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Pharmacology for Podiatrists Mid Semester Prac Exam (Weeks 1-4)

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2nd Year Pharmacy Practice Exams Quiz sobre Pharmacology for Podiatrists Mid Semester Prac Exam (Weeks 1-4), criado por Pat McMahon em 19-03-2019.
Pat McMahon
Quiz por Pat McMahon, atualizado more than 1 year ago
Pat McMahon
Criado por Pat McMahon aproximadamente 5 anos atrás
186
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Resumo de Recurso

Questão 1

Questão
The EBM triad consists of which of the below?
Responda
  • Latest External Evidence
  • Individual Clinical Expertise
  • Family Values & Expectations
  • Patient Values & Expectations
  • Best External Evidence

Questão 2

Questão
In relation to Types of Evidence and Clinical trials. Which of the below would be the MOST bias?
Responda
  • Level 1
  • Level 4
  • Level 2
  • Level 3

Questão 3

Questão
In relation to Types of Evidence and Clinical trials. Which of the below would be the LEAST bias?
Responda
  • Level 4
  • Level 2
  • Level 1
  • Level 3

Questão 4

Questão
A systematic review of Level 2 studies would be classified as which Level of Evidence?
Responda
  • Level 3
  • Level 1
  • Level 2

Questão 5

Questão
An Inception Cohort, Prospective cohort study and a cross-sectional study among consecutive presenting patients is considered which level of evidence?
Responda
  • Level 1
  • Level 3
  • Level 4
  • Level 2

Questão 6

Questão
A cross sectional study among non-consectutive patients is considered which level of Evidence?
Responda
  • Level 4
  • Level 3
  • Level 2
  • Level 1

Questão 7

Questão
Which of the following relate to the acronym P.I.C.O?
Responda
  • Intervention
  • Comparator/Control
  • Patient and Clinical Problem
  • Outcome
  • Population and Clinical Problem
  • Complications

Questão 8

Questão
Clinical trials are experiments in Humans as well as animals.
Responda
  • True
  • False

Questão 9

Questão
What is Bioavailability?
Responda
  • It is the fraction of dose which reaches the systemic circulation (i.e. plasma) as intact drug
  • The extent to which a drug is removed by the gut and liver during its first passage from the portal vein through the liver to the systemic circulation
  • It is the apparent volume into which a drug distributes in body at equilibrium (Amount in the Body/Plasma Drug Concentration)

Questão 10

Questão
What is 1st Pass Metabolism?
Responda
  • It is the fraction of dose which reaches the systemic circulation (i.e. plasma) as intact drug
  • The extent to which a drug is removed by the gut and liver during its first passage from the portal vein through the liver to the systemic circulation
  • It is the apparent volume into which a drug distributes in body at equilibrium.

Questão 11

Questão
What is Volume of Distribution?
Responda
  • The extent to which a drug is removed by the gut and liver during its first passage from the portal vein through the liver to the systemic circulation
  • It is the apparent volume into which a drug distributes in body at equilibrium (Amount in Body/Plamsa Drug Concentration)
  • Refers to the circulation of biliary acids, bilirubin, drugs or other substances from the liver to the bile, followed by entry into the small intestine, absorption by the enterocyte and transport back to the liver.

Questão 12

Questão
Enterohepatic Circulation refers to the circulation of biliary acids, bilirubin, drugs or other substances from the pancreas to the bile, followed by entry into the small intestine, absorption by the enterocyte and transport back to the pancreas.
Responda
  • True
  • False

Questão 13

Questão
Enterohepatic Circulation refers to the circulation of biliary acids, bilirubin, drugs or other substances from the liver to the bile, followed by entry into the small intestine, absorption by the enterocyte and transport back to the liver.
Responda
  • True
  • False

Questão 14

Questão
In relation to Plasma Binding Protein. Which of the following best describe the concept?
Responda
  • Once all the binding sites of the plasma proteins are taken up by the drug the protein can bind to a receptor causing the drug to be available for action.
  • Once all the binding sites of the plasma proteins are taken up by the drug, any further drug in the plasma will be able to bind to a receptor.
  • Only once all the plasma protein binding sites are occupied by the drug can the drug be metabolised.

