NAPRx CNPR Exam WITH 160 Questions and 100%Correct Answers 2023-2024, Exams of Nursing

Download NAPRx CNPR Exam WITH 160 Questions and 100%Correct Answers 2023-2024 and more Exams Nursing in PDF only on Docsity! ANSWER KEY FOR 16TH EDITION CNPR PHARMACEUTICAL SALES REPS EXAM/ 2022-2024 pharmaceuticals are arguably the most socially important health care product. true or false - CORRECT ANSWER- true pharmaceutical development is a high risk in which many promising leads prove disappointing. true or false - CORRECT ANSWER- true pharmaceutical sales are the highest in which geographical regions - CORRECT ANSWER- the US, Western Europe, Japan U.S. accounts for ___ of the worlds pharmaceutical revenues - CORRECT ANSWER- 50% what has fueled recent growth in the pharmaceutical industry - CORRECT ANSWER- population growth and increased life expectancies which statement describes the relationship between pharmaceutical companies and genomic research - CORRECT ANSWER- partnerships between pharmaceutical companies and genomic companies will not prove immediately profitable prescription drug therapy is not cost effective for insurance companies and providers.. true or false - CORRECT ANSWER- false the high price of healthcare is explained by the high price of medicines - CORRECT ANSWER- false one of the oldest and least effective pharmaceutical marketing techniques is DTC (direct-to-consumer) true or false - CORRECT ANSWER- false what influences the number of districts in a region - CORRECT ANSWER- the regions population what is an example of the regionalization of healthcare delivery systems - CORRECT ANSWER- california and flordia have different prescription reimbursement policies the heart of a pharmaceutical sales team is the regional manager. true or false - CORRECT ANSWER- false most DMs did not start as representatives. true or false - CORRECT ANSWER- false how many territories are typically in a district - CORRECT ANSWER- 8-12 what is the most effective method for grabbing market share - CORRECT ANSWER- comparative selling pharm reps mainly visit just pharmacies. true or false - CORRECT ANSWER- false it is usually only 1-2 calls to a physician before he/she commits to prescribing your medicine. true or false - CORRECT ANSWER- false pharmacies may dispense a product other than what is prescribed. true or false - CORRECT ANSWER- true what classifies as "payers" - CORRECT ANSWER- employers what defines ethical pharmaceutical companies - CORRECT ANSWER- researching and developing novel drugs one of the most disappointing results of the pharmaceutical industry is continued investment in R+D is the few new drugs being approved in development - CORRECT ANSWER- false thanks to modern medicine, how long are people newly diagnosed with HIV expected to live - CORRECT ANSWER- another 50 years how much as average life span increased in 1890 - CORRECT ANSWER- almost 30 years what accurately differentiates resistance from tolerance - CORRECT ANSWER- tolerance refers to a persons diminished response to a drug after repeated use, while resistance applies to microorganisms between 3%-7% of hospital admissions in the US are estimated to be treatment for adverse drug reactions. true or false - CORRECT ANSWER- true why is noncompliance a serious public health concern - CORRECT ANSWER- it increases the cost of medical care which of the following is not eligible for patent protection under u.s. regulations - CORRECT ANSWER- companies would be granted patents for all of these things.. 1. drug itself 2. delivery method & release drug into bloodstream 3. the way the drug is made drug trade names are often unrelated to their intended use. true or false - CORRECT ANSWER- true Like foods and household products, generic drugs are usually lower quality than the brand name drugs for which they are marketed as equivalents. true or false - CORRECT ANSWER- false Legally, bioequivalence of different versions of a drug can vary by up to ________. - CORRECT ANSWER- 20% what is incorrect about biologics - CORRECT ANSWER- they do not cause immune responses "large molecule" products are developed and manufactured by a chemical process. true or false - CORRECT ANSWER- false what are drugs that attract or bind to cell receptors in order to mimic or enhance activities by endogenous chemicals - CORRECT ANSWER- agonists 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 By FDA law, large chain pharmacies are not allowed to buy directly from drug manufactures. true or false - CORRECT ANSWER- false Only 3 companies account for nearly 90% of all drug wholesale sales. true or false - 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 longer what is not a stock sale .. - brokerage sales - docl-to-dock sales -drop shipments - CORRECT ANSWER- they all are what is another term for rebates - CORRECT ANSWER- after market arrangements the PDMA is the prescription drug manufacture organization. true or false - CORRECT ANSWER- false A company that owns and operates three or fewer pharmacies is an ____________. - CORRECT ANSWER- independant drug store Drug labels must include indications and usage information, as well as contraindications. true or false - CORRECT ANSWER- true what should be included in the description section of a drugs package insert information - CORRECT ANSWER- the drugs proprietary name and established name Exclusivity gives