Download CNPR Exam Questions with 100% Correct Answers | Verified | Updated 2024 and more Exams Advanced Education in PDF only on Docsity! CNPR Exam Questions with 100% Correct Answers | Verified | Updated 2024 T/F: Pharmaceuticals are arguably the most socially important healthcare product. - Correct Answer-True Pg 1 T/F: Pharmaceutical development is a high-risk undertaking, in which many promising leads prove disappointing. - Correct Answer-True Pg 2 Pharmaceutical sales are highest in which geographical regions? - Correct Answer-The U.S., Western Europe, and Japan (Pg3) The U.S. accounts for about ____ of the world's pharmaceutical revenues. - Correct Answer-B. 50% (pg3) What has fueled recent growth in the pharmaceutical industry? - Correct Answer- population growth and increased life expectancies (pg4) According to your manual, which statement accurately describes the predicted relationship between pharmaceutical companies and genomic research facilities? - Correct Answer-partnerships between pharmaceutical companies and genomic companies will not prove immediately profitable. (pg4) T/F: Prescription drug therapy is not cost-effective for insurance companies and healthcare providers. - Correct Answer-False (pg4) T/F: The high price of healthcare is explained by the high price of medicines. - Correct Answer-False (pg5) T/F: One of the oldest and least effective pharmaceutical marketing techniques is DTC (direct-to-consumer) advertising. - Correct Answer-False (pg5) What influences the number of districts in a region? - Correct Answer-the region's population What is an example of the regionalization of healthcare delivery systems? - Correct Answer-California and Florida have different prescription reimbursement policies. T/F: The heart of a pharmaceutical sales team is the Regional Manager. - Correct Answer-False T/F: Most DMs did not start as representatives. - Correct Answer-False (pg7) How many territories are in a typical district? - Correct Answer-B. 8 to 12 (pg6) What is the most effective method for grabbing market share? - Correct Answer-A. comparative selling (pg10) T/F: Pharmaceutical reps mainly visit pharmacies. - Correct Answer-False (pg11) T/F:It usually only takes 1-2 calls to a physician before he or she commits to prescribing your product. - Correct Answer-False (pg12) T/F: The pharmacist may dispense a product other than what the physician prescribed - Correct Answer-True (pg12) Who classifies as payers? - Correct Answer-Employers What defines ethical pharmaceutical companies? - Correct Answer-researching and developing novel drugs T/F: One of the most disappointing results of the pharmaceutical industry's continued investment in R & D is the few new drugs being approved and in development. - Correct Answer-False (pg15) How long are people newly diagnosed with HIV expected to live? - Correct Answer- another 50 years (pg16) How much has the average American lifespan increased since 1890? - Correct Answer- almost 10 years (pg17) What is a treatment group? - Correct Answer-a group of patients assigned to receive a specified treatment (pg18) What is the main difference between a blinded and double-blinded study? - Correct Answer-In a double blind study, neither the study staff nor the study participants know which subjects are in the experimental group and which in the control. (pg18) What does asymptomatic mean? - Correct Answer-not exhibiting signs or symptoms (pg18) Which term denotes the study of bodily functions (as opposed to structures)? - Correct Answer-physiology (pg 19) T/F: In its broadest definition, a drug is any substance that produces a physical or psychological change in the body. - Correct Answer-True (pg20) Which of the following statements about biologics is INCORRECT? - Correct Answer- They do not cause immune responses. T/F: "Large molecule" products are developed and manufactured by a chemical process. - Correct Answer-False What are drugs that attract or bind to cell receptors in order to mimic or enhance activities by endogenous chemical messengers? - Correct Answer-agonists Which term denotes how an API works in the body? - Correct Answer-mechanism of action What cements the active and inert components together to maintain cohesive portions? - Correct Answer-binders What does the medical abbreviation BID denote? - Correct Answer-twice a day What is the medical abbreviation for as needed? - Correct Answer-PRN Which components might cause patients' different reactions to brand name and generic drugs? - Correct Answer-differences in inactive ingredients T/F: All cells have a nucleus. - Correct Answer-False Which of the following does NOT affect drug response? - Correct Answer-All of these factors influence drug response. A. the patient's genetic makeup, age, body size, and use of other drugs and dietary supplements. B. the patient's other conditions or diseases. C. whether or not the patient takes the drug properly T/F: Drug reactions are predictable because they do not occur after a person has been previously exposed to the drug one or more times without any allergic reactions. - Correct Answer-False What is the typical relationship between a drug's site of administration and site of action? - Correct Answer-They are usually somewhat removed from each other. What