1st order
ADME follows ________ kinetics.
constant
In first order kinetics, Elimination rate constant (k), half-life (t1/2), apparent volume of distribution (V), and clearance remain _______.
proportional
In First order kinetics, Increase in the dose causes _________ increase in plasma drug concentration and AUC0-00.
constant
In First order kinetics, concentrations of the drugs in plasma are below protein binding saturation, fp remains _______.
a
Dose-independant
a) linear PK
b) Nonlinear PK
b
Dose-dependent
a) linear PK
b) Nonlinear PK
b
AUC0-00 is disproportional to the dose.
a) linear PK
b) Nonlinear PK
b
>=1 of ADME processes is saturable.
a) linear PK
b) Nonlinear PK
saturable
Drug-plasma protein binding is _______.
increase
Increased fp my cause _____ in CLH and/or CLR
increase
Increased fp may cause _____ in V.
saturable
Renal Secretion and active renal reabsorption are ______ processes.
decreased
Saturated tubular secretion will lead to ______ CLR
increased
Saturated tubular reabsorption leads to ______ CLR
1.45L/min
What is Qh or hepatic blood flow?
proportional
When EH > 0.8, CLH is _______ to the change in QH.
insensitive
When EH> 0.8, CLH is _______ to the change in fp or CLint.
proportional
When EH<0.2, CLH is ________ to the change in fp or CLint
insensitive
When EH <0.2, CLH is _______ to the change in QH.
little secretion or reabsorption
CLR= fp*GFR
net tubular secretion occurred
CLR> fp* GFR
net tubular absorption occurred
CLR< fp * GFR
glomerulus
Filtration occurs in the _______ of the nephron.
proximal tubule
Secretion occurs in the ______ of the nephron.
distal convoluted tubule
Absorption occurs in the ______ of the nephron.
a
Which process is influenced by Protein binding?
a) filtration
b) secretion
c) absorption
b
Which process is influenced by competitive inhibitors?
a) filtration
b) secretion
c) absorption
b,c
Which process is active?
a) filtration
b) secretion
c) absorption
a
Which process is passive?
a) filtration
b) secretion
c) absorption
c
Which process is influenced by urinary pH and flow?
a) filtration
b) secretion
c) absorption
either
What kind of drug ionization is a characteristic of filtration?
weak acids or weak bases
What kind of drug ionization is a characteristic of secretion?
nonionized; ionized remains in urine
What kind of drug ionization is a characteristic of reabsorption?
secretion; reabsorption
Tubular______ and _______ are independent of plasma protein binding.
F
The elimination rate constant should be larger than the absorption rate constant. T/F?
d
The extent of oral absorption depends on____________.
a) dissolution of the dosage form
b) drug metabolism in the GI tract/liver
c) nature of the drug
d) all of the above
F
The oral bioavailability can be any number greater than 0. T/F?
F
Variability in Vmax and Km values in patients causes a narrow range in the effective doses needed to achieve therapeutic levels. T/F?
systemic circulation
Significant first-pass metabolism means that much of the drug's metabolism occurs before its arrival at the _________.
hepatic artery & portal vein
The liver receive(s) blood from the ___________.
excretion rate
Renal clearance can be calculated from what ratio of rates to the drugs concentration in plasma?
renal & billiary
Two important routes of drug excretion are _______.