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Psychopharmacology Drugs the Brain and Behavior 3rd Edition Meyer Nursing Test Bank

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Psychopharmacology Drugs the Brain and Behavior 3rd Edition Meyer Nursing Test Bank While drugs can be excreted from the body by several routes, the most important route of elimination is through the a. breath. b. sweat. c. feces. d. urine. Answer: d Textbook Reference: Pharmacokinetic Factors Determining Drug Action 28. The liver and kidneys work together to _ and drugs, respectively. a. metabolize; excrete b. excrete; metabolize c. bind; metabolize d. absorb; excrete Answer: a Textbook Reference: Pharmacokinetic Factors Determining Drug Action 29. For drugs that have a narrow therapeutic window or potentially serious side effects, therapeutic drug monitoring uses to determine the optimum dosage for a new patient. a. body temperature b. urine testing c. brain scans d. blood sampling Answer: d Textbook Reference: Therapeutic Drug Monitoring 30. While pharmacokinetics describes how the body deals with drugs, describes how drug molecules interact with their targets. a. drug effect b. pharmacodynamics c. antagonist action d. agonist action Answer: b Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 31. In order for a drug to have an effect, it must first bind to a a. ligand. b. depot site. c. receptor. d. neurotransmitter. Answer: c Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 32. Most drugs and neurotransmitters act upon WWW.THENURSINGMASTERY.COM Page 7 of 247 a. intracellular receptors. b. membrane-bound receptors. c. protein synthesis. d. second messengers. Answer: b Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 33. While most receptors are membrane-bound on the cell surface, many receptors are intracellular. a. drug; neurotransmitter b. hormone; drug c. neurotransmitter; hormone d. agonist; antagonist Answer: c Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 34. Ligands that have no effect on a receptor after binding are called a. antagonists. b. agonists. c. neurotransmitters. d. null ligands. Answer: a Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 35. Both agonists and antagonists have but only agonists have appreciable . a. interactions; affinity b. affinity; bioavailability c. efficacy; affinity d. affinity; efficacy Answer: d Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 36. A dose–response curve shows that noncompetitive antagonists alter both the and the of the agonist, while competitive antagonists alter only the . a. potency; efficacy; potency b. bioavailability; metabolism; bioavailability c. efficacy; potency; efficacy d. depot binding; metabolism; metabolism Answer: a Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 37. In the dose–response curve, a decrease in potency is indicated by a shift a. to the left. b. to the right. c. upward. WWW.THENURSINGMASTERY.COM Page 8 of 247 d. downward. Answer: b Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions 38. Which of the following describes the interaction of two drugs when the combined drug effects are greater than would be predicted from that combination? a. Addictive effects b. Physiological antagonism c. Potentiation d. Tolerance Answer: c Textbook Reference: Pharmacodynamics: Drug–Receptor Interactions

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, Test Bank
to accompany
Psychopharmacology, Third Edition
Meyer • Quenzer


Chapter 1: Principles of Pharmacology

Multiple Choice

1. refer(s) to specific molecular changes that occur when a drug binds to a
particular target site or receptor, while are the resulting widespread alterations
in function.
a. Drug action; therapeutic effects
b. Side effects; drug effects
c. Therapeutic effects; side effects
d. Drug action; drug effects
Answer: d
Textbook Reference: Pharmacology: The Science of Drug Action

2. After drug administration has occurred, the amount of drug in the blood that is free to
bind at specific target sites is referred to as
a. the therapeutic dose.
b. first-pass effects.
c. bioavailability.
d. ED50.
Answer: c
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

3. The specific molecular changes that occur when a drug binds to a particular target site
or receptor are referred to as
a. drug effects.
b. drug action.
c. side effects.
d. placebo effects.
Answer: b
Textbook Reference: Pharmacology: The Science of Drug Action

4. Which of the following is not a possible explanation for placebo effects?
a. Pavlovian conditioning
b. Genetic variation
c. Drug competition
d. Expectation of outcome
Answer: c
Textbook Reference: Pharmacology: The Science of Drug Action


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,5. The administration of oxytocin has been proposed as a treatment for autism.
a. intravenous
b. oral
c. intranasal
d. intracerebral
Answer: c
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

6. Which factor does not affect the pharmacokinetics of a drug?
a. Route of administration
b. Lipid solubility
c. Depot binding
d. Drug action
Answer: d
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

7. First-pass metabolism occurs when drugs are taken
a. orally.
b. intravenously.
c. subcutaneously.
d. nasally.
Answer: a
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

8. The area postrema is one area in the brain where the is not complete.
a. cerebrospinal fluid
b. blood–brain barrier
c. choroid plexus
d. phospholipid membrane
Answer: b
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

9. First-pass metabolism occurs with orally administered drugs because
a. their absorption is slowed by food.
b. drugs absorbed into the bloodstream from the stomach go to the liver on the way to
general circulation.
c. drugs must first survive the acidic environment of the stomach.
d. salivary enzymes in the mouth begin the process of metabolism.
Answer: b
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

10. Toxic substances in the blood trigger a vomiting response by activating the
a. blood–brain barrier.
b. choroid plexus.
c. area postrema.
d. median eminence.



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, Answer: c
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

11. Drugs administered _ have the most rapid onset of action.
a. subcutaneously
b. intramuscularly
c. orally
d. intravenously
Answer: d
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

12. Ionization of a drug depends on the of the solution and the of the
drug.
a. pH; pKa
b. pKa; pH
c. concentration; lipid solubility
d. pH; concentration
Answer: a
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

13. The absorption of a drug depends on all of the following except
a. lipid solubility.
b. ionization.
c. body temperature.
d. the concentration of the drug.
Answer: c
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

14. Drugs that are should be avoided by women of childbearing age.
a. teratogenic
b. able to cross the placental barrier
c. psychoactive
d. highly lipid-soluble
Answer: a
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

15. Agents that induce developmental abnormalities in a fetus are known as
a. psychoactive drugs.
b. illicit drugs.
c. teratogens.
d. placental drugs.
Answer: c
Textbook Reference: Pharmacokinetic Factors Determining Drug Action

16. Depot binding is said to occur when drugs
a. bind to their target sites.



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