Professional Documents
Culture Documents
SEMI FINALS
MODULE 4 PHARMACOLOGY – PHARMACOKINETICS 15%
100 A C E
60
B D
40
20
Log Dose
Graph: Irreversible/ Non competitive
a. I,II,III,IV
b. I,IV
c. II,III
d. I,III,IV
Rationale: When Curve A was given an antagonist you can observed that
Curve B was shifted down from that momentum you can tell that it was
already given an antagonism because of the Curve B. Then Curve C was
produced an agonist at higher dose + non competitive antagonist.
10. Which of the curves depicts the log dose response curve of the drug C
when a fixed dose of an irreversible antagonist is given concomitantly.
a. CURVE A
b.CURVE B
c. CURVE D
d. CURVE E
For 11-12
80
60 B
40
20
Log 10 Dose
Which of the ff. statements are true?
I. Drug A is more efficacious than Drug C
II. Drug B is the least efficacious
III. Drug C is equally efficacious as Drug B
a. I only
b. II only
c. I and II
d. I,II, III
Rationale: Drug B has the lowest efficacy as given in the measurement in
the graph, since drug A and C has an equal value.
12. Arrange the drugs in increasing potency
a. A<B<C
b.C<B<A
c.B<C<A
d.A=C<B
Rationale: in measuring or arranging the drugs with their potency always
remember that the drug that is closest to the value 0 is the most potent
drug.
13.Which direction would a partial agonist shift the dose response curve
when compared to a full agonist
a.to the left
b. to the right
c.down
d.up
14.Four identical experiment animals were treated with a mg of the ff.
toxins (Refer to the choices below with their corresponding LD50) Which
toxic would most likely cause death to animals)
a. Toxin EF(LD50=5mg/kg)
b. Toxin GH(LD50=1500mg/kg)
c.Toxin AB(LD50 =8000mg/kg)
d.Toxin CD(LD50=0.00001mg/kg)
Rationale: The drug that has the lowest LD50 is the most toxic
OUTCOME READINESS ASSESSMENT
SEMI FINALS
MODULE 4 PHARMACOLOGY – PHARMACOKINETICS 15%
Log time E
B dOA C
MEC(minimum effectiveconc)
Onset offset
TIME
1.What refers to the horizontal distance between time 0 and the time that
the dose-response curve hit point B.
a.minimum toxic concentration
b.lag time
c.minimum effective concentration
d. duration of action
2.Which of the ff. statements is/are incorrect?
(please refer the graph)
I. A represents tmax while D represents Cmax
II. The gap between B and C represents the duration of action
III. The higher the E is,the more dangerous the drug is
IV. If a drug goes beyond point F it already surpassed the maximum
effectiveconcentration
a. II only
b. I,III,IV
c. I, IV
d. I,III
3.The graph is mostly likely a dose-response curve of a drug
administered: (please refer the graph)
a.IV as infusion
b.IV as bolus loading dose
c.IV as infusion with loading dose combined
d.Orally as an intermediate-release product
Rationale: 1 -IV admin
2 -immediate
3- delayed
concentration
TIME
4.Identify the pharmacokinetic plot for a delayed release formulation
a.1
b.2
c.3
5.Two drugs that act on the same tissue or organ through independent
receptors in effects in opposite directions known as
a.physiologic antagonism - different receptors aka functional
b.irreversible -binds permanently
c.competitive antagonism – binds to the same site as the agonist but
does not activate it,thus block the agonist’s action
d.chemical antagonism – drug that counters the effects of another by
binding the agonist drug.
6.A drug was shown to reverse the action of a particular
neurotransmitter. It appears to interact directly with the neurotransmitter
and not at all with the neurotransmitter’s receptor’s receptors. Which of
the ff. BEST describes the drug?
a.chemical antagonism
b.physiologic antagonism
c.pharmacologic antagonism – a drug that binds without activating its
receptor and thereby prevents activation by an agonist.
d.partial agonist -drugs that bind to and activate a given receptor, but
have only partial efficacy at the receptor to a full agonist
7.Which of the ff. describes the action of Protamine against Heparin?
a.Physiologic antagonism
b. Competitive antagonism
c.Irreversible antagonism
d.chemical antagonism
8.Which of the ff.drugs will cross the cell membranes easily?
