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Bio Pharma Compiled
Bio Pharma Compiled
DEPARTMENT OF PHARMACY
QUAID-A-I-AZAM UNIVERSITY ISLAMABAD
CHAPTER 1
INTRODUCTION TO BIOPHARMACEUTICS AND
PHARMACOKINETICS
SHORT QUESTIONS:
1. What is drug?
Drugs are substances intended for use in the diagnostic, cure, mitigation, treatment or
prevention of diseases.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
Drug product performance is defined as the release of the drug substance from the drug product
either of local drug action or for drug absorption into the plasma for systemic therapeutic activity.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
3. Define biopharmaceutics.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
4. Define bioavailability?
(applied bio pharmaceutics and pharmacokinetics by Leon Shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
Drug is intended for rapid relief of symptoms, slow extended action given once per day (week or
long) or chronic use is drug for local action or systemic action.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
7. What is pharmacokinetics?
Pharmacokinetics is the science of the kinetics of drug absorption, distribution, and elimination
(ie, excretion and metabolism).
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
The description of drug distribution and elimination is often termed drug disposition.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
1-therapeutic objective
2-drug API
3-Route of administration
6-excipients
7-method of manufacture
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
Pharmacodynamics refers to the relationship between the drug concentration at the site of
action (receptor) and pharmacologic response, including biochemical and physiologic effects
that influence the interaction of drug with the receptor. The interaction of a drug molecule with a
receptor causes the initiation of a sequence of molecular events resulting in a pharmacologic or
toxic response.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5)
Invasive methods include sampling blood, spinal fluid, synovial fluid, tissue biopsy, or any
biologic material that requires parenteral or surgical intervention in the patient.
In contrast, noninvasive methods include sampling of urine, saliva, feces, expired air, or any
biologic material that can be obtained without parenteral or surgical intervention.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5)
Clinical toxicology is the study of adverse effects of drugs and toxic substances (poisons) in the
body.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
1. Predict plasma, tissue, and urine drug levels with any dosage regimen
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page10)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page12)
Bioequivalence studies are drug product performance tests that compare the bioavailability of
the same active pharmaceutical ingredient from one drug product (test) to a second drug
product (reference)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 403)
The process of dispensing a different brand or an unbranded drug product in place of the
prescribed drug product. The substitution drug product contains the same active ingredients or
therapeutic moiety as the same salt or ester in the same dosage form but is made by a different
manufacturer.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance, In-vivo: bioavailability and bioequivalence , page 441)
Drug products are considered to be therapeutic equivalents only if they are pharmaceutical
equivalents and if they can be expected to have the same clinical effect and safety profile when
administered to patients under the conditions specified in the labeling.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance, In-vivo: bioavailability and bioequivalence , page 442)
MEC and MTC represent the minimum effective concentration and minimum toxic concentration
of the drug. MEC reflects the minimum concentration of drug needed at the receptors to
produce the desired pharmacologic effect. Similarly,MTC represents the drug concentration
needed to just barely produce a toxic effect. (page # 7,8)
Delivery systems: The formulations that release and deliver drugs to the site of action to
produce the therapeutic effect and are specially designed to meet patients needs.
22. Why chromatographic and mass spectrophotometric methods are most frequently
employed for drug concentration measurement?
Chromatographic and mass spectrophotometric methods are most frequently employed for drug
concentration measurement, because chromatography separates the drug from other related
materials that may cause assay interference and mass spectrophotometry allows detection of
molecules and molecule fragments based on their mass to charge ratio. (Page 6)
At very high doses, the drug concentration in the body may saturate enzymes involved in the
absorption, biotransformation, or active renal secretion mechanisms, thereby changing the
pharmacokinetics from linear to nonlinear pharmacokinetics. (Page 6)
Drug products in identical dosage form that contain the same active ingredients, i.e. the same
salt or ester, are of the same dosage form, use the same route of administration and are
identical in strength or concentration. (Page 441)
28. List the types of models used for pharmacokinetic studies. (Page 11)
1. Empirical models
2. Physiological models
3. Compartment models
4. Mammillary models
5. Caternary models
1. Drugs are substances intended for use in the diagnostic, cure, mitigation, treatment or
prevention of diseases.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
2. Studies of biopharmaceutics use both in vitro and in vivo methods. (Page No: 03)
3. biopharmaceutics is interrelationship of the physicochemical properties of the drug, the
dosage form in which the drug is given, and the route of administration on the rate and
extent of systemic drug absorption.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
4. Toxicology and efficacy studies provide information on the safety and effectiveness of
the drug during development and in special patient population. (Page No: 05)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
6. If the drug concentration at the site of action exceeds the minimum effective
concentration (MEC), a pharmacologic response results.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
8. bioavailability may differ from one drug product to another containing the same drug,
even from same ROA.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
9. The manufacture of a new drug product must submit a New Drug Application (NDA) to
FDA.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
10. The description of drug distribution and elimination is often termed drug disposition.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
12. Pharmacokinetics is the science of the kinetics of drug absorption, distribution, and
elimination.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
13. In-vitro methods are procedures employing test apparatus and equipment without lab
animals and humans.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
14. In-vivo methods are complex studies involving human subjects and lab animals.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmcokinetics, page3)
15. Drug is intended for rapid relief of symptoms, slow extended action given once per day
(week or long) or chronic use is drug for local action or systemic action is called
therapeutic objective
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmcokinetics, page3)
