Q. What does the term 'bioavailability' refer to in pharmacokinetics?
A.
The rate of drug elimination
B.
The fraction of an administered dose that reaches systemic circulation
C.
The volume of distribution of a drug
D.
The time taken for a drug to exert its effect
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Solution
Bioavailability refers to the proportion of a drug that enters the circulation when introduced into the body and is available for therapeutic effect.
Correct Answer:
B
— The fraction of an administered dose that reaches systemic circulation
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Q. What is a common adverse effect associated with the use of aminoglycosides?
A.
Nephrotoxicity
B.
Hepatotoxicity
C.
Ototoxicity
D.
Cardiotoxicity
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Solution
Aminoglycosides are known to cause ototoxicity, which can lead to hearing loss.
Correct Answer:
C
— Ototoxicity
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Q. What is a significant adverse effect of chloramphenicol?
A.
Gray baby syndrome
B.
Tendon rupture
C.
Photosensitivity
D.
C. difficile infection
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Solution
Chloramphenicol can cause gray baby syndrome, a serious condition in newborns.
Correct Answer:
A
— Gray baby syndrome
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Q. What is the effect of protein binding on drug distribution?
A.
Increases free drug concentration
B.
Decreases free drug concentration
C.
Has no effect on drug distribution
D.
Increases drug metabolism
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Solution
Protein binding decreases the free drug concentration available for distribution, as only unbound drugs can exert pharmacological effects.
Correct Answer:
B
— Decreases free drug concentration
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Q. What is the main therapeutic use of ACE inhibitors?
A.
Hypertension
B.
Diabetes management
C.
Antibiotic therapy
D.
Pain relief
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Solution
ACE inhibitors are primarily used to treat hypertension by inhibiting the conversion of angiotensin I to angiotensin II.
Correct Answer:
A
— Hypertension
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Q. What is the mechanism of action of SSRIs (Selective Serotonin Reuptake Inhibitors)?
A.
Inhibition of serotonin reuptake
B.
Inhibition of dopamine receptors
C.
Inhibition of norepinephrine reuptake
D.
Activation of serotonin receptors
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Solution
SSRIs work by inhibiting the reuptake of serotonin in the brain, increasing its availability in the synaptic cleft.
Correct Answer:
A
— Inhibition of serotonin reuptake
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Q. What is the mechanism of action of SSRIs?
A.
Inhibition of serotonin reuptake
B.
Inhibition of dopamine reuptake
C.
Blocking norepinephrine receptors
D.
Increasing GABA activity
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Solution
SSRIs (Selective Serotonin Reuptake Inhibitors) work by inhibiting the reuptake of serotonin in the brain.
Correct Answer:
A
— Inhibition of serotonin reuptake
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Q. What is the primary action of calcium channel blockers?
A.
Increase heart rate
B.
Decrease myocardial oxygen demand
C.
Increase blood pressure
D.
Enhance insulin secretion
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Solution
Calcium channel blockers primarily decrease myocardial oxygen demand by reducing contractility and heart rate.
Correct Answer:
B
— Decrease myocardial oxygen demand
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Q. What is the primary barrier to drug absorption in the gastrointestinal tract?
A.
Mucosal layer
B.
Epithelial cells
C.
Blood-brain barrier
D.
Liver metabolism
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Solution
The primary barrier to drug absorption in the gastrointestinal tract is the epithelial cells that line the gut, which must be crossed for absorption to occur.
Correct Answer:
B
— Epithelial cells
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Q. What is the primary mechanism by which most drugs are distributed throughout the body?
A.
Active transport
B.
Passive diffusion
C.
Facilitated diffusion
D.
Pinocytosis
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Solution
Most drugs are distributed throughout the body primarily by passive diffusion, moving from areas of higher concentration to lower concentration.
Correct Answer:
B
— Passive diffusion
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Q. What is the primary mechanism of action of beta-blockers?
A.
Inhibition of angiotensin II
B.
Blocking beta-adrenergic receptors
C.
Inhibition of phosphodiesterase
D.
Activation of alpha-adrenergic receptors
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Solution
Beta-blockers primarily work by blocking beta-adrenergic receptors, which reduces heart rate and myocardial contractility.
Correct Answer:
B
— Blocking beta-adrenergic receptors
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Q. What is the primary mechanism of action of penicillins?
A.
Inhibition of protein synthesis
B.
Inhibition of cell wall synthesis
C.
Inhibition of nucleic acid synthesis
D.
Disruption of cell membrane integrity
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Solution
Penicillins primarily work by inhibiting cell wall synthesis, leading to bacterial cell lysis.
Correct Answer:
B
— Inhibition of cell wall synthesis
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Q. What is the primary route of drug absorption in the gastrointestinal tract?
A.
Passive diffusion
B.
Facilitated diffusion
C.
Active transport
D.
Endocytosis
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Solution
Drugs are primarily absorbed in the gastrointestinal tract through passive diffusion, which allows for the movement of drugs from an area of higher concentration to an area of lower concentration.
Correct Answer:
A
— Passive diffusion
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Q. What is the primary route of elimination for most benzodiazepines?
A.
Renal excretion
B.
Hepatic metabolism
C.
Pulmonary excretion
D.
Biliary excretion
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Solution
Most benzodiazepines are primarily eliminated through hepatic metabolism.
Correct Answer:
B
— Hepatic metabolism
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Q. What is the primary route of elimination for most beta-lactam antibiotics?
