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Across
2. type of drug effect that is dose related
and may be just too much of therapeutic
effect of drug
4. pH of tissue can alter absorption of drug
across membranes
7. a measure used to compare drugs given
by the same route of administration or
the percent of the dose given that is
measurable in the plasma after different
routes of administration vs. that which is
measured after IV administration
10. assuming first order kinetics, the time it
takes to reach steady state
concentration or the time it takes to
eliminate >90% of the drug once
administration is stopped.
12. LD50/ED50, measure of safety of a drug
in a population
16. how much of an effect is a drug capable
of producing
20. defined as the body's ability to rid itself
of drug from plasma
21. binds to receptors with high affinity but
produces only partial activation
24. type of drug effect that is unexpected,
most likely due to genetic abnormality
27. can be a measure of potency of a drug dose that produces 50% of maximum
possible effect
28. most common route of drug
administration - subject to 1st pass
effect, slow absorption
29. the step in drug metabolism whereby a
group is removed to make the compound
more water soluble - example,
hydroxylation
31. under the tongue route of drug
administration that reduces 1st pass
effect
33. a dose that is given to rapidly reach
steady state concnetration, usually when

Down
1. example of a drug that induces liver
enzymes
2. process important to drug effect least
affected by aging
3. the decrease in drug available to the
systemic circulation due to metabolism
in the liver
5. induces 2E1 to increase formation of
toxic metabolites of tylenol
6. drug class that when used with elderly,
dose should be reduced by half
8. ttitratable route of drug administration no 1st pass effect since drug is delivered
directly into drug stream
9. the concentration in the plasma that is
eventually reached where drug entering
the bloodstream equals the amount of
drug being eliminated
11. when one drug increases the amount of
enzymes in the liver so as to speed up
the metabolism of other drugs
13. binding to these sites retains drug in
plasma in bound state and keeps it from
distributing to active sites where it can
produce its effect - source of drug:drug
interactions
14. binds to receptor but has zeo efficacy
15. a drug that reduces the potency but not
efficacy of an agonist by competing with
the agonist at the receptor
17. binds to a receptor and fully activates it
18. atypical form leads to prolonged action
of succinylcholine - may be fatal
19. metabolizes acetaminophen to
hepatotoxic metabolites
22. step in drug metabolism where drug is
conjugated - glucuronidation, sulfation so as to increase its solubility - usually
leads to inactive metabolites
23. drug removed per unit time is a fixed
amount rather than fixed percentage

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a quick effect is needed and/o when the


drug has a long half-life
measure of the effective dosage range in
an individual
example: thiopental - when a drug's
duration of action is due to it's
redistribution away from it's active sites
to other regions of the body - thiopental
goes first to brain, patient falls asleep
but then wakes up as brain
concentrations fall below sedative
concentration
how much drug does it take to produce a
measurable effect
when one drug inhibits the metabolism
of another drug by blocking a liver
enzyme
type of drug effect seen in elderly and
young patients that is opposite to
expected effect
a drug that reduces the effect of another
dug by stimulating different receptors to
produce responses that oppose those of
the first drug

25. generalized inhbitor of liver enzymes


26. when the elimination of the drug from
the body is a constant % of the
concentration in the body removed per
unit time
30. inhibits 3A4 enzyme
32. must be metabolized by 2D6 to
morphine in order to provide pain relief
38. route of administration that reduces 1st
pass metabolism by 50%
40. metabolizes theophylline and induced by
cigarette smoke

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9/25/2008 2:24 PM