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NAPSR Final Exam Answers: Pharmacology & Drug Development, Exams of Nursing

University of EssexNursing

A comprehensive set of multiple choice questions and answers covering various aspects of pharmacology and drug development. It includes topics such as drug classification, therapeutic effects, pharmacokinetics, pharmacodynamics, drug administration, and branding strategies. The questions are designed to test understanding of key concepts and principles related to the pharmaceutical industry.

Typology: Exams

2024/2025

Available from 02/02/2025

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james-smith-41 🇬🇧

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NAPSR FINAL EXAM ANSWERS Revised,
Attempt score: 160 Out of 160 points.
NAPSRX Test
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?
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Partial preview of the text

Download NAPSR Final Exam Answers: Pharmacology & Drug Development and more Exams Nursing in PDF only on Docsity!

NAPSR FINAL EXAM ANSWERS Revised,

Attempt score: 160 Out of 160 points.

NAPSRX Test

  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.
  2. What does AMA stand for? C. American Medical Association
  3. 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
  4. 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

  1. 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

A. the brand logo B. the brand name C. the brand packaging D. the brand promise

  1. What does it mean if two drugs are at parity? A. Both drugs are essentially in a neutral position. B. Both drugs are generics. C. Both drugs have exclusive preferred status. D. The two drugs are bioequivalent.
  2. Who is most likely to benefit from electronic sampling programs? A. Everyone would benefit equally from electronic sampling programs B. physicians in hospitals who are too busy to see representatives C. physicians in rural areas who are not as frequently visited by representatives D. physicians in urban areas who are too busy to see representatives 16.When referring to medication dosage, which abbreviation means “one- half”: D. SS
  3. What is an internist? A. a physician who practices internal medicine 18.Which of the following is a type of white blood cells? C. lymphocytes
  4. Why are novice sales representatives often placed in charge of negotiating MCO formularies? A. to become more familiar with the healthcare industry B. to become more familiar with their territories C. P&T committees are more receptive to new faces. D. They are not. This job is usually reserved for more experienced reps. 20.What distinguishes pharmacodynamics from pharmacokinetics? A. Pharmacodynamics studies a drug’s ex vivo effects. B. Pharmacodynamics studies how drugs affect the body. C. Pharmacodynamics studies the body affects drugs.

D. Pharmacodynamics studies the time required for a drug’s absorption.

  1. What proportion of the drugs tested on human subjects are eventually approved by FDA? A. about 20% B. about 60% C. about 70% D. about 95%
  2. According to a study discussed in your manual, how do most physicians prefer to receive their drug samples? A. by borrowing them from hospitals B. by ordering them over the Internet C. by trading them for services D. directly from sales representatives
  3. Which of the following is an example of a central value? A. I buy Advil to show that I’m modern consumer. B. I like Advil because we were both born in the 80s. C. I prefer Advil because I like the flavor. D. I prefer Advil because it’s easier to swallow.
  4. Which of the following specialties likely has the MOST emergency calls? A. cardiology B. psychiatry C. urology D. All specialists have the same number of emergency calls. 25.What affects the rate of active transport? A. the availability of carriers, but not energy B. the availability of energy, but not carriers C. the availability of carriers and energy D. neither the availability of carriers, nor the availability energy
  5. Over the last few decades, what has happened to the FDA approval time for new drugs? A. It has been lengthened to ensure safer drug products.
  1. 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
  2. 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
  3. 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
  4. What does subcutaneous mean? C. beneath the outer skin
  5. 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
  6. It is inappropriate for physicians’ prescribing behavior to be educated by their personal tastes and idiosyncrasies A. True B. False
  7. The FDA defines API as the active ingredient in a drug, which produces the desired change in the body. A. pharmaceutical

B. positive C. potent D. primary

  1. 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
  2. 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
  3. What is the acronym pharmacokinetics? C. PK
  4. The dosage range of a drug that is both safe and beneficial known as the therapeutic window. A. True B. False
  5. 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.
  6. 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

