Anesthesia Pharmacology Chapter 1:  General Principles 
	Practice Questions
	Click on the correct answer.
 
 
 
- Most drug have molecular weights between: -   10 - 100
-   100 and 1000
-   7 - about 60000
-   above 60000
-   none of the above
 
- Bond type that is seen in some drug-receptor interactions and tends to very strong, often nearly irreversible: -   hydrophobic
-   electrostatic
-   covalent
-   A & C
-   B & C
 
- Example(s) of covalent drug-receptor interactions: -   activated phenoxybenzamine-receptor
-   anti-cancer DNA alkylating drugs, like cyclophosphamide (Cytoxan)
-   norepinephrine
-   A & B
-   A, B & C
 
- Term having to do with drug actions on the body: -   pharmacokinetics
-   pharmacodynamics
-   pharmacogenetics
-   placebo
-   all of the above
 
- General term having to do with actions of the body on the drug: -   pharmacodynamics
-   pharmacogenetics
-   pharmacokinetics
-   absorption
-   none of the above
 
- Pharmacological antagonists: -   cause receptor down regulation
-   prevent binding of other molecules to the receptor by their binding to the receptor
-   atropine (blocks ACh action on the heart
-   A & B
-   B & C
 
- Drug-transport system described as "energy requiring": -   glomerular filtration
-   facilitated diffusion
-   active transport
-   B & C
-   A, B & C
 
- Most important factor influencing drug absorption rate following intramuscular injection: -   needle diameter
-   rate of administration
-   injection site blood flow
-   injection volume
 
- Most common mechanism of drug permeation: -   endocytosis
-   carrier-mediated transport
-   active-transport
-   passive diffusion
-   none of the above
 
- Mechanism(s) of drug permeation: -   lipid diffusion
-   aqueous diffusion
-   use of carrier molecules
-   endocytosis and exocytosis
-   all of the above
 
- Faster drug absorption: -   lung
-   stomach
 
- Drug with this ionization property most likely to diffuse from intestine (pH 8.4) to blood (pH 7.4) -   weak acid (pKa 7.4)
-   weak base (pKa 8.4)
-   weak acid (pKa 8.4)
-   weak base (pKa 6.4)
-   weak acid (pKa 6.4)
 
- Increasing ionization at pH ABOVE pKa: -   weak acid
-   weak base
 
- Weak organic acid, pKa 6.5. Percent ionization at pH 7.5 -   1%
-   10%
-   50%
-   90%
-   99%
 
- Drug delivery method LEAST suitable for long term (days to weeks) slow release. -   pellet implant under the skin (subcutaneous)
-   time release capsule
-   i.m. injection of a drug-oil suspension
-   transdermal patch
-   none of the above
 
- Dramatic decrease in systemic availability of a drug following oral administration is most likely due to: -   extreme drug instability at stomach pH
-   hepatic "first-pass" effect
-   drug metabolized by gut flora
-   tablet does not dissolve
-   patient non-complance