Phar 642 - Principles of Drug Action » Spring 2022 » iRat 01

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Question #1
What is the correct order of the strength of chemical bonds that may occur between a drug and a receptor, from strongest to weakest?
A.   Ionic>Covalent>Van Der Waals>Hydrogen
B.   Covalent>Ionic>Hydrogen>Van Der Waals
C.   Covalent>Ionic>Van Der Waals>Hydrogen
D.   Ionic>Covalent>Hydrogen>Van Der Waals
Question #2
Suxamethonium is a drug that activates a type of ion channel permeable to sodium in neurons. What effect will this drug most likely have on neurons?
A.   Sodium will leave to cause depolarization
B.   Sodium will enter to cause depolarization
C.   Sodium will enter to cause hyperpolarization
D.   Sodium will leave to cause hyperpolarization
Question #3
GABA prevents neurotransmitter release when it interacts with GABA-B receptors, by decreasing the activity of protein kinase What other second messenger activity is also most likely decreased when GABA-B receptors are activated?
A.   Cyclic adenosine monophosphate (cAMP)
B.   Adenosine triphosphate (ATP)
C.   Inositol triphosphate (IP3)
D.   Diacylglycerol (DAG)
Question #4
β-adrenergic receptor activity can be altered when a phosphate group is added to certain amino acids located on the receptor. What cell-surface receptor would most likely mediate this process?
A.   Receptor threonine kinases
B.   Adenylyl cyclase
C.   Guanylate cyclase
D.   Receptor tyrosine phosphatases
Question #5
A new drug decreases the activity of selectins. What is the most likely purpose of this drug?
A.   Reduced activity of cyclooxygenase enzymes
B.   Killing of neoplastic (cancer) cells
C.   Prevention of blood clot formation
D.   Decrease electrical activity in neurons
Question #6
A drug company is developing an anticancer drug that works by inhibiting the activity of a nuclear receptor. What physicochemical property is most important to ensure the drug is able to reach the receptor target?
A.   Hydrophilic
B.   Water soluble
C.   Lipid soluble
D.   Lipophobic
Question #7
Drug A causes drug B to be metabolized faster, thus reducing drug A's overall effectiveness. What is this an example of?
A.   Competitive antagonism
B.   Non-competitive antagonism
C.   Physiological antagonism
D.   Pharmacokinetic antagonism
E.   Chemical antagonism
Question #8
What does the Kd of a drug measure?
A.   The concentration of a drug required to occupy all of the receptors
B.   The concentration of a drug required to produce 50% response
C.   The concentration of a drug required to occupy 50% of receptors
D.   The concentration required to occupy enough space receptors to produce a response
E.   The concentration of a drug required to produce the maximum response
Question #9
Why can’t a partial agonist produce the maximum tissue response. even if it occupies the same number of receptors as a full agonist?
A.   The low potency of partial agonists means they can never produce the maximun response
B.   partial agonists act as non-competitive antagonists of their receptor
C.   Partial agonists occupy spare receptors. which reduces their efficacy
D.   Partial agonists compete with full agonists. reducing the effectiveness of the full agonist
E.   Partial agonists do not always activate the receptor when a drug-receptor complex forms
Question #10
Three experimental drugs that interact with the cannabinoid type I receptor (CB1) were evaluated for their effect on the gastrointestinal system. The CB1 receptor, when activated, has an inhibitory effect on Gl activity. The first drug, Drug A, had no overall effect on Gl function. The second drug, Drug B, caused an overall increase in peristalsis and gastric acid secretion. The third drug, Drug C, caused an overall decrease in peristalsis and gastric acid secretion. Binding studies show that all three drugs bind to the active site on the CBI receptor. What type of drug is Drug B?
A.   Full Agonist
B.   Competitive Antagonist
C.   partial Agonist
D.   Inverse Agonist
Question #11
The concentration response curve for Drug A shifted to the left in the presence Of Drug B. The concentration of Drug A required to reach the maximum response was altered. What type of drug is Drug B?
A.   Negative Allosteric Modulator
B.   Non-Competitive Antagonist
C.   Positive Allosteric Modulator
D.   Partial agonist
E.   Inverse agonist
Question #12
Studies suggest that approximately 90% of beta-adrenoreceptors are spare receptors. What evidence would that this is true?
A.   The receptors are not only affected by antagonists
B.   The ligand has a smaller EC50 than Kd
C.   The ligand has very Iow potency
D.   Receptors are active in the absence of ligand
E.   The ligand has a very high Emax

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