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Pharmacology: General

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Question
Answer
1. Drugs that remain in the plasma compartment of the body have a volume of distribution (Vd) of: 2. In which ionization state are drugs better able to permeate lipid membranes?   show
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show 1. ionized (charged) 2. 50% ionized and 50% nonionized  
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At what pH would the following drugs be ionized? 1. acidic drugs 2. basic drugs   show
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1. Where in the body will the following drugs be best absorbed? 1. acidic drugs 2. basic drugs   show
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1. What is the fastest route of drug absorption? 2. How do you calculate total body water?   show
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show 1. extracellular (14L) which is composed of plasma (3L) and interstitial (11L) 2. Intracellular  
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show 1. phase I: cytochrome P450 2. phase II: conjugation via transferases  
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show 1. chloramphenicol toxicity 2. the drug is metabolized by glucuronidation which has reduced activity in neonates  
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1. Where is the cell are cytochrome P450 enzymes found? 2. Which cytochrome P450 enzyme metabolizes a majority of the drugs on the market? 3. Which drugs induce SLE-like symptoms?   show
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Inducers of cytochrome P450:   show
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show Inhibit drinking from a KEG or you'll be Acutely SICk 1. Ketoconazole 2. Erythromycin 3. Grapefruit juice 4. Acute alcohol 5. Sulfonamides 6. Isoniazide 7. Cimetidine  
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1. What role do beer, red wine and cheese play in drug metabolism? 2. zero-order elimination 3. first order elimination   show
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show 1. 4-5 half lives 2. 50%  
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show the partial agonist displaces the full agonist from the receptor and the response is reduced - the partial agonist is acting as an antagonist  
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Which kind of antagonism: 1. competitive antagonism for the same receptor 2. two agonist with opposing action (i.e. vasoconstrictor vs vasodilator) 3. interacts directly with drug to remove it or prevent it from binding target   show
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How is therapeutic index calculated?   show
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show 1. decrease Vmax; no effect on Km 2. no effect on Vmax; ↑ Km (less affinity)  
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What is similar of all drugs with "phen" in the name?   show
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show 1. Maximal effect a drug can produce 2. Amount of drug needed for a given effect (related to effective dose, ED50)  
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show 1. N-acetylcysteine 2. NaHCO3 (alkalinize urine) 3. NH4Cl (acidify urine) 4. Physostigmine salicylate  
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show 1. glucagon 2. Deferoamine 3. dimercaprol, CaEDTA 4. Nitrite, thiosulfate  
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Toxicity Antidotes: 1. Methemoglobin 2. Methanol 3. Opioids 4. Benzodiazepines   show
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show 1. NaHCO3 (Alkalinize urine) 2. Vitamin K, fresh frozen plasma 3. aminocaproic acid 4. β-blocker  
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show 1. ↓ potency (↑ dose required for effect - same as ↑ Km) 2. ↓ efficacy (less max effect - Vmax)  
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