UNIT I – BIOPHARMACEUTICS: ABSORPTION, DISTRIBUTION, ELIMINATION
10 MARKS
- Define Absorption. Discuss in detail the various biological factors affecting drug absorption.
- Discuss in detail the various physico-chemical factors affecting drug absorption.
- Discuss in detail the various physiological factors affecting drug absorption.
- Discuss in detail the various pharmaceutical factors affecting drug absorption.
- Explain the various mechanisms of drug absorption.
- Define drug distribution. Describe the factors affecting distribution.
- Write in detail about protein binding and its significance.
- Define biotransformation. Explain with examples phase I and phase II reactions.
- What is clearance? Give the formula for the same. Explain organ clearance and hepatic extraction ratio.
- Explain the process of renal elimination.
- How do you calculate the pharmacokinetic parameters for a drug undergoing metabolism from the urine data? Give the relevant graphs.
- How do you calculate the pharmacokinetic parameters for a drug (no metabolism) from the urine data? Give the relevant graphs.
- Draw a typical plasma concentration time profile curve following oral, IV bolus and IV infusion and explain the pharmacokinetic parameters that can be determined from the same.
- Compare and contrast passive diffusion versus active transport. Add a note on facilitated transport.
- What do you understand by pH-partition theory? Give its importance and its limitations.
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5 Marks
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Absorption
- Explain the differences between passive diffusion and active transport.
- Explain passive diffusion of drugs and the principle behind it.
- Explain pH partition theory.
- Explain In vitro methods for determining absorption of drugs.
- Explain In vivo methods for determining absorption.
- Explain the pore transport process.
- Explain the influence of gastric emptying and intestinal transit time on absorption of drugs.
- Explain the structure of cell membrane with a neat labelled diagram.
- Explain the effect of GI components on the gastric emptying rate.
- What do you understand by gastric emptying and discuss factors affecting the same.
- What factors affect the absorption of drugs when administered as tablets and capsules.
- Explain the “Everted Sac Modification” technique for measuring the absorption.
- Explain BCS classification of drugs.
- Name the parameters considered in pH-partition theory. Mention the limitations of pH-partition theory.
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DISTRIBUTION
- Write about the significance of protein binding.
- Explain the kinetics of protein binding.
- Explain about binding of drugs to HAS (Human Serum Albumin).
- Write about plasma protein binding of drugs.
- Define volume of administration and give its significance.
- Define volume of administration and how do you determine Vd ?
- How is drug distributed to CNS through blood brain barrier ?
- Explain drug distribution to foetus through placental barrier.
- Explain intra cellular and extra cellular binding of drugs.
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ELIMINATION
- Explain renal clearance of drugs.
- How do you determine renal clearance of drugs?
- Explain hepatic extraction ratio and its importance.
- Explain various non-renal routes of excretion.
- Explain hepatic clearance.
- Explain glucuronic acid conjugation.
- Explain phase I reactions.
- What is biotransformation and explain its importance.
- Explain the hepatic metabolism of drugs.
- Explain the pre systemic metabolism of drugs.
- List out the various factors affecting biotransformation and discuss any two.
- List out the various factors affecting excretion and discuss any two.
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2 marks
- Write briefly about Active transport
- Draw the Structure of Cell membrane
- What is Facilitated diffusion?
- What is Pinocytosis and phagocytosis?
- What is Endocytosis?
- Write modified Noyes Whitney's equation.
- What is polymorphism.
- Name rate limiting steps in drug absorption.
- What is the effect of food on absorption of drugs?
- How particle sizes affect the drug absorption?
- How do solvates and hydrates affect drug absorption?
- Give two examples of drugs which are unstable in the GIT.
- List out the methods to study absorption of drugs.
- How drugs are classified according to BCS?
- List the orally administered dosage form in order of their increasing absorption.
- Define drug distribution.
- Define protein binding.
- What are distribution characteristics of protein bond drug?
- Mention the significance of protein binding.
- Mention the significance of tissue binding.
- Define biotransformation.
- What are xenobiotic?
- What is clearance? Give the formula for same
- What is enterohepatic cycle?
- Define apparent volume of distribution.
- What do you understand by inhibition and induction?
- Name the various barriers for drug distribution.
- List out the non renal routes of drug excretion.
- Hepatic clearance. Mention its significance.
- What is Total body clearance.
- What is renal clearance? How do you calculate it?
- Define extraction ratio.
- Write the formula to calculate hepatic extraction ratio.
- Define clearance? Give the expression relating clearance to half life.
- Why phase II reaction is called true detoxication reactions?
- What the consequences are phase I reaction?
- List out phase II biotransformation reactions.
- What is first pass or presystemic metabolism?
- What is glucuronidation?
- Give the relation between clearance and volume of distribution.
- Define apparent volume of distribution.
- What is sink condition?
- Give the formula for determining Vd from plasma concentration (C).
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UNIT II – INTRODUCTION TO PHARMACOKINETICS, ONE COMPARTMENT MODEL, TWO COMPARTMENT MODEL
10 MARKS
- What do you understand by pharmacokinetic model ? Classify the pharmacokinetic models, give their salient features, advantages and disadvantages.
