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Pharmacology · Pharmacokinetics
Sample itemWhat is the main clinical consequence of a high volume of distribution?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Less drug remains confined to plasma
A high volume of distribution indicates extensive tissue distribution relative to plasma concentration and may reduce removal by haemodialysis.
Option by option
A. Less drug remains confined to plasma (correct)
Correct: high Vd implies substantial tissue partitioning.
B. Oral absorption is complete
Absorption is a separate pharmacokinetic process.
C. The drug cannot enter tissue
High Vd means the drug does enter tissue.
D. Renal clearance must be zero
Clearance can still be significant.
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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