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Workman & LaCharity:Understanding Pharmacology: EssentialsforMedication Safety,
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3ndEdition Il`
MULTIPLE CHOICE Il`,f Il`
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1. Which health care professional has the Il` ,f Il` ,f Il` ,f Il`,f Il` ,f ,f Il`m Il` ajor Il` responsibilityfor ,f
dispensing pre ,f Il` Il`,f
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a. Physician
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b Nursepractitioner Il`
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c. Licensednurse
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d Pharmacy technician il
.
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ANS: D Il` , f Il` Il`
The physician and nurse practitioner have the major responsibility for prescribing drugs, not dispe
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nsing them. The licensed nurse has the primaryresponsibility
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nder some circumstances a licensed nurse maydispens eprescribed drugs but
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isnot his or her major responsibility in drugtherapy. The pharmacy technician has the major respon
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sibility of dispensing prescribed drugs under the direction of a ,f lice nsed Il` Il` ,f Il` ,f Il`,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f
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DIF: Cognitive Level: Remembering Il` REF: p. 3 Il`,f Il` ,f Il` Il` Il`,f Il`
2. Which term describes the effect of a drug that improves Il` ,f Il` ,f Il` ,f Il`,f Il`,f ,f Il` ,f Il` Il` ,f ,f Il`
bodyfunction? Il`,f Il`
a. Sideeffect Il`
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b Intended Il`
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c. Adversereaction
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d Idiosyncraticresponse
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ANS: B Il` , f Il` Il`
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health
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problem.Thisresponse is any drug’s intended action also known as a therapeutic
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DIF: Cognitive Level: Remembering Il` REF: p. 3 Il`,f Il` ,f Il` Il` Il`,f Il`
3. Which t ype ofd rugn ame is ―owned‖b ythe companythatmanuf actures it? Il` ,f Il` Il`,f Il`,f Il` Il`,f Il` Il`,f Il`,f ,f Il` Il` Il`,f Il`,f Il`,f Il`,f Il`
a. Genericname Il` Il`,f Il`
b Chemicalname
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c. Categoryname
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d Trade
. name
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ANS: D Il` , f Il` Il`
The chemical name is a drug’s exact chemical composition. The generic name is the name
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assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
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category name refers to the type of drug (what it does or what it is used for) and is not an
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actualdrug name. The trade name (brand name) is the name provided and owned by a specific
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manufacturer. Il`
DIF: Cognitive Level:Rememberin Il` Il`,f Il`,f g REF: p.4 Il` Il`
Il`,f Il`
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4. Which drug or drug class is a ―high alert‖
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drug? Il`il
a. Penicillin
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b Insulin Il` Il`
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c. NSAIDs
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d Calcium Il` Il`
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ANS: B Il` , f Il` Il`
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the
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wrongpatient,
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or not given to the correct patient. Drugs classified as high alert drugs include
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potassium,narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that
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strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert
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drugs.
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DIF: Cognitive Level: Remembering Il` REF: p. 4 Il`,f Il` ,f Il` Il` Il`,f Il`
5. What is the
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action as
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c. Chemical
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d Duplicator Il`
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ANS: A Il` , f Il` Il`
A drug agonist is an extrinsic drug
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, theactions of
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agent is a drug antagonist.Achemical would
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a ll.A dupli cator is not a pharmacologic term.
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DIF: Cognitive Level: Remembering Il` REF: pp. 6-7 Il`,f Il` ,f Il` Il` Il`,f Il`
6. Which term describes how the bodyaffects drug activity? Il` ,f Il` ,f ,f Il` Il` ,f ,f Il` Il` ,f Il`,f Il`
a. Drugpotency
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b Pharmacodynamics
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c. Therapeuticeffect
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d Pharmacokinetics
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ANS: D Il` , f Il` Il`
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how a drug works
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potency
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ngly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering REF: p. 10
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7. In the United States, which group is responsible for enforcing established Il` ,f Il` ,f Il` ,f Il`,f Il` Il` ,f Il` ,f Il` ,f Il` ,f Il`,f Il`,f
standards fordrug manufacturing? Il`,f Il` ,f Il`,f Il`
a. U.S.Pharmacopeia
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b National Institutes of Health
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c. Food and Drug Adm
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inistration
d Association of Pharmaceutical Manufacturers Il` ,f Il` ,f Il`,f Il`
.