Questão 15

Questão
What effects the Half-Life of a drug? (First-Order Kinetics)
Responda
  • Metabolism
  • Hydration
  • Renal Excretion
  • Body mass

Questão 16

Questão
What patient condition would merit a reduction in a drug?
Responda
  • Age
  • Liver Function
  • Body Mass
  • Alternative drug which competes for transporters
  • Another drug with induces enzymes that metabolise the drug

Questão 17

Questão
To calculate the dose and dosing frequency correctly we use the half-life of the drug.
Responda
  • True
  • False

Questão 18

Questão
What concept is associated with 'What the body does to the drug?'
Responda
  • Phamacokinetics
  • Pharmacodynamics

Questão 19

Questão
The concept of 'What the body does to the drug ' is usually called?
Responda
  • Pharmacodynamics
  • Pharmacokinetics

Questão 20

Questão
What is meant by 'Affinity'?
Responda
  • The ability of a drug to produce an effect mediated by receptors
  • It is the indication of the strength of the binding between drug and target molecule

Questão 21

Questão
What is meant by 'Efficacy'?
Responda
  • The ability of a drug to produce an effect mediated by receptors
  • Indication of the strength of the binding between drug and target molecule

Questão 22

Questão
A non-competitive and competitive antagonist results in a?
Responda
  • Increased Response
  • Decreased Response
  • No response
  • Normal Response

Questão 23

Questão
A non-selective drug is an example of?
Responda
  • Older Drugs, which typically effect more broadly
  • Designed drugs, which effect less and more specific sites

Questão 24

Questão
What is meant by EC50?
Responda
  • The concentration necessary to produce 50 % of the effect
  • The concentration necessary to produce 50 % of the maximal effect
  • The concentration necessary to produce 50 % of the minimal effect

Questão 25

Questão
What occurs if the drug concentration is above the Therapeutic window?
Responda
  • Increase risk of side effects
  • This is normal when attempting to deal with a acute pathology
  • Reduced effectiveness of the drug

Questão 26

Questão
What occurs if the drug concentration is below the Therapeutic window?
Responda
  • Reduced effectiveness of the drug
  • Increased risk of side effects

Questão 27

Questão
Which of the following Drugs would be the most Potent?
Responda
  • EC50 = 2
  • EC50 = 50
  • EC50 = 6

Questão 28

Questão
Which relate to evidence that a drug is stored in tissue?
Responda
  • An increase in the number of side effects produced by the drug
  • A decrease in the amount of free drug excreted in urine
  • An increase in plasma protein binding
  • A large Volume of Distribution (Vd)

Questão 29

Questão
The intensity of the pharmacologic action of a drug is most dependant on the?
Responda
  • Elimination half-life (t1/2) of the drug
  • Minimum toxic concentration (MTC) of the drug in plasma
  • Concentration of the drug at the receptor site
  • Onset time of the drug after oral administration
  • Minimum effective concentration (MEC) of the drug in the body

Questão 30

Questão
The initial distribution of a drug into tissue is determined chiefly by the...
Responda
  • Stomach emptying time
  • Rate of blood flow to the tissue
  • Plasma protein binding of the drug
  • Glomerular filtration rate (GFR)
  • Affinity of the drug for the tissue

Questão 31

Questão
The bioavailability of oral morphine is 30% and you decided to switch a patient to IV instead. Would you INCREASE or DECREASE the dose based on the change in bioavailability of the drug?
Responda
  • Increase
  • Decrease
  • Same - There is no change in the dosage amount

Questão 32

Questão
The bioavailability of oral morphine is 30% and you decided to switch a patient to IV instead. However, you notice that they have liver disease. Would you INCREASE or DECREASE the dose based on the fact the patient has liver disease?
Responda
  • Increase
  • Decrease
  • Same - No change in the dose

Questão 33

Questão
Clearance determines
Responda
  • The time to reach steady state
  • The loading does required to achieve the desired steady-state concentration
  • The maintenance dose required to achieve the desired steady-state concentration
  • The dosage interval
  • BOTH The time to reach steady state & The dosage interval

Questão 34

Questão
Volume of distribution determines
Responda
  • The time to reach steady state
  • The loading does required to achieve the desired steady-state concentration
  • The maintenance dose required to achieve the desired stead-state concentration
  • The dosage interval
  • BOTH The time to reach steady state & The dosage interval

Questão 35

Questão
Half-Life determines
Responda
  • The time to reach steady state
  • The loading does required to achieve the desired steady-state concentration
  • The maintenance does required to achieve the desired steady-state concentration
  • the dosage interval
  • BOTH The time to reach steady state & the dosage interval