exclusive ______, which is granted by the FDA, and can run concurrently with a patent or not. - CORRECT ANSWER- marketing rights what differentiates exclusively from a patent - CORRECT ANSWER- exclusively is only granted upon the drugs FDA approval what is required of an invention for it to be worthy of patient protection - CORRECT ANSWER- it must be novel, useful, not obvious A generic drug is ______ to the originator brand-name drug in dosage, strength, safety, and quality. - CORRECT ANSWER- bioequivalent what is not required by FDA's criteria for equivalency - CORRECT ANSWER- - what is generally considered the most reliable source of information on therapeutically equivalent drug protects - CORRECT ANSWER- approval drug products with therapeutic equivalence what is an orange book rating - CORRECT ANSWER- - what is the term for chemical equivalents which are 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 in dosage form, safety, strength, route, quality, performance, characteristics, intended use - CORRECT ANSWER- generic what term denotes the dispensing of an unbranded generic product for the product prescribed - CORRECT ANSWER- generic 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 it will be prescribed pharm reps do not typically store and secure their own drug samples. true or false - CORRECT ANSWER- false which of the following invests a greater percentage of sales in research than the biotech sector - aerospace sector -communications error -electronics error - CORRECT ANSWER- none of them what was the intent of the bayh-dole act and the stevenson-woller technology innovation ac - CORRECT ANSWER- to hasten the commercialization of technologies that otherwise might not be used according to your manuel, what did the G10 medicines group recently report about the pharmaceutical industry in the european union - CORRECT ANSWER- there is poor collaboration between publicly and privately funded research centers The aim of preclinical pharmacological studies is to obtain data on the safety and effectiveness of the lead compound. true or false - CORRECT ANSWER- true toxicity information is preclinical studies helps provide confidence about a drugs safety. true or false - CORRECT ANSWER- true pharmacological studies using animals are regulated under good laboratory practices. true or false - CORRECT ANSWER- true Why do drugs administered to patients only contain APIs? - CORRECT ANSWER- they dont what does not affect a drugs ability to permeate membranes - CORRECT ANSWER- the drug 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 which of the following routes of administration do 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 drugs distribution to its target tissues 1. the drugs lipid solubility 2. the drugs polarity 3. the vascular nature of the drug target tissue - CORRECT ANSWER- all of these factors affect a drugs distribution to its target issues what medical term means "to apply the drug on the skin surface" - CORRECT ANSWER- transdermal carcinogenicity studies are carried out to identify the tumor causing potential of a drug. true or false - CORRECT ANSWER- true According to NIH ethical guidelines, what is the most important criteria in selecting subjects for clinical studies? - CORRECT ANSWER- scientific objects what is incorrect about IRB - CORRECT ANSWER- the members of IRB/IEC must be experts in the topic of study which phase of clinical trials are "open label" , and which are labeled - CORRECT ANSWER- phase 1 and phase 4 trials are often open label phase 2 and phase 3 are often double blind or atleast blind 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 what observational study first identifies a group of subjects with certain diseases & a control group without the disease, and then looks back in time (chart review) to find the exposure 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 specific time period of time in a population at risk for the event (ex: lung infections per year) - CORRECT ANSWER- incidence what is used to describe the variability of the population mean - CORRECT ANSWER- standard error of the mean what denotes the extent to which a test actually measures what is suppose to be measuring, or what we think it is measuring - CORRECT ANSWER- validity what are the kaplan-meir analysis and cox proportional hazards analysis - CORRECT ANSWER- method 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 (studys general design and operating features) - CORRECT ANSWER- protocol when designing and performing clinical trials, several ethical constraints must be considered. what is not an ethical constraint - geographic variations -independant review -scientific validity - social value - 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 what is incorrect about vaccines - 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 - 3.5 million people according to your manual, the three primary entities that fund pharmaceuticals are employers, the government (medicare and medicaid), and... - CORRECT ANSWER- individuals which of these individuals would not be a member of P&T committee - a company's medical liaison - an attending physician -the physician who heads the surgery department - all of these people are typically members of the P&T committee - CORRECT ANSWER- a company's medical liaison Almost 98% of employed Americans are now covered by a