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Sit in the assigned seat. The exam is closed-book; no aids are permitted. Answer all questions completely and accurately. In the multiple choice questions, indicate your answer by circling the letter of the correct response.
Warning! Cheating on an exam may result in failing the exam, dismissal from the course, and/or other penalties!

Question 1: Which of the following statement is Not True?
    A.For a two-compartment-body model drug, the parameter alpha is always larger than the parameter beta.
    B.The volume of distribution during the beta phase is larger than that of the volume of distribution at steady state.
    C.We often use one compartment model pharmacokinetics, although a number of drugs show a distinct distribution phase, especially if the higher concentrations during the alpha phase are not related to toxicity.
    D.Assume that a low extraction drug, showing a two compartment model behavior is metabolized via enzymes that are subject to enzyme induction by other drugs. The volume of distribution during the beta phase might be decreased by such enzyme-inducers
Question 2: Which of the following enzymes are mainly responsible for the metabolism of bilirubin?
    A.Cytochrome P450
    B.UDP-glucoronyltransferase
    C.Sulfotransferase
    D.Epoxide hydrolase
Question 3: Which of the following reaction requires 3'-phosphoadenosine-5'-phosphosulphate(PAPS)?
    A.Glucuronidation
    B.Methylation
    C.Sulfation
    D.Glutathione conjugation
Question 4: Compare the following two concentration-time profiles after a single bolus injection.

 The two lines differ in only One of the subsequent parameters (Vd, Dose, clearance). Please circle the parameter they differ in

     A.Dose
     B.Vd
    C.Clearance
Question 5: Due to the nature of biological membranes, drugs with the following properties are more likely to cross most membrane barriers by diffusion:
    A.nonionized and hydrophilic
    B.ionized and hydrophilic
    C.nonionized and lipophilic
    D.ionized and lipophilic
Question 6: When clearance is decreased but the volume of distribution is unchanged, the following dose adjustments might be possible __________
    A.Lower maintenance dose and longer dosing interval
    B.Same maintenance dose and shorter interval
    C.Increase loading dose
    D.Higher maintenace dose and same interval
Question 7: Select the correct statement(s) concerning a two-compartment body model.________

1 For a two-compartment-body model drug, the rate constant describing the elimination of the drug from the central compartment (quantifying urinary and/or metabolic elimination) does not change with time after drug administration

2 The bi-exponential concentration time-profile, is due to the fact that clearance values change over time.

3 The two-compartmental behavior of a number of drugs is not the reason why peak-levels are often taken some time after stop of the drug administration

4 Let us assume that the toxicity of aminoglycosides is related to the drug-concentration in a deep peripheral compartment into which the drug enters very slowly and from which the drug leaves very slowly. Drug toxicity will be observed immediately after an iv bolus of this aminoglycoside.

The correct statement(s) is (are):

    A.1
    B.2 and 3
    C.1 and 3
    D.1 and 4
    E.1,2 and 3
Question 8: Which of the following ARE NOT Phase-I enzymes?__________
    A.Cytochrome P450
    B.Sulfotransferase
    C.Quinone reductase
    D.Alcohol dehydrogenase
9. Which of the following metabolic reactions is NOT a Phase Ⅱ reaction?__________
    A.Methylation
    B.Glucuronidation
    C.Acetylation
    D.Hydroxylation
Question 10: The metabolically-based interaction between ethanol and acetaminophen is based on: _____
    A.Ethanol-based induction of a P-450 isoform responsible for the metabolism of acetaminophen
    B.Ethanol-based inhibition of a P-450 isoform responsible for the metabolism of acetaminophen
    C.Acetaminophen-based induction of a P-450 isoform responsible for the metabolism of ethanol
    D.Acetaminophen-based inhibition of a P-450 isoform responsible for the metabolism of ethanol




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