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