FACULTY OF PHARMACY
Pharm D (6-YDC) V-Year (Main & Backlog) Examination, July 2018
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Subject: Clinical & Pharmacokinetics Pharmacotherapeutic Drug Monitoring
Time: 3 Hrs Max.Marks: 70
Note: Answer all questions from Part — A. Any Five questions from Part - B.
PART - A (10x2 = 20 Marks)
- What is the role of pharmacist in clinical pharmaceutics?
- What type of drugs should be monitored?
- Why is creatinine clearance used in renal disease?
- Write the TDM of digoxin.
- Write the significance of population pharmacokinetics.
- Write a note on indications for TDM.
- Write a note on effect of hepatic disease on pharmacokinetics.
- Name and contrast any two methods adjusting drug dose in renal disease.
- Write any one method of dosage conversion from IV to oral dosing.
- Define pharmacogenetics and write its applications.
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PART - B (50 Marks)
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- Describe the effect of genetic polymorphism in drug transport and drug targets.
- Explain TDM of drugs used in cardiovascular and organ transplantations.
- Explain the drug dosing in elderly, pediatrics and obese patients.
- Explain the measurement of glomerular filtration rate and creatinine clearance.
- Explain various pharmacokinetic drug — drug interactions along with suitable examples.
- Write a note on protocols for TDM and explain how TDM will affect individualization of drug dosage regime.
- a) Explain briefly extracorporeal removal of drugs.
b) Write a note on dosage adjustment in renal disease. - Explain briefly Bayesian theory and analysis of population pharmacokinetic data.
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