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 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 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 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. 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 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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Q. Which of the following routes of administration typically results in the highest bioavailability?
A.
Intravenous
B.
Oral
C.
Intramuscular
D.
Subcutaneous
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Solution
Intravenous administration results in the highest bioavailability since the drug is delivered directly into the systemic circulation.
Correct Answer:
A
— Intravenous
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