WorksheetsGeneral Pharmacology: Multiple-Choice Questions (MCQs)
Total questions: 100
Worksheet time: 55mins
The Greek word "Pharmacon" refers to:
Learning
Drug
Organism
Treatment
Pharmacology is defined as the science that studies the interaction of chemical substances with:
Non-living matter
Live organisms
Only human diseases
Diagnostic processes
Which of the following is NOT a purpose for which substances (drugs) are used in Medical pharmacology?
Treatment
Prevention
Diagnostic purposes
Creating a new function in a tissue or organ
A chemical preparation that usually, but not necessarily, contains one or more drugs administered with the intention of therapy is called a:
Drug
Poison
Medicine
The full chemical name of a drug is primarily intended for:
Prescription
The general public
Chemists
Trade marketing
The non-proprietary name of a drug is also known as the:
Chemical Name
Trade Name
Generic Name
Brand Name
The proprietary name of a drug is a trademark applied by a particular:
Pharmacopoeia
WHO committee
Manufacturer
Government agency
A drug classification based on the disease state they are used to treat (e.g., Anti-hypertensives) is known as:
Pharmacologic classification
Therapeutic classification
Chemical classification
Molecular classification
A drug classification based on their mechanism of action (e.g., Beta-blockers) is known as:
Pharmacologic classification
Therapeutic classification
Chemical classification
Molecular classification
The source of the drug penicillin is:
Animal sources
Plant sources
Microorganisms
Synthetic drugs
The source of the drug heparin is:
Animal sources
Plant sources
Mineral sources
Biotechnology
Human insulin is an example of a drug obtained through:
Mineral sources
Plant sources
Biotechnology
Synthetic drugs
Which discipline links pharmacology to HEALTH ECONOMICS?
Pharmacogenetics
Pharmacogenomics
Pharmacoepidemiology
Pharmacoeconomics
Which discipline links pharmacology to GENOMICS?
Pharmacogenetics
Pharmacogenomics
Psycho-pharmacology
Toxicology
The study of drug action on living tissue at the cellular level is called:
Pharmacokinetics
Pharmacodynamics
Pharmacotherapeutics
Chemotherapy
Which of the following is classified as a Semi-Solid dosage form?
Tablet
Syrup
Suppository
Aerosol
An Ampule is classified as which type of dosage form?
Solid form
Semi-Solid form
Liquid Form
Gaseous Form
Which route of administration is primarily used for a systemic (non-local) effect where the substance is given via the digestive tract?
Parenteral
Topical
Rectal
Oral
A drug administered by injection via a hollow needle into the body is classified as a/an:
Oral route
Parenteral route
A key disadvantage of the oral route of administration is:
It is convenient
It requires sterilization
The first-pass effect
The onset of action is too rapid
The hepatic metabolism of a pharmacological agent when it is absorbed from the gut and delivered to the liver via the portal circulation is known as:
Bioavailability
Biotransformation
First pass effect
Glomerular filtration
Which drug's bioavailability is mentioned to be higher after food intake?
Tetracycline
Penicillin
Griseofulvin
Propranolol
An advantage of the Buccal/Sublingual route of administration is that it avoids:
Rapid absorption
Hepatic first pass
Low drug stability
Inconvenience of holding the dose
An advantage of Intravascular (IV) administration is:
Lower risk of embolism
Lower risk of adverse effects
The route of administration that involves injection into the skin itself, typically used for skin testing, is:
Intravenous
Intrathecal
Subcutaneous
Intradermal
Injection into the spinal canal, most commonly used for spinal anesthesia, is called the:
Intraperitoneal route
Intramuscular route
Intrathecal route
Intraarterial route
The application of a drug to the skin for systemic action (stable blood levels, no first pass metabolism) is known as:
Dermal route
Transdermal route
Topical route for local action
Inhalation route
A key advantage of the Rectal route of administration is its usefulness for:
Patients who can take drugs orally
Complete and non-erratic absorption
Patients unable to take drugs orally (e.g., unconscious patients)
Drugs requiring 100% first-pass effect
For inhalation as a route of administration, solids and liquids larger than what particle size are typically excluded because they impact in the mouth and throat?
0.5 micron
5 micron
20 micron
50 micron
Why is the inhalation route considered the most addictive route of administration?
Large surface area for absorption
High blood flow
Difficulties in regulating dosage
Because it hits the brain so quickly
Which of the following is NOT an advantage of the oral route?
Convenient (portable, no pain)
Cheap (no need to sterilize)
Variety (tablets, capsules, etc.)
Rapid onset of action for emergencies
Which of the following is a disadvantage of the Rectal route?
Erratic absorption
Complete hepatic first pass effect
Not suitable for unconscious patients
The liver is by-passed
Which is a Semi-Solid dosage form?
Solution
Capsule
Pessary
Elixer
What condition for weakly acidic drugs results in them becoming concentrated in the CNS?
