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Questions

Question 1

According to the introduction, what is the primary definition of pharmacogenomics?

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Question 2

What is the minimum frequency at which a variation in DNA must occur within a population to be classified as a polymorphism?

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Question 3

What is the most common type of genetic variation in humans, resulting from the substitution of one nucleotide base for another?

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Question 4

If a patient has a genetic variant causing diminished enzyme activity, and the drug they are taking is metabolized to an inactive product, what is the most likely outcome?

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Question 5

What is the likely clinical outcome for a patient who takes a prodrug that requires enzymatic conversion to be effective, but possesses a genetic variant causing that specific enzyme to be inactive?

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Question 6

Polymorphisms in genes that encode for membrane transporter proteins can influence drug response by altering which of the following processes?

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Question 7

According to the text, how many drugs are currently required to have pharmacogenetic testing performed before they are prescribed?

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Question 8

Which of the following is listed in the text as one of the four drugs that requires mandatory pharmacogenetic testing before prescription?

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Question 9

What is the ultimate goal of incorporating pharmacogenomic information into clinical practice, as stated in the text?

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Question 10

What is a potential consequence of a genetic variation that leads to extra copies of a gene for a drug-metabolizing enzyme?

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Question 11

Besides 'test required,' what are the other two labeling categories mentioned for drugs with pharmacogenomic information?

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Question 12

The human genome is described as being comprised of approximately how many nucleotide base pair sequences?

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Question 13

What is the typical strategy for most drug therapy when pharmacogenomic information is not initially used?

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Question 14

A patient who develops an exaggerated pharmacologic response to a standard drug dose may be expressing a phenotype suggestive of what underlying issue?

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Question 15

Which of the following is NOT listed as a form of genetic variation in the chapter?

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Question 16

According to the chapter, which area of pharmacogenomics has undergone the least amount of study to date?

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Question 17

For which clinical scenario would a prescriber using pharmacogenomic data most likely select an alternate drug rather than adjust the dose?

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Question 18

Which of the following specimens is NOT mentioned in the text as being typically used for DNA analysis in pharmacogenetic testing?

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Question 19

What potential issue regarding pharmacogenetic testing is mentioned in the text as a barrier for patients?

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Question 20

What is the role of genomic biomarkers as described in the text?

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Question 21

What are the four nucleotide bases that constitute the sequence of a single strand of DNA?

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Question 22

A genetic variation can lead to a truncated, dysfunctional, or complete lack of a protein product. What is the potential clinical consequence of this?

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Question 23

What kind of organizations offer pharmacogenetic testing to identify relevant genetic polymorphisms that predict drug response?

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Question 24

Besides drug-metabolizing enzymes, polymorphisms in which other two types of proteins can significantly affect drug responses?

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Question 25

What is the concept of 'personalized medicine' as described by patients in the text?

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Question 26

What happens to the parent drug in the body if it is metabolized to an inactive product, but the responsible enzyme's activity is diminished due to a genetic variant?

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Question 27

The text states that virtually every therapeutic area involving medication use includes a drug for which documented genetic variability has the potential to affect what?

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Question 28

For some agents, dosing recommendations based on an individual's genetic information are also called what?

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Question 29

What is the consequence if a drug that is an active parent drug is given to a patient who has a genetic variant resulting in an inactive metabolizing enzyme responsible for its breakdown?

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Question 30

What is an efflux transporter protein in the context of pharmacogenomics?

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Question 31

In addition to individual genes, pharmacogenomics increasingly examines the role of what in relation to drug therapy outcomes?

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Question 32

Why is the specific location of a single nucleotide polymorphism (SNP) within a gene considered important?

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Question 33

Which of the following processes is NOT listed as being potentially susceptible to the consequences of DNA sequence variations?

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Question 34

What is the status of the number of polymorphic genes responsible for variations in drug response at drug receptors compared to those for metabolizing enzymes or transport proteins?

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Question 35

Why is it essential for health care professionals to be able to interpret and utilize pharmacogenomic information?

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Question 36

What could be the outcome if a drug requires conversion to a pharmacologically active metabolite, but the patient has a genetic variation leading to extra copies of the responsible enzyme gene?

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Question 37

Which of the following is NOT a factor mentioned as part of the initial information considered when initiating drugs in the general population?

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Question 38

What is a potential outcome of a polymorphism in genes that encode for drug receptors?

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Question 39

What is the source of the 'unique human genome sequence' for each individual, with the exception of identical twins?

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Question 40

Which of the following drug classes is NOT mentioned in the list of four drugs requiring mandatory pharmacogenetic testing?

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Question 41

What is the primary role of proteins in relation to drug therapy, as described in the chapter?

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Question 42

If a genetic variation causes a drug-metabolizing enzyme to be absent, and that enzyme is required to convert an active drug to an inactive metabolite, the patient would be considered a what?

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Question 43

According to the text, a patient's 'phenotype' in the context of pharmacogenomics refers to what?

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Question 44

The text provides an example where a prescriber is contemplating a drug for which some genetic variants are associated with hypersensitivity reactions. What is the recommended action if the patient possesses that variant?

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Question 45

What does the text suggest about patient understanding of the utility of undergoing genetic testing?

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Question 46

Which of the following drugs is NOT on the list of four requiring mandatory pharmacogenetic testing provided in the text?

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Question 47

What is the primary factor that influences whether a genetic variation leads to a significant alteration in drug response versus having no clinical consequence?

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Question 48

How can polymorphisms in drug transport proteins affect a drug's exposure to intracellular drug metabolizing enzymes?

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Question 49

The evolution from pharmacogenetics to pharmacogenomics represents a shift from studying single gene effects to studying what?

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Question 50

If a patient is identified as a 'poor metabolizer' for an enzyme that breaks down an active drug, what is a likely recommendation to avoid toxicity?

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