WBR0442

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Author [[PageAuthor::Rim Halaby, M.D. [1] (Reviewed by Alison Leibowitz)]]
Exam Type ExamType::USMLE Step 1
Main Category MainCategory::Pharmacology
Sub Category SubCategory::Cardiology
Prompt [[Prompt::A researcher, assessing difference between the intravenous (i.v.) and the oral forms of metoprolol using mice, administers both drugs to the mice and notes the following plasma concentrations of the medications illustrated in the graph below. Which of the following equations best corresponds to the bioavailability (F) of metoprolol in the oral form?

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Answer A AnswerA::F = (AUCoral / AUCi.v.) x (Dosei.v./Doseoral)
Answer A Explanation AnswerAExp::Bioavailability can be calculated using the equation: F = (AUCoral / AUCi.v.) x (Dosei.v./Doseoral)
Answer B AnswerB::(AUCoral / Doseoral ) x (AUCi.v. x Dosei.v.)
Answer B Explanation AnswerBExp::This equation is not used to calculate bioavailability.
Answer C AnswerC::(AUCi.v. / AUCoral) x (Doseoral x Dosei.v.)
Answer C Explanation AnswerCExp::This equation is not used to calculate bioavailability.
Answer D AnswerD::(Doseoral x AUCoral) x (Dosei.v. x AUCi.v.)
Answer D Explanation AnswerDExp::This equation is not used to calculate bioavailability.
Answer E AnswerE::(AUCoral + Doseoral) / (AUCi.v. + Dosei.v.)
Answer E Explanation AnswerEExp::This equation is not used to calculate bioavailability.
Right Answer RightAnswer::A
Explanation [[Explanation::Bioavailability (F) is defined as the proportion of the total area under the plasma concentration-time curve (AUC). The relative bioavailability of the oral form of a drug can be calculated using the following equation: F = (AUCoral / AUCi.v.) x (Dosei.v./Doseoral)

Educational Objective: Bioavailability can be calculated with the following equation: F = (AUCoral / AUCi.v.) x (Dosei.v./Doseoral)
References: First Aid 2014 page 239]]

Approved Approved::Yes
Keyword WBRKeyword::Bioavailability, WBRKeyword::pharmacokinetics, WBRKeyword::pharmacodynamics, WBRKeyword::oral, WBRKeyword::intravenous, WBRKeyword::equation, WBRKeyword::formula, WBRKeyword::calculation
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