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Exam (elaborations)

2025 NR 565 Midterm 2025) comprehensive questions and verified answers (Detailed & Elaborated) ACTUAL EXAM 2025 TEST 100% Solved 2025!!

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2025 NR 565 Midterm 2025) comprehensive questions and verified answers (Detailed & Elaborated) ACTUAL EXAM 2025 TEST 100% Solved 2025!!

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4/29/25, 9:09 AM 2025 NR 565 Midterm 2025) comprehensive questions and verified answers (Detailed & Elaborated) ACTUAL EXAM 2025 TE…




2025 NR 565 Midterm 2025) comprehensive
questions and verified answers (Detailed &
Elaborated) ACTUAL EXAM 2025 TEST 100%
Solved 2025!!

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Terms in this set (58)


G-protein coupled receptors (GPCR) interact with
drugs through 7 regions of proteins that span and
innervate the cell membrane and trap the molecule
into the receptor site like an interwoven basket
(Insel & Sriram, 2018). Drugs can then enter this
space and interact with the GRCP. A specific
G-Protien coupled interaction and binding with a site on one or more
receptors and how they of the regions of proteins within the GPCR, and
interact with drugs drugs bound with the GRCP can stimulate the
release of G proteins that can interact with various
effector proteins to create physiological responses
within the body (Insel & Sriram, 2018). This process
occurs through secondary messengers (such as
cAMP) which creates the extracellular interactions
produced by the drug binding to the GRCP.

amino acids such as glycine, aspartate, and
What neurotransmitters
glutamate are excitatory (Woo & Robinson, p.16,
are excitatory?
2016).




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,4/29/25, 9:09 AM 2025 NR 565 Midterm 2025) comprehensive questions and verified answers (Detailed & Elaborated) ACTUAL EXAM 2025 TE…


According to the textbook, the CYP3A4 is the most
important enzyme in the body. CYP3A4 is
responsible for the metabolism of more than 50% of
medications and is considered a major drug
metabolizing enzyme. CYP3A4 can be found in the
Which is the most
liver, as well as the lining of the GI tract. Due to this
common CYP enzyme in
location, food can also influence this CYP. One
the body? What role
example of this is grapefruit juice, which can inhibit
does it play?
CYP3A4. Medications that are metabolized by
CYP3A4 include antimicrobials, calcium channel
blockers, antihistamines, anticonvulsants, azole
antifungals, and corticosteroids (Woo, & Robinson,
2016).

People who are ultra-rapid metabolizers have high
activity of CYP2D6 enzymes that break down certain
medicines rapidly and are likely to need different
doses or even a different medicine. Drug dose,
response, and toxicity risk of beta-blockers,
What is the clinical antidepressants, antiarrhythmics, and opioid
significance of being an analgesics are dependent on CYP2D6
ultra-rapid CYP2D6 pharmacogenetics (Ayazseven et al., 2020).
metabolizer? Knowing the result of the CYP2D6 test and which
group the patient falls into such as poor
metabolizers, intermediate metabolizers, or ultra-
rapid metabolizers, will help nurse practitioners
prescribe the right medication and dosage for the
patient.




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, 4/29/25, 9:09 AM 2025 NR 565 Midterm 2025) comprehensive questions and verified answers (Detailed & Elaborated) ACTUAL EXAM 2025 TE…


Cytochrome P450 enzymes are in cells throughout
the body, primarily found in liver cells (Girvan &
Munro, 2016). These enzymes are essential for the
What would be the
metabolism of many medications. Cytochrome P450
concern if a drug is a
enzymes can act as an inducer or inhibitor of
CYP450indicer? How that
metabolism. When a medication induces the
might affect the
CYP450 enzyme that increases the rate of
metabolism of another
metabolism (Girvan & Munro, 2016). This can impact
drug the patient is
the effectiveness of other medications. For example,
taking?
medication A induces CYP450 enzyme activity,
therefore medication B will be metabolized quicker
and have a less therapeutic effect.

P-glycoprotein (P-gp) is the main barrier of the
body and it affects the proper delivery of drugs and
causes drug resistance in our body. P-gp is an efflux
membrane transporter, that can be found
throughout the body and it controls the cellular
uptake and the distribution of synthetic substances,
chemicals, and toxins. Drugs are chemicals and P-
gp hinders the absorption, permeability, and
Explain the significance retention of the drugs, extruding them out of the
of a drug being an cells. This adversely affects drug therapies and fails
inhibitor of P- to yield good results, for example in therapies like
glycoprotein? (see text) using chemo agents in cancer treatments. In this
case, proper inhibition of P-gp is important to
increase cellular uptake, transport, and half-lives of
drugs. The drug is an inhibitor of P-gp that would
help in the cost-effective treatment for disease
conditions without wasting an extra amount of
medicines. It will help to shorten the treatment time
and speedy recovery of the patient (Abebe et al.,
2019; Woo & Robinson, 2016).




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