HMO, a preferred provider organization, or a point-of-service plan. - CORRECT ANSWER- false pharmaceutical companies are more interested in acquiring and exploiting another's brands than in acquiring anothers R&D and sales and marketing sales. true or false - CORRECT ANSWER- false Ideally, when should brand strategy development for a new drug begin? - CORRECT ANSWER- during phase 2 clinical trials which of the following is an example of a "expressive" value? "i own a bmw because i like feeling the road" "i own a bmw because i like the bells and whistles" "i own a bmw because i want people to know that im a serious driving enthusiast" "i own a bmw because its german like i am" - CORRECT ANSWER- "i own a bmw because i want people to know that im a serious driving enthusiast" what is not an example of a functional value - CORRECT ANSWER- uniqueness It is rare for pharmaceutical companies to explore, develop and promote expressive values with which patients might identify. true or false - CORRECT ANSWER- true to be competitive, pharmaceutical brand names are not subject to regulatory approval. true or false - CORRECT ANSWER- true With the global need for new drugs, pharmaceutical brand names are not subject to regulatory approval. true or false - CORRECT ANSWER- false How has DTC advertising changed over the last few decades? - CORRECT ANSWER- it has become an essential marketing tactic for both large and small brands which of the following most strongly influences physicians prescribing habits - CORRECT ANSWER- doctors personal experiences, and then patients unique situations pharmaceutical companies spend more on promotional activities than on R&D. true or false - CORRECT ANSWER- false which of the following would be most well-served by mass-market print and tv ads - a brand that treats a rare, acute condition -a brand that treats a small but active patient base -a brand that treats a very common chronic condition -a very expensive brand - CORRECT ANSWER- a brand that treats a very common chronic condition which of the below is the least commonly analyzed fluid for conducting a medical diagnostic test - blood -urine -fluid that surrounds the spinal cord -saliva - CORRECT ANSWER- saliva "gold standard" testing achieves the greatest results among the diagnostic testing measurements. gold standards provide the best understanding of what is happening to a patient so no cost is not a factor when deciding to run these tests routinely. true or false - CORRECT ANSWER- false Every test has some risk. The risk may be the possibility of injury during the test, or it may be the need for further testing if the results are abnormal true or false - CORRECT ANSWER- true For Genetic Testing, which of the below cell material is not commonly used for examination to check abnormalities of chromosomes, genes (including DNA), or both? -urine -skin -blood -bone marrow - CORRECT ANSWER- urine there are 4 common test sites for bone marrow aspiration and biopsy. which of the below is not one of them - rear upper pelvic bone -central flat bone of the chest -bottom of bone of the floot - the larger shin bone (tibia) - CORRECT ANSWER- bottom of bone of the foott DEXA is the only method that may be used to make a definitive diagnosis of osteoporosis and to monitor the response to treatment true or false - CORRECT ANSWER- true Which of the below tests uses a small needle censors (electrodes) to record the electrical activity in selected muscles and peripheral nerves during rest? -cranial test -muscle biopsy (BP) - gait test - electromyography (EMG) - CORRECT ANSWER- electromyography (EMG) wearable and implantable test technologies currently in development will allow for constant monitoring of body chemistry and collection of previously inaccessible data true or false - CORRECT ANSWER- true diagnostic tests are never used to detect, confirm, or rule out the presence of a disease or medical condition true or false - CORRECT ANSWER- false Under PhRMA Code, what is one example of an acceptable patient education item? - CORRECT ANSWER- an anatomical model valued under $100 under what circumstances does PhRMA code permit a company to provide entertainment or recreational activities to healthcare practitioners -when the activity is intended to facilitate informational exchange -when the practitioner is acting as a bone fide advisory board consultant -when the practitioner is providing a legitimate service to the company -under none of these circumstances - CORRECT ANSWER- under none of these circumstances Under PhRMA Code, may a company sponsor a lunch at a 3-day conference if part of it includes an educational program for which attendees may choose to receive CME credit? - CORRECT ANSWER- yes only if the lunch is clearly separate from the CME portion of the conference 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 - american medical association -drug enforcement agency -federal trade commission -office of inspector general - 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. - true -false - CORRECT ANSWER- false which of the following is NOT a primary goal or function of the P&T committee -to assist in research or investigational drugs -to budget the hospital's pharmaceutical expenses - to educate sales representatives on legal and ethical guidelines -to monitor drug utilization - CORRECT ANSWER- to educate sales