NAPSRX QUESTIONS / NAPSRX QUESTIONS ., Exams of Nursing

Download NAPSRX QUESTIONS / NAPSRX QUESTIONS . and more Exams Nursing in PDF only on Docsity! NAPSRX QUESTIONS NAPSRX QUESTIONS 1. How are drugs sorted into therapeutic groups and classes? A. first by the conditions that they are used to treat, and then by their mechanisms of action B. first by their mechanisms of action, and then by their therapeutic effects C. first by their side effects, and then by therapeutic effects D. first by their toxically, and then by their effectiveness 2.Bone marrow transplants… A. … require that the patient first undergo chemotherapy or radiation to kill the diseased stem cells and promote white blood cell production. B. … are a type of stem cell therapy, unless patient’s own cells are reinjected. C. … are always a type of stem cell therapy. D. … can help people with leukemia, a condition in which the body does not produce enough white blood cells. 3. What does AMA stand for? C. American Medical Association 4. What section of a drug’s package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits? B. contraindications 5.What is tertiary care? B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems 6. Which of the following is NOT one of the stages in the classic approach to brand development strategy covered in your manual? C. brand quality 7. What are vasodilators used to do? A. decrease vascular resistance and increase blood flow B. mimic pathogens to stimulate the immune system C. narrow the blood vessels D. stimulate the CNS to make the heart beat faster NAPSRX QUESTIONS 8. What is the name of the condition that occurs after a specific dose of a drug is given at such regular intervals that absorption and elimination (and therefore drug plasma concentration) have become constant? A. homeostasis B. steady state C. titration D. tolerance 9. Which statement is TRUE about ocular administration? A. Ocular administration is primarily for drugs that must cross the blood-brain barrier. B. Ocular administration is used primarily to treat the eye.’ C. Ocular administration is used when a drug must enter the bloodstream immediately. D. Ocular administration is used when a drug must produce immediate effects on the brain or spinal cord. 10. Which entity/entities invest(s) the most money in pharmaceutical R&D? A. Canadian pharmaceutical companies B. the NIH C. the U.S. Government D. U.S. pharmaceutical companies 11.How are most drugs excreted? A. via the bloodstream B. via the heart C. via the kidneys D. via the skin 12. Over the last few decades, what has happened to legal limitations on sales’ reps discussions about off label uses? A. Limitations have decreased. B. Limitations have increased significantly. C. Limitations have increased slightly. D. Limitations have remained about the same. 13. According to your manual, which of the following is an example of a branding fundamental? NAPSRX QUESTIONS B. It has been lengthened to limit DTC marketing. C. It has been shortened to improve drug quality. D. It has been shortened to reduce the cost of new drug development. 27.Which of the following would NOT help improve compliance? A. patients liking their providers B. patients using only one pharmacist C. pharmacists understanding how generics differ from brand names drugs D. support groups 28. Which entity chooses a drug’s trade name? A. the drug’s inventor B. the drug’s manufacturer C. the FDA D. the United States Pharmaceutical Council 29. What type of stem cells are obtained from embryos and can develop into any cell type? A. multipotent B. pluripotent C. totipotent D. All stem cells can develop into any cell type. 30. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it? A. It decreases. B. It increases. C. It remains unaffected because the prescription is needed. D. It remains unaffected because the prescription’s increased cost is offset by its perceived value. 31.Most involuntary movements come from which type of muscle tissue? A. cardiac and smooth B. only skeletal C. skeletal and cardiac D. skeletal and smooth NAPSRX QUESTIONS 32. Which of the following is NOT one of the body’s major organ systems? A. the cardiovascular system B. the cellular system C. the gastrointestinal system D. the musculoskeletal system 33. How do most drugs exert their primary physiological effects? A. by activating synapses between different types of tissues B. by binding to cell receptors that are sensitive to their presence C. by inhibiting synapses between different types of tissues D. through genetic mutation 34. What is the most reliable source of information for determining therapeutically equivalent drug product? A. AMA guide B. Blue Book C. FDA drug list D. Orange Book 35. What does subcutaneous mean? C. beneath the outer skin 36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied? A. ask staff for permission to move some of the other products in the cabinet B. ask staff for permission to throw away expired products in the cabinet C. ask the doctor if he still needs some of the other products in the cabinet D. surreptitiously move your largest competitor’s products out of the way 37. It is inappropriate for physicians’ prescribing behavior to be educated by their personal tastes and idiosyncrasies