA approval before producing or marketing
False
True
27
(Def) a measure of magnitude of response to a drug
Efficacy
Potency
28
Which of the following is NOT an ADR for anticholingeric agents?
Blurred vision
Diarrhea
Dry mouth
Tachycardia
29
When a drug is being taken on the regular basis, it takes ___ half lives for the drug to achieve steady state
3-4
2-3
69
4-5
30
Which drug is an antagonist used to treat neurogenic bladder and incontinence?
Oxybutynin
Dicyclomine
Ipratropium
Scopolamine
31
A drug is active as soon as it binds to a plasma protein
False
True
32
Efficacy, potency, toxicity, and dose-response are concepts of …
Pharmodynamics
Pharmacogenetics
Pharmacoeconomics
Pharmacotherapeutics
33
(Def) competes with agonist for binding receptors and binds irreversibly
Noncompetitive antagonist
Competitive antagonist
34
What are some parenteral ways to introduce a drug into the body?
Topical
Suppository
Transdermal
Injection
35
(Def) the manner by which an individuals genetic profile influence the response to drugs
Pharmacogenetics
Pharmacoeconomics
Pharmacogenomics
Pharmacokinetics
36
What occurs due to a chemical modification of the receptor protein, such as phosphorylation?
Desensitization
Down-regulation
37
What phase of the drug approval process only involves animal testing?
preclinical
phase III study
phase I study
phase II study
38
Metabolites are usually more polarized which makes them… (facilitates their excretion)
Less lipid soluble
More lipid soluble
Less water soluble
More water soluble
39
(def) these bind cholinergic receptors and activate them
cholinergic direct agonists
cholinergic indirect agonists
40
Which of the following is a disadvantage to buccal administration of drugs?
Slow delivery to target
Only a few drugs are available for this route
Stomach irritation
Infection risk
41
A higher therapeutic index indicates a safer drug
True
False
42
which of the following mixed alpha and beta agonists are a schedule II controlled substance?
four loco
norepinephrine
epinephrine
amphetamines
43
Volume of Distribution (Vd) is low for drugs that remain in the systemic circulation
True
False
44
Oral administration cannot bypass the first-pass effect
False
True
45
drug concentration in ___ is used to determine therapeutic drug levels
Plasma
Stomach acid
Feces after 6 hours
Feces after 12 hours
46
(Def) the chemical attraction of a drug for a receptor
Strength
Efficacy
Super-sensitivity
Affinity
47
Sublingual/Buccal administration is not subject to first-pass metabolism
False
True
48
Supplement manufacturers cannot market a supplement as a product to diagnosis, cure, or prevent conditions
True
False
49
Which of the following drugs are an indirect agonist in treating glaucoma?
Pilocarpine
Atropine
Carbachol
Physostigmine
50
Ligand - receptor usually form what kind of chemical bonds?
Covalent
Non-covalent Electrostatic
51
A weak base in acid is usually…
non-ionized (neutral)
Ionized (charged)
52
A more potent drug requires a lower dose to produce a given effect
True
False
53
Which classification of controlled substances has the lowest potential for abuse?
III
IV
V
II
54
which of the following is an example of an alpha-1 drug ANTAGONIST?
prazosin
clonidine
mephentermine
pseudoephedrine
55
Which of the following occurs in Phase II of the drug approval process?
Access drug efficacy and dosage range
Assess effects, pharmacokinetics, and safe dosage
Asses drug safety and efficacy in a larger patient pop
Drugs are identified and tested
56
The generic drug name is the rarely used in clinical practice
True
False
57
What do muscarinic antagonists target?
Periphery
CNS
Autonomic ganglia
Neuromuscular junctions
58
What are 3 examples of reliable drug information resources?
fda.gov
drughouse.net
druglib.dcom
drugs.com
59
Which drug is used to treat motion sickness?
atropine
oxybutynin
ipratropium
scopolamine
60
Enzyme inhibition results in…
Increased therapeutic activity (toxicity)
Decreased drug metabolism rate
Increased plasma drug concentration
Increased drug metabolism
Decreased therapeutic activity (toxicity)
Decreased plasma drug concentration
61
Which of the following is a disadvantage for oral drug administration?
Irreversible dosage
Skilled personnel required
Infection risk
Slow delivery to target
62
How can an oral tablet be formulated to minimize the drugs being dissolved in the stomach?
Enteric-coated (acid-insoluble layer)
Enteric-coated (acid soluble layer)
63
What is the bioavailability of IV injections?
80%
20%
100%
50%
64
(Def) the manner by which the body absorbs, distributes, metabolizes, and eliminates drugs
Pharmacogenomics
Pharmacotherapeutics
Pharmacodynamics
Pharmacokinetics
65
Which of the following are phase 2 metabolizing reactions?
Oxidation
Reduction
Conjugation
Hydrolysis
66
What detoxifies drugs by conjugation into more water-soluble forms?
Glucuronidation
Cytochrome P-450 system
Ur mom
Biliary elimination
67
Where will basic drugs be best absorbed?
CSF
Intestines
Anal glands
Stomach
68
Drugs that bind to plasma proteins have more drug-drug interactions (such as competition)
False
True
69
Where are non-absorbed drugs eliminated?
Feces
Urine
Sweat
Lactation
70
A neurotransmitter is an example of an endogenous ligand
False
True
71
Affinity = strength
False
True
72
What are some treatment uses for beta-1 agonists drugs?
heart failure
angina pectoris
MI
hypertension
73
Transdermal drugs are delivered the skin for systemic distribution
True
False
74
It costs $1-3 billion to bring a chemical entity through the approval process and to make it to market
False
True
75
What do alpha 1 antagonists do?
vasoconstriction
Vasodilation
76
What therapeutically would decreased the rate of drug distribution to blood supply?
Muscle activity
Doinitinthebutt
Ice pack
Heating pad
77
Drugs in the lower part of the rectum bypass the liver via….
Kidneys
Spleen
The colon
Inferior vena cava
78
(Def) measure of amount of plasma cleared of “active” drug per unite of time
Therapeutic window
Clearance
Excretion
Enzyme induction
79
which of the following is a non-selective beta-1 antagonist used to treat hypertension, agina, intentional tremors, ect
atenolol
aderolol
propranolol
metoprolol
80
Which of the Superfamilies (receptor types) involve an internal catalytic area?
Ion channel-linked
G protein - linked
Intracellular DNA-coupled
Enzyme-linked
81
Covalent bonds are weak and reversible
True
False