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Pharmacology · Pharmacokinetics
Sample itemA drug has an apparent volume of distribution of 40 L and an oral bioavailability of 50 percent. What oral loading dose is needed to achieve a plasma concentration of 10 mg/L?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. 800 mg
Loading dose equals target concentration multiplied by volume of distribution, divided by bioavailability. Here 10 mg/L times 40 L gives 400 mg in the body, and dividing by 0.5 gives 800 mg orally.
Option by option
A. 400 mg
400 mg would be adequate only for intravenous dosing, as it ignores incomplete absorption.
B. 800 mg (correct)
Correct. 10 times 40 divided by 0.5 equals 800 mg.
C. 1600 mg
1600 mg would correspond to a bioavailability of 25 percent, not 50 percent.
D. 200 mg
200 mg results from multiplying by the bioavailability instead of dividing by it.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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