NAPRx CNPR Exam WITH 160 Questions and Answers NAPSRX FINAL EXAM, Exams of Nursing

Download NAPRx CNPR Exam WITH 160 Questions and Answers NAPSRX FINAL EXAM and more Exams Nursing in PDF only on Docsity! 1 NAPRx CNPR Exam WITH 160 Questions and Answers NAPSRX FINAL EXAM NAPSRx Final Exam NAPSRX Test CNRP. Download to score NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP Answer Marked in Yellow Color 1. 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 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 3. What does AMA stand for? A. American Medical Academy B. American Medical Accreditation C. American Medical Association D. Association of Medical Assistants 5 What is tertiary care? A. adding medications together to achieve a better clinical effect B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems 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. 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% NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. 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? 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 of energy 26. 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. B. It has been lengthened to limit DTC marketing NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. It has been shortened to improve drug quality D. It has been shortened to reduce the cost of new drug development. 27. Which of the following would NOT help improve compliance? A. patients liking their providers B. patients using only one pharmacist C. pharmacists understanding how generics differ from brand name drugs D. support groups 28. Which entity chooses a drug's trade name? A. the drug's inventor B. the drug's manufacturer C. the FDA D. the United States Pharmaceutical Council 29. What type of stem cells are obtained from embryos and can develop into any cell type? A. multipotent B. pluripotent C. totipotent D. All stem cells can develop into any cell type. 30. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it? A. It decreases. B. It increases. C. It remains unaffected because the prescription is needed. D. It remains unaffected because the prescription's increased cost is offset by its perceived value. 31. Most involuntary movements come from which type of muscle tissue? A. cardiac and smooth B. only skeletal C. skeletal and cardiac NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. FALSE 43. 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 reps are focused. D. Pharmaceutical sales reps are not concerned about competitors. 44. 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 if the drug is prescription and the U.S. Patent and Trademark Office if the drug is over- the- counter D. the U.S. Patent and Trademark Office 45. Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors? A. formulation B. mycoplasma C. peptide D. saccharide 46. What is the difference between potency and efficacy? A. Doctors prefer more potent drugs. B. Drug manufacturers prefer more potent drugs. C. Potency refers to the drug's effectiveness. while efficacy refers to its strength. D. Potency refers to the drug's strength, while efficacy refers to its effectiveness. 47. What is the minimum level of education required for a nurse practitioner? A. a certification program B. an associate's degree C. a bachelor's degree NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP D. a graduate degree 48. How many names must a drug have? A. at most three B. at least three C. at most five D. at least five 49. How has a longer development time increased the cost of bringing a new drug to market? Answer: Increasing the cost of capital Explaination (Option Not taken so find out in below para): Lengthening development time dramatically increase the cost of bringing a new drug to market by increasing the cost of capital needed for R&D. The cost of capital increases as companies are exposed to Economic Risk and uncertainty over a longer period of development time. Stringent FDA guideline and long approval times have greatly increased the cost of developing new drugs. 50. Senior citizens consume over times as many pharmaceuticals as people under 65. 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. PPO D. 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 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. sites of action besides the target sites of action D. 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 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 D. None of these 79. How does drug sampling provide a social benefit? A. Doctors donate their unused drug samples to charities. B. Doctors often use drug 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. 80. Which medical term denotes the use of a stethoscope to listen to the heart? A. auscultation B. cardioversion C. catheterization D. echocardiography 81. What do enteric coatings do? A. facilitate vomiting B. help drugs dissolve in the stomach C. help drugs enter the bloodstream more quickly D. prevent dissolution in the stomach 82. What is the duration of exclusivity for orphan drugs? A. 6 months B. 1 year C. 7 years D. 15 years 83. What do National Account Managers do? A. act as the sales reps' primary point of contact with the rest of the corporation B. manage the FDA approval process C. negotiate contracts with MCOs and PBMs D. sell only to pharmacies NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 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 B. buying clubs C. manufacturers D. physicians 98.What is the Office of the Inspector General (01G)? A. a department in pharmaceutical companies B. an arm of the Department of Health and Human Services C. an arm of the European Medicines Agency D an arm of the FDA 99. What are doctors required to consider when deciding whether or not to prescribe a particular drug? A. quantity of life over quality of life B. that no drugs with adverse effects should ever be used NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. the inferiority of OTC drugs D. the severity of the disorder being treated and the effect it has on the patient's quality of life 100. Which entity assigns a new drug its generic names? A. the drug's inventor B. the Food and Drug Administration C. the United States Adopted Name Council D. the United States Pharmaceutical Council 101. Drugs can be used days beyond their expiration date. A. 2-7 days. depending on the most current monograph. B. 2-90 days. depending on state laws C. 7-90 days. depending on the type of drug and its therapeutic class. D. none of these 102. What is necessary for a drug to be excreted extensively via the kidneys? A. The drug must be water-soluble. and not bind too tightly to proteins in the bloodstream. B. The drug must have a phospholipid bilayer and be non-water-soluble. C. The drug must have a phospholipid bilayer and bind well to proteins in the bloodstream. D. The drug must not be water-soluble. 103. Which organization or individual initiates the clinical trial and finances the study? A. clinical research organization B. investigator C. researcher D. sponsor 104. The name describes the atomic or molecular structure of a drug. A. chemical B. generic C. pharmaceutical NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP D. proprietary 105. 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 $100 C. acceptable if the total is under $100 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 C. protease 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? 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. 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. 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 NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP C. 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. C. It has an active placebo. D. It is more effective and/or causes fewer serious adverse effects than other drugs on the market. 133. Under the AMA guidelines, who is ultimately responsible for minimizing conflicts of interest? A. doctors B. lawyers and office managers C. pharmaceutical companies D. sales representatives 134. The act of dispensing a pharmaceutical alternative for the product prescribed is A. alternative licensure B. equivalence practice C. necessitated substitution D. pharmaceutical substitution 135. What does it mean if a drug is said to have a wide margin of safety? A. Its safety levels have yet to be adequately verified. B. Its safety varies widely among different types of patients. C. There is a greater chance of severe or life-threatening side effects. NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 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... NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP 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 155. How does the Hatch-Waxman Act protect research-based drug manufacturers? A. by limiting the competition B. by making it easier to bring generic drugs to market C. by providing a 30-month cooling off period D. by requiring the FDA to only look at bioavailability studies when approving an ANDA 156. What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects? A. homeostatic maximization NAPSRx Final Exam NAPSRX Test CNRP NAPSRx Final Exam NAPSRX Test CNRP B. steady state administration C.Sustained release D. Titration 157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? A. absorption. Distribution metabolism and excretion B. dose-response effects C. the transportation of the drug to the specific site for drug-receptor interaction D. the way the human body deals with a drug after it has been administered 158. How does the healthy human immune system use MHC markers? A. Substances with MHC markers are discerned as foreign and targeted for destruction. B. Substances with MHC markers as discerned as foreign and quarantined in the liver. C. Substances with MHC markers as discerned as foreign and quarantined in the pancreas. D. Substances without MHC markers are discerned as foreign and targeted for destruction. 159. What is a behind-the-counter drug? A. an OTC drug that must be closely monitored by the pharmacist B. another term for a generic prescription drug C. another term for a prescription drug D. another term for an OTC drug 160. When do MSLs meet with clinicians? A. at nearly any stage of the product's life cycle B. only after the district's sales representatives C. only prior to launch D. MSLs do not meet with physicians.