- Discuss in detail one-compartment open model for a drug administered as IV Bolus. Give the schematic representation, graphs and equations for the same.
- Discuss in detail one-compartment open model for a drug administered as IV infusion. Give the schematic representation, graphs and equations for the same
- Discuss in detail two-compartment open model for a drug administered as IV Bolus. Give the schematic representation, graphs and equations for the same.
- What is a compartment? Classify the compartment models. Give the schematic representation of the same.
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5 MARKS
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- Write a note on Catenary and mammilarymodeling.
- Write the importance of Compartment modeling in pharmacokinetic study.
- With a neat labeled diagram explain the drug levels in blood after oral administration.
- Explain various pharmacokinetic parameters after oral administration of drug.
- Write the applications of pharmacokinetic models.
- Explain how steady state level of the drug is achieved through I.V infusion.
- Give schematic representation of two and three compartment models with brief explanation.
- Explain the assumptions of one-compartment open model
- Write about the advantages and disadvantages of compartment modeling.
- Compare blood level curves between I.V and oral routes with a graph.
- Give the monoexponential and biexponential equations for drugs administered as IV bolus and explain the terms.
- How do you determine KE using rate of excretion method from urine data.
- How do you determine KE using sigma minus method from urine data.
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5 MARKS
Non-Linear Pharmacokinetics
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- Explain the various factors leading to non-linearity.
- Explain Michaelis –Menten equation in determining non-linearity.
- How do you estimate Km and Vmax.
5 MARKS
Bioavailability and Bio-equivalence
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- Define bioavailability. Mention the objectives of bioavailability studies.
- Define bioequivalence. Explain various types of equivalence.
- Explain about the subject selection criterion in bioavailability studies.
- Discuss the various study designs in for performing bioavailability.
- Explain two way cross over design.
- Discuss the various considerations for bioequivalence studies.
- Explain any two methods to calculate AUC.
- Explain how bioavailability is measured using plasma data.
- Explain how bioavailability is measured using urinary data.
- List out the various methods of assessment of bioavailability and explain any two.
- What are the various methods of enhancement of bioavailability.
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2 marks
- Define pharmacokinetics.
- In compartment modelling why does excretion takes place from central compartment
- What are the limitations of one compartment model
- Define elimination rate constant?
- Describe the influence of Ke on Cmax, Tmax and AUC.
- Mention the methods for calculating of AUC.
- Define biological half life.
- Enumerate the applications of pharmacokinetics.
- What is first order and second order reaction?
- What is Zero order reaction?
- Write equation for zero and first order half life.
- What do mean by therapeutic index?
- Give an example for Mono exponential equation.
- Give an example for Bi exponential equation.
- Draw the blood level profiles for oral and intravenous route of administration.
- Enlist different pharmacokinetic parameters.
- Define Cmax and Tmax.
- Classify Pharmacokinetic models.
- What is multi compartment model?
- Give the schematic representation of one compartment open model-oral.
- Give the schematic representation of one compartment open model-IV.
- Give the schematic representation of two compartment open model-oral.
- Give the schematic representation of two compartment open model-IV.
- Give the schematic representation of three compartments model-oral.
- Give the schematic representation of three compartments model-IV.
- What are the assumptions of one compartment model?
- Give the formula AUC0-t & AUC0-8.
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BIO-AVAILABILITY AND BIOEQUIVALENCE
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- Define bio-availability and bio-equivalence.
- Differentiate between absolute and relative bioavailability.
- Give the significance of bio-equivalence.
- List out the methods to calculate AUC.
- Give an example for Latin square cross over design for the conduct of bioavailability study.
- Name any four methods for enhancing bio-availability of drugs.
- Define therapeutic equivalence and chemical equivalence.
- Give the equation to calculate bio-availability from urine data?
- Name the methods to calculate Ke from urine data.
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NON-COMPARTMENTAL ANALYSIS
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- Explain statistical moment's theory.
- Give the formula for AUMC and MRT.
- What are the advantages of physiological model?
- What is the difference between AUC and AUMC?
- Define MRT and give its equation.
- Give schematic representation for Physiological –Pharmacokinetic
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NON LINEAR PHARMACOKINETICS
- What is the difference between linear and non-linear PK?
- List out the reasons for non-linearity in PK studies.
- Write the tests to determine non-linearity.
- Give Michaelis-Menton equation. Explain the terms.
- What is Km and Vmax?
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MULTIPLE DOSAGE REGIMEN
- Define loading and maintenance dose. Give the formula for the same.
- Give the equations to calculate the steady state maximum, minimum and average drug concentrations.
- Give the plasma concentration time – plot for multiple dosing of an IV bolus.
- What do you understand by accumulation index and give the formula.
- Explain principle of plateau or steady state.
- What are the factors which influence dosage regimen?
- Name two parameters used in adjusting dosage regimen.
- Define dosing frequency.
- Give relation between loading dose and maintenance dose.
- Give the plasma concentration time – plot for multiple oral administration.
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