Pharmacotherapeutics exam questions and
correct answers|latest 2025/2026|verified
#1 Rule - ANSWER-DO NO HARM
B B B B B
Factors to consider when prescribing - ANSWER-
B B B B B B
Pharmacoeconomics, Patient's age, Education, Disease's and what stage, Care givers, ALL products tak
B B B B B B B B B B B B
en (APAP)
B
Pharmacokinetics - ANSWER- B B
What the body does to the drug; ADME= Absorption, Distribution, Metabolism, Excretion; leading to c
B B B B B B B B B B B B B B
oncentration of drug in plasma B B B B
Pharmacodynamics - ANSWER- B B
What the drug does to you; MOA (Mechanism of Action), from drug concentration in plasma to drug c
B B B B B B B B B B B B B B B B B
oncentration at site of action, usually at cellular level which will get you desired physiologic drug effet
B B B B B B B B B B B B B B B B
Levels of concentration of drug in the body - ANSWER-
B B B B B B B B B
insufficient response, therapeutic window= desired response, toxic response
B B B B B B B
Issues with concentration of drug in body - ANSWER-
B B B B B B B B
increased/ decreased absorption, too low/high a dose, increased/ decreased excretion or metabolism
B B B B B B B B B B B
, drug-drug/ drug-food interactions, patient compliance
B B B B B
Half-Life of drugs - ANSWER- B B B B
time it takes to eliminate 1/2 the total amount of drug from the plasma; good rule of thumb is after 3 t
B B B B B B B B B B B B B B B B B B B B B
o 5 half-life's
B B
Prodrug - ANSWER- B B
when a parent drug is transformed from the inactive parent drug to an active metabolite
B B B B B B B B B B B B B B
Therapeutic Window - ANSWER- B B B
the range of drug doses that elicits a therapeutic response without unacceptable side effects
B B B B B B B B B B B B B
First Pass Effect - ANSWER-
B B B B
when a drug is absorbed and than passes to the liver where it is metabolized into an active product
B B B B B B B B B B B B B B B B B B
, common routes of drug administration - ANSWER-
B B B B B B
oral/ enteral (po), sublingual (SL), rectal, inhalation, intravenous (IV)/intra-
B B B B B B B B
arterial (IA), subcutaneous (SC, SubQ), Intramuscular (IM), topical, transdermal, Intrathecal (IT)
B B B B B B B B B B
PO Route - ANSWER-
B B B
Quick, Easy, and most inexpensive; great for GI diseases; issue= absorption, extensive 1st pass effect, c
B B B B B B B B B B B B B B B
omes in capsules, tablets, elixirs, suspensions as sustained release (SR) and extended release (ER)
B B B B B B B B B B B B B
Mucous Membrane Route - ANSWER- B B B B
Buccal/Sublingual (SL), Intraaural/ Auricular/ Otic (AD,AS,AU), Intranasal (IN), intraocular/ophthalmic (
B B B B B B B B B
OD, OS, OU), Intrauterine (IU), Intravaginal, pulmonary/inhalation, rectal
B B B B B B B
Topical Route - ANSWER- B B B
creams, ointments, pastes, lotions, suspensions, liniment, transdermal patch, sprays
B B B B B B B B
intramuscular (IM) - ANSWER- B B B
prompt absorption if aqueous solution, slow absorption if sustained release product
B B B B B B B B B B
Intrathecal (IT) - ANSWER- B B B
absorption is very prompt directly into the spinal fluid, thus maximizing the drug concentration in the
B B B B B B B B B B B B B B B B
CNS; very fast and effective for spinal block; limited volume, potential dural puncture; used for epidfur
B B B B B B B B B B B B B B B
al pain relief in birthing
B B B B
Intravenous (IV)/ Intra-arterial (IA) - ANSWER-very fast circumvents for cross-
B B B B B B B B B
membrane absorption; 100% bioavailability effect immediate, larger volumes can be used if diluted, r
B B B B B B B B B B B B B
equests slow administration, increased risk of adverse effects; NO GOING BACK ONCE ITS GIVEN
B B B B B B B B B B B B B
Loading Dose - ANSWER- B B B
single dose administered to reach steady state condition instantly; drug plasma level will rapidly decre
B B B B B B B B B B B B B B
ase as drug distributes from blood into tissue, thus more administration of drug is needed to maintain
B B B B B B B B B B B B B B B B B
steady state= maintenance dose (administered at a certain dosing interval)
B B B B B B B B B
Elimination Routes - ANSWER- B B B
kidneys are primary excretory organs; urine is primary route for water soluble drugs and metabolites;
B B B B B B B B B B B B B B B
bile/feces primary route for lipid soluble drugs and metabolites; lungs/ exhalation primary route for in
B B B B B B B B B B B B B B
haled anestheticsB
Measuring Device 1 tsp - ANSWER-5ml B B B B B
