Download NAPRx CNPR Exam with 160 Questions and Answers 2023-2024 and more Exams Nursing in PDF only on Docsity! NAPRx CNPR Exam WITH 160 Questions and Answers 2023- 2024 .chamberlain college NAPSRX FINAL EXAM 1 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP Answer Marked in Yellow Color 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 their therapeutic effects D. first by their toxicity. 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 section of a drug's package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits? A. adverse reactions B. contraindications C. overdosage D. warning/precautions 4. What does AMA stand for? A. American Medical Academy B. American Medical Accreditation C. American Medical Association NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 15 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': NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP A. MS B. OH C. SM D. SS 17 What is an internist? A. a physician who practices internal medicine B. a physician's intern C. a type of oncologist who specializes in chemotherapy D. an internal sales representative 18. Which of the following is a type of white blood cell? A. erythrocytes B. insulin C. Lymphocytes D.HCs 19. 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. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. B. Pharmacodynamics studies how drugs affect the body. C. Pharmacodynamics studies the how the body affects drugs. D. Pharmacodynamics studies the time required for a drug's absorption. 21 What proportion of the drugs tested on human subjects are eventually approved by the FDA? A. about 20% about 60% C. about 70% D. about 95% 22. 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 23. Which of the following is an example of a central value? A. I buy Advil to show that I'm a 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. 24. Which of the following specialties likely has the MOST emergency calls? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP E. 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 products? A. AMA guide B. Blue Book C. FDA drug list D. Orange Book 35. What does subcutaneous mean? A. beneath the intervention B. beneath the muscle tissue C. beneath the outer skin D. beneath the suture NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP F. 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 competitors' products out of the way NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 37. It is inappropriate for physicians' prescribing behaviors 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 B. positive C. potent D. primary 39. What are the 2 legal classifications of 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 or D. off-label 41. What is the acronym for pharmacokinetics? A. KN B. PC C. PK D. pT NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP A. three B. five C. ten D. fifteen 51. What agency regulates the distribution and use of narcotics? A. DEA B. FTC C. OIG D.TSA 52. 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 through a membrane from a high concentration gradient to a low one 53. 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 54. Answer: Oxytocin NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 55. What are all metabolites? A. active substances B. inactive substances C. injections D. products of metabolism 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? A. assay B. edema C. instillation D. protease 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? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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? A. child prescriptions B. injection C. oral D. tablet 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 63. If a sales representative's product is placed on the second tier of a standard three-tier formulary, which of the following is most likely true? A. It has not been reviewed by the P&T committee. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. D. 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 PPO RPO 69. What is another name for a drug derived from a biologic compound? A. large molecule B. oligonucleotide C. orgaanism 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. D. 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 the 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 for generic equivalents sites of action besides the target sites of action the inert ingredients in a drug formulation 74. What is another term for the AWP? A. dock-to-dock price B. float price C. list price D. non-stock price 75. 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. D. D. to treat hyperthyroidism 76. 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 77. Why are oral drugs often taken on an empty stomach? A. to be more wholly absorbed by the stomach B. to minimize absorption by the intestine C. to minimize nausea D. to pass through the stomach more quickly 78. 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. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 88. What is one of the biggest time wasters for a pharmaceutical sales rep? A. Caterers B. Pharcists C. receptionists D. travel time 89. What happens when equilibrium is reached? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 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 reactions are not. 93 What is clinical effect? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. 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 of day 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 he or she 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 to the end user of the product. 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP E. D. unacceptable 106. 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 107. What term denotes the the extent, quality, or degree to which a substance is poisonous or harmful to the body? A. caliber B. chronicity C. indication D. toxicity 108. 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 109. What is the degree to which a medication produces a therapeutic effect? A. diffusion B. efficacy NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP F. C. protease NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP D. vector 110. What is the most important benefit of electronic prescribing? A. Choice B. cost C. inquiries D. safety 111. 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 112. Which phase of trials largely determines the clinical dose? A. preclinical trials B. Phase II trials C. Phase III trials D. Phase IV trials 113. 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. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 these 123. What do immunosuppressive agents do? A. decrease risk of infection B. increase risk of infection C. reduce the risk of rejection of foreign bodies D. treat psoriasis 124. What types of drugs are EGFR inhibitors? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. A. antineoplastics B. cardiovascular agents C. CNS agents D. mitotic inhibitors 125. Which of the following means outside of the living body? A. en vivo 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. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. 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 twenty D. thirty 131. After a trade-name drug's patent expires, how may generic versions of it be sold? A. only under the branded generic name B. only under the generic name C. only under the original trade name D. under the original trade name or a generic name 132. What is required for a new pharmaceutical to be considered a viable therapy? A. It causes no serious adverse effects. B. It causes no side effects. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP A. Selection criteria should be well-supported by documented evidence. B. Studies should make every attempt to conduct research on subjects who are underprivileged and in need of medical attention. C. Subjects should be selected based on scientific objectives. D. all of these 142. Which of the following is the most appropriate salutation for a cover letter if you cannot find a contact name? A. Dear Personnel Department. B. Dear Sir or Madam, C. Dear Sir 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 drug 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? NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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? 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 central 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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... A......do not produce enough insulin because they do not have enough B cells. B..... have an autoimmune disease. C..... produce enough insulin. but it is not as effective. D......rely on insulin from porcine sources. 152. Which DTC pharmaceutical marketing tactic is permitted in European countries? A. disease state ads B. branded billboards and disease state ads C. branded highway billboards D. branded radio ads 153. What is one way in which psychologists DIFFER from psychiatrists? A. Psychologists are more concerned with subconscious memories than conscious ones. B. Psychologists deal more with emotional than physical issues. C. Psychologists deal more with physical issues than emotional ones. D. Psychologists do not have graduate degrees. 154. What are PBMs? A. governmental organizations that provide healthcare B. organizations that design marketing campaigns C. organizations that negotiate between pharmaceutical companies and large drug purchasers D. organizations that write FDA new drug applications NAPSRx Final Exam NAPSRX Test CNRP