What percentage of atenolol bound if a dose of 50 mg/d had been administered?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: The volume of distribution (Vd) is a pharmacokinetic parameter that indicates the extent of a drug's distribution in the body. The drug with the largest Vd will have the most extensive distribution. In this case, Drug R has the largest Vd of 100 L, indicating that it has the largest volume of distribution among the options provided.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The cimetidine-diazepam interaction, where the sedative effect of diazepam increased significantly due to the inhibition of the cytochrome P-450 system by cimetidine, can be best defined as potentiation. Potentiation refers to the enhancement of one drug's effect by another, leading to a greater overall effect than either drug alone. In this case, cimetidine potentiates the sedative effect of diazepam by inhibiting its metabolism, resulting in increased sedation.

Correct Answer: C

Rationale: The adverse drug reaction that best explains the patient's disorder is an idiosyncratic reaction. Idiosyncratic reactions are unpredictable and occur rarely in response to a drug. In this case, the baby's presentation of microcephaly, broad nasal bridge, short nose, cleft palate, and hypoplasia of the distal phalanges are consistent with a teratogenic effect of a drug taken by the mother during pregnancy. The use of phenytoin for seizures during pregnancy is known to be associated with such birth defects, indicating an idiosyncratic reaction.