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Pharmacology · Pharmacokinetics
Sample itemWhat route completely avoids first-pass hepatic metabolism?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Intravenous route
Intravenous administration delivers drug directly into systemic circulation, giving complete bioavailability and avoiding gastrointestinal absorption and first-pass hepatic metabolism.
Option by option
A. Oral route
Oral drug commonly undergoes first-pass metabolism.
B. Intravenous route (correct)
Correct: intravenous drug enters systemic circulation directly.
C. Rectal route always
Rectal absorption can partly bypass first pass but is variable.
D. Sublingual route only
Sublingual route can avoid first pass but is not the universal answer to complete bioavailability.
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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