Which of the following routes of drug administration bypasses first-pass metabolism?
Oral
Intravenous
Sublingual
Rectal
The Correct Answer is B
Intravenous administration bypasses first-pass metabolism because drugs are injected directly into the bloodstream, avoiding metabolism in the liver before entering the systemic circulation.
a. Oral administration does not bypass first-pass metabolism because drugs must first pass through the liver before entering the systemic circulation.
c. Sublingual administration partially bypasses first-pass metabolism because some of the drugs is absorbed directly into the bloodstream through the mucous membranes under the tongue, but some may still be swallowed and subject to first-pass metabolism.
d. Rectal administration partially bypasses first-pass metabolism because some of the drugs is absorbed directly into the bloodstream through the rectal mucosa, but some may still be subject to first-pass metabolism.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Blood flow to the absorption site, surface area available for absorption, and pH at the absorption site can all affect drug absorption. For example, increased blood flow can increase drug absorption by delivering more drugs to the absorption site, while a larger surface area can increase absorption by providing more space for drug molecules to pass through. The pH at the absorption site can also affect drug absorption by altering drug solubility and ionization.
Correct Answer is B
Explanation
Drugs can cross cell membranes by passive diffusion or active transport to reach their site of action within cells or tissues. Passive diffusion occurs when drugs move from an area of high concentration to an area of low concentration, while active transport requires energy and a carrier protein to move drugs against a concentration gradient.
a. This statement is false because drugs are not distributed evenly throughout the body, but rather are distributed according to factors such as blood flow, tissue permeability, and protein binding.
c. This statement is false because while organs with high blood flow such as the liver and kidneys receive a large proportion of a drug dose, drugs can also be distributed to other organs and tissues.
d. This statement is false because some drugs can cross
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