I.Polar drugs
II.Non polar drugs
III. Lipophilic drugs
IV.Hydrophilic drugs
a.I and IV
b.II and III
c.II and IV
d.I and III
Rationale: Like dissolves Like
9.According to Fick’s Diffusion Equation, the rate of transport of a drug by
passive diffusion is:
a. independent of the concentration gradient
b.indirectly proportional to the membrane surface
c.inversely proportional to the membrane thickness
d.inversely proportional to the partition coefficient
Rationale:
Firck’s Diffusion Equation:
Dependent of the concentration gradient
Directly proportional to the membrane thickness
Directly proportional to the partition coefficient
10. All of the ff. statements regarding drug transport are true EXCEPT.
a.high molecular weight drugs diffuse across a cell membrane more easily
than low molecular weight drugs.
b.drugs bound to proteins do not easily cross cell membranes
c.lipohilic drugs cross cell membrane more easily than hydrophilic drugs
d.drugs maybe transported by passive diffusion,carrier-mediated,
paracellular or vesicular transports
Rationale:Drug+ Proteins”unbound/free” [Drug – Protein bound drug]
11.Which of the ff. dosage forms would be absorbed the FASTEST in the
gastrointestinal tract?
a.capsule
b.tablet
c.solution
d.suspension
12.Which of the ff is not correct(FALSE)?
a.decrease disintegrant,increase rate of bioavailability
b.increase retention time in GIT: increase amount of drug absorbed
c.retard drug dissolution: reduced drug absorbed
d.increased solubility: increase rate of absorption
13.Which of the ff. forms of a drug favorably absorbed:
I.Non-ionized
II.Water soluble
III.Ionized
IV.Lipid soluble
a. I and IV
b. I and II
c. II and III
d. III and IV
Rationale: always remember this mneumonic
LUNA = Lipophilic,Unionized,Nonpolar,Absorbed
HIPE= Hydrophilic,Ionized,Polar,Excreted
14.According to the pH partition hypothesis, a weak, acidic drug will not be
absorbed from the small intestine because:
a.the drug will exist primarily in the unionized, more lipid soluble form
b.the drug will exist primarily in the ionized, more water soluble form
c. weak acids are more soluble in an acid medium
d.the ionic form of the drug facilitates absorption. – it should be excretion
15.Decreased oral absorption of a drug due to high stomach pH would
result to:
a.decreased gastric toxicity of the drug
b.decreased bioavailability of the drug
c.increased bioavailability of the drug
d.increase clearance of the drug
Rationale Activity #2
Adventist Medical Center College
Department of Pharmacy
Outcome Readiness Assessment
Activity #2
Module 2 Pharmacognosy and BioChem15%
Instructions: Highlight the correct answer.
1.Identify the diagram that shows the actual body exposure to drug after the administration of a
certain dose of the drug.
A. IV
B. II
C. III
D. I
Rationale: Plasma drug concentration time curve -is used to determine the systemic
bioavailability of a drug from a drug product. (Highlighted sentence gives you clue what
kind of curve was being asked)
2. Which diagram shows how an enzyme can cause kinetic rate enhancement of a reaction and
explains how reaction rates depend on the concentration of enzyme and substrate?
A. IV
B. III
C. I
D. II
Rationale: Michaelis -Menten Kinetics - describes how reaction velocity varies
w/substrate concentration. V=Vmax[S]/Km+[S]
Where: V= rate of enzyme catalyze reaction
Vmax=Maximum velocity
[S]=substrate concentration
Km=Michaelis-menten constant
[S]= required to reach ½ Vmax measure of the substrate affinity to the enzyme.
(Highlighted sentence gives you clue what kind of curve was being asked)
3. Which diagram demonstrates the Michaelis – Menten Kinetics
A. I
B. III
C. IV
D. I
4. Which diagram demonstrate Raoult’s Law?
A.IV
B. II
C. I
D. III
Rationale: Vapor pressure – composition curse is also known as Raoult’s Law.
5.Which diagram demonstrates enzyme cooperativity? The curve results from cooperation
between subunits. The binding of a substrate to one active site in a molecule increases
likelihood that the substrate will bind to other active sites.
