Medical Pharmacology: Pharmacokinetic Practice Questions
Choose the correct answer for each question.
Bioavailability: The unchanged drug fraction reaching systemic circulation.
True
False
Area under the blood concentration-time curve (AUC):
Proportional to the drug dose
Proportional to the extent of drug bioavailability if first-order elimination applies.
Both
Neither
If the drug is administered by the IV route of administration, the bioavailability is typically estimated as 0.5 or 50%.
True
False
Bioavailability of the drug administered by the rectal route of administration:
Estimated between 30% to less than 100%.
Bioavailability by this route of administration may be associated with reduced first-pass effect compared oral administration.
Both
Neither
Some drugs, following oral administration, may be incompletely absorbed (only about 70% of the digoxin dose is found in the systemic circulation). This reduced absorption results from "lack of absorption from the gut"
True
False
If the drug is too lipophilic, the drug may be insufficiently soluble to traverse the water layer near the cell.
True
False
If the drug is too hydrophilic, the drug will be unable to cross the lipid component of the cell membrane, hydrophobic component.
True
False
Some drugs may not be absorbed because they will be transported out of gut wall cells
due to the presence of a reverse transporter (P-glycoprotein,P-gp).
True
False
Route of administration that tends to prolong drug absorption duration:
Oral
Topical
Transdermal
Sublingual
Route of administration that tends to avoid the first-pass effect:
Oral
Topical
Transdermal
Sublingual
Route of administration that tends to be most convenient:
Oral
Topical
Transdermal
Rectal or sublingual
Route of administration which tends to maximize side of action concentration while minimizing drug concentration at other sites:
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Source Material:
Buxton ILO Chapter
2: Pharmcokinetics: The Dynamics of Drug Absorption,
Distribution, Metabolism, and Elimiation in Goodman & Gilman's:
The Pharmacological Basis of Therapeutics, 14e, (Brunton LL H
Knollmann BC, eds) McGraw-Hill Education, 2023.
Holford NHG Chapter
3: Pharmacokinetics & Pharmacodynamics: Rational Dosing &
the Time Course of Drug Action: in Basic & Clinical
Pharmacology (Katzung BG, Editor; Vanderah TW, Associate
editor) 15e McGraw Hill 2021.
Baca QJ Golan DE
Pharmacokinetics Chapter 3: Principles of Pharmacology:
The Pathophysiologic Basis of Drug Therapy. (Golan DE, editor-in
chief, Armstrong EJ Armstrong AW, associate editors) 4e Wolters
Kluwer 2017.
Flood P Shafer SL
Chapter 2 Basic Principles of Pharmacology in Stoelting's
Pharmacology & Physiology in Anesthetic Practice (Glood P
Rathmell JP Urman RD, eds) 6e Wolters Kluwer 2022.
Burchum JR Rosenthal
LD Lehne's Pharmacology for Nursing Care Unit II Chapter 4
Pharmcokinetics 11 e Elsevier 2022.