Download NAPRX CNPR LATEST EXAM 2023-2024 ALL 180QUESTIONS AND VERIFIED ANSWERS GRADED A+ and more Exams Nursing in PDF only on Docsity! NAPRX CNPR LATEST EXAM 2023-2024 ALL 180 QUESTIONS AND VERIFIED ANSWERS GRADED A+ How are drugs sorted into therapeutic groups and classes? - CORRECT ANSWER-A. first by the conditions that they are used to treat. and then by their mechanisms of action Bone marrow transplants... - CORRECT ANSWER-are a type of stem cell therapy. unless patient's own cells are reinjected. What does AMA stand for? - CORRECT ANSWER-C. 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? - CORRECT ANSWER-B. Contraindications What is tertiary care? - CORRECT ANSWER-highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems brand quality What are vasodilators used to do? - CORRECT 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 (and therefore drug plasma concentration) have become fairly constant? - CORRECT ANSWER-steady state Which statement is TRUE about ocular administration? - CORRECT ANSWER-Ocular administration is used primarily to treat the eye. According to a study discussed in your manual, how do most physicians prefer to receive their drug samples? - CORRECT ANSWER-directly from sales representatives Which of the following is an example of a central value? - CORRECT ANSWER-I buy Advil to show that I'm a modern consumer. Which of the following specialties likely has the MOST emergency calls? - CORRECT ANSWER-cardiology What affects the rate of active transport? - CORRECT ANSWER-the availability of carriers and energy Over the last few decades, what has happened to the FDA approval time for new drugs? - CORRECT ANSWER-It has been shortened to reduce the cost of new drug development. Which of the following would NOT help improve compliance? - CORRECT ANSWER-pharmacists understanding how generics differ from brand name drugs Which entity chooses a drug's trade name? - CORRECT ANSWER-the FDA What type of stem cells are obtained from embryos and can develop into any cell type? - CORRECT ANSWER-totipotent. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it? - CORRECT ANSWER-It remains unaffected because the prescription is needed. Most involuntary movements come from which type of muscle tissue? - CORRECT ANSWER-cardiac and smooth Which of the following is NOT one of the body's major organ systems? - CORRECT ANSWER-the cellular system How do most drugs exert their primary physiological effects? - CORRECT ANSWER-by binding to cell receptors that are sensitive to their presence What is the most reliable source of information for determining therapeutically equivalent drug products? - CORRECT ANSWER- Orange Book What does subcutaneous mean? - CORRECT ANSWER-beneath the outer skin What should a sales representative do if all of the prime spaces in a drug cabinet are occupied? - CORRECT ANSWER-ask staff for permission to move some of the other products in the cabinet Which one of the following testing methods is not commonly used for Allergy Testing? - CORRECT ANSWER-Urine test The FDA defines API as the active ingredient in a drug, which produces the desired change in the body. - CORRECT ANSWER- pharmaceutical How many names must a drug have? - CORRECT ANSWER-at least three How has a longer development time increased the cost of bringing a new drug to market? - CORRECT ANSWER-by increasing the cost of capital 50. Senior citizens consume over times as many pharmaceuticals as people under 65. - CORRECT ANSWER-three times 51. What agency regulates the distribution and use of narcotics? - CORRECT ANSWER-DEA 52. What is passive diffusion? - CORRECT ANSWER-the use of energy to help a substance pass from a low concentration gradient to a high one 53. What are the MAIN categories of drugs under FDA jurisdiction? - CORRECT ANSWER-prescription and non prescription 54. Which of the following is a natural uterotonic agent? - CORRECT ANSWER-oxytocin 55. What are all metabolites? - CORRECT ANSWER-products of metabolism 56. When a drug is administered orally, where does first-pass metabolism occur? - CORRECT ANSWER- liver 57. What is the medical term for swelling? - CORRECT ANSWER-edema 58. Which of the following is NOT part of the Seven Step Cascade of Emotion? - CORRECT ANSWER-be a consultant. not a rep 59. Which part of a clinical research paper is frequently referred to as the road map? - CORRECT ANSWER-abstract 60. Which of the following is a main active ingredient in lung surfactants? - CORRECT ANSWER- theophylline 61. What does parenteral mean? - CORRECT ANSWER-injection 62. Which term denotes a type of substance that enhances the action of a drug or antigen? - CORRECT ANSWER-adjuvant 72. What term denotes the difference between the usual effective dose and the dose that induces severe or life-threatening side effects? - CORRECT ANSWER-margin of safety 73. What are excipients? - CORRECT ANSWER-the inert ingredients in a drug formulation 74. What is another term for the AWP? - CORRECT ANSWER-list price 75. Which of these is the most likely use for a uterotonic agent? - CORRECT ANSWER-to induce labor 76. Ordinary x-rays are the most common imaging test as these provide a picture of the inside of the body. Which of following is not a common medical imaging test? - CORRECT ANSWER-Positron Emission Tomography (PET) 77. Why are oral drugs often taken on an empty stomach? - CORRECT ANSWER-to pass through the stomach more quickly 78. What is one factor that differentiates community health centers from hospitals - CORRECT ANSWER- Community health center formularies are more restrictive. 