correct answers|latest 2025/2026|verified
#1 Rule - ANSWER-DO NO HARM
B B B B B
Factors to consider when prescribing - ANSWER-
B B B B B B
Pharmacoeconomics, Patient's age, Education, Disease's and what stage, Care givers, ALL products tak
B B B B B B B B B B B B
en (APAP)
B
Pharmacokinetics - ANSWER- B B
What the body does to the drug; ADME= Absorption, Distribution, Metabolism, Excretion; leading to c
B B B B B B B B B B B B B B
oncentration of drug in plasma B B B B
Pharmacodynamics - ANSWER- B B
What the drug does to you; MOA (Mechanism of Action), from drug concentration in plasma to drug c
B B B B B B B B B B B B B B B B B
oncentration at site of action, usually at cellular level which will get you desired physiologic drug effet
B B B B B B B B B B B B B B B B
Levels of concentration of drug in the body - ANSWER-
B B B B B B B B B
insufficient response, therapeutic window= desired response, toxic response
B B B B B B B
Issues with concentration of drug in body - ANSWER-
B B B B B B B B
increased/ decreased absorption, too low/high a dose, increased/ decreased excretion or metabolism
B B B B B B B B B B B
, drug-drug/ drug-food interactions, patient compliance
B B B B B
Half-Life of drugs - ANSWER- B B B B
time it takes to eliminate 1/2 the total amount of drug from the plasma; good rule of thumb is after 3 t
B B B B B B B B B B B B B B B B B B B B B
o 5 half-life's
B B
Prodrug - ANSWER- B B
when a parent drug is transformed from the inactive parent drug to an active metabolite
B B B B B B B B B B B B B B
Therapeutic Window - ANSWER- B B B
the range of drug doses that elicits a therapeutic response without unacceptable side effects
B B B B B B B B B B B B B
First Pass Effect - ANSWER-
B B B B
when a drug is absorbed and than passes to the liver where it is metabolized into an active product
B B B B B B B B B B B B B B B B B B
, common routes of drug administration - ANSWER-
B B B B B B
oral/ enteral (po), sublingual (SL), rectal, inhalation, intravenous (IV)/intra-
B B B B B B B B
arterial (IA), subcutaneous (SC, SubQ), Intramuscular (IM), topical, transdermal, Intrathecal (IT)
B B B B B B B B B B
PO Route - ANSWER-
B B B
Quick, Easy, and most inexpensive; great for GI diseases; issue= absorption, extensive 1st pass effect, c
B B B B B B B B B B B B B B B
omes in capsules, tablets, elixirs, suspensions as sustained release (SR) and extended release (ER)
B B B B B B B B B B B B B
Mucous Membrane Route - ANSWER- B B B B
Buccal/Sublingual (SL), Intraaural/ Auricular/ Otic (AD,AS,AU), Intranasal (IN), intraocular/ophthalmic (
B B B B B B B B B
OD, OS, OU), Intrauterine (IU), Intravaginal, pulmonary/inhalation, rectal
B B B B B B B
Topical Route - ANSWER- B B B
creams, ointments, pastes, lotions, suspensions, liniment, transdermal patch, sprays
B B B B B B B B
intramuscular (IM) - ANSWER- B B B
prompt absorption if aqueous solution, slow absorption if sustained release product
B B B B B B B B B B
Intrathecal (IT) - ANSWER- B B B
absorption is very prompt directly into the spinal fluid, thus maximizing the drug concentration in the
B B B B B B B B B B B B B B B B
CNS; very fast and effective for spinal block; limited volume, potential dural puncture; used for epidfur
B B B B B B B B B B B B B B B
al pain relief in birthing
B B B B
Intravenous (IV)/ Intra-arterial (IA) - ANSWER-very fast circumvents for cross-
B B B B B B B B B
membrane absorption; 100% bioavailability effect immediate, larger volumes can be used if diluted, r
B B B B B B B B B B B B B
equests slow administration, increased risk of adverse effects; NO GOING BACK ONCE ITS GIVEN
B B B B B B B B B B B B B
Loading Dose - ANSWER- B B B
single dose administered to reach steady state condition instantly; drug plasma level will rapidly decre
B B B B B B B B B B B B B B
ase as drug distributes from blood into tissue, thus more administration of drug is needed to maintain
B B B B B B B B B B B B B B B B B
steady state= maintenance dose (administered at a certain dosing interval)
B B B B B B B B B
Elimination Routes - ANSWER- B B B
kidneys are primary excretory organs; urine is primary route for water soluble drugs and metabolites;
B B B B B B B B B B B B B B B
bile/feces primary route for lipid soluble drugs and metabolites; lungs/ exhalation primary route for in
B B B B B B B B B B B B B B
haled anestheticsB
Measuring Device 1 tsp - ANSWER-5ml B B B B B