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ANS: C Il` , f Il` Il`
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards
Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f
are Il`,f Il`
enforced by the Food and Drug Administration. Neither the National Institutes of Health
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northeAssociation of Pharmaceutical Manufacturers has any auth orityto enforce drug
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standards.
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DIF: Cognitive Level: Remembering REF: p. 5
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8. Which factor is a major disadvantage of the transdermal drug
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delivery route? Il`il il
a. Onlya prescriber can administer drugs bythe transdermal route.
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b Transdermal drugs must be sterile rather than
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c. First pass drug loss by this route is
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extensive. Il`,f Il`
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d Drug absorption is dependent on adequate
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circulation. Il`il
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, Chapter01: Drug R egulation, Actions, and Responses Il`,f Il` ,f Il` il Il`,f ,f Il` Il`
Workman & LaCharity:Understanding Pharmacology: EssentialsforMedication Safety,
Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f
Il`,f
Il`
3ndEdition Il`
MULTIPLE CHOICE Il`,f Il`
,f BASICCONCEPT
S Il`
1. Which health care professional has the Il` ,f Il` ,f Il` ,f Il`,f Il` ,f ,f Il`m Il` ajor Il` responsibilityfor ,f
dispensing pre ,f Il` Il`,f
scribeddrugs under the direction of a pharmacist? Il` ,f Il`,f Il` ,f Il`,f Il`,f Il`,f Il`
a. Physician
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b Nursepractitioner Il`
.
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c. Licensednurse
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Il`
d Pharmacy technician il
.
Il` Il`
Il`
Il`
ANS: D Il` , f Il` Il`
The physician and nurse practitioner have the major responsibility for prescribing drugs, not dispe
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nsing them. The licensed nurse has the primaryresponsibility
,f for administering Il` Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f ,f Il` Il` ,f Il`,f
Il`,f drugs, although u
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nder some circumstances a licensed nurse maydispens eprescribed drugs but
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isnot his or her major responsibility in drugtherapy. The pharmacy technician has the major respon
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sibility of dispensing prescribed drugs under the direction of a ,f lice nsed Il` Il` ,f Il` ,f Il`,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f
Il`,f
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pharmacist. Il`
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2. Which term describes the effect of a drug that improves Il` ,f Il` ,f Il` ,f Il`,f Il`,f ,f Il` ,f Il` Il` ,f ,f Il`
bodyfunction? Il`,f Il`
a. Sideeffect Il`
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b Intended Il`
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c. Adversereaction
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d Idiosyncraticresponse
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ANS: B Il` , f Il` Il`
The purpose of drug therapy is to take a drug to prevent, reduce, or correct a health
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Il`
problem.Thisresponse is any drug’s intended action also known as a therapeutic
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DIF: Cognitive Level: Remembering Il` REF: p. 3 Il`,f Il` ,f Il` Il` Il`,f Il`
3. Which t ype ofd rugn ame is ―owned‖b ythe companythatmanuf actures it? Il` ,f Il` Il`,f Il`,f Il` Il`,f Il` Il`,f Il`,f ,f Il` Il` Il`,f Il`,f Il`,f Il`,f Il`
a. Genericname Il` Il`,f Il`
b Chemicalname
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c. Categoryname
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Il`
d Trade
. name
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Il`
ANS: D Il` , f Il` Il`
The chemical name is a drug’s exact chemical composition. The generic name is the name
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assigned to the drug by the U.S. Adopted Names Council and is not owned by anyone. The
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category name refers to the type of drug (what it does or what it is used for) and is not an
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actualdrug name. The trade name (brand name) is the name provided and owned by a specific
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Il` drug’s ,f Il`,f
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manufacturer. Il`
DIF: Cognitive Level:Rememberin Il` Il`,f Il`,f g REF: p.4 Il` Il`
Il`,f Il`
Il`
4. Which drug or drug class is a ―high alert‖
Il` il Il`il Il`il Il`il Il`il Il`il Il`il Il`il
drug? Il`il
a. Penicillin
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b Insulin Il` Il`
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c. NSAIDs
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Il`
d Calcium Il` Il`
. Il`
Il`
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ANS: B Il` , f Il` Il`
A high alert drug is one in which harm is likely to result if given at the wrong dose, to the
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wrongpatient,
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or not given to the correct patient. Drugs classified as high alert drugs include
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potassium,narcotics (opioids), insulin, cancer chemotherapy drugs, and heparin (or any drug that
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strongly affects blood clotting). Penicillin, NSAIDs, and calcium are not considered high alert
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Il`
drugs.
