Code No. 1127
FACULTY OF PHARMACY
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Pharm. D (6 YDC) V-Year (Instant) Examination, March 2018
Subject : Clinical Pharmacokinetics and Pharmacotherapeutic Drug Monitoring
Time : 3 Hrs Max. Marks: 70
Note: Answer all questions from Part — A, answer any five questions from Part-B.
PART - A (10 x 2 = 20 Marks)
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- What is TDM? Write the Indications for TDM.
- Write a note on drug interactions at the elimination site.
- Write about Cytochrome P -450 isoenzymes.
- Write about the determination of Dose and Interval.
- Explain enzyme induction with examples.
- Explain plasma protein binding with its significance.
- Explain Biological half-life.
- What are the factors involved in the conversion of Intra Venous to oral dosing?
- What is Pharmacogenetics?
- Write the TDM protocol for vancomycin.
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PART - B (5 x 10 = 50 Marks)
- Explain the TDM for cardiovascular diseases.
- Describe the pharmacodynamic drug interaction in detail.
- Explain in detail about the dosage adjustment in patients with hepatic disease.
- Write about Renal impairment. Write the importance of GFR and Creatinine clearance in dose adjustment.
- (a) Describe the Bayesian-theory:
(b) Pharmacokinetic correlation in drug therapy. - Explain in detail genetic polymorphism in (a) Drug metabolism (b) Drug absorption
- How do you fix the dose for Obese, pediatric and geriatric patients?
- Explain the extracorporeal removal of drugs.
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