16. LADME stands for Liberation, Absorption, Distribution, Metabolism and Excretion.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmcokinetics, page3)
17. Clinical pharmacokinetics is also applied to therapeutic drug monitoring (TDM) for
very potent drugs.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page4)
18. Pharmacodynamics refers to the relationship between the drug concentration at the
site of action (receptor) and pharmacologic response.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5 )
21. Clinical toxicology is the study of adverse effects of drugs and toxic substances
(poisons) in the body.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page6 )
22. The time of peak plasma level is the time of maximum drug concentration in the plasma.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
25. The onset time corresponds to the time required for drug to reach MEC.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
26. Chromatography and mass spectrometry methods are most frequently employed for
drug concentration measurement.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
27. The rate and extent of drug excreted in urine reflects the rate and extent of systemic
drug absorption.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page10)
29. A pharmacokinetic model is used to Calculate the optimum dosage regimen for each
patient individually
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page10)
30. Drug products are considered to be therapeutic equivalents if they can be expected to
have the same clinical effect and safety profile.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 442)
31. Plasma is the liquid supernatant obtained after centrifugation of non-clotted whole blood
that contains an anticoagulant. (Page No: 07)
32. Bioequivalence studies compare the bioavailability of the same active pharmaceutical
ingredient from one drug product (test) to a second drug product (reference)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 403)
33. The process of dispensing a different brand or an unbranded drug product in place of the
prescribed drug product. The substituted drug product contains the same active
ingredients or therapeutic moiety as the same salt or ester in the same dosage form but
is made by a different manufacturer is called generic equivalence
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 441)
34. Bioavailability means the rate and extent to which the active ingredient or active moiety
is absorbed from a drug product and becomes available at the site of action.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 440)
35. Bioequivalence is generally determined if the 90% confidence intervals for Cmax and
AUC fall within 80% to 125% of the reference listed drug based on log transformation of
the data.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance, In-vivo: bioavailability and bioequivalence , page 443)
36. Biotransformation Is the process by which the drug is chemically converted in the body
to a metabolite(, Applied Biopharmaceutics and Pharmacokinetics by LEON SHARGEL
6th Edition Page 107)
37. The duration of drug action is the difference between the onset time and the time for the
drug to decline back to MEC . (pg 8 )
38. The release of the drug substance from the drug product either for local drug action or
for drug absorption into the plasma for systemic therapeutic activity is called drug
product performance. pg. no. 1
39. Biopharmaceutics provide the scientific basis for drug product design and drug
product development. pg. no. 2
40. Drug response refers to a direct measure of the pharmacologic effect of the drug. pg:5
41. Measurement of drug in urine is an indirect method to ascertain the bioavailability of a
drug. Pg.no.8
42. Noninvasive methods include sampling of urine, saliva, feces, expired air, or any
biologic material that can be obtained without parenteral or surgical intervention. (Page
6)
43. The saliva/plasma drug concentration ratio is less than 1 for many drugs. (Page 9)
44. The use of salivary drug concentrations as a therapeutic indicator should be used with
caution and preferably as a secondary indicator. (Page 9)
45. In a two-compartment model, drug can move between the central or plasma
compartment to and from the tissue compartment. (Page 12)
46. Ratio between toxic and therapeutic dose is termed as therapeutic index. (pg:8)
47. Pharmacokinetic models allow more accurate interpretation of the relationship
between plasma drug levels and pharmacological response. (Page No: 09)
48. The saliva/plasma drug concentration ratio is influenced by the pKa of drug and the pH
of the saliva. (Page No: 09)
49. Forensic science is the application of science to personal injury, murder, and other
legal proceedings. ( pg no.9)
50. Plasma is obtained from the supernatant of centrifuged whole blood to which
anticoagulant has been added. (Pg#6)
51. Serum does not contain any cellular elements, fibrinogen or other clotting factors from
the blood. (Page:7)
52. Whole blood is generally obtained by venous puncture. (Page :7)
53. Forensic Science is the application of science to personal injury, murder and other legal
proceedings. (Page :9)
54. Drug used in chemotherapy interferes with nucleic acid biosynthesis.(Page :13)
55. The plasma drug concentration time – curve is generated by obtaining the drug
concentration taken at various time intervals after a drug product is administered.
(Page:7)
56. Serum does not contain any cellular elements, fibrinogen or other clotting factors
from the blood.
1. A pharmacological response results when the drug concentration at the site of action
reaches or exceeds the ____________________.
2. Substances intended for use in the diagnostic, cure, mitigation, treatment or prevention
of diseases are called
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
3. __________ is the release of the drug substance from the drug product either of local
drug action or for drug absorption into the plasma for systemic therapeutic activity.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
4. The interrelationship of the physicochemical properties of the drug, the dosage form in
which the drug is given, and the route of administration on the rate and extent of
systemic drug absorption.
a-bioavailability c-drug product performance
b-biopharmaceutics d-pharmaceutics
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page1)
a-MTC c-TDM
b- minimum effective concentration d-bioavailability
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page2)
a-metabolism c-kinetics
b-pharmacodynamics d- drug disposition.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page3)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page4)
a-diabetes c-ebola
b-heart disease d-neoplasms
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page4)
14. Pharmacodynamics refers to the relationship between the drug concentration at the site
of action and __________ response.
A. Pharmacokinetical C. Pharmacological
B. Pharmacodynamical D. None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page5)
15. _______ is the study of ADR of drugs and toxic substances (poisons) in the body.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page6)
17. Drugs with a wide therapeutic window are generally considered ___________ than
drugs with a narrow therapeutic window.
a) Toxic
b) Potent
c) Safer
d) Both B and C
(Page No: 08)
18. As drug reaches systemic circulation,plasma drug conc will rise up to ____ if the drug
was given by extravascular route.
