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In the highly acidic pH of the stomach,which drugs would be best absorbed?


A) Acidic drugs
B) Neutral drugs
C) Basic drugs
D) pH has no affect on absorption

E) None of the above
F) B) and D)

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Which statement regarding urinary pH is false?


A) Urinary pH does not affect renal excretion of drugs.
B) Urinary pH can be manipulated to facilitate drug excretion.
C) In alkaline urine,acidic drugs are more readily ionized.
D) Ionized substances are more soluble in water and thus they are easily excreted in urine.Chapter 2.An Introduction to Pharmacodynamics and Pharmacokinetics

E) C) and D)
F) A) and C)

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The drug name "Tylenol" is a:


A) Chemical name.
B) Generic name.
C) Trade name.
D) Clinical name.

E) None of the above
F) A) and C)

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Common bonds that drugs use to fit to their receptor sites include all of the following except:


A) Ionic bonding.
B) Van der Waals bonding.
C) Hydrogen bonding.
D) Compound bonding.

E) A) and D)
F) A) and C)

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Which term describes the ability of a drug to reach the systemic circulation after an oral dosage?


A) Extraction ratio
B) First pass
C) Bioavailability
D) Solubility

E) A) and B)
F) A) and D)

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Which statement is true regarding renal excretion of drugs?


A) Tubular secretion is the way in which most drugs are removed by the kidneys.
B) Renal blood flow does not affect excretion of drugs.
C) Large-molecular-weight drugs,such as heparin,are easily filtered by the glomeruli.
D) Drugs that are tightly bound to plasma protein are readily filtered by the glomeruli.

E) All of the above
F) B) and C)

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Some people are poor metabolizers of certain drugs.In the case of clopidogrel,which is activated by the liver,which statement about poor metabolizers is true?


A) Poor metabolizers of clopidogrel do not efficiently convert it to its active form and thus may not receive its benefits.
B) Poor metabolizers may not metabolize clopidogrel and may instead develop toxic effects at therapeutic dosages.
C) The effects of clopidogrel are not changed in poor metabolizers.
D) Poor metabolizers require lower doses of clopidogrel in order to avoid toxic effects.

E) B) and C)
F) A) and C)

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Drug distribution is not dependent on which of the following drug properties?


A) Ability of a drug to permeate capillaries
B) First-pass effect
C) A drugs ability to bind to plasma proteins
D) Fat- or water-soluble characteristics

E) A) and B)
F) B) and C)

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Which of the following drugs is an antagonist?


A) salmeterol (Serevent)
B) norepinephrine
C) propanolol
D) albuterol (Proventil)

E) A) and C)
F) A) and D)

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The pharmacologic term unbound or free drug refers to a drug that:


A) Is not bound to its specific receptors.
B) Is not bound to plasma proteins.
C) Cannot exert a pharmacologic effect.
D) Has been dissolved from its tablet state.

E) None of the above
F) A) and B)

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The drug name "fluoxetine" is a:


A) Chemical name.
B) Generic name.
C) Trade name.
D) Brand name.

E) B) and C)
F) A) and C)

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The thiazide diuretic hydrochlorothiazide is an example of a drug that acts on which type of receptor?


A) Ion channel
B) Nuclear receptors
C) G-protein receptor complex
D) Second messenger systems

E) A) and B)
F) A) and D)

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Which statement is true regarding factors that affect the absorption of drugs?


A) pH has no affect on drug absorption.
B) Increased blood flow to the gastrointestinal tract decreases absorption of orally administered drugs.
C) The solubility of drugs affects their absorption.
D) Absorption is not proportional to the surface area available.

E) A) and C)
F) None of the above

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Which option is not one of the five parameters of pharmacokinetics?


A) Absorption
B) Distribution
C) Tachyphylaxis
D) Metabolism

E) B) and D)
F) A) and C)

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The predominant organ of drug excretion is the:


A) Liver.
B) Small intestine.
C) Skin.
D) Kidney.

E) A) and C)
F) A) and B)

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A prescriber is considering ordering a drug that has a high clearance rate,meaning that it is rapidly eliminated from the blood through the kidneys.Which statement is true regarding how the medication should be dosed?


A) Lower doses are needed to keep the active compounds working.
B) Higher doses are needed to keep the active compounds working.
C) No dosing changes need to be made for this medication.
D) Clearance rate has nothing to do with dosing medications.

E) B) and C)
F) A) and D)

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Drugs enter the bloodstream from the GI tract and then enter the liver via the hepatic portal vein before entering the general circulation.This route allows the liver to metabolize the drugs into less active or inactive metabolites/drugs before they are distributed throughout the body.This effect is known as the:


A) Metabolic induction effect.
B) Enzyme saturation effect.
C) Steady state effect.
D) First-pass effect.

E) A) and D)
F) None of the above

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Which statement regarding an antagonist is true?


A) Antagonists produce their effect by changing the receptor.
B) Antagonists bind and block the effect of an endogenous agonist.
C) Antagonists have an affinity for activating cell receptors.
D) Antagonists induce the same response produced by the endogenous substance.

E) None of the above
F) A) and B)

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