Androgens & Estrogens (Cox & Sumanasekera), Adrenocorticosteroids (Cox & Sumanasekera) and Antihistamines (Cox & McCune)
Inside the cell membrane
Extracellularly
Intracellularly
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True
False
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True
False
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Gyrases
Esterases
Deaminases
Phosphatases
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Liver only
Lung and skin only
Fat tissues only
Throughout the body
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Reduce drug half-lfie
Make the molecule more hydrophilic
Extend drug half-life in the blood
Minimize the lipophilicity of the molecule
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5a Reductase inhibition
5a Reductase induction
11b Hydroxysteroid dehydrogenase inhibition
11b Hydroxysteroid dehydrogenase induction
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True
False
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True
False
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Tri-fluoro group
Nitro group
Amide group
Cyano group
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Highly nephrotoxic
Highly hepatotoxic
Highly neurotoxic
Highly cardiotoxic
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Option 1
Option 2
Option 3
Option 4
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Oxidation
Reduction
Amination
Esterification
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Reduction
Dehydroxylation
Oxidation
Dehydration
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Sulfation
Glucuronidation
Hydroxylation
Esterification
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UDP-glucuronosyltransferase
Methyltransferase
Thioesterase
Sulfotransferase
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2; dehydrogenase
1; UGT
2; UGT
1; dehydrogenase
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Beta-glucuronidase
Estrogen 2/4-hydroxylase
COMT
UGT
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Bacteria in the liver
Bacteria in the large intestine
Liver cell membranes
Intestinal cell membranes
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True
False
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CYP2D6
CYP2C9
CYP3A4
CYP6D9
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UGT
Estrogen 4-hydroxylase
COMT
Aromatase
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Increase molecular size
Decrease oral bioavailability
Increase oral bioavailability
Make the molecule ionic
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Aromatase Inhibitors
Phenylethanolamines
PDE5 Inhibitiors
Triphenylethylenes
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True
False
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They prevent translocation of the receptor complex to the nucleus
They prevent estrogen from entering the cell membrane
They degrade the intracellular estrogen receptor in the cytosol before estrogen can bind
They kill cells to prevent estrogen action
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Anastrazole
Exemestane
Letrozole
Clomifene
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True
False
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Option 1
Option 2
Option 3
Option 4
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Raloxifene
Anastrazole
Exemestane
Letrozole
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Irreversible
Reversible
Shannon Burton binding
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C21-keto
3-keto
4-ene
Aromatic A ring
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Oxidation
Reduction
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Oxidation
Reduction
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Cortisol
Aldosterone
Progesterone
Estradiol
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11b-hydroxylase
21b-hydroxylase
3b-dehydrogenase
3,20-lyase
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DHEA
Testosterone
Androstenedione
Cortisol
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Growth and maturation
Decreased protein production
Cell growth and proliferation
Building the endometrial lining
Raising HDL and lowering LDL
Decreased blood coagulation
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No
Nah
Doubt it
What?
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True
False
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DHT
Androstenedione
Estriol
Aldosterone
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Albumin
Corticosteroid Binding Globulin
Sex Hormone Binding Globulin
Immunoglobulns
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True
False
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18 beta methyl
19 beta methyl
8 alpha Hydrogen
14 alpha Hydrogen
5 beta Hydrogen
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Estrogen; Fludrocortisone
Methylprednisolone; Aldosterone
Cortisol; Aldosterone
Cortisol; Fludrocortisone
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Corticosteroid
Androgenic
Estrogenic
Physical
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11-alpha Hydrogenase
11-beta Hydroxysteroid Dehydrogenase
17-alpha Hydroxylase
17-beta Esterase
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Reduction
Oxidation
Hydrolysis
Hydroxylation
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