is CMAX? - Correct Answer-the peak plasma concentration on a measuring curve Which of the following is NOT a main concept in clinical pharmacology? - Correct Answer-Pharmacoprocesses Which of the following is NOT a route of drug administration? - Correct Answer- transfugal How are intradermal drugs delivered? - Correct Answer-by injection under the skin What is an example of intravenous drug delivery? - Correct Answer-an injection of anesthetic directly into the bloodstream What are the major organs of the gastrointestinal system? - Correct Answer-the mouth, esophagus, stomach, liver, pancreas, gallbladder, small and large intestines Who is normally responsible for selling to distributors? - Correct Answer-NAMs How often do secondary drug wholesale distributors buy their drugs directly from manufactures? - Correct Answer-sometimes T/F: By FDA law, large chain pharmacies are not allowed to buy directly from drug manufactures. - Correct Answer-False T/F: Only 3 companies account for nearly 90% of all drug wholesale sales. - Correct Answer-True What type of sale bypasses the need for intermediary distributors? - Correct Answer- manufacturer-direct sales What is a group purchasing organization (GPO)? - Correct Answer-an entity consisting of two or more hospitals or other health care entities that negotiates contracts on behalf of its members Prescriptions dispensed by mail-order pharmacies are, on average, around ____________ than those dispensed by retail pharmacies. - Correct Answer-3 times larger What are examples of non-stock sales? - Correct Answer--brokerage sales -dock-to-dock sales -drop shipments What is another term for rebates? - Correct Answer-sell-side arrangements T/F: The PDMA is the Prescription Drug Manufacturers Association. - Correct Answer- False A company that owns and operates three or fewer pharmacies is an ____________. - Correct Answer-independent drug store Which section of a drug's package insert information covers the usual dosage range? - Correct Answer-indications and usage T/F: Drug labels must include indications, usage information, and contraindications. - Correct Answer-True What should be included in the description section of a drug's package insert information? - Correct Answer-the drug's proprietary name and the established name Exclusivity gives exclusive _____, is granted by the FDA, and can run concurrently with a patent or not. - Correct Answer-marketing rights What differentiates exclusivity from a patent? - Correct Answer-Exclusivity is only granted upon the drug's FDA approval. What is required of an invention for it to be worthy of patent protection? - Correct Answer-It must be novel, useful, and not obvious. This is NOT required by the FDA's Criteria for Equivalency. - Correct Answer-The drugs are adequately labeled. A generic drug is ______ to the originator brand-name drug in dosage, strength, safety, and quality. - Correct Answer-bioequivalent What list is generally considered the most reliable source of information on therapeutically equivalent drug products? - Correct Answer-The Blue Book Which of the following is an Orange Book rating? - Correct Answer-B What is the term for chemical equivalents which, when administered in the same amounts, will provide the same biological or physiological availability as measured by blood and urine levels? - Correct Answer-biological equivalents What term denotes a drug that is identical or bioequivalent to the originator brand-name drug in dosage form, safety, strength, route, quality, performance, characteristics, and intended use? - Correct Answer-OTC What term denotes the dispensing of an unbranded generic product for the product prescribed? - Correct Answer-chemical substitution What is the duration of a patent challenge? - Correct Answer-180 Days How is a drug sample closet or cabinet like a grocery store shelf? - Correct Answer-The more visibility you can give your drug, the more likely that it will be prescribed. T/F: Pharmaceutical representatives do not typically store and secure their own drug samples. - Correct Answer-False T/F: Toxicity information in preclinical studies helps provide confidence about a drug's safety. - Correct Answer-True T/F: Pharmacological studies using animals are regulated under Good Laboratory Practice. - Correct Answer-true Why do drugs administered to patients only contain APIs? - Correct Answer-They don't. What does NOT affect a drug's ability to permeate membranes? - Correct Answer-the drug's vesicles Through which barriers can lipid-soluble drugs usually pass? - Correct Answer-cell membranes How are weak acid drugs generally absorbed by the stomach? - Correct Answer-more quickly than weak basic drugs What route of administration does NOT completely bypass the liver? - Correct Answer- rectal administration Why are intravenous drug dosages easier to control than drugs administered transdermally? - Correct Answer-The entire dose is available in the bloodstream to be distributed to the target site. Which of the following does NOT affect a drug's distribution to its target tissues? - Correct Answer-All of these factors affect a drug's distribution to its target tissues. Which of these medical terms means "to apply the drug on the skin surface"? - Correct Answer-transdermal T/F: