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問題一覧
1
Two processes responsible for the decline of the plasma drug concentration over time
drug metabolism, excretion
2
First order kinetics
most drugs
3
The elimination of unchanged drug or metabolism from the body
clearance
4
Most common phase 1 reaction
oxidation
5
Log p
partition coefficient
6
Highly perfused organs enables __________ onset of action
rapid
7
The metabolism of most drugs will lead to their ___________
inactivation
8
Drug is extensively bound to tissue sites
high vd
9
What governs the buffer system, ph of weak acids and bases
henderson hasselbalch equation
10
Drug absorption applies to all routes of administration except
topical, intravenous
11
Drugs are absorbed mainly in
small intestine
12
The hepatic metabolism of oral drugs before reaching the systemic circulation
first pass effect
13
Element exist in different molecular forms
allotropy
14
Can cause peripheral neuritis in slow acetylators
isoniazid
15
Most drugs enter the cell by
passive diffusion with first order kinetics
16
Ratio of UNIONIZED compound in an organic and aqueous phase
partition coefficient
17
Drug metabolism aka
biotransformation
18
When taken with omeorazole, the plasma concentration of warfarin ________
increases
19
___________ are inactive drugs that when metabolized are converted to active metabolites
prodrugs
20
Measure of potency of an antimicrobial agent compared to phenol as reference against a standard microbe, usually s typhi
phenol coefficient
21
Inactive form of levodopa
dopamine
22
Measure the filtering capacity of the glomerulus
inulin clearance
23
Inactive form of dipivefrin
epinephrine
24
For fast acetylators, this drug requires higher dose to control blood pressure
hydralazine
25
Drug preparations intended to produce local effects have ___________ absorption in the general circulation
minimal
26
The rate of metabolism is proportional to the concentration
first order kinetics
27
Other term for pseudopolymorphism
solvation
28
Metabolic capacity that develops over weeks or months
acetylation, glucuronidation
29
What governs the chemical kinetics
rate law
30
Most common method to estimate GFR
creatinine clearance
31
ACE inhibitors are prodrugs except
captopril, lisinopril
32
Crystallization due to the presence of a solvent
pseudopolymorphism
33
Aspirin is more ionized in __________ environment
alkaline
34
Extensive plasma protein binding of drugs
low vd
35
The process by which the drug is transferred from intravascular spaces to extravascular spaces (tissues)
distribution
36
For fast acetylators, this drug requires higher dose but is more at risk to hepatoxicity due to acetylhydrazine formation
isoniazid
37
High git motility
less absorption
38
When a drug is more ionized inside the cells, it is more trapped or sequestered hence the volume of distribution is larger. This phenomenon is called
ion trapping
39
Only _______________drugs can diffuse through the capillary wall, provide systemic effects, be metabolized and excreted
unbound
40
The capacity that is present at birth
sulfation, methylation
41
Overall ratio, ionized and unionized, of a compound in organic and aqueous phase
distribution coefficient
42
Lowest perfused organ
addipose tissue
43
Most drugs are absorbed by
passive diffusion
44
Acidic drugs binds to
albumin
45
Formation of _________ causes isoniazid to be hepatotoxic
acetylhydrazine
46
In zero order kinetics, the enzymes are
saturated
47
In severe diarrhea, a drug is
not well absorbed
48
The rate of metabolism is constant despite the increase in concentration
zero order kinetics
49
Most common phase 2 reaction
glucuronidation
50
Can cause sle like symptoms in slow acetylators
hydralazine
51
High rate and extent of dissolution
faster absorption
52
The transfer of drugs from the route of administration to the blood circulation
absorption