PHARMACOGENOMICS
50 questions available
Questions
According to the introduction, what is the primary definition of pharmacogenomics?
View answer and explanationWhat is the minimum frequency at which a variation in DNA must occur within a population to be classified as a polymorphism?
View answer and explanationWhat is the most common type of genetic variation in humans, resulting from the substitution of one nucleotide base for another?
View answer and explanationIf 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?
View answer and explanationWhat 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?
View answer and explanationPolymorphisms in genes that encode for membrane transporter proteins can influence drug response by altering which of the following processes?
View answer and explanationAccording to the text, how many drugs are currently required to have pharmacogenetic testing performed before they are prescribed?
View answer and explanationWhich of the following is listed in the text as one of the four drugs that requires mandatory pharmacogenetic testing before prescription?
View answer and explanationWhat is the ultimate goal of incorporating pharmacogenomic information into clinical practice, as stated in the text?
View answer and explanationWhat is a potential consequence of a genetic variation that leads to extra copies of a gene for a drug-metabolizing enzyme?
View answer and explanationBesides 'test required,' what are the other two labeling categories mentioned for drugs with pharmacogenomic information?
View answer and explanationThe human genome is described as being comprised of approximately how many nucleotide base pair sequences?
View answer and explanationWhat is the typical strategy for most drug therapy when pharmacogenomic information is not initially used?
View answer and explanationA patient who develops an exaggerated pharmacologic response to a standard drug dose may be expressing a phenotype suggestive of what underlying issue?
View answer and explanationWhich of the following is NOT listed as a form of genetic variation in the chapter?
View answer and explanationAccording to the chapter, which area of pharmacogenomics has undergone the least amount of study to date?
View answer and explanationFor which clinical scenario would a prescriber using pharmacogenomic data most likely select an alternate drug rather than adjust the dose?
View answer and explanationWhich of the following specimens is NOT mentioned in the text as being typically used for DNA analysis in pharmacogenetic testing?
View answer and explanationWhat potential issue regarding pharmacogenetic testing is mentioned in the text as a barrier for patients?
View answer and explanationWhat is the role of genomic biomarkers as described in the text?
View answer and explanationWhat are the four nucleotide bases that constitute the sequence of a single strand of DNA?
View answer and explanationA genetic variation can lead to a truncated, dysfunctional, or complete lack of a protein product. What is the potential clinical consequence of this?
View answer and explanationWhat kind of organizations offer pharmacogenetic testing to identify relevant genetic polymorphisms that predict drug response?
View answer and explanationBesides drug-metabolizing enzymes, polymorphisms in which other two types of proteins can significantly affect drug responses?
View answer and explanationWhat is the concept of 'personalized medicine' as described by patients in the text?
View answer and explanationWhat 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?
View answer and explanationThe text states that virtually every therapeutic area involving medication use includes a drug for which documented genetic variability has the potential to affect what?
View answer and explanationFor some agents, dosing recommendations based on an individual's genetic information are also called what?
View answer and explanationWhat 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?
View answer and explanationWhat is an efflux transporter protein in the context of pharmacogenomics?
View answer and explanationIn addition to individual genes, pharmacogenomics increasingly examines the role of what in relation to drug therapy outcomes?
View answer and explanationWhy is the specific location of a single nucleotide polymorphism (SNP) within a gene considered important?
View answer and explanationWhich of the following processes is NOT listed as being potentially susceptible to the consequences of DNA sequence variations?
View answer and explanationWhat 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?
View answer and explanationWhy is it essential for health care professionals to be able to interpret and utilize pharmacogenomic information?
View answer and explanationWhat 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?
View answer and explanationWhich of the following is NOT a factor mentioned as part of the initial information considered when initiating drugs in the general population?
View answer and explanationWhat is a potential outcome of a polymorphism in genes that encode for drug receptors?
View answer and explanationWhat is the source of the 'unique human genome sequence' for each individual, with the exception of identical twins?
View answer and explanationWhich of the following drug classes is NOT mentioned in the list of four drugs requiring mandatory pharmacogenetic testing?
View answer and explanationWhat is the primary role of proteins in relation to drug therapy, as described in the chapter?
View answer and explanationIf 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?
View answer and explanationAccording to the text, a patient's 'phenotype' in the context of pharmacogenomics refers to what?
View answer and explanationThe 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?
View answer and explanationWhat does the text suggest about patient understanding of the utility of undergoing genetic testing?
View answer and explanationWhich of the following drugs is NOT on the list of four requiring mandatory pharmacogenetic testing provided in the text?
View answer and explanationWhat is the primary factor that influences whether a genetic variation leads to a significant alteration in drug response versus having no clinical consequence?
View answer and explanationHow can polymorphisms in drug transport proteins affect a drug's exposure to intracellular drug metabolizing enzymes?
View answer and explanationThe evolution from pharmacogenetics to pharmacogenomics represents a shift from studying single gene effects to studying what?
View answer and explanationIf 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?
View answer and explanation