A. True B. False 38. The FDA defines API as the active ingredient in a drug, which produces the desired change in the body. A. pharmaceutical NAPSRX QUESTIONS B. positive C. potent D. primary 39. What are the 2 legal classifications pf wholesalers? A. distributors and supply chains B. pharmacists and NAMs C. primary and secondary wholesale distributors D. retailers and institutions 40. What term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling? A. contraindicative indication B. off-indication usage C. off-label usage D. secondary indication 41. What is the acronym pharmacokinetics? C. PK 42. The dosage range of a drug that is both safe and beneficial known as the therapeutic window. A. True B. False 43. What is typically NOT a characteristic of a pharmaceutical sales rep? A. Pharmaceutical sales reps are authentic and real B. Pharmaceutical sales reps are creative C. Pharmaceutical sales rep are focused. D. Pharmaceutical sales rep are not concerned about competitors. 44. What entity grants drug patents? A. the FDA B. the FDA if the drug is over-the-counter and the U.S. Patent and Trademark Office if the drug is prescription C. the FDA of the drug is prescription and the U.S. Patent and Trademark Office if the drug is over- the -counter NAPSRX QUESTIONS 56. When a drug is administered orally, where does first-pass metabolism occur? A. intestine B. liver C. pancreas D. stomach 57. What is the medical term for swelling? B. edema 58. Which of the following is NOT part of the Seven Step Cascade of Emotion? A. be a consultant, not a rep B. identify what your product does C. reflect D. visualize the power of 10 59. Which part of a clinical research paper is frequently referred to as the road map? A. abstract B. findings C. letter to the editor D. methods 60. Which of the following is a main active ingredient in lung surfactants? A. animal lung extract B. germicides C. sympathomimetic drugs D. theophylline 61. What does parenteral mean? B. injections 62. Which term denotes a type of substance that enhances the action of a drug or antigen? A. adjuvant B. indicated C. ligase D. peptide NAPSRX QUESTIONS 63. If a sales representative’s product is placed on the second tier of standard three-tier formulary, which of the following is most likely true? A. it has not been reviewed by the P&T committee. B. it is in a neutral position unless it is at parity with other drugs. C. it probably has exclusive preferred status if it not at parity with any other drugs. D. it will essentially sell itself if it is granted exclusive preferred status. 64.Which of the following is NOT one of the four basic transport mechanisms? A. active transport B. homeostasis C. passive diffusion D. pinocytosis 65. Which statement accurately describes a relationship between drug agonists and antagonists? A. Agonists and antagonists can be used together. B. Agonists and antagonists should not be used together. C. Antagonist drugs activate receptors, while agonists block access to receptors. D. Antagonists are endogenous whereas agonists are man-made. 66. What is the study of the effects and movement of drugs in the human body? C. clinical pharmacology 67. According to your manual, what is a common complaint that physicians have about traditional sampling methods? A. that drug sample supply is too unpredictable B. that patients are less likely to take free samples because they think they are lower quality C. that patients do not like seeing drug representatives in their offices D. that they receive too many drug samples 68. Which of these entities is formed by two or more hospitals or other healthcare entities to negotiate reduced rates with its aggregated purchasing power? A. GPO B. In-state wholesaler C. PPO D. RPO NAPSRX QUESTIONS 69. What is another name for a drug derived a biologic compound? A. large molecule B. oligonucleotide C. organism D. small molecule 70. What is the most common policy regarding pharmaceutical reps dispensing drug samples in hospitals? A. By federal law, drug sampling is permitted in all hospitals. B. By federal law, it is up to individual physicians, not the hospital. C. Drug sampling is encouraged, but not required. D. Drug sampling is often forbidden. 71. Which of the following would help you build trust with a physician? A. asking if he or she is having any problems with the managed care coverage of your products B. repeating a question you already asked C. surprising the office staff with a new poster in the break room D. None of these would help you build trust with a physician. 