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DIF: Cognitive Level: Remembering Il` REF: p. 4 Il`,f Il` ,f Il` Il` Il`,f Il`
5. What is the
Il` term for a drug that has the same Il` ,f Il` ,f Il` ,f Il` ,f Il`,f Il`,f ,f Il` ,f Il` Il` ,f Il` ,f
action as
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a. Agonist Il`
b BlockingagentIl` Il`,f Il`
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c. Chemical
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d Duplicator Il`
.
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ANS: A Il` , f Il` Il`
A drug agonist is an extrinsic drug
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, theactions of
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agent is a drug antagonist.Achemical would
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Il`
a ll.A dupli cator is not a pharmacologic term.
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6. Which term describes how the bodyaffects drug activity? Il` ,f Il` ,f ,f Il` Il` ,f ,f Il` Il` ,f Il`,f Il`
a. Drugpotency
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b Pharmacodynamics
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Il`
. Il`
c. Therapeuticeffect
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Il`
Il`
d Pharmacokinetics
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. Il`
Il`
Il`
ANS: D Il` , f Il` Il`
The term pharmacokinetics refers to drug metabolism and how the body changes a drug.
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Pharmacodynamics refers to how a drug works
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potency
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ngly or to what degree a drug exerts its effects. The therapeutic effect is closer to
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pharmacodynamics, meaning how a drug works to change body function.
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DIF: Cognitive Level: Remembering REF: p. 10
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7. In the United States, which group is responsible for enforcing established Il` ,f Il` ,f Il` ,f Il`,f Il` Il` ,f Il` ,f Il` ,f Il` ,f Il`,f Il`,f
standards fordrug manufacturing? Il`,f Il` ,f Il`,f Il`
a. U.S.Pharmacopeia
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b National Institutes of Health
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. Il`
Il` Il`
c. Food and Drug Adm
Il`
Il` Il`il Il`il i l
inistration
d Association of Pharmaceutical Manufacturers Il` ,f Il` ,f Il`,f Il`
.
Il` Il`
Il`
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ANS: C Il` , f Il` Il`
The standards for drug manufacture are established by the U.S. Pharmacopeia. These standards
Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f Il`,f
are Il`,f Il`
enforced by the Food and Drug Administration. Neither the National Institutes of Health
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northeAssociation of Pharmaceutical Manufacturers has any auth orityto enforce drug
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Il`
standards.
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Il`
DIF: Cognitive Level: Remembering REF: p. 5
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8. Which factor is a major disadvantage of the transdermal drug
Il` il Il`il Il`il Il`il Il`il Il`il Il`il Il`il Il`il
delivery route? Il`il il
a. Onlya prescriber can administer drugs bythe transdermal route.
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b Transdermal drugs must be sterile rather than
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. Il`
c. First pass drug loss by this route is
Il` the most Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f Il` ,f
extensive. Il`,f Il`
Il` Il`
d Drug absorption is dependent on adequate
Il` Il` il Il`il Il`il Il`il Il`il
circulation. Il`il
