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NAPLEX · NAPLEX · Healthcare and Nursing

NAPLEX Biopharmaceutics and Pharmacokinetics

Core pharmacokinetic equations and biopharmaceutics concepts tested on the NAPLEX, as cloze cards with variables defined.

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38 cloze cards for NAPLEX NAPLEX. It opens with "The elimination half-life (t1/2) of a drug equals ____, where Vd is volume of" and "Volume of distribution (Vd) is calculated as ____, where C0 is the initial". More Healthcare and Nursing decks are listed below.

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The elimination half-life (t1/2) of a drug equals ____, where Vd is volume of distribution and CL is clearance.
Show answer0.693 x Vd / CL
Volume of distribution (Vd) is calculated as ____, where C0 is the initial plasma concentration extrapolated to time zero.
Show answerDose / C0
In first-order elimination kinetics, the rate of drug elimination is ____.
Show answerdirectly proportional to the plasma drug concentration
In zero-order elimination kinetics, a ____ of drug is eliminated per unit time, regardless of concentration.
Show answerconstant amount
In first-order elimination kinetics, a constant ____ of drug is eliminated per unit time.
Show answerfraction (percentage)
How many half-lives are typically required to reach steady-state drug concentration?
Show answerAbout 4 to 5 half-lives
The loading dose formula is LD = ____, where Cp is the target plasma concentration and F is bioavailability.
Show answer(Vd x Cp) / F
The maintenance dose formula is MD = ____, where Css is the target steady-state concentration and tau is the dosing interval.
Show answer(CL x Css x tau) / F
Oral bioavailability (F) is calculated as ____ for equal doses.
Show answerAUC(oral) / AUC(IV)
What is the first-pass effect?
Show answerMetabolism of an orally absorbed drug by the liver (or gut wall) before it reaches systemic circulation
Hepatic extraction ratio (ER) equals ____, where Ca is drug concentration entering and Cv is drug concentration leaving the liver.
Show answer(Ca - Cv) / Ca
For a drug with a high hepatic extraction ratio, oral bioavailability is most limited by what factor?
Show answerHepatic blood flow
Michaelis-Menten (saturable) kinetics is described by the equation dC/dt = ____.
Show answer-Vmax x C / (Km + C)
Name a classic drug that exhibits Michaelis-Menten (nonlinear) elimination kinetics at therapeutic doses.
Show answerPhenytoin
The therapeutic index (TI) is calculated as ____, comparing the toxic dose to the effective dose in 50% of a population.
Show answerTD50 / ED50

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