79. How does drug sampling provide a social benefit? - CORRECT ANSWER-Doctors often use drug samples to treat patients who otherwise could not afford it 80. Which medical term denotes the use of a stethoscope to listen to the heart? - CORRECT ANSWER- auscultation 81. What do enteric coatings do? - CORRECT ANSWER-prevent dissolution in the stomach 82. What is the duration of exclusivity for orphan drugs? - CORRECT ANSWER-7 years 83. What do National Account Managers do? - CORRECT ANSWER- negotiate contracts with MCOs and PBMs 84. What does it usually mean if a drug recall is voluntary? - CORRECT ANSWER-The manufacturer has recalled the product on its own. but negotiated with the FDA beforhand 85. Which phase of clinical trials is also known as the pivotal phase? - CORRECT ANSWER-phase III 86. During which phase of clinical trials is the new drug's safety and effectiveness first tested in the target group? - CORRECT ANSWER- phase II 87. How do antacids work? - CORRECT ANSWER-by raising gastric pH 88. What is one of the biggest time wasters for a pharmaceutical sales rep? - CORRECT ANSWER-travel time 89. What happens when equilibrium is reached? - CORRECT ANSWER- equal numbers of molecules cross the membrane in both directions 100. Which entity assigns a new drug its generic names? - CORRECT ANSWER-the United States Adopted Name Council 101. Drugs can be used days beyond their expiration date. - CORRECT ANSWER-D. none of these 102. What is necessary for a drug to be excreted extensively via the kidneys? - CORRECT ANSWER-A. The drug must be water-soluble. and not bind too tightly to proteins in the bloodstream. 103. Which organization or individual initiates the clinical trial and finances the study? - CORRECT ANSWER-D. sponsor 104. The name describes the atomic or molecular structure of a drug. - CORRECT ANSWER-A. chemical 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 - CORRECT ANSWER-D. unacceptable 106. The Hatch-Waxman Act is considered the most significant drug-related affecting the pharmaceutical industry since 1962. - CORRECT ANSWER-legislation 107. What term denotes the the extent, quality, or degree to which a substance is poisonous or harmful to the body? - CORRECT ANSWER- toxicity 108. What issue has MOST encouraged consumers' desire to see more OTC medications? - CORRECT ANSWER-B. lack of insurance coverage 109. What is the degree to which a medication produces a therapeutic effect - CORRECT ANSWER-B. efficacy 110. What is the most important benefit of electronic prescribing? - CORRECT ANSWER-D. safety 111. When does the FDA regulate generic drugs? - CORRECT ANSWER-C. always 112. Which phase of trials largely determines the clinical dose? - CORRECT ANSWER-B. Phase II trials 113. What is an advantage of inactivated vaccines over attenuated vaccines - CORRECT ANSWER-C. Inactivated vaccines have a more stable shelf life. 123. What do immunosuppressive agents do? - CORRECT ANSWER-C. reduce the risk of rejection of foreign bodies 124. What types of drugs are EGFR inhibitors? - CORRECT ANSWER-A. antineoplastics 125. Which of the following means outside of the living body? - CORRECT ANSWER-C. ex vivo 126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals. - CORRECT ANSWER-B. FALSE 127. What is the estimated net gain of private-sector healthcare's contributions to increased U.S. life expectancy? - CORRECT ANSWER- D. $ 2-5 trillion 128. Which statement is TRUE regarding post-approval drug monitoring? - CORRECT ANSWER-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? - CORRECT ANSWER-B. cross-tolerance 130. Patents expire years from the date of filing. - CORRECT ANSWER- C. twenty 131. After a trade-name drug's patent expires, how may generic versions of it be sold? - CORRECT ANSWER-Only under the generic branded name 132. What is required for a new pharmaceutical to be considered a viable therapy? - CORRECT ANSWER- 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? - CORRECT ANSWER-doctors 134. The act of dispensing a pharmaceutical alternative for the product prescribed is? - CORRECT ANSWER-D. pharmaceutical substitution 135. What does it mean if a drug is said to have a wide margin of safety? - CORRECT ANSWER-D. There is a lower chance of severe or life- threatening side effects. 136. Which of the following is the correct medical acronym for effective dose? - CORRECT ANSWER-ED 137. Why is one group of subjects given an active drug, while another group only receives a placebo? - CORRECT ANSWER-to assess the drug's effectiveness 138. A generic version is likely to have some inactive ingredients that are different from those of the original drug - CORRECT ANSWER-A. TRUE 139. Body functions are measured by recording and analyzing the activity of organs. Which of the following is not a body function diagnostic test? - CORRECT ANSWER-C. Biopsy (B) CORRECT ANSWER-etiology 151. Patients diagnosed with Type 1 diabetes... - CORRECT ANSWER-B. have an autoimmune disease. 152. Which DTC pharmaceutical marketing tactic is permitted in European countries? - CORRECT ANSWER-A. disease state ads 153. What is one way in which psychologists DIFFER from psychiatrists - CORRECT ANSWER-B. Psychologists deal more with emotional than physical issues. 154. What are PBMs? - CORRECT ANSWER-C. organizations that negotiate between pharmaceutical companies and large drug purchasers 155. How does the Hatch-Waxman Act protect research-based drug manufacturers - CORRECT ANSWER- C. by providing a 30-month cooling off period 156. What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects? - CORRECT ANSWER-D. Titration 157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? - CORRECT ANSWER-C. the transportation of the drug to the specific site for drug-receptor interaction 158. How does the healthy human immune system use MHC markers? - CORRECT ANSWER-D. Substances without MHC markers are discerned as foreign and targeted for destruction. 159. What is a behind-the-counter drug? - CORRECT ANSWER-A. an OTC drug that must be closely monitored by the pharmacist 160. When do MSLs meet with clinicians? - CORRECT ANSWER-A. at nearly any stage of the product's life cycle