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Pharmacology · Pharmacokinetics
Sample itemWhat happens to drug half-life when clearance falls but volume of distribution is unchanged?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Half-life increases
Half-life is proportional to volume of distribution and inversely proportional to clearance, so reduced clearance prolongs elimination when distribution is unchanged.
Option by option
A. Half-life decreases
Half-life would shorten only if clearance rose.
B. Protein binding disappears
Protein binding is not abolished by clearance reduction.
C. Bioavailability becomes zero
Bioavailability concerns absorption and first-pass handling.
D. Half-life increases (correct)
Correct: slower clearance prolongs drug elimination.
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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