A.
Hepatic metabolism
B.
Renal excretion
C.
Biliary excretion
D.
Pulmonary excretion
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Solution
Most beta-lactam antibiotics are primarily eliminated through renal excretion.
Correct Answer:
B
— Renal excretion
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Q. What is the primary route of elimination for most drugs?
A.
Biliary excretion
B.
Renal excretion
C.
Pulmonary excretion
D.
Sweat
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Solution
Renal excretion is the primary route for the elimination of most drugs from the body.
Correct Answer:
B
— Renal excretion
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Q. What is the term for the fraction of an administered dose of unchanged drug that reaches the systemic circulation?
A.
Bioavailability
B.
Volume of distribution
C.
Clearance
D.
Half-life
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Solution
Bioavailability refers to the fraction of an administered dose of unchanged drug that reaches the systemic circulation.
Correct Answer:
A
— Bioavailability
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Q. What is the therapeutic use of statins?
A.
Hypertension
B.
Hyperlipidemia
C.
Diabetes
D.
Asthma
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Solution
Statins are primarily used to lower cholesterol levels in patients with hyperlipidemia.
Correct Answer:
B
— Hyperlipidemia
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Q. Which antibiotic class is primarily used to treat infections caused by Gram-positive bacteria and works by inhibiting cell wall synthesis?
A.
Cephalosporins
B.
Fluoroquinolones
C.
Macrolides
D.
Tetracyclines
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Solution
Cephalosporins are used to treat infections caused by Gram-positive bacteria and inhibit cell wall synthesis.
Correct Answer:
A
— Cephalosporins
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Q. Which antibiotic is effective against methicillin-resistant Staphylococcus aureus (MRSA)?
A.
Cloxacillin
B.
Vancomycin
C.
Ampicillin
D.
Gentamicin
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Solution
Vancomycin is effective against MRSA due to its mechanism of inhibiting cell wall synthesis.
Correct Answer:
B
— Vancomycin
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Q. Which class of antibiotics is known for its ability to inhibit bacterial protein synthesis by binding to the 30S ribosomal subunit?
A.
Macrolides
B.
Aminoglycosides
C.
Tetracyclines
D.
Glycopeptides
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Solution
Tetracyclines inhibit bacterial protein synthesis by binding to the 30S ribosomal subunit.
Correct Answer:
C
— Tetracyclines
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Q. Which class of drugs is primarily used to treat hyperlipidemia?
A.
Statins
B.
Beta-blockers
C.
ACE inhibitors
D.
Antidepressants
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Solution
Statins are the primary class of drugs used to lower cholesterol levels in patients with hyperlipidemia.
Correct Answer:
A
— Statins
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Q. Which drug class does metformin belong to?
A.
Sulfonylureas
B.
Biguanides
C.
Thiazolidinediones
D.
DPP-4 inhibitors
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Solution
Metformin is classified as a biguanide and is commonly used in the management of type 2 diabetes.
Correct Answer:
B
— Biguanides
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Q. Which drug class is commonly used as a first-line treatment for type 2 diabetes?
A.
Sulfonylureas
B.
Biguanides
C.
Thiazolidinediones
D.
Insulin
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Solution
Biguanides, particularly metformin, are commonly used as first-line treatment for type 2 diabetes.
Correct Answer:
B
— Biguanides
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Q. Which factor does NOT significantly affect drug absorption?
A.
pH of the environment
B.
Surface area of absorption
C.
Molecular weight of the drug
D.
Color of the drug
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Solution
The color of the drug does not significantly affect drug absorption, while pH, surface area, and molecular weight are critical factors.
Correct Answer:
D
— Color of the drug
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Q. Which of the following antibiotics is contraindicated in pregnancy due to its potential to cause fetal harm?
A.
Amoxicillin
B.
Tetracycline
C.
Ceftriaxone
D.
Clindamycin
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Solution
Tetracycline is contraindicated in pregnancy as it can affect fetal bone and teeth development.
Correct Answer:
B
— Tetracycline
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Q. Which of the following antibiotics is known for its broad-spectrum activity and is often used as a last resort for resistant infections?
A.
Vancomycin
B.
Ciprofloxacin
C.
Meropenem
D.
Amoxicillin
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Solution
Meropenem is a broad-spectrum carbapenem antibiotic often used as a last resort for resistant infections.
Correct Answer:
C
— Meropenem
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Q. Which of the following can lead to decreased drug absorption?
A.
Increased gastric emptying time
B.
Increased intestinal motility
C.
High-fat meals
D.
Acidic pH
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Solution
Increased intestinal motility can lead to decreased drug absorption as it reduces the time available for the drug to be absorbed.
Correct Answer:
B
— Increased intestinal motility
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Q. Which of the following can significantly affect the volume of distribution of a drug?
A.
Body fat percentage
B.
Age of the patient
C.
Gender of the patient
D.
All of the above
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Solution
All of the above factors can significantly affect the volume of distribution of a drug, as they influence body composition and drug binding.
Correct Answer:
D
— All of the above
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Q. Which of the following factors can enhance drug absorption?
A.
High lipid solubility
B.
High molecular weight
C.
Low pH in the stomach
D.
Presence of food
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Solution
High lipid solubility enhances drug absorption as lipophilic drugs can easily cross cell membranes.
Correct Answer:
A
— High lipid solubility
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