## **Core Concept**
The volume of distribution (Vd) is a pharmacokinetic parameter that describes the theoretical volume into which a drug distributes after administration. It is used to estimate the extent of drug distribution outside of the plasma compartment. A high Vd indicates extensive tissue distribution.
## **Why the Correct Answer is Right**
Chloroquine, an antimalarial drug, has a high volume of distribution due to its extensive distribution into tissues, particularly into muscles, liver, and other organs. This extensive tissue binding results in a large apparent volume of distribution. The Vd of chloroquine is approximately 300-800 L/kg or more, which indicates that it distributes widely outside the plasma compartment.
## **Why Each Wrong Option is Incorrect**
- **Option A:** A very low Vd (e.g., 0.1-0.3 L/kg) would suggest that the drug is primarily confined to the plasma compartment, which is not characteristic of chloroquine.
- **Option B:** A moderate Vd might suggest some tissue distribution but not to the extent seen with chloroquine.
- **Option D:** While closer, it still underestimates the high volume of distribution characteristic of chloroquine.
## **Clinical Pearl / High-Yield Fact**
A high volume of distribution often implies that a drug is extensively bound to tissues and may require a larger loading dose to achieve therapeutic concentrations quickly. For chloroquine, this means that while it can accumulate in tissues, it also requires careful dosing to avoid toxicity.
## **Correct Answer:** C.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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