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Metabolism and Excretion

Total questions: 10

Worksheet time: 6mins

Name
Class
Date
1.

Which statement is true regarding first-pass metabolism?

a)

Metabolism that occurs before absorption

b)

Metabolism that occurs before distribution

c)

Metabolism that occurs after distribution

d)

Metabolism that occurs after excretion

e)

Metabolism that occurs before elimination

2.

A prodrug is a drug formulation that is inactive, thus it can directly provide an effect after administration

a)

true

b)

false

3.

Phase 1 metabolism is largely performed by CYP 450 enzymes.

a)

true

b)

false

4.

If an active drug (A) is consumed together with another drug (B) that acts as an enzyme inducer of CYP 450, what will happen?

a)

drug A will accumulate in the blood

b)

drug A will have toxic effects

c)

many metabolites of drug B will be formed

d)

the effect of drug B will increase

e)

the amount of drug A at the site of action decreases

5.

Paracetamol undergoes phase 1 metabolism and is converted to NAPQI, which is normally further metabolized in phase 2 by conjugation with GSH, resulting in a toxic metabolite.

a)

true

b)

false

6.

Drugs will be filtered through the glomerulus using:

a)

passive diffusion

b)

facilitated diffusion

c)

active transport

d)

endocytosis

e)

pinocytosis

7.

Weak acid drugs will be eliminated from the body when

a)

the urine pH is acidic, so many drugs are reabsorbed

b)

the urine pH is acidic, so many drugs are not ionized

c)

the urine pH is basic, so many drugs are ionized

d)

the urine pH is basic, so many drugs are non-polar

e)

the urine pH is acidic, so many drugs are trapped in the urine

8.

Drugs that are polar will mostly reach the kidneys through

a)

glomerular filtration

b)

active secretion in the proximal tubule

c)

reabsorption in the distal tubule

9.

The range of therapy is

a)

duration of drug effect

b)

the time required to produce an effect since the drug is given

c)

the amount and time the drug is in systemic circulation

d)

minimum effective concentration

e)

the distance between KEM and KTM

10.

The drug that is excreted through feces is a drug that cannot be absorbed and a drug that binds with bile.

a)

true

b)

false