Mechanism of action of phase 1 drugs - Statistics

General Stats
  • This quiz has been taken 11 times
  • The average score is 67 of 149
Answer Stats
Hint Answer % Correct
Bisphosphonates alendronate, pamidronate
100%
Antacids aluminium hydroxide and magnesium hydroxide, calcium carbonate and magnesium carbonate
100%
Antiplatelet drugs aspirin, clopidogrel
100%
HMG-CoA reductase blockers atorvastatin, simvastatin
100%
Glucocorticosteroid for airway inflammation beclometasone, prednisolone, hydrocortisone
100%
Thiazides bendroflumethiazide, hydrochlorothiazide, indapamide, chlortalidone
100%
Stimulant purgatives bisacodyl, senna
100%
beta-1 adrenergic receptor antagonists bisoprolol, atenolol
100%
Mixed agonist-antagonist opioid buprenorphine
100%
Dopa-decarboxylase inhibitors carbidopa
100%
Antibiotics: Cephalosporins ceftriaxone
100%
Antibiotics: Fluoroquinolones ciprofloxacin
100%
Antibiotics: Lincosamides clindamycin
100%
Weak opioids codeine, dihydrocodeine
100%
Opioid anti-motility agents codeine, loperamide
100%
Progesterone only contraceptives desogestrel, levonorgestrel
100%
Combined oral contraceptives desogestrel with ethinylestradiol
100%
Glucocorticosteroid for CNS inflammation dexamethasone
100%
Benzodiazepines diazepam
100%
Labour induction dinoprostone
100%
Faecal softeners docusate, arachis oil
100%
Anticholinesterases donepezil, galantamine
100%
COMT inhibitors entacapone
100%
Antibiotics: Macrolides erythromycin
100%
HRT estradiol, estradiol with noresthisterone, estradiol with medroxyprogesterone
100%
Histamine antagonist famotidine
100%
Essential nutrient for pregnancy (neural tube development) folic acid
100%
Loop diuretics furosemide
100%
Nitrate vasodilators glycerol trinitrate, isosorbide mononitrate
100%
NSAIDs ibuprofen, naproxen, diclofenac
100%
Disease-modifying biologics infliximab, rituximab
100%
Antimuscarinics ipratropium, tiotropium, glycopyrronium
100%
Dopaminergic drugs levodopa
100%
Emergency contraceptives levonorgestrel, ulipristal
100%
Thyroid medications levothyroxine, liothyronine
100%
ARBs losartan, valsartan
100%
Essential nutrient for preterm labour magnesium
100%
Antibiotics: Beta lactams: carbapenems meropenem
100%
Bulk laxatives methylcellulose, ispaghula husk
100%
MAOIs moclobemide
100%
Leukotriene receptor antagonists montelukast, zafirlukast
100%
Strong opioids morphine, diamorphine
100%
Calcium channel antagonists nifedipine, amlodipine
100%
Proton pump inhibitors omeprazole, lansoprazole
100%
Antimuscarinic class (incontinence) oxybutynin
100%
Labour augmentation oxytocin
100%
Weak analgesics paracetamol
100%
Dopamine receptor agonists pramipexole, ropinirole
100%
Anticholinesterase for myasthenia gravis pyridostigmine
100%
Menopausal osteoporosis | Selective oestrogen receptor modulator raloxifene
100%
ACE inhibitors ramipril, lisinopril
100%
Labour analgesics remifentanil, pethidine
100%
Neprilysin inhibitors sacubitril
100%
MAOI-b inhibitors selegiline
100%
SSRIs sertraline, citalopram
100%
Alginates sodium alginate with sodium bicarbonate and calcium carbonate
100%
Potassium sparing diuretics spironolactone, eplerenone, amiloride
100%
Alpha-1a adrenergic receptors (retention) tamsulosin
100%
Antibiotics: Tetracyclines tetracycline, doxycycline
100%
Methylxanthines theophylline, aminophylline
100%
Synthetic opioid tramadol
100%
Antibiotics: Anti-folate antibiotics trimethoprim
100%
Anticoagulants unfractionated heparin, low molecular weight heparin, dalteparin, tinzaparin
100%
SNRIs venlafaxine
100%
Essential nutrient for pregnancy vitamin D
100%
Bone vitamins vitamin D, calcitriol, IV calcium gluconate
100%
Thyroid medications MoA activation of thyroid hormone receptors
0%
Selective oestrogen receptor modulator MoA agonist, activates oestrogen receptor which stimulates osteoblast production and inhibits osteoclast activity maintaining bone density
0%
Beta-2 adrenergic agonists MoA agonist, binds directly to beta-2 receptors activating adenylyl cyclase which converts ATP to cAMP which activates protein kinase A which acts on the myosin light chain driving Ca2+ from smooth muscle cells leading to dilation and airway muscle relaxation
0%
Opioid anti motility agents MoA agonist binds to mu-opioid receptor in myenteric plexus reducing intestinal motility
0%
Opioid MoA agonist, binds to mu-opioid receptors and activates G0 G-protein which switches off cAMP production, inhibits opening of voltage-dependent Ca2+ channels causing reduced Ca2+ influx into the neuron, opens K+ channels in neuron which stimulates K+ outflow from neuron, this promotes hyperpolarisation of neurons reducing their activity
