McqMate
These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Bachelor of Pharmacy (B. Pharma) , Pharmacy .
Chapters
1. |
Biotransformation of drugs is defined as the conversion from one physical form to another. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» B. False |
2. |
The drug biotransformation is a detoxification process. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» A. True |
3. |
Phase 1 reactions are also known as a synthetic reaction. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» A. True |
4. |
The phase I reactions are detoxification pathways. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» A. True |
5. |
The phase II reactions are detoxification pathways. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» A. True |
6. |
Following are the Phase I reactions except ____________ |
A. | Oxidative reactions |
B. | Hydrolytic reactions |
C. | Reductive reactions |
D. | Sulphide reactions |
Answer» D. Sulphide reactions |
7. |
Which of the following statements is the closest description of Phase I metabolism? |
A. | Reactions which add a polar molecule to a functional group already present on a drug or one of its metabolites |
B. | Reactions which occur in the blood supply. |
C. | Reactions which add a polar functional group to a drug. |
D. | Reactions which occur in the gut wall. |
Answer» C. Reactions which add a polar functional group to a drug. |
8. |
Which of the following statements is the closest description of Phase II metabolism? |
A. | Reactions which add a polar molecule to a functional group already present on a drug or one of its metabolites. |
B. | Reactions which occur in the blood supply. |
C. | Reactions which add a polar functional group to a drug. |
D. | Reactions which occur in the gut wall. |
Answer» A. Reactions which add a polar molecule to a functional group already present on a drug or one of its metabolites. |
9. |
Which of the following is not a characteristic of the moieties that are transferred to the substrate in phase II reactions? |
A. | Simple endogenous molecules are transferred |
B. | Large molecular sized groups are attached |
C. | Strong polar groups are attached |
D. | Strong nonpolar groups are attached |
Answer» D. Strong nonpolar groups are attached |
10. |
Which of the following enzymes is not involved in catalyzing Phase I metabolic reaction? |
A. | Flavin-containing monooxygenases |
B. | Oxidation of alkyl groups |
C. | Glucuronyl transferase |
D. | Esterases |
Answer» C. Glucuronyl transferase |
11. |
Which of the following reactions is not a Phase I metabolic transformation? |
A. | Reduction of ketones |
B. | Conjugation to alcohols |
C. | Monoamine oxidases |
D. | Esterhydrolysis |
Answer» B. Conjugation to alcohols |
12. |
What is the major end product of oxidation of aromatic carbon atoms? |
A. | Arenols |
B. | Catechol |
C. | Glutathione |
D. | Arene oxide |
Answer» A. Arenols |
13. |
Which of the following is not a common N containing functional groups which undergo reduction reactions? |
A. | Nitro compounds |
B. | Azo compounds |
C. | N-oxide compounds |
D. | Nitrite compounds |
Answer» D. Nitrite compounds |
14. |
What does the hydrolysis of Aspirin yield us with? |
A. | Salicylic acid only |
B. | Salicylic acid and CH3COOH |
C. | CH3COOH |
D. | Succinic acid |
Answer» B. Salicylic acid and CH3COOH |
15. |
Which enzyme is important in the Phase II reactions? |
A. | Esterase |
B. | Amidases |
C. | Transferase |
D. | Aldo-keto-reductases |
Answer» C. Transferase |
16. |
Which of the following groups is least susceptible to cytochrome P450 enzymes? |
A. | Terminal methyl groups |
B. | Epoxide group |
C. | Benzylic carbon atoms |
D. | Quaternary carbon atoms |
Answer» D. Quaternary carbon atoms |
17. |
Alkenes and aromatic groups can be metabolised to diols. Which enzymes are involved? |
A. | cytochrome P450 enzymes |
B. | epoxide hydrolase |
C. | both of the above |
