Quiznetik
Medicinal Chemistry 1 | Set 2
1. 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
Correct : B. Oxidation at the carbon alpha to carbonyl and imino group
2. __________reaction is most common in drugs having ester or amide functional groups
A. Oxidative reactions
B. Reduction
C. Hydrolysis
D. Phase I
Correct : C. Hydrolysis
3. 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
Correct : B. Uridine diphospho -a- D glucuronic acid
4. 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
Correct : D. Whole animal kingdom have the common ability to produce D-glucuronic acid
5. 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
Correct : A. Esterase
6. What is the site of first-pass metabolism before molecules reach systemic circulation?
A. Kidney
B. Throat
C. Liver
D. Intestine
Correct : D. Intestine
7. What plays a major role in extra-hepatic metabolism and contains CYP3A4 isozyme and P-glycoprotein?
A. Kidney
B. Throat
C. Liver
D. Intestine
Correct : C. Liver
8. What test uses microsomal extracts from the ER for in-vitro drug metabolism studies?
A. Ames test
B. Biochemical tests
C. Serology
D. Polymorphisms
Correct : A. Ames test
9. 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
Correct : A. Heme protein CYP450
10. 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.
Correct : A. They contain haem and magnesium.
11. What is not a xenobiotic?
A. Plant toxins
B. Drugs
C. Steroids
D. Environmental pollutants
Correct : C. Steroids
12. What cytochrome P450 isozyme is most abundantly expressed in the human liver and intestines?
A. CYP1A1
B. CYP3A4
C. CYP2C9
D. CYP2D6
Correct : B. CYP3A4
13. Which of the following is an antiarrhythmic drug that is a calcium channel blocker?
A. Lidocaine
B. Nitroglycerin
C. Nifedipine
D. Codeine
Correct : C. Nifedipine
14. What drug should not be given to a patient that is a poor CYP2D6 metabolizer?
A. Codeine
B. Lidocaine
C. Nifedipine
D. Nitroglycerin
Correct : A. Codeine
15. What injection is administered directly into systemic circulation causing rapid distribution?
A. Intramuscular
B. Intravenous
C. Intracerebral
D. Intraspinal
Correct : B. Intravenous
16. Where is Protonsil converted to Sulfanilamide?
A. Liver
B. Gut
C. Kidney
D. Colon
Correct : B. Gut
17. 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
Correct : D. Anything that is not nutrients and enters the body through different routes
18. What is the active form of salicylic acid?
A. Sialic acid
B. Salic acid
C. Salicylic acid
D. Salicycle acid
Correct : C. Salicylic acid
19. What is the inactive form of Codeine?
A. Codene
B. Codane
C. Morphine
D. Poppy
Correct : C. Morphine
20. 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
Correct : A. Liver > lungs > kidneys > intestine > placenta > skin > adrenals
21. Which one of the following is reactive and a known carcinogenic?
A. Cytochrome P-450
B. Catechol
C. Glutathione
D. Arene oxide
Correct : D. Arene oxide
22. Which of the following is not an example of a drug undergoing acetylation reaction?
A. Hydrazine
B. Salicylic acids
C. Sulphonamides
D. Histamines
Correct : B. Salicylic acids
23. The overall rate of biotransformation is higher in neonates and infants than in adults.
A. True
B. False
C. none
D. all
Correct : B. False
24. 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
Correct : A. True
25. 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
Correct : A. The phenomenon of increased drug metabolizing ability of enzymes by drugs and chemicals
