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10 Cards in this Set

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What is the difference between a Graded and a Quantal response?
A graded response is a situation where an individual sees an increased effected with each additional dose. (heart rate, blood pressure, sedation etc.)

A quantal response is one that either happens or does not happen. A measurement provides interpretation of its quantal nature. (alive vs. dead, sleep vs. awake)
The graph looks at Frequency of effect, not a magnitude
How do you determine Therapeutic Index (TI)?
Divide the LD50 by the ED50.

(A value less than 2 is found to have a narrow therapeutic index)
What is the Certain Safety Factor? (CSF)
TD1 or LD1 divided by ED99

If CSF is > 1, a dose effective in 99% of the population is less than a dose that would be lethal in 1% of the population
TD1/LD1 = the dose of drug at which 1% of the population experiences Toxicity/Lethality
ED99 = the dose of drug at which 99% of the population experiences therapeutic effect
What is the difference between a pharmacokinetic and a pharmacodynamic drug-drug interaction?
A pharmacokinetic DDI alters ADME

A pharmacodynamic DDI alters the biochemical or physiological effect of the drug.
What are the main types of DDI?
Additive (1+1 =2)
Synergistic (1+1= more than 2)
Antagonism
What is Homologous desensitization?
Feedback inhibition of the activated receptor ONLY
What is Heterologous desensitization?
Feedback inhibition of two or more receptors by a common effector
What is the single most prolific cause of genetic variation?
Single Nucleotide Polymorphisms (SNPs)
They can change the amino acid sequence of the protein encoded by DNA.
They can also alter the non-coding regions and alter transcription and translation
How are SNP's classified?
Based on outcome
Sense - No AA change (this can alter RNA processing however)
Missense - AA change
Nonsense - Stop codon inserted
What is a group of SNPs called?
A haplotype