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WorksheetsBasic Anesthesia pharmacology post test
Total questions: 10
Worksheet time: 10mins
Which of the following opioid-receptor agonists has anticholinergic properties?
Morphine
Hydromorphone
Sufentanil
Meperidine
Synergistic mean
where the net effect is more than the sum of the individual actions
where one drug increases the effect of another
where the net effect is the sum of the individual actions
Non of mentioned
Definition of Isomerism:
Isomers are compounds with the same atomic formulae (same molecular weight) but different structural arrangements, and often different properties.
Structural isomers have same chemical structures with the same molecular weight.
Tautomerism is a type of stero isomerism, in which the two isomers exist in equilibrium determined by the surrounding pH.
Stereoisomers have different chemical constituents and structure, but same 3D Spatial configurations.
Ionization
pK is positive logarithm to base 10 of the dissociation constant for the chemical reaction.
pKa is pH at which 50% of drug is ionized; independent of whether drug is acidic or basic, and depends on molecular structure
Ionized (charged) particles are relatively lipid insoluble and easily cross cell membranes.
Degree of ionization not expressed by Henderson–Hasselbalch equation
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.
For greater safety, a drug should have a low therapeutic index
Warfarin has a high therapeutic index
Penicillin has a low therapeutic index
Ibuprofen has a high therapeutic index
Which of the following agents is cytochrome P450 enzyme inhibitors:
Rifampicin
Amiodarone
Carbamazepine
Chronic alcohol
The following drugs not display zero-order kinetics:
Aspirin
Warfarin
Theophylline
Alfentanil
Concerning the context-sensitive half-life:
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
Remifentanil displays a context-insensitive half-life
Context sensitive half-life predicts time to waking subsequent to termination of infusion of a hypnotic agent
Alfentanil demonstrates context sensitivity after prolonged infusion times
The following drugs cross the placenta in significant quantities:
Co-amoxiclav
Diclofenac
Thiopentone
All of the above
Regarding drug elimination:
Clearance refers to the amount of drug removed from the body per unit time
Elimination of most drugs follows zero-order kinetics
Elimination is always related to renal function
A time constant is longer than a half-life