A-maximum c-minimum
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page7)
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
a-MEC c-AUC
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
21. The_______ corresponds to the time require for the drug to reach the MEC:
a) Residence time
b) Onset time
c) Tmax
d) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
22. The _____________ is the concentration between MEC and the MTC.
a. Index window
b. Therapeutic window
c. Duration window
d. Both a and b
(PAGE#8)
23. Whole blood is obtained by venous puncture and contains an anticoagulant such as
a. Heparin
b. EDTA
c. Only a
d. Both a and b
(PAGE#7)
24. Measurement of drug in urine is an _______ method to ascertain the bioavailability of a
drug.
i) Direct
ii) Indirect
iii) No relation
iv) Both
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page8)
25. The saliva/plasma drug concentration ratio is _____ for many drugs
a) >1
b) < 1
c) Vary
d) None
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page9)
b-both d-none
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page11)
27. A compartment is not a real physiologic or anatomic region but is considered as a tissue
or group of tissues that have
a-different blood flow and drug affinity c- similar blood flow,different drug affinity
b- similar blood flow and drug affinity d- different blood flow,samedrug affinity
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 1,
Introduction to biopharmaceutics and pharmacokinetics, page12)
28. Bioequivalence studies compare the bioavailability of the same active pharmaceutical
ingredient from test product to a
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 403)
29. Drug products are considered to be therapeutic equivalents only if they are
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition chapter 15,
Drug product performance,In-vivo: bioavailability and bioequivalence , page 442)
(, page 403)
CHAPTER 2
During the fasted or inter-digested state, alternating cycles of activity known as Migrating Motor
Complex. It acts as propulsive movement that empties upper GIT to caecum. In fed state, the
MMC is replaced by irregular contraction, which has effect of mixing intestine contents.
Ans: It is a process in which by which various macromolecules are transported across the
anterior of a cell. In transcytosis, the vesicle fuses with plasma membrane to release the
encapsulated material to another side of cell. Vesicles are employed to intake the
macromolecules on one side of cell and draw them across the cell and eject them on other side.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.321)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.325)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg326-331)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.329)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.330)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
10-Define endocytosis and exocytosis?
Endocytosis processes of moving specific macromolecules into a cell.
Exocytosis is processes of moving specific macromolecules out of a cell.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
The major physiological processes that occur in GI system are secretion, digestion and
absorption.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
A major advantage for ODTs is that the drug may be taken without water.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
17. Why duodenum is the major site for passive drug absorption?
Due to its anatomy, which creates a high surface area and high blood flow. The duodenum is
the site where many ester prodrugs are hydrolyzed during absorption.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.341)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.341)
20. How motility and absorption of drugs are related to each other?
The drug must have a sufficient time (residence time) at the absorption site for optimum
absorption. In the case of high motility in the intestinal tract, as in diarrhea, the drug has a very
brief residence time and less opportunity for adequate absorption.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.342)
21. How can you protect a drug that is physically or chemically unstable from
degradation?
Drugs that are physically or chemically unstable may require special excipients, coatings or
manufacturing processes to protect from degradation.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.366)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.366)
Solubility-PH profile is a plot of the solubility of the drug at various physiologic PH values.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.366)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.367)
Originally proposed by Davison and Danielle, considers the plasma membrane to be composed
of two layers of phospholipid between two surface layers of proteins, with hydrophilic head
groups of the phospholipids facing the protein layers and the hydrophobic tail groups of
phospholipids aligned in the interior.
Strong electrolyte drugs are highly ionized or charged molecules, such as quaternary nitrogen
compounds with extreme pKa values. Strong electrolyte drugs maintain their charge at all
physiologic pH values and penetrate membranes poorly. When the ionized drug is linked up
with an oppositely charged ion, an ion pair is formed in which the overall charge of the pair is
neutral. This neutral drug complex diffuses more easily across the membrane. PG NO. 336
27. What are the considerations for an oral dosage form formulation?
The oral dosage form must be designed to account for extreme pH ranges, the presence or
absence of food, degradative enzymes, varying drug permeability in the different regions of the
intestine, and motility of the gastrointestinal tract. (Page 336)
Very small molecules (such as urea, water, and sugars) are able to cross cell membranes
rapidly, as if the membrane contained channels or pores. Although such pores have never been
directly observed by microscopy, the model of drug permeation through aqueous pores is used
to explain renal excretion of drugs and the uptake of drugs into the liver.
29. What are the effects of food on the bioavailability of drug? Page no 343
31. Define diffusion coefficient. What are its dimensions? (Pg#327, 328)
Diffusion coefficient is defined as the amount of the drug that diffuses across a cell membrane
of a unit area per unit time, when concentration gradient is unity.
Various carrier-mediated systems (transporters) are present at the intestinal brush border and
basolateral membrane for the absorption of specific ions and nutrients essential for the body.
Many drugs are absorbed by carriers because of the structural similarity to natural substrates
(Page 330).