Urinary alkalinization
Increasing plasma pH (e.g., sodium bicarbonate)
The concept that an acidic drug will accumulate on the more basic side of the membrane and a basic drug on the more acidic side is known as:
Active Transport
Facilitated Diffusion
Ion trapping
Simple Diffusion
The quantitative study of drug movement in, through and out of the body is:
Pharmacodynamics
Pharmacotherapeutics
Pharmacokinetics
Molecular pharmacology
The three main pathways of drug movement across cell membranes include direct penetration, passage through protein channels, and:
Endocytosis
Filtration
Carrier proteins
Pinocytosis
Endocytosis permits the entry of chemicals that are:
Lipid soluble
Un-ionized
Which form of a weak acid or weak base drug is considered Lipid soluble and passes easily across cell membranes?
Un-ionized form
Ionized form
Conjugated form
Metabolite form
Urinary acidification accelerates the excretion of:
Weak acids
Polar drugs
Weak bases
Lipid-soluble drugs
The passage of a drug from its site of administration into the plasma is called:
Distribution
Metabolism
Excretion
Absorption
The main absorptive site in the GIT, especially for basic lipophilic small molecules, is the:
Stomach
Esophagus
Colon
Small intestine
The percentage of unchanged drug that reaches the systemic circulation following administration by any route is called:
Volume of Distribution (Vd)
Clearance (Cl)
Bioavailability (F)
Half-life (t1/2)
The bioavailability for the Intravenous (IV) route is:
50%
70%
100%
Variable
Which process is NOT a cause of low oral bioavailability?
First pass metabolism
Acid hydrolysis
Reverse transport reaction with P-glycoprotein
Increased plasma protein binding
Products with the same bioavailability are called:
Pharmacologically equivalent
Therapeutically equivalent
Bioequivalent
Chemically equivalent
The transport of drug molecules within the body after absorption, including protein binding, is known as:
Absorption
Metabolism
Excretion
Distribution
Drug distribution into the CNS is limited because of the:
Blood-brain barrier (BBB)
High blood flow to the brain
Non-brain capillary type
Presence of glial cells without tight capillaries
The most available plasma protein that has a high affinity to bind acidic drugs is:
Alpha-acid glycoprotein
Globulin
Hemoglobin
Albumin
Only the free or unbound portion of a drug:
Is stored and released as needed
Acts on body cells
Is neither metabolized nor excreted
Prolongs the half-life
The bound drug portion (e.g., to plasma albumin) is generally considered:
Active and diffusible
Inactive and Non diffusible
Easily metabolized and excreted
Removed from the body quickly
A drug that binds to bone tissue is:
(a)
An apparent volume of fluids into which a drug is distributed at the same concentration as the plasma is the definition of:
Clearance
Bioavailability
Volume of distribution (Vd)
Steady State Concentration (SSC)
A large Volume of Distribution (Vd) is typically associated with:
High water solubility
High lipophilicity (lipid solubility)
Low distribution rate
Rapid half-life
Drug elimination is the disappearance of drug from the body, which consists of:
Absorption and Distribution
Metabolism and Excretion
Clearance and Half-life
Ionization and Filtration
The main function of drug metabolism is to convert lipophilic drugs into metabolites that are:
Less polar
Less lipid soluble (more water soluble)
More toxic
The main site of drug metabolism is the:
Kidney
Intestinal wall
Lung
Liver
Most drugs are metabolized by which enzyme system in the liver?
Acetyltransferase
Glucuronosyltransferases
Cytochrome P450 enzymes (CYP 450)
Plasma cholinesterase
A prodrug is a drug that is converted from an inactive or less active form to an active form by:
Excretion
Distribution
Metabolism (Activation process)
Filtration
Phase 1 Biotransformation reactions are generally classified as:
Non synthetic (chemical change)
Conjugation reactions
Synthesis of large molecules
Resulting in only inactive metabolites
Which of the following is a Phase 1 reaction?
(a)
Phase 2 Biotransformation reactions are known as:
Non synthetic
Conjugation
Hydrolysis
Reduction
The usual result of a Phase 2 conjugation reaction is a/an:
Toxic metabolite
Inactive metabolite
More active metabolite
More lipophilic drug
A substance that enhances the rate of synthesis or decreases the rate of degradation of CYP 450 is called a/an:
Enzyme inhibitor
Prodrug
Enzyme inducer
Substrate
Which drug is given as an example of an Enzyme Inducer?
Quinidine
Ketoconazole
Rifampicin
Chloramphinicol
In individuals with slow acetylation of Isoniazid (INH), the drug dosage may need to be:
Larger than usual
Smaller than usual
Unaffected
Switched to a different route
The three main mechanisms involved in Renal clearance are Glomerular filtration, Active tubular secretion, and:
Hepatic metabolism
Plasma protein binding
Tubular re-absorption
Pulmonary excretion
In Glomerular filtration, what allows passage into the glomerular filtrate?
Plasma albumin (MW 68,000)
Drug molecules with molecular weight below about 20,000
Only the bound drug
Only macromolecules
The Organic Anion Transporters (OAT) are responsible for transferring which type of drugs to the tubular lumen?
