need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

Retired NBME 16 Answers

nbme16/Block 2/Question#32 (reveal difficulty score)
A 35-year-old woman is given 500 mg of drug X ...
8 ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: Pharm_Cal

 Login (or register) to see more


 +7  upvote downvote
submitted by โˆ—cassdawg(1781)
get full access to all contentpick a username

First order elimination: a constant FRACTION of drug is metabolized per unit time (i.e. elimination rate is proportional to the drug concentration)

This differs from zero order elimination where a constant amount of drug is metabolized per unit time (i.e. rate stays constant)

In this question:

  • In two hours, 2.5 mg of 12.5 mg is metabolized, which is a fraction of 2.5/12.5 = 0.2 or 20%
  • Thus, in another two hours, another 20% will be metabolized since this is first-order elimination
  • 20% of 10 is 2 and 10-2 = 8

FA2020 p232

get full access to all contentpick a username
m0niagui  how will it work if this followed a zero order elimination? +
drdoom  @m0niagui Zero-order would like like this: 12.5mgโ€”10mgโ€”7.5mgโ€”5mgโ€”2.5mgโ€”0mg (this assumes 2.5mg is eliminated per unit time) +3



Must-See Comments from nbme16

bingcentipede on Cerebral edema
zincy7 on Gastrin
cassdawg on Kidney
medninja on Lysosomes
cassdawg on Sildenafil
cassdawg on Feces-contaminated soil
cassdawg on Presence of an internal ribosome entry site
cassdawg on Peutz-Jeghers
hungrybox on Induction of cytochrome P450 enzymes that ...
andro on Antagonizes VLDL-cholesterol secretion
bingcentipede on Decreased function of Na+โ€“K+ ATPase
bingcentipede on Glyceraldehyde-3-phosphate dehydrogenase
cassdawg on 46,XXY
bingcentipede on Grade 4/6, holosystolic murmur heard best ...

search for anything NEW!