A.III
B.I
C. IV
D.V
Rationale: A sigmoidal curve starts out with a low slope, increases the slope to an
inflection point, then levels off as it approaches a maximum value.
Situation 2: [For items 6-10]: Catalysts alter the rate of chemical reactions. Enzymes act
as catalysts in biochemical reactions, employing different catalytic strategies, such as:
I. Promotion of a reaction that is immeasurably slow at neutral pH.
II. Achievement of high absolute rate of reaction, suitable for integration with other rapid
physiological processes.
III. Attainment of a high degree of specificity.
IV. Utilization of the free energy associated with the hydrolysis of ATP
Instruction: Identify the mechanism or catalytic strategy employed by the following enzymes.
6. Trypsin
A. II
B. III
C. IV
D. I
7.Carbonic anhydrase
A.IV
B. III
C.II
D. I
8.Restriction endonucleases
A. III
B. II
C. IV
D. I
9. Chymotrypsin
A.IV
B.III
C.II
D.I
10.Myosins
A. II
B. I
C. III
D. IV
Situation 3: [For items 11-15] Vitamins are molecules that cannot be made by the body
and therefore, must be obtained form the diet . These are excreted daily and subject to
turnover. Example of these are:
I. Vitamin E
II. Vitamin K
III. Biotin
IV. Riboflavin
V. Vitamin A
VI. Vitamin D
Identify the vitamin that is described.
12. Given pKa NH2 of 9.8, pKa COOH 2.09, and pKa of 3.86, calculate the
isoelectric pH of aspartic acid.
A. 5.96
B. 2.98
C. 6.84
D. 5.26
Solve for the Isoelectric pH
Non-ionizable pI=pk1+pk2/2
Acidic pI=ave. of 2lower pka
pI =pk1+pk2/2
Basic pI= ave. of 2 higher pka
pI=pKr+pK2/2
Solution
pI=2.09+3.86/2
=2.98
13.Level of protein organization characterized by multiple secondary units.
A. Secondary
B. Supersecondary -between secondary and tertiary
C.Tertiary
D. Quaternary
14. Which is the catalytic site model, where the substrate induces a
conformational change in the enzyme?
A. Lock and Key model – absorption specifity ex. glucokinase
B. Hill Equation Model
C. Quaternary Structure
D. Induced Fit Model- group specifity ex.Hexokinase
4.mg% is equivalent to
a.gram/liter
b.gram/deciliter
c.mg/dl
d.meq/100ml
5.A physician places a patient on a daily dose of 48units of U-80 insulin. How many mL
should the patient inject daily?
a.0.4ml
b.0.6mL
c.4mL
d.2.6mL
Rationale: U-80 insulin = 48units
80units/1m = 48/x = 0.6mL
6. A patient presented himself on a clinic complaining of a cough that won’t go away.
Upon interviewing him, you have learned that he has smoked 20 sticks of cigarette a
day for 17 years. What is the patient pack history?
a. 17 pack years
b. 20 pack years
c. 10 pack years
d.16 pack years
Rationale: 20sticks/20x17years
7. Compute for the required volume of water to make 2.35g of atropine sulphate
(E=0.13) isotonic. Use White Vincent method.
a. 33.94 mL
b. 36.42 mL
c. 4.33 mL
d. 30.16mL
Rationale:
White Vincent
mL = wt x E value x 111.1
=2.35g x 0.13 x 111.1
=33.94mL
Sprowl’s method
mL= 0.3 x E value x 111.1
= 0.3 x 0.13 x 111.1
= 4.33mL
8. How many liters of a mouthwash can be prepared from 100mL of cinnamon flavor if
its concentration is to be 0.5% (v/v)
a. 10L
b. 15L
c. 20L
d. 18L
Rationale:
C1V1=C2V2
100mL(100%) = (0.5%) (V2)
V2 = 20000 mL = 20L
9.At what number is degrees Fahrenheit and degree Celsius the same?
