ATI RN
Chapter 11 principles of pharmacology Questions
Question 1 of 5
The following are metabolized by enzymes in the hepatic smooth endoplasmic reticulum:
Correct Answer: C
Rationale: Metoprolol (C) is metabolized by hepatic SER enzymes (CYP2D6) into inactive forms, critical for its $\beta$-blockade duration. Levodopa (A) and tyramine (B) use decarboxylases/MAO, not SER. Suxamethonium (D) is hydrolyzed by plasma cholinesterase. 6-Mercaptopurine (original E) involves cytosolic enzymes. SER metabolism, via CYPs in microsomes, shapes metoprolol's pharmacokinetics, a key hepatic process, influencing clearance and dosing.
Question 2 of 5
The following are True concerning diffusion of drugs across cell membranes EXCEPT:
Correct Answer: C
Rationale: Acidification of urine hastens excretion of weakly acidic drugs (e.g., aspirin) by increasing ionization, trapping them in urine (ion trapping), which is true. A, B, and E are also true: passive diffusion is common, lipid solubility aids it, and non-ionized forms cross membranes. However, D is false:aspirin (pKa ~3.5) is mostly ionized in the stomach (pH ~2), not non-ionized, due to pH < pKa. Thus, C is the exception.
Question 3 of 5
A main determinant of bioavailability (F) following oral administration is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Microsomal enzymes include
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
Enzyme inhibitors include
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.