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Question # 1 (Multiple Answer) Concerning drug receptor interactions, the constant Kd refers to: A) maximal physiological effect B) maximal binding C) the drug concentration required to occupy 50% of receptors D) drug concentration that results in half-maximal physiological response E) all of the above Question # 2 (Multiple Answer) Signal transduction involves G protein coupled receptor systems: A) biogenic amines B) peptide hormones C) eicosanoids Question # 3 (Multiple Choice) Example(s) of second messenger effect(s): A) increases in cAMP intracellular concentration B) changes in intracellular calcium concentration C) phosphoinositide effects D) all the above Question # 4 (Multiple Choice) EC50 mainly reflexs a drug's: A) maximal effect B) potency C) lethality D) ease of elimination E) safety Question # 5 (Multiple Answer) Physiological processes mediated by the intracellular second messenger, cyclic AMP: A) carbohydrate breakdown by the liver B) decreased heart rate C) increased contractility D) smooth muscle relaxation E) triglyceride breakdown Question # 6 (True/False) Drug effects are thought to be proportional to the number of occupied receptors A) true B) false Question # 7 (Multiple Choice) Nitric oxide mediates this effect on vascular smooth muscle: A) smooth muscle relaxation B) smooth muscle contraction C) no effect Question # 8 (Multiple Choice) Receptors are usually: A) lipids B) proteins C) DNA Question # 9 (Multiple Choice) Longer-lasting physiological response to drug: A) increase in heart rate following epinephrine infusion B) changes in gene product production following corticosteroid injection. Question # 10 (Multiple Answer) True statement(s) concerning competitive inhibition: A) competitive in addition is based on reversible drug/antagonist binding at receptor sites B) with competitive inhibition, the dose-effects curve the shifted to the left C) with competitive inhibition, maximal drug effect cannot be obtained, even at high agonist concentrations D) all the above Question # 11 (Multiple Answer) Example(s) of endogenous ligands that interact with membrane-integrated ion channels and affect(s) ion conductance. A) acetylcholine B) GABA C) glutamate D) aspartate E) glycine Question # 12 (Multiple Answer) Example(s) of (a) receptor(s) which is/are enzyme (s): A) dihydrofolate reductase B) acetylcholinesterase C) monoamine oxidase Question # 13 (Multiple Choice) Primary mechanism by which cAMP effects are terminated: A) enzyme-catalyzed dephosphorylation B) reuptake into presynaptic nerve terminals Question # 14 (Multiple Choice) An example of a receptor which is a structural protein. A) Na/K ATPase B) acetylcholinesterase C) tubulin D) DNA E) phospholipase C Question # 15 (Multiple Choice) An example of an agent that exerts much of its effects through intracellular receptors that in complex form binds to DNA response elements: A) acetylcholine B) dopamine C) corticosteroids D) diltiazem E) atropine Question # 16 (Multiple Choice) Factors that may cause variation in drug responsiveness: A) changes in the number or function of receptors B) tachyphylaxis C) idiosyncratic drug responses D) hypersensitivity reactions E) all of the above Question # 17 (Multiple Answer) Major roles of receptors: A) determine rate of drug elimination B) determine drug action selectivity C) provide a means of blocking drug action as well as mediating drug action D) act as drug storage sites 1. CD 2. ABC 3. D 4. B 5. ACDE 6. T 7. A 8. B 9. B 10. A 11. ABCDE 12. ABC 13. A 14. C 15. C 16. E 17. BC ABCDE ABC A C C E BC