1. According to Fick’s law drug molecules diffuse from a region of high drug concentration
to low drug concentration. (Page No: 327)
2. Enterocytes are intestinal absorptive cell that express transport protein. (Page No:
332)
3. Many drugs or chemicals have dual roles as substrate and or inhibitor between
CYP3A4 & P-glycoprotein. (Page No: 334)
4. Transcytosis is a proposed process for the absorption of orally administered for large
proteins. (Page No: 335)
5. Many drugs are not administered orally because of drug instability in the
gastrointestinal tract or drug degradation by the digestive enzymes in the intestine.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.322)
6. The Nasal region is richly supplied with blood vessels. (Page No: 354)
7. Many drugs administered by extravascular routes are intented for Local effect.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.324)
9. The CHF patient with persistent edema has reduced splanchnic blood flow and
develops edema in bowel. (Page No: 352)
10. Optimum size for deep airway penetration of drug particles is 3 to 5 micro meter.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.325)
12. The lipid bilayer theory explains the observation that Lipid soluble drugs tend to
penetrate cell membranes easily than Polar molecules
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.325)
13. According to fluid mosaic model , the cell membrane consists of Globular proteins
embedded in Lipid bilayer matrix
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
15. If the two sides have the same drug concentration, forward-moving drug molecules are
balanced by molecules moving back, resulting in no net transfer of drug.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
16. The driving force for passive diffusion is higher drug concentrations on the mucosal side
compared to the blood
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
17. Passive diffusion is the major absorption process for most drug.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
18. Theoretically, a lipophilic drug may pass through the cell or go around it.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
20. The term blood brain barrier is used to describe the poor diffusion of water-soluble
molecules across capillary plasma membranes into the brain.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.328)
23. In terms of drug absorption, facilitated diffusion seems to play a very minor role
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.330)
24. Vesicular transport is the process of engulfing particles or dissolved materials by the
cell.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
29. The most important site for drug absorption is the small intestine.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
31. Small intestine transit time (SITT) ranges from 3 to 4 hours for most healthy subjects.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
33. The esophagus connects the pharynx and the cardiac orifice of the stomach
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
35. Basic drugs are solubilized rapidly in the presence of stomach acid.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
38. The small projections which are present in small intestine known as Villi
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.339)
39. Penicillin, are unstable in acid and decompose if stomach emptying is delayed.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.341)
40. Liquids Are generally emptied faster than digested solids from the stomach
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.341)
41. The presence of food may delay stomach emptying of enteric-coated tablets or non
disintegrating dosage form.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.346)
42. The Solubility-PH profile is a plot of the solubility the drug at various physiologic PH
values.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.366)
43. A basic drug is more soluble in Acidic medium, forming a soluble salt.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.366)
44. The effective surface area of a drug is increased enormously by a reduction in the
particle size.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.367)
45. Particle size and particle size distribution studies are important for drugs that have low
water solubility
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.367)
46. The addition of Surface-active agents may increase wetting as well as solubility of
poorly soluble drugs
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.367)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product performance,
pg.380)
48. Antacids containing Aluminum, Calcium or Magnesium may form complex with drugs
such as tetracycline, ciprofloxacin etc. (Pg. 353)
49. The Trans membrane movement of drug is influenced by the composition & structure
of plasma membrane. (Page no: 325)
50. Cell membrane is composed of phospholipids in form of a bilayer interdispersed with
carbohydrates and proteins groups. (Page No 325)
51. Propranolol forms an ion pair with oleic acid to increase diffusion. (Page:336)
52. About 1500ml of saliva is secreted per day. (Page:337)
53. Enterocytes are intestinal absorptive cell that express transport protein. (Page no 332)
54. Mucin is a glycoprotein that lubricates food. (Page :337)
55. Saliva contains Ptyalin which digests Starches. (Page:337)
56. Stomach acid secretion is stimulated by gastrin and histamine. (Page:338)
57. The Transdermal type drug delivery system includes continuous release of drug over
the time. (Page no 355)
58. The colon lacks villi and has limited drug absorption due to lack of large surface area.
(Page no 339)
59. Celiac disease is an inflammatory disease affecting mostly the proximal small intestine.
(Page 352)
60. The Osmotic pump system is a drug product that contains a small hole from which
dissolved drug is released across a semi-permeable membrane by osmotic pressure.
(Page No: 349)
61. During the fasted or interdigestive state, alternating cycles of activity known as
migrating motor complex (MMC) act as a propulsive movement that empties the
upper GI tract to the cecum. ( pg no.340)
62. Large particles, including tablets and capsules, are delayed from emptying for 3 to 6
hours by the presence of food in the stomach ( pg no.342)
63. For intrathecal injection drug is injected into cerebrospinal fluids (page # 323)
64. The fasting pH of stomach is about 2 to 6. (Page# 338)
65. The fluid mosaic model proposed by Singer and Nicolson explains the Trans cellular
diffusion of polar molecules.
66. MDR1 is one of many proteins known as multidrug-resistance associated protein.
(page#331)
67. The enteral system consists of the alimentary canal from the mouth to the anus.(Page
337)
MULTIPLE CHOICE QUESTIONS
a. Absorption
b. Distribution
c. Elimination
d. Both b and c
(Page No: 03)
3. Burns will ______ the permeability of drug across the skin compared with normal
intact skin.
a. Decrease
b. Increase
c. No effect
(Page No: 322)
a. Active
b. Passive
c. Trans cellular
d. None
(Page No: 326)
5. Burns will ______ the permeability of drug across the skin compared with normal
intact skin.
d. Decrease
e. Increase
f. No effect
(Page No: 322)
e. Active
f. Passive
g. Trans cellular
h. None
7. Flux Is _________:
a. Rate of absorption
b. Rate of transfer
c. Rate of excretion
d. Rate of metabolism
(Page No: 327)
a. Small intestine
b. Large intestine
c. Stomach
d. Esophagus
(Page No: 329)
a. 3 to 4 hours
b. 2 to 4 hours
c. 3 to 5 hours
d. 1 to 4 hours
(Page No: 337)
10. Some polar molecules may not be able to traverse the cell membrane but, instead ,
go through gaps , a process known as ____________
A. Carrier mediated diffusion
B. Para cellular drug diffusion
C. Passive diffusion
D. Active transport
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.325)
11. Molecules in solution possess ___________ energy and constantly collide with one
another in space.
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
15. If the drug has a low molecular weight and is_________, the lipid cell membrane is
not a barrier to drug diffusion and absorption
A. Lipophilic
B. Hydrophilic
C. Lyophilic
D. Lyophobic
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.326)
16. In the brain, the ________ are densely lined with glial cells
A. Veins
B. Arteries
C. Nerves
D. Capillaries
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
17. In which disease condition plasma membranes of brain may be disrupted or become
more permeable to drug diffusion
A. Meningitis
B. Alzheimer
C. Parkinson
D. Schizophrenia
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
18. Most rapid drug absorption takes place from which part of the gastrointestinal tract?
A. Jejunum area of the small intestine
B. Large intestine
C. Duodenal area of the small intestine
D. All of the above
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.327)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.328)
A. Active transport
B. Passive transport
C. Facilitated transport
D. Both A & C
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.330)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.330)
22. _______ transport is the process of engulfing particles or dissolved materials by the
cell.
