








USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam 

Thread Tools  Search this Thread  Display Modes 
#1




Drug Dose, Half Life, and Plasma Level
A drug acheives a plasma level of 16mg/L shortly after the administration of 1st oral dose. If the halflife and the dosing interval are both 6 hrs, what is the approximate plasma level shortly before the administration of the 5th dose?
A. 15mg/L B. 24mg/L C. 28mg/L D. 30mg/L E. 31mg/L This is from Kaplan book. How will we solve this question?? I'm unable to understand it! 
#2




Is that E?

#3




E) 31 mg/L
16 after 6 hours 8+16 = 24 after 6 hours 12+16 = 28 after 6 hours 14+16 = 30 after 6 hours 15+16 = 31 .... that's after 4 doses (just before the administration of the 5th dose). With these types of questions if you don't know the equation use the simple method ... it saves you time in doing the calculation. 
The above post was thanked by:  
curiousmind (07162012), Oung (04302012) 
#4




i posted this question before 16>24>28>30>31
__________________
There is no shortcut to SUCCESS ,and there is no excuse for FALIURE  by Kabutar111 To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. 
#5




Quote:
__________________
There is no shortcut to SUCCESS ,and there is no excuse for FALIURE  by Kabutar111 To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. 
#6




.
This will be useful to understand the concept. One you get it, you'll be able to do this type of question with way much shorter way
Ok. so what we’re dealing here is trying to reach steady state. Given: T1/2 = dosage interval The following number correspond to the order numbers of the dose: 1) Right after 1st dose the concentration is 16mg/L 2) After 6 hours (t1/2) – right before giving the 2nd dose the concentration goes down to 8 mg/L. as the stem said at this time we give another dose so add 16mg/L to that 8. So right after giving the second dose we have: 16 mg/L + 8 mg/L = 24mg/L 3) After another 6 hours (t1/2) – right before giving the 3rd dose the concentration goes down by 50% (50% x 24 mg/L) – so now we have 12 mg/L. And again as the stem said we give another dose, so add 16mg/L to that 12 mg/L we just calculated = 28 mg/L 4) After another 6 hours (t1/2) – right before giving the 4th dose the concentrations goes down by 50% (50% x 28mg/L) – so now we have 14 mg/L. And again as the stem said we give another dose, so add 16mg/L to that 14 mg/L we just calculated = 30 mg/L 5) After another 6 hours (t1/2) – right before giving the 5th dose the concentrations goes down by 50% (50% x 30 mg/L) – so now we have 15 mg/L. And this is what they asked about – the concentration of the drug right before administering the 5th dose. I hope that helps Last edited by Casandra; 04302012 at 11:08 PM. 
The above post was thanked by:  
dr.aysa (05012012), gayathri (05012012), Hope2Pass (04302012), neelima208 (05012012), one_destiny (05022012), steps_8186 (05012012), Usman2Good (07202013), USMLE cell (05012012) 
#7




Quote:
The answer for that question is 15mg/L. 
#8




Quote:
__________________
There is no shortcut to SUCCESS ,and there is no excuse for FALIURE  by Kabutar111 To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. 
#9




Quote:
At least the concept I remembered
__________________
There is no shortcut to SUCCESS ,and there is no excuse for FALIURE  by Kabutar111 To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts. 
#10





The above post was thanked by:  
Kabutar111 (04302012) 
#11




Quote:
ah stupid mistake. Thanks for clarifying that! 
#12




Great explanation
Thanks a trillion Casandra !!

#13




yess.....i got it 15 mg/dl....but after solving calculation i was a little bit worried about my conception whether i got it right or wrong as other posts were referring to another answer.........but later post of casandra filled my confidence all in at once.....thanks bro

#14




;)
Quote:
Glad I could help guys 
The above post was thanked by:  
#15




Yeah.. I got it right
15mg/L it is read Just before 5th dose i.e. it's past 4 half lives

#16




it is answer A ..15
you have 5 doses dose 1 ..results in 16 mg blood level dose 2 ..results in half of the first dose , 8 +16 ( the new dose)..it is 24 dose 3 ..24/2+16 which is 28 dose 4 ..28/2=16 which is 30 before administration of the 5th dose , the plasma level is 30/2 which is 15 
#17




OOppssss.....my mistake......:sorry:

Tags 
Pharmacology, Step1Questions 
Thread Tools  Search this Thread 
Display Modes  

Similar Threads  
Thread  Thread Starter  Forum  Replies  Last Post 
Calculating Drug Plasma Level!  usluipek  USMLE Step 1 Forum  12  03072016 11:24 PM 
Drug half life  usluipek  USMLE Step 1 Forum  2  12102011 05:22 PM 
Calculating the drug plasma level  INCOGNITO  USMLE Step 1 Forum  5  10142011 10:26 PM 
Calculated the half life for this drug?  earthpole  USMLE Step 1 Forum  7  04012011 07:35 PM 
Research Drug Half Life?  Yallah  USMLE Step 1 Forum  3  04192010 07:43 AM 
