NAPRx CNPR Actual Exam: 160 Verified Questions and Answers 2023-2024, Exams of Nursing

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NAPRx CNPR Actual Exam WITH 160 Verified Questions and Highlighted Answers 2023-2024 How are drugs sorted into therapeutic groups and classes? - ANSWER>>First by the conditions that they are used to treat, and then by their mechanisms of action Bone marrow transplants ... - ANSWER>>are a type of stem cell therapy, unless patient's own cells are reinjected What does AMA stand for? - ANSWER>>American Medical Association 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? - ANSWER>>contraindications What is tertiary care? - ANSWER>>highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems brand quality Which of the following is NOT one of the stages in the classic approach to brand development strategy? - ANSWER>>brand quality What are vasodilators used to do? - ANSWER>>decrease vascular resistance and increase blood flow 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 have become constant? - ANSWER>>steady state Which statement is TRUE about ocular administration? - ANSWER>>ocular administration is used primarily to treat the eye Which entity/entities invest(s) the most money in pharmaceutical R&D? - ANSWER>>U.S. pharmaceutical companies How are most drugs excreted? - ANSWER>>kidneys Over the last few decades, what has happened to legal limitations on sales' reps discussions about off label uses? - ANSWER>>limitations have decreased Which of the following is an example of a branding fundamental? - ANSWER>>the brand promise What does it mean if two drugs are at parity? - ANSWER>>both drugs are essentially in a neutral position Who is most likely to benefit from e-sampling programs? - ANSWER>>everyone would benefit equally When referring to medication dosage, which abbreviation means "one-half"? - ANSWER>>SS What is an internist? - ANSWER>>a physician who practices internal medicine What is a type of white blood cell? - ANSWER>>lymphocytes Why are novice sales representatives often placed in charge of negotiating MCO formularies? - ANSWER>>they are not; this job is usually reserved for more experienced reps What distinguishes pharmacodynamics from pharmacokinetics? - ANSWER>>pharmacodynamics studies how drugs affect the body What proportion of the drugs tested on human subjects are eventually approved by the FDA? - ANSWER>>about 20% How do most physicians prefer to receive their drug samples? - ANSWER>>directly from sales representatives What is an example of a central value? - ANSWER>>I buy Advil to show that I am a modern consumer What specialty likely has the most emergency calls? - ANSWER>>cardiology What affects the rate of active transport? - ANSWER>>the availability of carriers and energy What is an example of a natural uterotonic agent? - ANSWER>>oxytocin What are all metabolites? - ANSWER>>products of metabolism When a drug is administered orally, where does first-pass metabolism occur? - ANSWER>>liver What is the medical term for swelling? - ANSWER>>edema What is not part of the 7 Step Cascade of Emotion? - ANSWER>>be a consultant, not a rep Which part of a clinical research paper is frequently referred to as the road map? - ANSWER>>abstract What is a main active ingredient in lung surfactants? - ANSWER>>theophylline What does parenteral mean? - ANSWER>>injection What term denotes a type of substance that enhances the action of a drug or antigen? - ANSWER>>adjuvant If a sales rep's product is placed on the second tier of standard three-tier formulary, what is most likely true? - ANSWER>>it probably has exclusive preferred status if not at parity with any other drugs What is not one of the four basic transport mechanisms? - ANSWER>>homeostasis What statement accurately describes a relationship between drug agonists and antagonists? - ANSWER>>agonists and antagonists can be used together What is the study of the effects and movement of drugs in the human body? - ANSWER>>clinical pharmacology What is a common complaint that physicians have about traditional sampling methods? - ANSWER>>that drug sample supply is too unpredictable Which entity is formed by two or more hospitals or other healthcare entities to negotiate reduced rates with its aggregated purchasing power? - ANSWER>>GPO What is another name for a drug derived from a biologic compound? - ANSWER>>large molecule What is the most common policy regarding pharmaceutical reps dispensing drug samples in hospitals? - ANSWER>>drug sampling is often forbidden What would help you build trust with a physician? - ANSWER>>asking if he or she is having any problems with the managed care coverage of your products What term denotes the difference between the usual effective dose and the dose that induces severe or life-threatening side effects? - ANSWER>>margin of safety What are excipients? - ANSWER>>the inert ingredients in a drug formulation What is another term for the AWP? - ANSWER>>list price What is the most likely use for a uterotonic agent? - ANSWER>>to induce labor As of November 2013, which country has legalized DTC advertising of prescription drugs? - ANSWER>>neither Canada, Japan, or Spain Why are oral drugs often taken on an empty stomach? - ANSWER>>to pass through the stomach more quickly What is one factor that differentiates community health centers from hospitals? - ANSWER>>community health center formularies are more restrictive How does sampling provide a social benefit? - ANSWER>>doctors often use drug samples to treat patients who otherwise could not afford it Which medical term denotes the use of a stethoscope to listen to the heart? - ANSWER>>auscultation What do enteric coatings do? - ANSWER>>prevent dissolution in the stomach What is the duration