A. Active
B. Passive
C. Vesicular
D. Influx
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.335)
24. The ____ route of administration is the most common and popular route of drug
dosing
A. Transdermal
B. Intravascular
C. Extravascular
D. Oral
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.336)
25. The major physiologic processes that occur in the GI system are
A. secretion
B. digestion
C. absorption
D. All of above
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
26. Food constituents are mostly absorbed in the proximal area of the
A. Small intestine.
B. Large intestine
C. Stomach
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
28. Saliva is the main secretion of the oral cavity, and it has a pH of about
A. 7
B. 6
C. 8
D. 5
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
31. The esophagus connects the ______ and the cardiac orifice of the stomach
A. Larynx
B. Pharynx
C. Intestine
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.337)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
34. Basic drugs are solubilized ___ in the presence of stomach acid
A. Slowly
B. Rapidly
C. At normal rate
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.338)
35. The absorption of some antibiotics, such as penicillin and tetracycline, is _____ with
food
A. Increased
B. Decreased
C. Not effected
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.343)
36. The solubility-PH profile is a plot of the solubility of the drug at various __________
values
A. Physiologic PH
B. Physiologic concentration
C. Both a and b
D. None of the above
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 13,
physiologic factors related to drug absorption, pg.366)
37. Smaller particle enhances water penetration into the particles, and increases the
_____ rate
A. Disintegration
B. Dissolution
C. Absorption
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product
performance.pg.367)
39. The addition of Surface active agents may increase wetting as well as _____
A. Disintegrants
B. Solubility of the drugs
C. Diluents
D. Binders
(Applied bio pharmaceutics and pharmacokinetics by Leon Shargel, sixth edition chapter 14,
Bio-pharmaceutic considerations in drug product design and In-Vitro drug product
performance.pg.367)
40. If the drug is given _______, then conc. in GIT is greater than conc. In Plasma.
(Page 327)
A. IV
B. IM
C. Oral
D. S/C
41. Cell membranes are _______partitions that acts as selective barriers to the passage
of molecules. (Page: 325)
A. Permeable
B. Semi permeable
C. Non permeable
D. Partially permeable
42. In paracellular drug absorption, drug molecules smaller than ______ diffuse into the
tight junctions, or spaces between intestinal epithelial cells. (pg 329)
1. 500 MW C. 700 MW
B.600 MW D. 800MW
43. ……….. transporters move drug molecules into the blood and increase plasma drug
concentrations. (Pg#332)
A. Influx B. Efflux
C.Both D. None
45. Drug distribution and clearance are altered by: (Page No: 322)
A. Pathology
B. Genetic polymorphism
C. Drug – drug interactions
D. All of above
47. In pinocytosis tiny incuppings called --------------- in the surface of cells close and then
pinch off to form pinosomes: (Chap 13, pg 336)
A. foldings
B. caveolae
C. cup folds
D. none
48. --------------- is a non-absorbable ion exchange resin for the treatment of
hyperlipidemia: (Chap 13, pg 353)
A. warfarin
B. cholestyramine
C. cimetidine
D. None
49. _____ types of pores were inferred to be present in membranes based on capillary
membrane transport studies. (Page:326)
a) 2 b) 3 c) 5 d) 10
50. ________ absorption is the process of drug movement across a cell. (Page: 325)
a) Passive
b) Transcellular
c) Active
d) Cell- mediated
51. Cell membranes are approximately _________ A® in thickness. (Page: 325)
a) 10 – 100
b) 4 – 10
c) 70 – 100
d) 5 – 10
52. The lipid bilayer or unit membrane theory is originally proposed by _____ .
(Page:325)
a) Davson and Danielle
b) Thomas Edison
c) Graham Bell
d) Einstein
53. Cell membranes are _______partitions that acts as selective barriers to the passage
of molecules. (Page: 325)
a) Permeable
b) Semi permeable
c) Non permeable
d) Partially permeable
54. The _________ model is proposed by Singer and Nicolson. (Page :326)
a) Fluid Mosaic Model
b) Physiological Model
c) Mammillary Model
d) Compartment Model
55. Plasma concentrations are often in ___________ range. (Page: 327)
a) ug/ml or ng/ml
b) ng/ml or mg/ml
c) mg/ml or ug/ml
d) kg/ml or ng/ml
56. Phagocytosis refers to the engulfment of _________ particles. (Page:335)
a) Larger
b) Smaller
c) Same
d) Different
57. The fasting pH of the stomach is about. (Page 338)
a. 2-6
b. 1-2
c. 2-3
d. 3-6
58. In the presence of food, the stomach pH is about______, due to hydrochloric acid
secreted by parietal cells. (Page 338)
a. 1.5 to 2
b. 2 to 3
c. 1 to 1.5
d. 2
CHAPTER 3
BIOAVAILABILITY AND BIOEQUIVALENCE
SHORT ANSWERS:
A multisource drug product is a drug product that contains the same active drug substance in
the same dosage form and is marketed by more than one pharmaceutical manufacturer.