B. five C. ten D. fifteen

  1. What agency regulates the distribution and use of narcotics? A. DEA B. FTC C. OIG D. TSA
  2. What is passive diffusion? A. a type of pinocytosis B. membrane transport via vesicles C. the use of energy to help a substance pass from a low concentration gradient to a high one D. when a substance freely moves thorough a membrane from a high concentration gradient to a low one
  3. What are the MAIN categories of drugs under FDA jurisdiction? A. active drugs and active placebos B. biopharmaceuticals and nutraceuticals C. non-prescription and nutraceuticals D. prescription and non-prescription
  4. Which of the following is a natural uterotonic agent? A. hemoglobin B. leukotriene C. oxytocin D. Vitamin K
  5. What are all metabolites? A. active substances B. inactive substances C. injections D. products of metabolism
  1. When a drug is administered orally, where does first-pass metabolism occur? A. intestine B. liver C. pancreas D. stomach
  2. What is the medical term for swelling? B. edema
  3. 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
  4. 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
  5. Which of the following is a main active ingredient in lung surfactants? A. animal lung extract B. germicides C. sympathomimetic drugs D. theophylline
  6. What does parenteral mean? B. injections
  7. Which term denotes a type of substance that enhances the action of a drug or antigen? A. adjuvant B. indicated C. ligase D. peptide
  1. What is another name for a drug derived a biologic compound? A. large molecule B. oligonucleotide C. organism D. small molecule
  2. 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.
    1. 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.
  3. 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
  4. 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
  5. What is another term for the AWP? A. dock-to-dock price

B. float price C. list price D. non-stock price

  1. Which of these is the most likely use for a uterotonic agent? A. to induce labor B. to make the urine more alkaline C. to supplement oral food intake D. to treat hyperthyroidism
  2. As of November 2013, which of these countries has legalized DTC advertising of prescription drugs? A. Canada B. Japan C. Spain D. none of these
  3. Why are oral drugs often taken on empty stomach? A. to be more wholly absorbed by stomach B. to minimize absorption by intestine C. to minimize nausea D. to pass through the stomach more quickly
  4. What is one factor that differentiates community health centers from hospitals? A. Community health center formularies are more restrictive B. Community health centers have higher reimbursement rates C. Newer brand name drugs are easier to access at community health centers. D. none of these
  5. How does sampling provide a social benefit? A. Doctors donate their unused drug samples to charities. B. Doctors often use drugs samples to treat patients who otherwise could not afford it. C. It allows patients to try out different prescription medications before consulting with physicians. D. Drug sampling provides a social benefit in all of these ways.
  6. Which medical term denotes the use of a stethoscope to listen to the heart?

D. Phase IX

  1. 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
  2. What is one of the biggest time wasters for a pharmaceutical sales rep? A. caterers B. pharmacists C. receptionists D. travel time
  3. 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
  4. What is the percentage fee that the dispenser pays the wholesaler for distribution? A. margin fee

B. recharge C. standard fee D. upcharge

  1. 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
  2. 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. D. Representatives DO sell to the end user of the product.

D. The drug must not be water-soluble.

  1. Which organization or individual initiates the clinical trial and finances the study? A. clinical research organization B. investigator C. researcher D. sponsor
  2. The name describes the atomic or molecular structure of a drug. A. chemical B. generic C. pharmaceutical D. proprietary
  3. Under PhRMA Code, is it acceptable or unacceptable for a pharmaceutical sales rep to take a physician and the physician’s spouse to a fundraising dinner? A. acceptable if only the physician attends B. acceptable if only the physician attends, and the total is under $ C. acceptable if the total is under $ D. unacceptable
  4. The Hatch-Waxman Act is considered the most significant drug-related affecting the pharmaceutical industry since 1962. A. experiment B. legislation C. process D. research
  5. What term denotes the extent, quality, or degree to which a substance is poisonous or harmful to the body? A. caliber B. chronicity C. indication D. toxicity
  6. What issue has MOST encouraged consumers’ desire to see more OTC medications?

A. a weaker patients’ rights movement B. lack of insurance coverage C. less reliance on the Internet D. proliferation of herbal remedies

  1. What is the degree to which a medication produces a therapeutic effect? A. diffusion B. efficacy C. protease D. vector
  2. What is the most important benefit of electronic prescribing? A. choice B. cost C. inquiries D. safety
  3. When does the FDA regulate generic drugs? A. only if they are branded generics B. only if they have been contested C. always D. never
  4. Which phase of trials largely determines the clinical dose? A. preclinical trials B. Phase II trials C. Phase III trials D. Phase IV trials
  5. What is an advantage of inactivated vaccines over attenuated vaccines? A. Inactivated vaccines are less expensive to prepare. B. Inactivated vaccines have a higher probability of eliciting the desired immunological response. C. Inactivated vaccines have a more stable shelf life. D. Inactivated vaccines only require a single dose.