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Pharmacology · Pharmacokinetics
Sample itemWhat can low plasma albumin increase for a highly protein-bound drug?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Free active drug fraction
With less albumin available for binding, a greater proportion of a highly protein-bound drug may remain free, active, and potentially toxic.
Option by option
A. Tablet size
Tablet size is fixed by formulation.
B. Free active drug fraction (correct)
Correct: reduced binding can increase free active drug.
C. Drug color
Drug color is unrelated to protein binding.
D. Renal blood flow only
Albumin level does not directly determine renal blood flow alone.
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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