(PAGE-404)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
2. DEFINE BIOAVAILABILITY?
Bioavailability means the rate and extent to which the active ingredient or active moiety is
absorbed from a drug product and becomes available at the site of action.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Bioavailability and Bioequivalence , page 440)
Contain identical amounts of the same active drug ingredient in the same dosage
form and route of administration, and
Meet compendia or other applicable standards of strength, quality, purity, and
identity;
(3) They are bioequivalent in that
They do not present a known or potential bioequivalence problem, and they meet an
acceptable in-vitro standard, or
If they do present such a known or potential problem, they are shown to meet an
appropriate bioequivalence standard;
(4) They are adequately labeled
(5) They are manufactured in compliance with Current Good Manufacturing Practice
regulations.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Bioavailability studies are used to define the effect of changes in the physicochemical properties
of the drug substance, the formulation of drug and the manufacture process effect of the drug
product
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Bioequivalence studies are used to compare the bioavailability of the same drug (same salt or
ester) from various drug products.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Relative (apparent) availability is the availability of the drug from a drug product as compared to
a recognized standard.
When different doses are administered, a correction for the size of the dose is made, as in the
following equation:
[AUC]B/DOSEB
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
The absolute availability of drug is the systemic availability of a drug after extravascular
administration (eg, oral, rectal, transdermal, subcutaneous) compared to IV dosing.
10. Absolute Bioavailability after oral drug administration using plasma data can be
determined as follows:
[AUC] IV/[Dose]IV
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Bioavailability and Bioequivalence , page 406)
1. DIRECT METHOD
Plasma drug concentration
2. INDIRECT METHOD
Urinary drug excretion
Clinical observations
Acute pharmacodynamic effect
In-vitro studies
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
C max, represents the maximum plasma drug concentration obtained after oral administration of
drug and it also indicates warning of possibly toxic levels of drug.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
• Cmax: the observed maximum concentration of drug measure of both the rate of
absorption and the extent of bioavailability
• tmax: the time after administration of drug at which Cmax is observed measure of the
rate of absorption
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
The cumulative amount of drug excreted in the urine, is related directly to the total amount of
drug absorbed. Experimentally, urine samples are collected periodically after administration of a
drug product. Each urine specimen is analyzed for free drug using a specific assay. A graph is
constructed that relates the cumulative drug excreted to the collection-time interval.
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Ten individuals are selected and given a test drug product, then collect blood samples and
calculate AUC. Then after washout period of two weeks when the drug is completely eliminated
from body, reference product is given to same individuals and collect blood samples and
calculate AUC to compare test product with reference one.
(Applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 15
Drug manufacturers must file an ANDA for approval to market a generic drug product.
The generic manufacturer is not required to perform clinical efficacy studies or nonclinical
toxicology studies for the ANDA. ( pg no.441)
Ans: Bioequivalence studies must be performed on drug formulation proposed for marketing as
a generic drug product. Clinical safety and efficacy studies are not generally performed on
generic drug products.
27. What are the limitations of multi dose administration over single dose? (Page
421)
Requires more time to complete.
More difficult and costly to conduct(requiring prolonged monitoring of subjects)
Greater problems with compliance control.
Greater exposure of subjects to the test drug, increasing the potential for adverse
reactions.
28. . What are the important considerations to determine the urinary drug
excretion? (Pg#410)
2. Fraction of drug entering the blood and being excreted intact must remain constant.
3. Collection of urine continues until all drug has been completely excreted.
29. Write the advantages of multi dose administration over single dose? (Page
420)
1) It eliminates the need to extrapolate the plasma concentration profiles to obtain the total
AUC after a single dose.
2) Eliminates the need for a long wash-out period between doses.
3) More closely reflects the actual clinical use of the drug.
4) Allows blood levels to be measured at the same concentration s encountered
therapeutically.
1. Bioavailability means the rate and extent to which the active ingredient or active
moiety is absorbed from a drug product and becomes available at the site of action
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
3. A generic drug product is a multisource drug product that has been approved by
FDA as therapeutic equivalent to innovator drug product.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
4. Ideally, the in-vitro drug dissolution rate should correlate with in-vivo drug
bioavailability.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
5. Bioequivalence studies are used to compare the bioavailability of the same drug from
various drug products.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
6. The area under the drug concentration time curve (AUC) is used as a measure of the
total amount of unaltered drug that reaches the systemic circulation.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
8. After oral administration of a drug, F may not exceed 100 % F>1(no drug absorption)
to 1 (complete drug absorption).
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
10. At t max, peak drug absorption occurs and the rate of drug absorption exactly equals
the rate of drug elimination.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
13. The process of choosing or selecting the drug product in a specified dosage form is
Drug product selection.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
14. A drug substance is the active pharmaceutical ingredient (API) or component in the
drug product that furnishes the pharmaco-dynamic activity.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
16. The established, nonproprietary, or common name of the active drug in a drug product
is Generic name.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
Bioavailability and Bioequivalence , page 441)
17. Drug products in identical dosage forms that contain the same active ingredient(s), ie,
the same salt or ester, are of the same dosage form, use the same route of
administration, and are identical in strength or concentration is Pharmaceutical
equivalents.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
18. Drug products that contain the same therapeutic moiety but as different salts, esters,
or complexes is Pharmaceutical alternatives.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
19. Different dosage forms and strengths within a product line by a single manufacturer
are pharmaceutical alternatives.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
20. The process of dispensing a pharmaceutical alternative for the prescribed drug product
is Pharmaceutical substitution.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
22. Drug products containing different active ingredients that are indicated for the same
therapeutic or clinical objectives is Therapeutic alternatives.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
23. Active ingredients in therapeutic alternatives are from the same pharmacologic class
and are expected to have the same therapeutic effect when administered to patients
for such condition of use.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
25. The process of dispensing a therapeutic alternative in place of the prescribed drug
product is Therapeutic substitution.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
26. Bioavailability studies are performed for both approved active drug ingredients and
therapeutic moieties not yet approved for marketing by the FDA.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
27. New formulations of active drug ingredients must be approved by the FDA before
marketing.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
28. In approving a drug product for marketing, the FDA ensures that the drug product is
safe and effective for its labeled indications for use.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
29. The drug product must meet all applicable standards of identity, strength, quality,
and purity.