representatives on legal and ethical guidelines which of the following is a major challenge facing family medicine - fewer and fewer patients bc people are not opting to see specialists - managed care policies eroding patient-doctor relationships -too many medical students and not enough practice -family medicine faces all these challenges - 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 - CORRECT ANSWER- 95% which of the following is not one of the steps on the product adoption continuum -adoption -awareness -evaluation -these steps are all on the continuum - CORRECT ANSWER- -these steps are all on the continuum which of the following would not be classified as a type of somatic psychiatric treatment - drug therapy -family therapy - hypnosis -psychoanalysis - CORRECT ANSWER- drug therapy Why is the last 10 minutes of each hour usually the best time to make office visits to psychiatrists? - CORRECT ANSWER- physiatric often see patients on the hour for 45 minutes what is/ are an advantage of selling to residents - all of these are advantages - it is easier to meet one-on-one with residents -residents are often more open-minded - you do not need to face the challenges of group selling environments - CORRECT ANSWER- residents are often more open-minded What is drug utilization review (DUR)? - CORRECT ANSWER- MCO's practice of monitoring prescribing patterns 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 types of education do MSL's typically have - CORRECT ANSWER- graduate-level science degrees how do companies typically judge the MSL team's contribution - 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 reps are more involved in "pull through" programs which is these is NOT a type of "pull through" program -adherence/ persistence -educational support - therapeutic intervention -all of these are types - CORRECT ANSWER- all of these are types of "pull through" programs because pharmaceutical sales reps work mostly out of their homes , it is not important that they work well in a team environment true or false - CORRECT ANSWER- false 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 - being a medicare part d info resource -knowing the physical-payer mix -office based vs hospital based - primary care vs specialty care - companies and agencies categorize their patients in all of these ways - CORRECT ANSWER- companies and agencies 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 and modernization act -HMO Plan 2006 - Medicare Part A -Medicare Part B -Medicare Part D - 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 -heart -kidneys -ovaries -stomach - CORRECT ANSWER- kidneys what term denotes the practice of locating genes on a chromosome -gene delivery -gene mapping -gene therapy -generics - CORRECT ANSWER- gene mapping What field is MOST concerned with drug effects due to slight genetic differences? -genomics -pharmacogenomics -pharmacokinetics -pharmacoprothetics - CORRECT ANSWER- pharmacogenomics Which entity or entities fund/s the National Institutes of Health (NIH)? -MDA -Pharmaceutical companies -United Nations - United States Federal Government - CORRECT ANSWER- United States Federal Government With respect to the material in your manual, what does IDN stand for - immunodeficient drug -independent drug network -integrated delivery network - internal doctors network - CORRECT ANSWER- integrated delivery network what is an SS an abbreviation for -semis -senior specialist - stark law 1 & 2 - successful sale - CORRECT ANSWER- semis what term is used to denote drugs that are non-biological (i.e. chemical) in nature -generic - large molecule -parenteral drug - small molecule - CORRECT ANSWER- small molecule when referring to medication dosage, which medical abbreviation denotes "hour" - CORRECT ANSWER- H Which of the following terms denotes the study of drugs beneficial and toxic effects on living cells, tissues, and organisms - CORRECT ANSWER- pharmacology what are specialized cells and tissues that work together to perform a specific body function for a common purpose - CORRECT ANSWER- organs what is the mechanism of action - CORRECT ANSWER- the method by which a medication produces its therapeutic effects what is plasma - CORRECT ANSWER- Fluid portion of blood What is anaphylaxis? - CORRECT ANSWER- An extreme sensitivity and reaction to a foreign substance, including medications which of the following is not a way in which CNS agents are used - as analgesics - as anesthetics - as anticonvulsants - they are all used in these ways - CORRECT ANSWER- they are all used in these ways How do cholinergic agonists work? - CORRECT ANSWER- by mimicking the actions of acetylcholine which of the following types of therapeutic agents is used to promote blood clot formation - anticoagulants - antiplatelet drugs -fibrinolytics -thrombolytic drugs - CORRECT ANSWER- fibrinolytics which of the following is NOT a type of gastrointestinal agents -gallstone solubilizing agents - h2 antagonists -laxatives -prolactin inhibitors - CORRECT ANSWER- prolactin inhibitors what is one of the main functions of a tocolytic agent - to decrease urine pH - to increase urine pH -to induce labor -to suppress labor - CORRECT ANSWER- to suppress labor which of these conditions is not treated with anti androgens -acne -dyspepsia -masculinization in women -polycystic ovarian syndrome - CORRECT ANSWER- dyspepsia