72. What term denotes the difference between the usual effective dose and dose that induces severe or life-threatening side effects? A. dose-response relationship B. margin of safety C. the placebo effect D. therapeutic window 73. What are excipients? A. a type of cell receptor to which antagonists bind to decrease the effects of the body’s natural agonists B. another term generic equivalents C. sites of action besides the target sites of action D. the inert ingredients in a drug formulation 74. What is another term for the AWP? A. dock-to-dock price NAPSRX QUESTIONS D. Phase IX 86. During which phase of clinical trials is the new drug’s safety and effectiveness first tested in the target group? A. preclinical B. Phase I C. Phase II D. Phase III 87.How do antacids work? A. by increasing blood flow to the stomach B. by lowering gastric pH C. by raising gastric pH D. by suppressing cholesterol formation by the liver 88. What is one of the biggest time wasters for a pharmaceutical sales rep? A. caterers B. pharmacists C. receptionists D. travel time 89. What happens when equilibrium is reached? A. equal numbers of molecules cross the membrane in both directions B. molecules stop moving C. the concentration gradient decreases indefinitely D. the concentration gradient increases indefinitely 90.What are the most common vectors used in gene therapy? A. autologous antigens B. liposomes C. naked DNA D. viruses 91. What is the percentage fee that the dispenser pays the wholesaler for distribution? A. margin fee NAPSRX QUESTIONS B. recharge C. standard fee D. upcharge 92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction? A. Chronic reactions are exaggerated, whereas delayed reactions are idiosyncratic. B. Chronic reactions occur only during treatment, whereas delayed reactions only occur during withdrawal. C. Chronic reactions persist for a long time, whereas delayed reactions take some time to develop. D. Delayed reactions are always idiosyncratic, but chronic reaction not. 93.What is clinical effect? A. federally funded research condition B. the effect of maximum dosage C. the response produced by a medication D. the use of treatment drugs in chemotherapy 94.Which of the following is an example of noncompliance? A. a patient forgetting to take a drug at a specified time a day B. a patient taking a drug, but only because it has been court-mandated C. a pharmacist dispensing a generic equivalent of a drug instead of the brand name D. a physician refusing to prescribe a drug because (s)he does not trust the clinical studies on it 95.What is the average circulation time of blood? A. about a minute B. about 5 minutes C. about 5 to 10 minutes depending on the patient’s age and health conditions D. about 10 minutes 96. What is one way in which pharmaceutical selling is different from selling in most other industries? A. in pharmaceutical sales, the decisions-makers, consumers, and payers are usually the same entity B. Pharmaceutical selling takes less time because doctors are so busy. C. Representatives do NOT sell the end user of the product. NAPSRX QUESTIONS D. Representatives DO sell to the end user of the product. 97. From what types of entities do primary wholesale distributors buy most of their drugs? A. brokerages B. buying clubs C. manufacturers D. physicians 98. What is the Office of the Inspector General (OIG)? A. a department in pharmaceutical companies B. an arm of the Department of Health and Human Services C. an arm of the European Medicines Agency D. an arm of the FDA 99. What are doctors required to consider when deciding whether or not prescribe a particular drug? A. quantity of life over quality of life B. that no drugs with adverse effects should ever be used C. the inferiority of OTC drugs D. the severity of the disorder being treated and the effect it has on the patient’s quality of life 100.Which entity assigns a new drug its generic names? A. the drug’s inventor B. The Food and Drug Administration C. the United States Adopted Name Council D. the United States Pharmaceutical Council 101. Drugs can be used days beyond their expiration date. A. 2-7 days, depending on the most current monograph B. 2-90 days, depending on state laws C. 7-90 days, depending on the type of drug and its therapeutic class D. none of these 102. What is necessary for a drug to be excreted extensively via the kidneys? A. The drug must be water-soluble, and not bind too tightly to proteins in the bloodstream. B. The drug must have a phospholipid bilayer and be non-water-soluble. NAPSRX QUESTIONS D. Inactivated vaccines only require a single dose. 114. Which medical term denotes a low supply of oxygen due to blood flow? A. potentiation B. ischemia C. TID D. titration 115. What are the two main of prescription drug marketing? A. (1) marketing to insurance companies, and (2) marketing to pharmacies B. (1) PBM marketing, and (2) marketing to governments C. (1) professional physician promotions, and (2) direct-to-consumer advertising D. (1) publicly-funded marketing, and (2) physician-funded marketing 116.What is the site of delivery for subcutaneous injections? A. fatty tissue beneath the surface of the skin B. lymphatic tissue C. muscle tissue D. the stomach, via a special type of needle 117. What must be contained in the Description section of a pharmaceutical package insert? A. adverse effects B. mechanism of action C. pharmacokinetics D. the proprietary name and established name 118. What is the study of a mediation’s effects as it through the body? A. pharmacodynamics B. pharmacogenetics C. pharmacogenomics D. pharmacokinetics 119. Customers purchase products from people they like, trust, and respect. This is called the . A. closing of the sale B. first time advantage NAPSRX QUESTIONS C. likeability factor D. power of knowledge 120. What is penicillin’s mechanism of action? A. It disturbs bacterial cell wall synthesis. B. It inhibits the production of viruses. C. It prevents proper DNA replication. D. It sends a messenger to the bone marrow to produce extra white blood cells. 