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
30. The units of Cmax are concentration units (e.g., mg/mL, ng/mL).
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
31. Cmax is used as a surrogate measure for the rate of drug bioavailability. (Pg#408)
32. AUC is independent of route of administration. (Pg#409)
33. The changes to the marketed drug products are known as post approval changes.
(Pg#404)
34. Single-source drug products are usually brand-name (innovator) drug products. (403)
35. A drug substance is considered highly soluble when the highest dose strength is
soluble in 250ml of medium. (Pg#432)
36. A highly permeable drug should have extent of absorption >90%. (Pg#432)
37. An immediate release drug is considered rapidly dissolving when not less than 85% of
drug dissolves within 30 minutes. (Pg#432)
38. An objective of BCS is to determine pH-solubility profiles over a pH range of 1 to 8.
(Pg#431)
39. Comparative drug release/dissolution studies under certain conditions may give an
indication of drug bioavailability and bioequivalence. page.412
40. A non-replicate, parallel design is used for drug products that contain drugs that have
a long elimination half-life.
41. Bioequivalence studies are performed to compare the bioavailability of the generic
drug product to the brand-name product. (Page 414)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
4. The established, nonproprietary, or common name of the active drug in a drug product is
a) Generic name c) Similarity
b) Equivalence d) Substitution
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
Bioavailability and Bioequivalence , page441)
5. Drug products in identical dosage forms that contain the same active ingredient(s), ie,
the same salt or ester, are of the same dosage form, use the same route of
administration, and are identical in strength or concentration is.
a) Pharmaceutical equivalents c) Therapeutic equivalent
b) Pharmaceutical alternatives d) Therapeutic alternative
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
7. The process of dispensing a pharmaceutical alternative for the prescribed drug product
is
a) Pharmaceutical substitution c) Therapeutic equivalent
b) Pharmaceutical alternatives d) Therapeutic alternative
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
8. Drug products containing different active ingredients that are indicated for the same
therapeutic or clinical objectives is.
a) Therapeutic alternatives c) Pharmaceutical alternatives
b) Pharmaceutical substitution d) Therapeutic equivalent
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
9. Active ingredients in therapeutic alternatives are from the same pharmacologic class and
are expected to have the therapeutic effect when administered to patients for such
condition of use.
a) Equal c) Different
b) Same d) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
11. The process of dispensing a therapeutic alternative in place of the prescribed drug
product is .
a) Therapeutic alternatives c) Pharmaceutical alternatives
b) Pharmaceutical substitution d) Therapeutic substitution
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
12. Are performed for both approved active drug ingredients and therapeutic
moieties not yet approved for marketing by the FDA.
a) Bioavailability studies c) Pharmaceutical studies
b) Bioequivalence studies d) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
13. New formulations of active drug ingredients must be approved by the FDA
marketing.
a) After c) Before
b) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
14. In approving a drug product for marketing, the FDA ensures that the drug product is
and effective for its labeled indications for use.
a) Pure c) Filtered
b) Safe d) none
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
15. The drug product must meet all applicable standards of identity, strength, quality, and
a) Purity c) accuracy
b) Safety d) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
16. studies are also performed for new formulations of active drug ingredients
or therapeutic moieties that have full NDA approval and are approved for marketing.
a) In-vitro bioavailability c) Both
b) In-vivo bioavailability d) None
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
18. studies are used to compare the bioavailability of the same drug (same
salt or ester) from various drug products.
a) Bioavailability c) both
b) Bioequivalence d)none
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
22. Each urine specimens is analyzed for free drug using a specific _____. (Page 410)
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
24. Urinary drug excretion data is an indirect method for estimating _______
a) Bioavailability b) Bioinformatics c) Biotransformation d) Biopharmaceutics
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
25. ______________ is the availability of the drug from a drug product as compared to
recognized standard
A. Bioavailability
B. Absolute availability
C. Relative availability
D. Both b and c
(applied bio pharmaceutics and pharmacokinetics by Leon shargel sixth edition Chapter 3
28. Comparator brand name product must be …….. Equivalent with generic drug product
(Page 404)
A. Pharmaceutically
B. bioequivalent
C. Therapeutically
D. All of the above
29. The area under the curve is used as measure of the total amount of___________ that
reaches systemic circulation.
A. Metabolized drug
B. Altered drug
C. Unaltered drug
D. None
30. When AUC is not directly proportional to _____, bioavailability is difficult to evaluate.
(Page: 410)
A. Time
B. Temperature
C. Dose
D. AUC
CHAPTER 4
The study of the physicochemical properties of the drug and the drug product, in vitro, on the
bioavailability of the drug, in vivo to produce a desired therapeutic effect.
2. What are the steps for oral drug absorption? Pg# 361
The aim of biopharmaceutics is to adjust the delivery of the drug from the drug products in such
a manner as to provide optimal therapeutic activity and safety for the patient.
4. What are the factors that influence the systemic absorption of a drug? Pg# 363
The systemic absorption of a drug from an extravascular site is influenced by the anatomic and
physiological properties of the site and the physicochemical properties of the drug and the drug
product.
5. How the bioavailability of the drug changes by changing the route of its
administration? Pg# 363
By choosing the route of the drug administration carefully and properly designing the drug
product, the bioavailability of the active drug can be varied from rapid and complete absorption
to slow, sustained rate of absorption or even virtually no absorption, depending on the
therapeutic objective.
The slowest step in a series of kinetic processes is called the rate limiting step.
7. Which solid drug products are exempted from disintegration testing? Pg# 364
Solid drug products exempted form disintegration testing include troches, tablets that are
intended to be chewed and drug products intended for sustained release or prolonged or repeat
action.