Carcinogenicity studies are carried out to identify the tumor-causing potential of a drug. - Correct Answer-True According to NIH ethical guidelines, which of the following is the most important criteria in selecting subjects for clinical studies? - Correct Answer-scientific objectives Which statement about the IRB is INCORRECT? - Correct Answer-The members of the IRB/IEC must be experts in the topic of the study Which phases of clinical studies are open label and which are blinded? - Correct Answer-Phase I and IV trials are often open label, but Phase II and III are double- blinded or at least blinded. If it is not possible to measure the direct effects of a drug, what is used instead? - Correct Answer-surrogate markers such as blood pressure and cholesterol levels Which of the following is an observational study that first identifies a group of subjects with a certain disease and a control group without the disease, and then looks to back in time (e.g., via chart reviews) to find exposure to risk factors? - Correct Answer-case- control study Which measure of central tendency is the sum of all observations divided by the number of observations? - Correct Answer-mean Which measurement describes the number of new events that occur during a specified period of time in a population at risk for the event (e.g., lung infections per year)? - Correct Answer-incidence Which of the following measures is used to describe the variability of the population mean? - Correct Answer-standard error of the mean Which of the following terms denotes the extent to which a test actually measures what it is supposed to be measuring, or what we think it is measuring? - Correct Answer- validity What are the Kaplan-Meier analysis and Cox proportional hazards analysis? - Correct Answer-methods of survival analysis What section of a clinical paper describes subjects' entry and exclusion criteria? - Correct Answer-methods Which document sets out how a trial is to be conducted (i.e., the study's general design and operating features)? - Correct Answer-protocol When designing and performing clinical trials, several ethical constraints must be considered. Which of the following is NOT one of these ethical constraints? - Correct Answer-geographic variations What is one way in which large molecule drugs DIFFER from small molecule drugs? - Correct Answer-Large molecule drugs are mainly protein-based drugs that develop in biological systems such as living cells. Which of the following statements about vaccines is INCORRECT? - Correct Answer- Vaccines are types of small molecule drugs. What is an advantage of attenuated vaccines over inactivated vaccines? - Correct Answer-Attenuated vaccines are less expensive to prepare. How are toxoids derived? - Correct Answer-from the toxins secreted by a pathogen What is the estimated annual death toll for malaria? - Correct Answer-1.5 to 3.5 million people T/F: There are more white blood cells than red blood cells for the same volume in the human body. - Correct Answer-False How was insulin primarily obtained from the 1930s to the 1980s? - Correct Answer- porcine and bovine extracts Which of the following are NOT types of cytokines? - Correct Answer-monokines Which of the following is NOT a type of hormones? - Correct Answer-steroids Which of the following is a basic gene therapy technique? - Correct Answer-in vitro, in which patients' genetically faulted tissues are removed, loaded with normal genes in vectors, and returned to the patients' bodies Which statement about stem cells is CORRECT? - Correct Answer-Pluripotent stem cells can develop into many cell types, but not a new individual. T/F: Leukemia is a condition in which the stem cells in the bone marrow malfunction and produce an excessive number of immature white blood cells - Correct Answer-True Which of the following are types of vectors used in gene therapy? - Correct Answer- retroviruses What is NOT a type of stem cell? - Correct Answer-semipotent Traditional vaccines are prepared in a number of ways. What way is NOT one of them? - Correct Answer-insulin T/F: Effective drug therapy is a cost-effective and highly valuable means of controlling total healthcare expenditures and improving quality of life. - Correct Answer-True Drug utilization review (DUR) programs... - Correct Answer-have traditionally been used to ensure the appropriate, safe, and effective use of prescription drugs, but are increasingly shifting their focus to minimizing costs. T/F: DUR programs involve retrospective monitoring of physicians' prescribing patterns. - Correct Answer-true T/F: A formulary is a list of prescription drugs approved by insurance coverage. - Correct Answer-True The history of drug formularies in the U.S. extends back to... - Correct Answer-...the American Revolution. Which of the following is an arm of the Department of Health and Human Services that investigates regulatory infractions, provides compliance advice, and brings enforcement actions? - Correct Answer-Office of Inspector General It is illegal to ask receptionists for personal information about your clients such as home phone numbers, birthdays, or hobbies. A. TRUE B. FALSE - Correct Answer-False Which of the following is NOT a primary goal or function of the P&T committee? - Correct