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N115 Midterm Study Questions and Answers

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N115 Midterm Study Questions and Answers Which of the following does NOT influence the degree to which a drug moves by passive diffusion across membranes? a. the lipophilicity of a drug b. the degree of gastric absorption c. the proportion of drug that is charged d. the concentration gradien...

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  • October 23, 2024
  • 69
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • N115
  • N115
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GraceAmelia
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N115 Midterm Study Questions and
Answers

Which of the following does NOT influence the degree to which a drug moves by passive diffusion across

membranes?


a. the lipophilicity of a drug


b. the degree of gastric absorption


c. the proportion of drug that is charged


d. the concentration gradient between the two compartments - Ans:✔✔-ANS: B


Which of the following characteristics of a drug in a solution contributes to its passive diffusion through

membranes (choose all that apply)?


a. high lipophilicity


b. its positive ionic charge


c. high hydrophilicity




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d. small molecular size - Ans:✔✔-ANS: A, D


Penetration of high molecular weight drugs through membranes is most dependent on which of the

following processes?


a. phagocytosis


b. active transport


c. passive diffusion


d. enzyme inhibition - Ans:✔✔-ANS: B


Which one of the following is a true statement with regard to pH-dependent ionization?


a. Acids ionize best in an acidic medium.


b. For bases to ionize, the medium must be acidic.


c. An acid is a proton acceptor, whereas a base is a proton donor.


d. When an acid gives up positively charged ions, the acid becomes more basic. - Ans:✔✔-ANS: B


Based on body compartment pH, a weak acid such as acetaminophen (Tylenol) or ampicillin (Amoxil) will

be absorbed best at which one of the following sites?


a. lung


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b. stomach (pH ~ 2)


c. subcutaneous fat


d. small intestine (pH ~ 5.5 -7.5) - Ans:✔✔-ANS: B


Which of the following would be better absorbed by means of an intramuscular (IM) injection?


a. water soluble drug


b. protein bound drug


c. lipid soluble drug


d. drugs metabolized by first pass processes - Ans:✔✔-ANS: A


Which of the following is true regarding a drug that binds extensively to plasma proteins?


a. is readily eliminated by the kidney


b. only unbound drug exits the vasculature


c. has a shorter half-life than a weakly bound drug


d. is likely to have few drug interactions with drugs that are also extensively bound


to plasma proteins. - Ans:✔✔-ANS: A




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A drug that is highly extracted by the liver (hepatic first pass effect) will have which one of the following?


a. long half-life (t1/2)


b. low renal clearance


c. low oral bioavailability


d. high volume of distribution (Vd) - Ans:✔✔-ANS: C


Genetic differences in drug CYP450 enzymes may lead to all of the following except:


a. increased adverse effects


b. increased drug toxicity


c. increased drug interactions


d. increased rate of absorption in the gut - Ans:✔✔-ANS: D


Why are polar groups added to lipid soluble drugs by hepatic enzymes during Phase I and Phase II

reactions?


a. to produce slower absorption and a longer half-life


b. to increase the concentration in the plasma compartment after oral administration


c. to prevent passive reabsorption and promote renal elimination

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