According to USP-NF:
“The state in which any residue of the tablet, except fragments of insoluble coating,
remaining on the screen of test apparatus in the soft mass have no palpably firm core is known
as complete disintegration.”
9. Why we add buffering agents in the controlled release formulations? Pg# 366
Buffering agents may be added in the controlled release formulations to slow or modify the
release rate of a fast dissolving drug.
Sink conditions is the term referring to an excess volume of medium that allows the solid drug to
dissolve continuously.
12. What is the main disadvantage of USP apparatus 1(Rotating basket)? Pg# 374
A disadvantage of the rotating basket is that the formulation may clog to 40 mesh screen.
The dissolution of a drug powder by maintaining a constant surface area is called intrinsic
dissolution. It is usually expressed as mg/cm2/min.
15. What are the causes for poor disintegration of the compressed tablets? Pg# 369
Poor disintegration of a compressed tablet may be due to high compression of tablets without
sufficient disintegration.
Basket type apparatus is sensitive to clogging due to gummy materials. Pieces of small particles
can also clog the basket screen and create local non-sink condition for dissolution.
17. Which type of dissolution method is used in absence of In-vivo data? Pg# 379
In absence of In-vivo data selection of dissolution method is based on type of drug product to be
tested.
18. On what factors in vitro dissolution characteristics depend upon? Pg# 384
I. analyst
20. What does the term “shelf life” means? Pg# 387
Shelf life is the time period during which a drug product is expected to remain within the
specifications under specified storage conditions.
An in- vitro in vivo correlation establishes a relationship between a biological property of drug
i.e. pharmacodynamics effect or plasma drug concentration and physicochemical property of
drug product containing a drug substance I.e. dissolution rate.
22. What does therapeutic considerations mean? Pg# 387
Oral formulations having quick release, absorption and onset. If more rapid absorption is
needed injectable formulations are preferred.
Therapeutic window determines desired or target plasma drug concentration that will be
effective with minimal adverse effects. Drug concentration higher than minimum toxic
concentration may cause more intense pharmacodynamics and/or adverse events. Drug
concentration below minimum effective concentration may be sub therapeutic.
Dosing frequency is related to clearance of drug and the target plasma drug concentration. If
pharmacokinetics show that drug has short duration of action due to short elimination half-life or
rapid clearance from body, drug must be given more frequently or given in extended release
drug product.
It is highest level of correlation and represents a point to point correlation between Invitro
dissolution and Invivo absorption rate of drug from the dosage form.
28. What are factors that cause poor patient drug compliance? (pg.389)
Poor patient compliance result due to poor product attributes such as difficulty in swallowing,
disagreeable odor, bitter medicine taste, or two frequent and/or unusual dosage requirements.
Pharmacodynamics considerations
Therapeutic objective
Toxic effects
Adverse reactions
Physicochemical properties of drug
Drug product considerations
Pharmacokinetics of drug
Bioavailability of drug
Route of administration
Desired drug dosage form
Desired dose of drug
Compliance and acceptability of drug product
Cost
Manufacturing considerations
Availability of raw material
Stability
Quality control
Method of manufacturing
33. Enlist some common excipients used in solid dosage forms. (Page:368)
Ans: Common Excipients Used in Solid Drug Products
Lactose -Diluent
Dibasic calcium phosphate - Diluent
Starch – Disintegrant, diluent
Microcrystalline cellulose - Disintegrant, diluent
Magnesium stearate - Lubricant
Stearic acid - Lubricant
Hydrogenated vegetable oil - Lubricant
Talc – Lubricant
MCQs.
a) Inert
b) Reactive
c) Partial Inert
d) None of these
2. For many commercial drug product, the dose is determined based on average
------------.
b) Body weight
c) Condition of patient
d) Both A & C
a) Permeation
b) Disintegration
c) Dissolution
d) None of these
4. The USP disintegration apparatus, the beaker used has-------- capacity of fluid.
a) 500mL
b) 700mL
c) 800mL
d) 1000mL
a) Static
b) Dynamic
c) Partial Dynamic
a) Formulation
b) pH
c) Temperature
d) All of these
a) Absorption rate
b) Dissolution rate
c) Elimination rate
d) None of the above
(Page No: 379)
e) Paddle method
f) Oscillating method
g) Basket method
h) All of above
(Page No: 379)
9. __________ correlation is the highest level of correlation and represents a point to point
relationship between an in vitro dissolution and the in vivo input rate of the drug from the
dosage form:
a) Level C
b) Level A
c) Level B
d) Level D
(Page No: 380)
a) Acidic buffer
b) Basic buffer
c) Partial acidic
d) Partial basic
12. Erythromycin tablets are ---------------- coated protect against degradation in stomach.
a) Film coated
b) Sugar coated
c) Enteric coated
d) None of these
13. The dissolution test is important ----------------- procedure used to confirm batch to batch
reproducibility:
a. Chemical test
b. Physical test
d. Both A & B
14. Some polymorphs are --------------- & may convert into more stable state over time:
a. Unstable
b. Already Stable
c. Metastable
d. Partial Unstable
d. None
16. In vitro drug dissolution studies are often used to monitor --------------- and manufacturing
process control:
a. Drug reproducibility
d. Rate of dissolution
a. Enteric coated
b. Film coated
c. Sugar coated
d. None
a) g/cm2/min
b) mg/cm3/min
c) mg/cm2/min
d) All
e) Not statistical
f) Useful in formulation selection
g) Useful in formulation development
h) All of above
(Page No: 381)
a) DCS
b) BCS
c) MCS
d) Both A and B
(Page No: 383)
23. __________ is a logarithmic reciprocal square root transformation of the sum of squared
error:
a) Difference factor
b) Similarity factor
c) Both
d) None
(Page No: 386)