of exclusivity for orphan drugs? - ANSWER>>7 years What do National Account Managers (NAMs) do? - ANSWER>>negotiate contracts with MCOs and PBMs What does it usually mean if a drug recall is voluntary? - ANSWER>>the manufacturer has recalled the product on its own, but negotiated with the FDA beforehand What phase of clinical trials is also known as the pivotal phase? - ANSWER>>Phase III During which phase of clinical trials is the new drug's safety and effectiveness first tested in the target group? - ANSWER>>Phase II How do antacids work? - ANSWER>>by raising gastric pH What is one of the biggest time wasters for a pharmaceutical sales rep? - ANSWER>>travel time What happens when equilibrium is reached? - ANSWER>>equal numbers of molecules cross the membrane in both directions What are the most common vectors used in gene therapy? - ANSWER>>viruses What is the percentage fee that the dispenser pays the wholesaler for distribution? - ANSWER>>upcharge What is the difference between a chronic reaction, and a delayed reaction? - ANSWER>>chronic reactions persist for a long time, whereas delayed reactions take some time to develop What is clinical effect? - ANSWER>>the response produced by a medication What is an example of noncompliance? - ANSWER>>a patient forgetting to take a drug at a specified time of day What is the average circulation time of blood? - ANSWER>>about a minute What is one way in which pharmaceutical selling is different from selling in most other industries? - ANSWER>>representatives do not sell to the end user of the product From what types of entities do primary wholesale distributors buy most of their drugs? - ANSWER>>manufacturers The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals. - ANSWER>>false What is the estimated net gain of private-sector healthcare's contributions to increased U.S. life expectancy? - ANSWER>>$800-900 billion What is true regarding post-approval drug monitoring? - ANSWER>>the FDA can choose to withdraw their approval if new evidence arises Which term denotes when tolerance to one medication causes increased tolerance to another medication? - ANSWER>>cross-tolerance Patents expire how many years from the date of filing? - ANSWER>>twenty After a trade-name drug's patent expires, how may generic versions of it be sold? - ANSWER>>only under the generic name What is required for a new pharmaceutical to be considered a viable therapy? - ANSWER>>it is more effective and/or causes fewer serious adverse effects than other drugs on the market Under the AMA guidelines, who is ultimately responsible for minimizing conflicts of interest? - ANSWER>>doctors The act of dispensing a pharmaceutical alternative for the product prescribed is called what? - ANSWER>>pharmaceutical substitution What does it mean if a drug is said to have a wide margin of safety? - ANSWER>>there is a lower chance of severe or life-threatening side effects What is the medical acronym for effective dose? - ANSWER>>ED Why is one group of subjects given an active drug, while another group only receives a placebo? - ANSWER>>to assess the drug's effectiveness A generic version is likely to have some inactive ingredients that are different from those of the original drug. - ANSWER>>true What is an example of a functional value? - ANSWER>>I drink Coca-Cola because I like the taste Where are most drugs metabolized? - ANSWER>>liver What is essential to the ethical requirement that subjects be selected fairly? - ANSWER>>subjects should be selected based on scientific objectives What is the most appropriate salutation for a cover letter if you cannot find a contact name? - ANSWER>>Dear Sir or Madam, What is part of becoming an indispensable pharmaceutical sales rep? - ANSWER>>asking for feedback What is not typically included in the indications and usage section fo the package insert information? - ANSWER>>the drug's active metabolites Which term denotes the practice of classifying physicians and other potential prescribers by anticipated prescription volume? - ANSWER>>deciling What makes a drug eligible for fast track approval from the FDA? - ANSWER>>it treats patients with a serious, life-threatening condition In the gastrointestinal tract, what helps break up tablets to ensure full release of the active pharmaceutical ingredient? - ANSWER>>disintegrants What does the PDRP do? - ANSWER>>limits sales rep's abilities to see individual physician's prescribing data What are the components of the central nervous system? - ANSWER>>the brain and spinal cord Which term denotes the origin or cause of a medical condition? - ANSWER>>etiology Patients diagnosed with Type 1 diabetes ... - ANSWER>>... have an autoimmune disease Which DTC pharmaceutical marketing tactic is permitted in European countries? - ANSWER>>disease state ads What is one way in which psychologists differ from psychiatrists? - ANSWER>>psychologists deal more with emotional than physical issues What are PBMs? - ANSWER>>organizations that negotiate between pharmaceutical companies and large drug purchasers How does the Hatch-Waxman Act protect research-based drug manufacturers? - ANSWER>>by providing a 30-month cooling off period What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects? - ANSWER>>titration What is studied more in pharmacodynamics than in pharmacokinetics? - ANSWER>>the transportation fo the drug to the specific site for drug-receptor interaction How does the healthy human immune system use MHC markers? - ANSWER>>substances without MHC markers are discerned as foreign and targeted for destruction What is a behind-the-counter drug? - ANSWER>>an OTC drug that must be closely monitored by the pharmacist When do MSLs meet with clinicians? - ANSWER>>at nearly any stage of the product's life cycle