121. According to your manual, how has the U.S. healthcare marketplace changed in the last few decades? A. Fewer and fewer prescription drugs have been made available as OTCs. B. Managed care has been increasingly replaced by more patient-centered approaches. C. The aging Baby Boomer generation has begun demanding more personalized attention. D. There has been decreased emphasis on preventive health. 122.How does pharmaceutical marketing help narrow the treatment gap? A. It encourages patients to take more active roles in their healthcare. B. It makes doctors more skeptical of the pharmaceutical industry. C. It makes patients more skeptical of their doctors’ opinions. D. all of those 123. What do immunosuppressive agents do? A. decrease risk of infection B. increase risk of infection C. increase the risk of rejection of foreign bodies D. treated psoriasis 124. What types of drugs are EGFR inhibitors? A. antineoplastics B. cardiovascular agents C. CNS agents D. mitotic inhibitors 125. Which of the following means outside of the living body? NAPSRX QUESTIONS A. en vivo B. ex vitro C. ex vivo D. intra vivo 126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals. A. True B. False 127. What is the estimated net gain of private-sector healthcare’s contributions to increased U.S. life expectancy? A. $5-10 billion B. $40-50 billion C. $800-900 billion D. $2-5 trillion 128. Which statement is TRUE regarding post-approval drug monitoring? A. All side effects are determined during clinical trials B. Drug manufacturers are only required to report adverse effects if they are severe or life- threatening. C. Drug manufacturers are only required to report adverse effects if they have been proven in clinical studies. D. The FDA can choose to withdraw their approval if new evidence arises. 129. Which term denotes when tolerance to one medication causes increased tolerance to another medication? A. cell tolerance B. cross-tolerance C. indicated tolerance D. minimized tolerance 130. Patents expire years from the date of filing. A. ten B. fifteen NAPSRX QUESTIONS D. To Whom It May Concern, 143. What is part of becoming an indispensable pharmaceutical sales rep? A. asking for feedback B. giving the doctors anything they ask for to prescribe your products C. keeping your market share goals the same each term D. not bothering busy doctors in hospitals 144. Which of the following is NOT typically included in the indications and usage section of the package insert information? A. diseases or conditions that the drugs is approved to treat B. the drug’s active metabolites C. the drug’s recommended usual dosage D. the drug’s usual dosage range 145. Which term denotes the practice of classifying physicians and other potential prescribers by anticipated prescription volume? A. conditioning B. deciling C. detailing D. private labeling 146. What makes a drug eligible for fast track approval from the FDA? A. It is a generic that has already been approved as a branded drug. B. It is a new drug. C. It is less expensive than what is currently on the market. D. It treats patients with a serious, life-threatening condition. 147. In the gastrointestinal tract, help break up tablets to ensure full release of the active pharmaceutical ingredient. A. binders B. disintegrants C. dispersing agents D. lubricants 148. According to your manual, what does the PDRP do? NAPSRX QUESTIONS A. It educates patients on their treatment options. B. It expands sales representatives’ access to patient information. C. It improves communication between sales representatives and patients in doctors’ offices. D. It limits sales representatives’ abilities to see individual physicians’ prescribing data. 149.What are the components of the centrals nervous system? A. the brain and sense organs B. the brain and spinal cord C. the brain, spinal cord, and peripheral nervous system D. the spinal cord and sense organs 150. Which term denotes the origin or cause of a medical condition? A. cytology B. discovery C. etiology D. pathology 151. Patients diagnosed with Type 1 diabetes … B. … have an autoimmune disease. 152. Which DTC pharmaceutical marketing tactic is permitted in European countries? A. disease state ads 153. What is one way in which psychologists DIFFER from psychiatrists? B. Psychologists deal more with emotional than physical issues. 154. What are PBMs? C. organizations that negotiate between pharmaceutical companies and large drug purchasers. 155.How does the Hatch-Waxman Act protect research-based drug manufacturers? C. by providing a 30-month cooling off period 156. What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects? D. titration 157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? C. the transportation of the drug to the specific site for drug-receptor interaction NAPSRX QUESTIONS 158. How does the healthy human immune system use MHC markers? D. Substances without MHC markers are discerned as foreign and targeted for destruction. 159.What is a behind-the-counter drug? A. Medication that must be closely monitored by the pharmacist. 160.When do MSLs meet with clinicians? A. at nearly any stage of the product’s life cycle