Organic bases
Acidic drugs
Only non-selective carriers
Lipophilic drugs
Probenecid was developed to prolong the action of penicillin by retarding its:
Lipid-soluble drugs are poorly excreted by the renal route because they undergo:
Glomerular filtration
Active tubular secretion
Passive tubular re-absorption
Ion trapping in the lumen
The volume of fluid from which all drugs are removed per unit time is the definition of:
Half-life
Clearance
Volume of distribution
Bioavailability
The time taken for the drug concentration in plasma to decline by 50% is the:
Onset of action
Duration of action
Half life (t1/2)
Minimum effective concentration
Approximately how many half-lives are required for about 97% of a drug to be eliminated from the body?
1
3
5
7
The state in which the fraction of drug absorbed (input) equals the fraction of drug eliminated (output) is called:
Minimum effective concentration
Loading state
Steady State Concentration (SSC)
Therapeutic window
The minimum concentration that must be present before a drug exerts its pharmacologic action on body cells is the:
Minimum Toxic Concentration (MTC)
Minimum Effective Concentration (MEC)
Steady State Concentration (SSC)
Loading Dose Concentration
The safe range between the minimum therapeutic concentration and the minimum toxic concentration of a drug is the:
Half-life range
Therapeutic Window (index)
Steady State Concentration
Clearance range
A large amount of drug administered to the body to rapidly achieve the therapeutic concentration (Tc) is called the:
Maintenance dose
Bolus dose
Loading dose
The formula for calculating the Loading dose is:
Loading dose = Vd / Tc
Loading dose = Cl * Tc
Loading dose = Vd x Tc
Loading dose = Dosing rate * Dosing interval
The dose used to maintain the plasma concentration within a specified range over long periods of therapy is the:
Loading dose
Bolus dose
Maintenance dose
Initial dose
A subject with which condition is explicitly mentioned to require special dosage precautions?
Common cold
Gastric ulcer (non-perforated)
Renal impairment
Mild hypertension
A physiological difference in infants and children compared to adults that affects drug pharmacokinetics is:
Reduced total body water
Reduced gastric emptying
More extracellular body water
Reduced albumin levels
In the elderly, a pharmacokinetic change that affects drug action is:
Decreased renal excretion
Increased hepatic metabolism
Increased gastric emptying
Enhanced protein binding
During the last trimester of pregnancy, which change in pharmacokinetics occurs?
Decreased plasma volume
Renal plasma flow halved
Increased gastric emptying
Plasma volume increased
In heart failure, drug pharmacokinetics are affected by:
Increase in plasma protein binding
Increased blood flow
Reduced blood flow
Increased hepatic metabolic enzyme activity
Which of the following drugs is mentioned as an exception to the rule 'A drug will not work unless it is bound' and acts through its physicochemical properties?
Colchicine
Insulin
Anti-acids
Penicillin
The primary target for most drugs is:
(a)
Colchicine, an anti-gout drug, targets which type of protein?
Receptor protein
Enzyme protein
Structural protein (tubulin)
Carrier protein
Drug receptors are defined as specific macromolecular components in the body to which a drug binds to produce its effect, most of which are:
Carbohydrates
Lipids
Proteins
DNA
The general pharmacological action of a drug is achieved by binding to its receptor via:
Covalent bonds (strongest)
Electrostatic bonds (weaker)
Hydrophobic bonds (weakest)
All of the above
What is the term for the tendency of a drug to bind to a receptor?
Affinity
Intrinsic Activity
Efficacy
Potency
What is the term for the property of a drug that describes its ability to produce a pharmacological response after binding to the receptor?
Potency
Intrinsic Activity (Efficacy)
Affinity
Selectivity
A Full Agonist is defined as a drug that has:
Affinity but no intrinsic activity
High affinity but low intrinsic activity (0-1)
High affinity and maximum intrinsic activity (intrinsic activity = 1)
High intrinsic activity but low affinity
A drug that binds to the receptor but lacks intrinsic activity (i.e., intrinsic activity = 0) is classified as a/an:
Partial Agonist
Inverse Agonist
Antagonist
Full Agonist
A drug that binds to a receptor and produces a smaller effect than a full agonist (i.e., intrinsic activity between 0 and 1) is a/an:
Partial Agonist
Competitive Antagonist
Irreversible Agonist
Inverse Agonist
What is the effect of an Inverse Agonist?
Which term describes the amount of drug (dose) required to produce a certain percentage of the maximal effect?
Intrinsic activity
Efficacy
Potency
Selectivity
The relationship between the dose of a drug and the response it produces is typically represented by a/an:
Affinity curve
Dose-Response Curve (DRC)
Therapeutic Index curve
Clearance plot
A drug that binds to the same site as the agonist and its effects can be overcome by increasing the concentration of the agonist is a:
Non-Competitive Antagonist
Competitive Antagonist
Irreversible Antagonist
Partial Agonist
In the presence of a Non-Competitive Antagonist, what happens to the maximum response (Emax) of the agonist's Dose-Response Curve?
It increases.
It remains unchanged.