Questão 36

Questão
Clearance is
Responda
  • Dependant on the value of volume of distribution
  • Dependant on the value of half-life
  • a function of the blood flow to clearing organ and the efficiency of the organ in extracting the drug
  • a function of the physiologic volume of blood and tissues and how the drug binds in blood and tissues
  • BOTH Dependant on the value of volume of distribution & Dependant on the value of half-life

Questão 37

Questão
The volume of distribution is
Responda
  • Dependant on the value of the clearance
  • Dependant on the value of half-life
  • a function of the blood flow to clearing organs and the efficiency of the organ in extracting the drug
  • a function of the physiologic volume of blood and tissues and how the drug binds in blood and tissues
  • BOTH Dependant on the value of the clearance & Dependant on the value of half-life

Questão 38

Questão
The half-life is
Responda
  • dependant on the value of volume of distribution
  • dependant on the value of clearance
  • a function of the blood flow to clearing organs and the efficiency of the organs to extract the drug
  • a function of the physiologic volume of blood and tissues and how the drug binds in blood and tissues
  • BOTH dependant on the value of volume of distribution & dependant on the value of clearance

Questão 39

Questão
Pharmacokinetic models are useful to
Responda
  • describe concentration-time data sets
  • predict drug serum concentrations after several doses or after different routes of administration
  • calculate pharmacokinetic constants (Clearance, Volume of distribution, half-life)
  • BOTH describe concentration-time data sets & calculate pharmacokinetic constants (Clearance, Volume of distribution, half-life)
  • BOTH describe concentration-time data sets & calculate pharmacokinetic constants (Clearance, Volume of distribution, half-life) AS WELL AS predict drug serum concentrations after several doses or after different routes of administration

Questão 40

Questão
Factors to be considered when prescribing the best drug dose of a patient include
Responda
  • Age
  • Gender
  • Weight
  • other concurrent disease states and drug therapies
  • All of the above

Questão 41

Questão
The Volume of distribution (Vd) of every drug equals the
Responda
  • Blood Volume
  • Extracellular water volume divided by the plasma concentration of the drug
  • The drug amount in the body divided by the drug plasma concentration
  • The amount of the drug in the body divided by the extracellular volume
  • Total body volume minus the volume of bone
  • Total body water volume divided by the plasma concentration of the drug

Questão 42

Questão
A 28 yr old man is being treated for AIDS with several oral drugs. He experiences significant weight loss due to AIDS-related wasting syndrome and diarrhoea. Which of the following pharmacokinetic parameters would be unchanged by the alterations in the patients body mass and composition?
Responda
  • Absorbtion
  • Bioavailability
  • First-Pass metabolism
  • Steady-state plasma concentration
  • Volume of Distribution

Questão 43

Questão
Which of the following factors will determine the number of drug-receptor complexes formed?
Responda
  • Efficacy of the drug
  • Receptor affinity for the drug
  • Therapeutic index of the drug
  • Half-Life of the drug
  • Rate of renal secretion

Questão 44

Questão
Which of the following best describes an antagonist?
Responda
  • Binds to a receptor and causes the activation of intracellular cascades
  • Binds to a receptor and mimics the effects of neurotransmitters
  • Binds to a receptor without activating intracellular cascades
  • Binds to receptors causing the opposite effects on second messenger production than an agonist
  • Binds to receptors usually in a site distinct from agonist

Questão 45

Questão
Which statement best describes a partial agonist?
Responda
  • A partial agonist irreversibly binds to receptors
  • The effects of a partial agonist cannot be overcome by increasing agonist concentration
  • A partial agonist binds to and does not effect the protein conformation of the receptor
  • A partial agonist has less maximal effect than a full agonist
  • A partial agonist will not antagonise the effects of a full agonist

Questão 46

Questão
Drug A and Drug B bind to the same receptor (Z). Drug A has a higher affinity for receptor Z than Drug B. Which statement below is correct regarding these drugs?
Responda
  • A higher concentration of drug A is required to occupy half the receptors than concentration of drug B.
  • Under no condition can drug B produce the same maximal effect as drug A
  • Under no condition can drug A produce the same maximal effect as drug B
  • The equilibrium disassociation constant (Kd) is lower for drug A than drug B
  • Drug B is more potent than Drug A

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