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Pharmacodynam

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which of the following best describes how a drug that

acts as an agonist at the A subtype of GABA receptors

affects signal transduction in a neuron

a)

Activation of this receptor subtype alters transcription

of DNA in the nucleus of the neuron.

b)

Activation of this receptor subtype opens ion channels

that allow sodium to enter cells and increases

the chance of generating an action potential

c)

Activation of this receptor subtype opens ion channels

that allow chloride to enter cells and decreases

the chance of generating an action potential.

d)

Activation of this receptor subtype results in G protein

activation and increased intracellular second messenger

levels.

2.

If 1 mg of lorazepam produces the same anxiolytic

response as 10 mg of diazepam, which is correct

a)

Lorazepam is more potent than is diazepam.

b)

Lorazepam is more efficacious than is diazepam

c)

Lorazepam is a full agonist, and diazepam is a partial

agonist.

d)

Lorazepam is a better drug to take for anxiety than is

diazepam

3.

If 1 0 mg of oxycodone produces a greater analgesic

response than does aspirin at any dose, which is correct

a)

Oxycodone is more efficacious than is aspirin

b)

Oxycodone is less potent than is aspirin

c)

Aspirin is a full agonist, and oxycodone is a partial

agonist

d)

Oxycodone and aspirin act on the same drug target

4.

In the presence of propranolol, a higher concentration of

epinephrine is required to elicit full antiasthmatic activity.

Propranolol has no effect on asthma symptoms. Which is

correct regarding these medications

a)

Epinephrine is less efficacious than is propranolol.

b)

Epinephrine is a full agonist, and propranolol is a partial

agonist.

c)

Epinephrine is an agonist, and propranolol is a competitive

antagonist.

d)

Epinephrine is an agonist, and propranolol is a noncompetitive

antagonist

5.

In the presence of picrotoxin, diazepam is less efficacious

at causing sedation, regardless of the dose. Picrotoxin

has no sedative effect, even at the highest dose. Which

of the following is correct regarding these agents

a)

Picrotoxin is a competitive antagonist

b)

Picrotoxin is a noncompetitive antagonist

c)

Diazepam is less efficacious than is picrotoxin

d)

Diazepam is less potent than is picrotoxin

6.

Haloperidol, chlorpromazine, and clozapine are antipsychotic

medications that bind to the D2 subtype of dopamine

receptors, with a binding affinity of haloperidol >

chlorpromazine > clozapine. Which statement would

have to be correct to conclude that the mechanism of

antipsychotic effects for these drugs is via binding to D2

receptors

a)

Haloperidol should have the lowest potency of the

three antipsychotic drugs.

b)

D2 receptor binding should also be related to the

potency of these drugs in causing Parkinson's-like

adverse effects.

c)

A positive correlation should exist between the affinity

of these drugs to bind to D2 receptors and their

potency for antipsychotic actions.

d)

Clozapine would have to be more potent than chlorpromazine

for decreasing psychosis

7.

If there were spare fl1-adrenergic receptors on cardiac

muscle cells, which statement would be correct

a)

The number of spare fl1-adrenergic receptors determines

the size of the maximum effect of the agonist

epinephrine.

b)

Spare fl1 adrenergic receptors make the cardiac tissue

less sensitive to epinephrine.

c)

A maximal effect of epinephrine is seen when only a

portion of fl1 adrenergic receptors are occupied.

d)

Spare receptors are active even in the absence of

epinephrine.

8.

Which of the following up-regulates postsynaptic a1-

adrenergic receptors

a)

Daily use of amphetamine that causes release of

norepinephrine

b)

A disease that causes an increase in the activity of

norepinephrine neurons

c)

Daily use of phenylephrine, an a1 receptor agonist

d)

Daily use of prazosin, an a1 receptor antagonist

9.

Methylphenidate helps patients with attention deficit

hyperactivity disorder (ADHD) maintain attention and

perform better at school or work, with an EDso of 10 mg.

However, methylphenidate can also cause significant

nausea at higher doses (TD50 "' 30 mg). Which is correct

regarding methylphenidate

a)

The therapeutic index of methylphenidate is 3

b)

The therapeutic index of methylphenidate is 0.3

c)

Methylphenidate is more potent at causing nausea

than treating ADHD

d)

Methylphenidate is more efficacious at causing nausea

than treating ADHD

10.

Which is correct concerning the safety of using warfarin

(with a small therapeutic index) versus penicillin (with a

large therapeutic index)

a)

Warfarin is a safer drug because it has a low therapeutic

index.

b)

Warfarin treatment has a high chance of resulting in

dangerous adverse effects if bioavailability is altered

c)

The high therapeutic index makes penicillin a safe

drug for all patients.

d)

Penicillin treatment has a high chance of causing

dangerous adverse effects if bioavailability is altered