0%
Labour analgesics MoA agonist binds to mu-opioid receptor suppressing pain transmission
0%
Benzodiazepines MoA agonist, binds to specific sites on GABA-A receptors causing opening of Cl- channels enhancing the inhibitory effect of GABA, which then inhibits neurotransmitter activity
0%
Dopamine receptor agonists MoA agonist, interacts directly with dopamine receptors in the post-synaptic neuron
0%
Alpha-1a adrenergic receptors MoA antagonist binds to and inhibits alpha-a1 adrenergic receptors which act on smooth muscle in the bladder and promotes urine passage
0%
Leukotriene receptor antagonists MoA antagonist binds to and inhibits CysLT1 receptors of eosinophils preventing binding of pro-inflammatory leukotrienes
0%
beta-1 adrenergic receptor antagonists MoA antagonist binds to beta-1 adrenergic receptor on cardiomyocytes reducing inotropy and chronotropy
0%
Bisphosphonate MoA antagonist, binds to hydroxyapatite, inhibits osteoclast activity reducing bone breakdown
0%
Antimuscarinics MoA antagonist binds to m2-muscarinic receptors, inhibits cholinergic activity of smooth muscle of airway leading to muscle relaxation
0%
NSAIDs MoA antagonist, inhibit COX activity, block production of prostaglandins from arachidonic acid, reduced na channel opening, reduced depolarisation
0%
Anticholinesterase for myasthenia gravis MoA | Anticholinesterases MoA antagonist, inhibits acetylcholinesterase
0%
MAOIs MoA antagonist, inhibits activity of monoamine A oxidase enzyme which breaks down neurotransmitters, therefore MAOIs increase availability of selective neurotransmitters in the CNS. inhibition is reversible.
0%
ARBs MoA antagonist inhibits angiotensin 2 receptor reducing cardiac afterload and vasoconstriction
0%
COMT inhibitors MoA antagonist, inhibits COMT enzymes which themselves inactivate peripheral levodopa, this increases bioavailability of CNS levodopa which increases bioavailability of dopamine
0%
ACE inhibitors MoA antagonist inhibits conversion of angiotensin 1 to angiotensin 2, lowering angiotensin 2 levels and reducing cardiac afterload and vasoconstriction
0%
Weak analgesics MoA antagonist, inhibits COX activity in CNS not PNS, acts on heat-regulating centres in brain with antipyretic use
0%
Histamine antagonist MoA antagonist inhibits h2-receptors
0%
Potassium sparing diuretics MoA antagonist inhibits mineralocorticoid receptors/sodium transport via ENaC channels
0%
Antimuscarinic class MoA antagonist inhibits muscarinic acetylcholine receptors which relax bladder detrusor muscle
0%
Thiazides MoA antagonist inhibits Na+/Ck- transporter in early distal tubule
0%
Loop diuretics MoA antagonist inhibits Na+/K+/2A-� transporters in loop of henle
0%
Anti-epileptics MoA antagonist, inhibits of voltage gated Na channels 2. increases GABA availability
0%
Bone biologic MoA antagonist inhibits osteoclast activity
0%
Methylxanthines MoA antagonist, inhibits phosphodiesterase-4 which increases cAMP levels in cells which activates protein kinase A which acts on myosin light chain driving Ca2+ from smooth muscle cells leading to dilation and airway muscle relaxation
0%
SSRIs MoA antagonist, inhibits serotonin 5HT reuptake transporters which increases availability of 5HT in synaptic cleft
0%
SNRIs MoA antagonist, inhibits serotonin-noradrenaline reuptake transporters which increases availability of these neurotransmitters in the synaptic cleft
0%
Proton pump inhibitors MoA antagonist irreversibly binds to and inhibits H+/K+/ATPase enzyme in gastric parietal cells
0%
MAOI-b inhibitors MoA antagonist, selectively inhibits the MAO enzyme to sustain neuronal dopamine levels
0%
Antiplatelet drugs MoA antagonists that reduce platelet activation preventing thrombosis. aspirin binds to COX enzyme and inhibits thromboxane A2 production, clopidogrel binds to and inhibits ADP receptors
0%
Antibiotics: Beta lactams: carbapenems MoA | Antibiotics: Beta-lactams: penicillins MoA | Antibiotics: Cephalosporins MoA bacteriocidal, binds to penicillin binding proteins disrupting cell wall synthesis causing cell lysis
0%
Antibiotics: Tetracyclines MoA bacteriostatic, binds to 30S subunit of bacterial ribosome inhibiting bacterial protein synthesis causing reduced growth
0%