a. -24
b. -40
c. 0
d. 7
F= (C x 9/5)+32
C= (F-32)x5/9
Assume F=C
C = (C x 9/5 ) +32
C-9/5 C=32
5-9/5 C =32
-4/5 C /-4/5 =32/-4/5
C=-40
10. Van’t Hoff equation
a. P= nRT
b. P= VRT
c.P= MRT
d.P= CVRT
rationale: derived from Ideal Gas LAw
11. Which of the ff. is the Morse Equation? – osmotic pressure
a. 𝝅= n/kg of solvent x 0.08205 x T
b. 𝝅 = n x 0.08205 x T x 2.203
c. 𝝅 = kg of solution x 0.08205 x T
12. What mass of NaCl should be added in 100mL of 5.0%(w/v) dextrose monohydrate
( E= 0.16) isotonic solution?
a. 250mg
b. 2.20g
c. 0.9g
d. 100mg
Rationale: NaCl Eq.method 5% dextrose in 100mL prep
5g/100mL x 100mL = 5g dextrose
5g dextrose x 0.16 = 0.8g NaCl
Isotonic solution = 0.9% NaCl
0.9g / 100ml x 100ml = 0.9g NaCl
Mass of NaCl to be added
0.9g-0.8g=0.1g (100mg)
13. If 500mL of a 1:200 (v/v) solution were diluted to 800mL. what would be the ratio
strength (v/v)?
a. 1:800
b. 1:300
c. 1:320
d. 1:250
e. 1:500
Rationale:
Formula to be used: C1V1=C2V2
(1/200) (500mL) = C2 (800mL)
C2 =1/3200
14. For numbers 14-15
An in-patient was ordered with 300mg tablet that contains Levodopa/Carbidopa
250mg/25mg. The following dosing regimen: ½ tablet at 7am ¼ +1/8 tablet at 11 am, ¼
+1/2 tablet at 3pm, ½ tablet at 7pm, ¼ +1/8 at 11pm.
What is the total dose of levodopa/carbidopa to be administered to the patient per day?
a. 593.75mg/59.375mg
b. 625mg/62.5mg
c. 587.5mg/50mg
d. 656.26mg/68.75mg
Rationale: You can start by converting the fractions into decimal points
½ =0.5 , ¼ = 0.25 , 1/8 = 0.125
Then you can itemized them by multiplying them to the given dose.
250mg/25mg x 0.5 = 125mg/12.5mg x 3 375/ 37.5
250mg/25mg x 0.25 = 62.5mg/6.25mg x 3 187.5/ 18.75
250mg/25mg x 0.125 = 31.25mg/3.125mg x 2 62.5/6.25
Multiply by how many times it is administered then add all the results given by the
computations
375/37.5 + 187.5/18.75+62.5/6.25 = 625mg/62.5mg
15.How many tablets will be used to compound the order?
a. 3
b. 5
c. 2
d. 4
Rationale: You need 625mh/62.5mg per day, the order was 300mg, you need to use 3
tablets to complete the order
16.The physician ordered an infusion of NSS 500mL in 3 hours using a 15gtts/mL set.
With ½ hours remaining, you discover that only 150mL is left in the bag. At what rate in
gtts per minute will the infusion be reset?
a. 10gtts/minute
b. 5gtts/minute
c. 25gtts/minute
d. 20gtts/minute
Rationale: 150mLx 15gtts/mL = 2250gtts/30mins = 75gtts/min
17. The serum creatinine of a 65-year old female weighing 150lbs was 1.5mg/dL what is
the creatinine clearance?
a.94.6mL/minute
b.104.3mL/minute
c.40.2mL/minute
d.27.3mL/minute
Rationale: ClCr= (140-age) (wt in kg) / 72 x SCr
= (140-65) (68.18kg) / 72 x 1.5mg/dL
= 47.02 mg/dL (if male)
= 47.02 x 0.85 = 40.2mg/dL if FEMALE
18.What is the % v/v of a solution of 800g liquid (spec. gravity = 0.8) in water to make
4000mL?
a.20%
b.40%
c.25%
d.80%
Rationale: % V/V
800g Liq (S.G. = 0.8)
0.8 = 800g Liq / V
VLiq = 800g Liq /0.8
V Liq =1000mL
1000mL/4000mL = x / 100ml
X = 25%
19.Calculate the specific gravity of the gravity of the mixture 800mL glycerin, s.g. 1.25,
900mL water, 2000mL alcohol, s.g. 0.81
a.0.705
b.0.687
c.0.951
d.0.864
Rationale: mixture
800mL x 1.25 =1000g Glycerin
900mL x 1= 900g Water
2000mL/3700mL x 0.81 = 1620mg Alcohol / 3520g
SG: 3520/3700mL = 0.951
2.A formula for an antifungal shampoo contains 2%(w/v) of ketoconazole. How many
grams of ketoconazole would be needed to prepare 25L of the shampoo.
