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Basic Anesthesia pharmacology post test

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

Which of the following opioid-receptor agonists has anticholinergic properties?

a)

Morphine

b)

Hydromorphone

c)

Sufentanil

d)

Meperidine

2.

Synergistic mean

a)

where the net effect is more than the sum of the individual actions

b)

where one drug increases the effect of another

c)

where the net effect is the sum of the individual actions

d)

Non of mentioned

3.

Definition of Isomerism:

a)

Isomers are compounds with the same atomic formulae (same molecular weight) but different structural arrangements, and often different properties.

b)

Structural isomers have same chemical structures with the same molecular weight.

c)

Tautomerism is a type of stero isomerism, in which the two isomers exist in equilibrium determined by the surrounding pH.

d)

Stereoisomers have different chemical constituents and structure, but same 3D Spatial configurations.

4.

Ionization

a)

pK is positive logarithm to base 10 of the dissociation constant for the chemical reaction.

b)

pKa is pH at which 50% of drug is ionized; independent of whether drug is acidic or basic, and depends on molecular structure

c)

Ionized (charged) particles are relatively lipid insoluble and easily cross cell membranes.

d)

Degree of ionization not expressed by Henderson–Hasselbalch equation

5.

Dose–response curves can be used to determine ED50 (effective dose 50%), as well as the toxic effect in the form of the LD50(lethal dose 50%). The ratio of LD50:ED50is known as the therapeutic index and can be utilized to estimate drug safety.

a)

For greater safety, a drug should have a low therapeutic index

b)

Warfarin has a high therapeutic index

c)

Penicillin has a low therapeutic index

d)

Ibuprofen has a high therapeutic index

6.

Which of the following agents is cytochrome P450 enzyme inhibitors:

a)

Rifampicin

b)

Amiodarone

c)

Carbamazepine

d)

Chronic alcohol

7.

The following drugs not display zero-order kinetics:

a)

Aspirin

b)

Warfarin

c)

Theophylline

d)

Alfentanil

8.

Concerning the context-sensitive half-life:

a)

It is defined as the time for the plasma concentration of a drug to fall by 50% subsequent

to cessation of an infusion after plasma loading

b)

Remifentanil displays a context-insensitive half-life

c)

Context sensitive half-life predicts time to waking subsequent to termination of infusion of a hypnotic agent

d)

Alfentanil demonstrates context sensitivity after prolonged infusion times

9.

The following drugs cross the placenta in significant quantities:

a)

Co-amoxiclav

b)

Diclofenac

c)

Thiopentone

d)

All of the above

10.

Regarding drug elimination:

a)

Clearance refers to the amount of drug removed from the body per unit time

b)

Elimination of most drugs follows zero-order kinetics

c)

Elimination is always related to renal function

d)

A time constant is longer than a half-life