D. | neither of the above |
Answer» C. both of the above |
18. |
Solubility of a drug in polar solvents and Non-polar solvents depends upon |
A. | Chemical structure |
B. | Particle size |
C. | Crystal form |
D. | All of above |
Answer» D. All of above |
19. |
Higher will be the diffusion of the drug across the membrane if |
A. | Higher value of partition-coefficient |
B. | Low value of partition-coefficient |
C. | Higher water soluble |
D. | None of above |
Answer» A. Higher value of partition-coefficient |
20. |
Diazepam gets metabolised into Hydroxydiazepam is example of |
A. | Oxidation at allylic carbon atom |
B. | Oxidation at the carbon alpha to carbonyl and imino group |
C. | Oxidation at benzylic carbon atom |
D. | Aromatic and Side chain Hydroxylation |
Answer» B. Oxidation at the carbon alpha to carbonyl and imino group |
21. |
__________reaction is most common in drugs having ester or amide functional groups |
A. | Oxidative reactions |
B. | Reduction |
C. | Hydrolysis |
D. | Phase I |
Answer» C. Hydrolysis |
22. |
UDPGA means.... |
A. | Urane diphospho -a- D glucuronic acid |
B. | Uridine diphospho -a- D glucuronic acid |
C. | Uridine diphospho-D glucuronic acid |
D. | Uric diphospho -a- D glucuronic acid |
Answer» B. Uridine diphospho -a- D glucuronic acid |
23. |
Which of the following statement is false? |
A. | D-glucuronic acid is easily available |
B. | Several functional groups can be easily linked with the D-glucuronic acid |
C. | Conjugation with D-glucuronic acid occurs to a high degree |
D. | Whole animal kingdom have the common ability to produce D-glucuronic acid |
Answer» D. Whole animal kingdom have the common ability to produce D-glucuronic acid |
24. |
Which enzyme is of the utmost importance for the 2nd step in the formation of Glucuronide? |
A. | Esterase |
B. | Amidases |
C. | Transferase |
D. | UDP-glucuronyl tr |
Answer» A. Esterase |
25. |
What is the site of first-pass metabolism before molecules reach systemic circulation? |
A. | Kidney |
B. | Throat |
C. | Liver |
D. | Intestine |
Answer» D. Intestine |
26. |
What plays a major role in extra-hepatic metabolism and contains CYP3A4 isozyme and P-glycoprotein? |
A. | Kidney |
B. | Throat |
C. | Liver |
D. | Intestine |
Answer» C. Liver |
27. |
What test uses microsomal extracts from the ER for in-vitro drug metabolism studies? |
A. | Ames test |
B. | Biochemical tests |
C. | Serology |
D. | Polymorphisms |
Answer» A. Ames test |
28. |
Which of the following are protein components of the cytochrome P450 system? |
A. | Heme protein CYP450 |
B. | NADH-CYP450 reductase |
C. | NADPH-CYP450 reductase |
D. | A and B E. A and C |
Answer» A. Heme protein CYP450 |
29. |
Which of the following statements is not true about cytochrome P450 enzymes? |
A. | They contain haem and magnesium. |
B. | They belong to a general class of enzymes called monooxygenases. |
C. | There are over 30 different cytochrome P450 enzymes. |
D. | Variation in cytochrome P450 enzyme profile between individuals can explain individual variation in drug susceptibility. |
Answer» A. They contain haem and magnesium. |
30. |
What is not a xenobiotic? |
A. | Plant toxins |
B. | Drugs |
C. | Steroids |
D. | Environmental pollutants |
Answer» C. Steroids |
31. |
What cytochrome P450 isozyme is most abundantly expressed in the human liver and intestines? |
A. | CYP1A1 |
B. | CYP3A4 |
C. | CYP2C9 |
D. | CYP2D6 |
Answer» B. CYP3A4 |
32. |
Which of the following is an antiarrhythmic drug that is a calcium channel blocker? |
A. | Lidocaine |
B. | Nitroglycerin |
C. | Nifedipine |
D. | Codeine |
Answer» C. Nifedipine |
33. |
What drug should not be given to a patient that is a poor CYP2D6 metabolizer? |
A. | Codeine |
B. | Lidocaine |
C. | Nifedipine |
D. | Nitroglycerin |
Answer» A. Codeine |
34. |
What injection is administered directly into systemic circulation causing rapid distribution? |
A. | Intramuscular |
