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Enzyme Kinetics 5

Davina Jugnarain 27 questions

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  1. 1Drug metabolism involves pathways for the biosynthesis of endogenous substrates (eg hormones, cholesterol and bile acids) i.e. normal biosynthesis enzymes are involved in the metabolism of these drugs, to produce less pharamacologically active products. There are exceptions where metabolism will produce more active metabolites (e.g. prodrugs like aspirin) or the metabolite may be more toxic/carcinogenic.
    1. ATrue
    2. BFalse
  2. 2The kidney is the major site of drug metabolism, but specific drugs may undergo biotransformation in other tissues e.g. lungs
    1. ATrue
    2. BFalse
  3. 3Lipophilic compounds must be made more hydrophilic by drug metabolism for secretion. Why?
    1. AUnmetabolised lipophilic molecules will remain in the blood and tissues and maintain their pharmacological effects for less time
    2. BHydrophilic drugs go to the stomach and intestine before circulation
    3. CBoth lipophilic and hydrophilic drugs go to the kidney for metabolism, reducing toxicity and are then excreted in urine
    4. DLipophilic drugs first cross the duodenum
  4. 4The physical and chemical properties of a drug determine its success to reach its target
    1. [blank_start]Chemical[blank_end] stability such as stability in the stomach
    2. [blank_start]Metabolic[blank_end] stability no interaction with other metabolites
    3. Successful Absorption ability to [blank_start]cross membranes[blank_end]

    Dosage:
    1. Depending on dosage, drugs can be therapeutic failures if the [blank_start]dosage is too low[blank_end] to have an effect
    2. This could be if the drug is unable to [blank_start]enter the circulation[blank_end] too, or if it is broken down in the stomach and excreted quickly
    3. If the drug dosage is too high, it may not be metabolised fast enough and will remain in the blood too long having a [blank_start]toxic effect/overdose[blank_end]
    4. Have to consider all of these components – volume of distribution, clearance of the drug (metabolism) and absorption
    5. Metabolic stability refers to the fact that after metabolism, [blank_start]chemical properties[blank_end] may change, and you may have new interactions
    1. AChemical
    2. BProteolytic
    3. CMetabolic
    4. DBiosynthetic
    5. Ecross membranes
    6. Fenter cells
    7. Gdosage is too low
    8. Hdosage is too high
    9. Idrug isn't potent
    10. Jenter the circulation
    11. Kbe metabolised
    12. Ltoxic effect/overdose
    13. Mtolerance
    14. Nchemical properties
    15. Oconformation
  5. 5Phase I metabolism: involves small chemical changes that make compounds more hydrophilic, for effective clearance by the kidneys. What else is true?
    1. AUsually involve unmasking of a hydrophilic group (e.g. hydroxyl, amine, sulfhydryl)
    2. BUsually involve hydrolysis, oxidation or reduction mechanism
    3. CCytochrome P550 enzymes are responsible for most phase I reactions in the liver
    4. DHydrophobic groups may be added in the liver to increase biological half-life
    5. EMetabolites produced are often inactive and readily excreted
  6. 6If the drug remains lipophilic after phase I, it will continue to circulate and undergo phase II metabolism. What else is true of phase II?
    1. AOften involves addition of a large non-polar group in attempts to increase solubility
    2. BResults in secretion via faeces
    3. CIt is the final stage in drug metabolism
    4. DGenerate highly polar derivatives/conjugates for uptake
    5. EDerivatives include glucoronide, sulfate, acetate and amino acids
  7. 7Once modified the drugs undergo phase III metabolism. Which are true?
    1. AInvolves the use of membrane drug transporters to transport drugs across cellular barriers
    2. BCan target sites of accumulation
    3. CAll drugs undergo phase III
  8. 8Oxidation is the first and most common step involved in the drug metabolism. What else is true of oxidation in drug metabolism?
    1. AIt is the addition of oxygen, or removal of hydrogen.
    2. BKidney is the main organ whereas oxidation takes place by cytochrome P550
    3. CIncreased polarity of the oxidised products
    4. DDecreased water solubility and excretion in urine
    5. ETypes include: aliphatic or aromatic hydroxylation, N-, or S-oxidation, N-, O-, S-dealkylation
  9. 9Reduction is the removal of oxygen or addition of hydrogen. What else is true of it in drug metabolism?
    1. AMore common than oxidation in drug metabolism
    2. BExample: Nitro reduction to hydroxylamine/amine, carbonyl reduction to alcohol
    3. CCytochrome P450 system is involved in some reactions
    4. DModifications occur mainly in the kidney
  10. 10Which are true of hydrolysis in drug metabolism?
    1. AThe addition of water gives more polar metabolites
    2. BEsterases and aminases catalyse the hydrolysis of drugs
    3. CCan convert ester or amide to acid and alcohol or amine
    4. DRequires just water and no enzyme

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Description
Degree Biochemistry (Enzyme Kinetics) Quiz on Enzyme Kinetics 5, created by Davina Jugnarain on 30/05/2016.
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