a.5
b.50
c.500
d.5000
Rationale: 2g/100mL X 25000mL =500g
3.How many 1-fluidonce bottles of Lagundi syrup can be prepared from 5 gallons of the
syrup?
a.740
b.640
c.460
d.470
Rationale :1gal = 3785mL , 1floz= 29.57mL
5gal X 3785mL/1gal X 1floz/100mg = 640floz
4.The dose of acetaminophen for infants less than 3 months of age is 10mg/kg body
weight to be taken 3-4 times a day. What is the volume per dose of acetaminophen oral
drops 100mg/mL should be given to a child weighing 11 lbs?
a. 0.5mL
b. 1.5mL
c. 2 mL
d. 2.5mL
Rationale: 111lbs X 1kg/2.2lbs X 10mg/1kg X 1mL/100mg = 0.5mL
5. The adult dose of a drug is 300mg. What would be the approximate dose for a 6
year-old child weighing 60-lb? ( use youngs rule)
a. 87.5mg
b. 100mg
c. 150mg
d. 200mg
e. 250mg
Rationale : Young’s Rule = age/age+12 X adult dose
= 6/6+12 X 300
= 100mg
6. A patient weighing 120lbs was administered 2.1grams of a drug that was intended to
be dosed at 30mg/kg. What can you say about the dose administration?
a.Underdose
b.Overdose
c.Correct
d.Insufficient information
Rationale: 120lbs x 1Kg/2.2lbs = 54.5kg
2.1g Drug
(2100mg drug/54.5kg = 38.5 OVERDOSE)
9. Calculate the volume in wine gallons represented by 175 proof gallons of 70% v/v
alcohol?
a.125
b.135
c.145
d.150
P.G = WG x % / 50 %
Formula derivation
PG x 50%/% = WG
175 x 50% / 70% = WG
125 = WG
anhydrous 4kcal/g
hydrous 3.4kcal/g
protein 4kcal/g
fats 9kcal/g
alcohol 5.6kcal/g
total = 4 x 75 = 300kcal
11. An ointment formulation requires 80g of emulsifier blend with tween 40 and span 20.
If the HLB requirement is 12.3, how many grams of each emulsifier should be used?
(HLB tween 40 = 15.6 Span 20= 8.6)
a.46.5g Span 20 and 23.3 g Tween 40
b.23.3g Span 20 and 46.5 g Tween 40
c.42.3g Span 20 and 37.7 g Tween 40
d.37.7g Span 20 and 42.3 g Tween 40
TWEEN 40
15.6 3.7
12.3
SPAN 20
8.6 3.3/7 PARTS
16. The purpose of the Pharmacy and Therapeutics Committee are the ff.
a. Advisory and educational
b. Advisory and planning
c. Educational and planning
d. Dispensing and Inventory
17.Wich of the ff. is written in the Subscription – instruction to the rph?
a. Mix and make ointment
b. Take it after a meal - Transcription
c. Clarithromycin 125mg/5mL – Inscription
d. Rx - superscription
17.Which of the ff. medications prescribed is used for its inotropic effect?
a. lanoxin – BN : digoxin
b. Plavix - Clopidogrel
c. actilyse - thrombolytic
d. isoproterenol
18. Which of the ff. FDA approved tall man lettering is appropriate?
a. dopAMINE and dobutamine
b.DOpamine and Dobutamine
c.doPamine and doBUTamine
d.DOPamine and DOBUTamine
19.ADHD stands for?
a. Attention Deficiency Hyperactivity Disorder
b. Attention Deficit Hyperactivity Disorder
c. Attention Deficiency Hyperactivity Disease
d. Attention Deficiency Hyperkinetic Disorder
e.Attention Deficiency Hyperkientic Disease
20. PhilPSP stands for?
a. Philippine Professional Standards for Pharmacists
b. Philippine Professional Standards of Practice
c. Philippine Practice Standards for Pharmacists
d. Philippine Pharmaceutical Science Program
e. Philippine Practice Standards for Professionals