26. Which of the following drugs has self -induction to stimulate their own metabolism?
A. Cortisol
B. Pentobarbital
C. Meprobamate
D. Contraceptives
Correct : C. Meprobamate
27. Alcohol is the inducer for which drug?
A. Cortisol
B. Pentobarbital
C. Meprobamate
D. Oral contraceptives
Correct : B. Pentobarbital
28. 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
Correct : D. Competitive inhibition
29. 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
Correct : C. Non-competitive inhibition
30. 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
Correct : B. Repression
31. 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
Correct : A. Altered physiology
32. Which one of the following is not an environmental agent to decrease drug metabolizing ability?
A. DDT
B. Cigarette smoke
C. Organophosphate insecticides
D. Methacholine
Correct : D. Methacholine
33. What is polygenic control of drugs?
A. Drug controlling seen in an individual
B. Drug controlling seen in twins
C. Drug controlling seen in between different species
D. Drug controlling seen in a particular population
Correct : B. Drug controlling seen in twins
34. Differences observed in metabolism of drug among different races is known as
A. Pharmacogenetics
B. Ethnic variations
C. Discontinues variation
D. Polygenic control
Correct : B. Ethnic variations
35. Which age group is known as the neonates?
A. Up to 2 months
B. Up to 2 years
C. Up to 6 months
D. Up to 1 year
Correct : A. Up to 2 months
36. Which age group metabolizes drugs faster than the adults?
A. Between 1-12 year
B. Between 1-15 year
C. Between 6-12 year
D. Between 12-18 year
Correct : A. Between 1-12 year
37. Fat-free diet depresses cytochrome P-450 level.
A. True
B. False
C. none
D. all
Correct : A. True
38. Maternal drug metabolizing ability increases in the later stage of pregnancy.
A. True
B. False
C. none
D. all
Correct : B. False
39. Enzyme activity is maximum during the early morning.
A. True
B. False
C. none
D. all
Correct : A. True
40. Intermediate of aromatic hydroxylation is
A. Arene
B. Epoxide
C. Aldehyde
D. Ketone
Correct : B. Epoxide
41. Oxidation of Propranolol results in
A. 2-hydroxy propranolol
B. 3-hydroxy propranolol
C. 4-hydroxy propranolol
D. 2,2-Dihydroxy propranolol
Correct : C. 4-hydroxy propranolol
42. Oxidation of olefin results in
A. Aldehyde
B. Ketone
C. Diol
D. Carboxylic acid
Correct : C. Diol
43. Oxidation of Tolbutamide is the example of
A. Oxidation of Olefin
B. Oxidation of Aliphatic carbon
C. Oxidation of Benzylic carbon
D. Oxidation of Allylic carbon
Correct : C. Oxidation of Benzylic carbon
44. Carbon atom adjacent to olefinic double bond is known as
A. Alicyclic carbon
B. Aliphatic carbon
C. Benzylic carbon
D. Allylic carbon
Correct : D. Allylic carbon
45. Oxidation of Hexobarbital results in
A. 2-hydroxy Hexobarbital
B. 3-hydroxy Hexobarbital
C. 4-hydroxy Hexobarbital
D. 2,3-Dihydroxy Hexobarbital
Correct : B. 3-hydroxy Hexobarbital
46. Given reaction is the example of_________
A. Oxidation of Carbon atom alpha to Carbonyl and Imine
B. Oxidation of Aliphatic carbon
C. Oxidation of Benzylic carbon
D. Oxidation of Allylic carbon
Correct : A. Oxidation of Carbon atom alpha to Carbonyl and Imine
47. ω – oxidation of Valproic acid results in
A. 2-hydroxy valproic acid
B. 3-hydroxy valproic acid
C. 4-hydroxy valproic acid
D. 5-hydroxy valproic acid
Correct : D. 5-hydroxy valproic acid
48. ω1 – oxidation of Valproic acid results in
A. 2-hydroxy valproic acid
B. 3-hydroxy valproic acid
C. 4-hydroxy valproic acid
D. 5-hydroxy valproic acid
Correct : C. 4-hydroxy valproic acid
49. Given reaction is the example of_________
A. Oxidation of Alicyclic carbon
B. Oxidation of Aliphatic carbon
C. Oxidation of Benzylic carbon
D. Oxidation of Allylic carbon
Correct : A. Oxidation of Alicyclic carbon
50. Desulphuration of given drug results in _______
A. Phenobarbitone
B. Paroxon
C. Sulphanilamide
D. PABA
Correct : A. Phenobarbitone
51. Reduction of given drug results in______
A. Paroxon
B. Sulphanilamide
C. PABA
D. 7 – aminometabolite
Correct : D. 7 – aminometabolite
52. Given reaction is the example of ________
A. Oxidation
B. Reduction
C. Hydrolysis
D. Conjugation
Correct : C. Hydrolysis
53. By Glycine conjugation Benzoic acid results in
A. Salicylic acid
B. Oxalic acid
C. Hippuric acid
D. Carbamic acid
Correct : C. Hippuric acid
54. The enzymes are divided into two categories, these are _______ and ______
A. Acidic drug metabolizing and basic drug metabolizing
B. Present in the liver and not present in the liver
C. Microsomal and non-microsomal
D. There is no such division
Correct : C. Microsomal and non-microsomal