Antibiotics: Lincosamides MoA | Antibiotics: Macrolides MoA bacteriostatic, binds to 50S subunit of bacterial ribosome inhibiting bacterial protein synthesis causing reduced growth
0%
Antibiotics: Anti-folate antibiotics MoA bacteriostatic, inhibits bacterial folic acid synthesis which inhibits bacterial DNA synthesis reducing growth
0%
Antibiotics: Fluoroquinolones MoA bacteriostatic, inhibits DNA coiling causing reduced bacterial growth
0%
Menopausal osteoporosis MoA binds to oestrogen receptors in bone preventing osteoporosis
0%
Calcium channel antagonists MoA blockades L-type calcium channels on vascular smooth muscle cells which promotes vasodilation
0%
Glucocorticosteroid for CNS inflammation MoA | Glucocorticosteroid for airway inflammation MoA corticosteroid enters cell, binds and forms a complex with glucocorticoid receptor, then acts as a transcription factor enhancing expression of anti-inflammatory products and suppressing pro-inflammatory mediators
0%
Bone biologic denosumab
0%
Labour augmentation MoA drives myometrial contractions
0%
Anticoagulants MoA enhances action of antithrombin 3 to inhibit thrombin and factor Xa, reduces coagulation cascade activity
0%
Device/implants contraceptives etonogestrel, levonorgestrel
0%
Antibiotics: Beta-lactams: penicillins flucloxacillin, benzylpenicillin, amoxicillin
0%
Essential nutrient for pregnancy MoA foetal bone, kidney, neural and heart development
0%
Essential nutrient for pregnancy (neural tube development) MoA foetal spinal and neural development, reduces risk of spina bifida
0%
Antacids MoA gastric acid neutralisation
0%
Alginates MoA gastric acid neutralisation and formation of a viscous layer when in contact with water which sits on the surface of gastric contents and reduces reflux
0%
Faecal softeners MoA increases fat and water uptake into stool softening and increasing stool bulk which stimulates purgation and transit
0%
Osmotic laxatives MoA increases fluid uptake within GI lumen softening and increasing stool bulk which drives colonic distention and motility
0%
Bulk laxatives MoA increases water retention within intestinal lumen softening and increasing stool bulk which drives colonic distention and motility
0%
Disease-modifying biologics MoA infliximab - antagonist that binds to and inhibits TNF-alpha. rituximab - binds to CD20 and depletes B cells
0%
Dopa-decarboxylase inhibitors MoA inhibits DDC enzyme activity within periphery increasing levodopa levels within periphery which increases bioavailability of levodopa in CNS
0%
Anti-proliferative agents MoA inhibits enzymatic activity which reduces lymphocyte proliferation
0%
HMG-CoA reductase blockers MoA inhibits mevalonate metabolism in cholesterol synthesis pathway and enhances low-density lipoprotein uptake which lowers plasma cholesterol
0%
Neprilysin inhibitors MoA inhibits neprilysin enzyme which increases natriuretic peptide hormone levels. promotes natriuresis, reduces cardiac preload, improves renal function, decreases fluid retention and increases vasodilation
0%
Dopaminergic drugs MoA levodopa is a metabolic precursor to dopamine, it is naturally converted into dopamine within neurons to enable dopaminergic neurotransmission
0%
Osmotic laxatives macrogol, lactulose
0%
Anti-proliferative agents methotrexate, azathioprine
0%
Bone hormones MoA modulation of calcium metabolism and bone resorption
0%
Opioid receptor antagonist naloxone
0%
Bone hormones parathyroid hormone, calcitonin
0%
Essential nutrient for preterm labour MoA provides neuroprotection for preterm foetuses reducing risk of cerebral palsy
0%
Nitrate vasodilators MoA releases nitric oxide which promotes dilation of smooth muscle in coronary arteries and veins
0%
Bone vitamins MoA restores calcium/vitamin D levels
0%
HRT MoA restores hormone levels and function
0%
Beta-2 adrenergic agonists salbutamol (short), salmeterol (long)
0%
Stimulant purgatives MoA stimulates intestinal motility and purgation
0%
Labour induction MoA stimulates myometrial uterine contractions and cervical ripening
0%
Immunosuppressive agents sulphasalazine, penicillamine
0%
Device/implants contraceptives MoA suppresses ovulation and alters endometrium
0%
Combined oral contraceptives MoA | Emergency contraceptives MoA suppresses ovulation and reduces LH and FSH secretion
0%
Progesterone only contraceptives MoA suppresses ovulation and reduces LH and FSH secretion and alters endometrium
0%
Anti-epileptics valproate, carbamazepine, diazepam
0%
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