Answer-to educate sales representatives on legal and ethical guidelines for professional behavior Which of the following is a major challenge facing family medicine? - Correct Answer- managed care policies eroding patient-doctor relationships According to your manual, family physicians diagnose and treat approximately what proportion of patients they see (as opposed to referring them to specialists)? - Correct Answer-95% Which of the following is NOT one of the steps on the Product Adoption Continuum? - Correct Answer-These are all steps on the continuum. A. adoption B. awareness C. evaluation Which of the following would be classified as a type of somatic psychiatric treatment? - Correct Answer-A. drug therapy Why is the last 10 minutes of each hour usually the best time to make office visits to psychiatrists? - Correct Answer-Psychiatrist often see patients on the hour for 45 minutes. What is/are an advantage/s of selling to residents? - Correct Answer-Residents are often more open-minded. What is drug utilization review (DUR)? - Correct Answer-an MCO's practice of monitoring prescribing patterns Used in the treatment of manic-depressive illness and schizoaffective disorder: - Correct Answer-Mood stabilizers What is the focus of the short call protocol? - Correct Answer-beginning with a specific patient type Who is the Medical Science Liaison (MSL)? - Correct Answer-someone employed by a pharmaceutical company who builds relationships with thought leaders and acts as an informational resources What type of education do MSLs typically have? - Correct Answer-graduate-level science degrees How do companies typically judge the MSL team's contributions? - Correct Answer- return on education What differentiates push through programs from pull through programs? - Correct Answer-Sales representatives are more involved in pull through programs. Which of these is NOT a type of pull through program? - Correct Answer-All of these are types of pull through programs. A. adherence/persistency B. educational support C. therapeutic intervention T/F: Because pharmaceutical sales reps work mostly out of their homes, it is not important that they work well in a team environment. - Correct Answer-Fasle What is the MOST LIKELY reason that a doctor would lack interest in one of your clinical studies? - Correct Answer-The doctor does not like the way you are presenting it. Which of the following is NOT an effective method for reaching the 65+ market? - Correct Answer-All of these are effective methods for reaching the 65+ market. A. being a Medicare Part D information resource B. knowing the physician-payer mix C. taking advantage of partnership programs T/F: When a physician visits your hospital display, you should begin conversation by asking, "Can I help you?"? - Correct Answer-False Which of the following is NOT a rule in making the most out of your Which of the following is NOT a rule in making the most out of your sales calls? - Correct Answer- your agenda, not theirs T/F: Specialty care products are more often prescribed by generalist Specialty care products are more often prescribed by generalist physicians. - Correct Answer-False T/F: Side effects that might be considered merely minor annoyances in acute treatment can be a powerful barrier to adoption in chronic therapies. - Correct Answer-True T/F: Acute medications, such as antibiotics, are used to address short-term illnesses or symptoms. - Correct Answer-True T/F: In some medical cases, a therapy may be initiated by a specialist and monitored and maintained by a primary care physician. - Correct Answer-True T/F: Blockbuster drug status typically translates into sales of just under $10 million annually. - Correct Answer-False T/F: A generic drug manufacturer's greatest challenge is often to replicate drug formulation factors that affect the pharmacokinetic and pharmacodynamic characteristics of the original drug. - Correct Answer-True What differentiates an orphan drug from a blockbuster drug? - Correct Answer-Orphan drugs typically treat rare conditions. How long are most calls and visits to physicians' offices (excluding waiting and driving time)? - Correct Answer-A. only a few minutes Which of the following is NOT a step in managing rumors? - Correct Answer-counter attack According to the text, which of the following is considered going to the next level? - Correct Answer-staying focused What is one of the primary job responsibilities of a retail pharmacist? - Correct Answer- A. dispensing pharmaceuticals What is NOT one of the ways in pharmaceutical companies and representatives categorize their customers? - Correct Answer-Companies and agents categorize their patients in all of these ways. Which of the following are relatively new prescription drug benefits covered under the Medicare Prescription Drug Improvement & Modernization Act? - Correct Answer- Medicare Part D Which term means "disease producer"? - Correct Answer-pathogen Which type of blood cell plays the most prominent role in fighting infection and disease? - Correct Answer-white blood cell Which of the following generally resides on a cell surface (or in the cytoplasm) and causes a biological change or activity when stimulated? - Correct Answer-receptor Renal pertains to: - Correct Answer-kidneys