B. | Intravenous |
C. | Intracerebral |
D. | Intraspinal |
Answer» B. Intravenous |
35. |
Where is Protonsil converted to Sulfanilamide? |
A. | Liver |
B. | Gut |
C. | Kidney |
D. | Colon |
Answer» B. Gut |
36. |
What are xenobiotics? |
A. | Another form of antibiotics |
B. | A form of nutrient |
C. | Nutrients which kill the gut harmful microbes |
D. | Anything that is not nutrients and enters the body through different routes |
Answer» D. Anything that is not nutrients and enters the body through different routes |
37. |
What is the active form of salicylic acid? |
A. | Sialic acid |
B. | Salic acid |
C. | Salicylic acid |
D. | Salicycle acid |
Answer» C. Salicylic acid |
38. |
What is the inactive form of Codeine? |
A. | Codene |
B. | Codane |
C. | Morphine |
D. | Poppy |
Answer» C. Morphine |
39. |
Which of the following is the correct decreasing order of drug metabolism? |
A. | Liver > lungs > kidneys > intestine > placenta > skin > adrenals |
B. | Liver > lungs > kidneys > intestine > adrenals > placenta > skin |
C. | Liver > kidneys > lungs > intestine > placenta > adrenals > skin |
D. | Liver > lungs > intestine > kidneys > placenta > adrenals > skin |
Answer» A. Liver > lungs > kidneys > intestine > placenta > skin > adrenals |
40. |
Which one of the following is reactive and a known carcinogenic? |
A. | Cytochrome P-450 |
B. | Catechol |
C. | Glutathione |
D. | Arene oxide |
Answer» D. Arene oxide |
41. |
Which of the following is not an example of a drug undergoing acetylation reaction? |
A. | Hydrazine |
B. | Salicylic acids |
C. | Sulphonamides |
D. | Histamines |
Answer» B. Salicylic acids |
42. |
The overall rate of biotransformation is higher in neonates and infants than in adults. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» B. False |
43. |
In comparison with children and young adults, elderly adults tend to have a reduced capacity to metabolize drugs. |
A. | True |
B. | False |
C. | none |
D. | all |
Answer» A. True |
44. |
What is enzyme induction? |
A. | The phenomenon of increased drug metabolizing ability of enzymes by drugs and chemicals |
B. | The phenomenon of increasing drug bioavailability drugs and chemicals |
C. | The phenomenon of increasing drug distribution drugs and chemicals |
D. | The phenomenon of increasing drug concentration for a particular tissue by drugs and chemicals |
Answer» A. The phenomenon of increased drug metabolizing ability of enzymes by drugs and chemicals |
45. |
Which of the following drugs has self -induction to stimulate their own metabolism? |
A. | Cortisol |
B. | Pentobarbital |
C. | Meprobamate |
D. | Contraceptives |
Answer» C. Meprobamate |
46. |
Alcohol is the inducer for which drug? |
A. | Cortisol |
B. | Pentobarbital |
C. | Meprobamate |
D. | Oral contraceptives |
Answer» B. Pentobarbital |
47. |
What is the name of the process where structurally same compounds compete for the same site on an enzyme to inhibit that? |
A. | Altered physiology |
B. | Repression |
C. | Non-competitive inhibition |
D. | Competitive inhibition |
Answer» D. Competitive inhibition |
48. |
What is the name of the process where structurally different compounds interact with the enzyme and prevent the metabolism of the drug? |
A. | Altered physiology |
B. | Repression |
C. | Non-competitive inhibition |
D. | Competitive inhibition |
Answer» C. Non-competitive inhibition |
49. |
What is the name of the process where the enzyme amount is decreases due to a decrease in enzyme synthesis? |
A. | Altered physiology |
B. | Repression |
C. | Non-competitive inhibition |
D. | Competitive inhibition |
Answer» B. Repression |
50. |
What is the name of the process where due to nutritional deficiency an enzyme content is decreased? |
A. | Altered physiology |
B. | Repression |
C. | Non-competitive inhibition |
D. | Competitive inhibition |
Answer» A. Altered physiology |
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