Chapter·PharmacologyPharmacokinetics (ADME principles)

First-pass metabolismDownloads

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Sample Questions

1

A 72-year-old man presents to the emergency department with a 1 hour history of bruising and bleeding. He says that he fell and scraped his knee on the ground. Since then, he has been unable to stop the bleeding and has developed extensive bruising around the area. He has a history of gastroesophageal reflux disease, hypertension, and atrial fibrillation for which he is taking an oral medication. He says that he recently started taking omeprazole for reflux. Which of the following processes is most likely inhibited in this patient?

ASulfation

BOxidation

CFiltration

DAcetylation

EGlucuronidation

2

An experimental infusable drug, X729, is currently being studied to determine its pharmacokinetics. The drug was found to have a half life of 1.5 hours and is eliminated by first order kinetics. What is the minimum number of hours required to reach a steady state concentration of >90%?

A6

B3

C7.5

D1.5

E4.5

3

A scientist is trying to design a drug to modulate cellular metabolism in the treatment of obesity. Specifically, he is interested in understanding how fats are processed in adipocytes in response to different energy states. His target is a protein within these cells that catalyzes catabolism of an energy source. The products of this reaction are subsequently used in gluconeogenesis or β-oxidation. Which of the following is true of the most likely protein that is being studied by this scientist?

AIt is stimulated by epinephrine

BIt is inhibited by glucagon

CIt is inhibited by acetylcholine

DIt is inhibited by cortisol

EIt is stimulated by insulin

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