NAPRX CNPR LATEST EXAM 2024.pdf, Exams of Public Health

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NAPRX CNPR LATEST EXAM 2024-2025 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE How are most drugs excreted? - ANSWER--Via the kidneys What entity grants drug patents? - ANSWER--the U.S. Patent and Trademark Office Which one of the following testing methods is not commonly used for Allergy Testing? - ANSWER--Urine test The FDA defines API as the active__ ingredient in a drug, which produces the desired change in the body. - ANSWER--pharmaceutical Which entity chooses a drug's trade name? - ANSWER--the FDA What are the 2 legal classifications of wholesalers? - ANSWER-- primary and secondary wholesale distributors What term describes the usage of a medication for purposes other than the FDA- approved indications on the labeling? - ANSWER--off-label usage What is the acronym for pharmacokinetics? - ANSWER--PK Which of the following is not a purpose of the Arthrocentesis diagnostic test? - ANSWER--To monitor joint density What is typically NOT a characteristic of a pharmaceutical sales rep? - ANSWER-- Pharmaceutical sales reps are not concerned about competitors. What does AMA stand for? - 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? - ANSWER--B. 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 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 (and therefore drug plasma concentration) have become fairly constant? - ANSWER--steady state Which statement is TRUE about ocular administration? - ANSWER-- Ocular administration is used primarily to treat the eye. Which entities invest's the most money in pharmaceutical R&D? - ANSWER--U.S. pharmaceutical companies Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors? - ANSWER-- formulation What is the difference between potency and efficacy? - ANSWER-- Potency refers to the drug's strength, while efficacy refers to its effectiveness. The neurological examination is a series of simple questions and tests that provide crucial information about nervous system. It is an inexpensive, non-invasive way to determine what might go wrong. The neurological examination is devided into several components. Which of the below is not one of them? - ANSWER--Heart rate As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it? - ANSWER--It remains unaffected because the prescription is needed. Most involuntary movements come from which type of muscle tissue? - ANSWER--cardiac and smooth Which of the following is NOT one of the body's major organ systems? - ANSWER--the cellular system How do most drugs exert their primary physiological effects? - 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? - ANSWER--Orange Book What does subcutaneous mean? - ANSWER--beneath the outer skin What should a sales representative do if all of the prime spaces in a drug cabinet are occupied? - ANSWER--ask staff for permission to move some of the other products in the cabinet 50. Senior citizens consume over times as many pharmaceuticals as people under 65. - ANSWER--three times 51. What agency regulates the distribution and use of narcotics? - ANSWER--DEA 52. What is passive diffusion? - 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? - ANSWER--prescription and non prescription 54. Which of the following is a natural uterotonic agent? - ANSWER-- oxytocin 55. What are all metabolites? - ANSWER--products of metabolism 56. When a drug is administered orally, where does first-pass metabolism occur? - ANSWER--liver 57. What is the medical term for swelling? - ANSWER--edema 58. Which of the following is NOT part of the Seven Step Cascade of Emotion? - ANSWER-- be a consultant. not a rep 59. Which part of a clinical research paper is frequently referred to as the road map? - ANSWER--abstract 60. Which of the following is a main active ingredient in lung surfactants? - ANSWER-- theophylline 61. What does parenteral mean? - ANSWER--injection 62. Which term denotes a type of substance that enhances the action of a drug or antigen? - ANSWER--adjuvant 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? - ANSWER--It probably has exclusive preferred status if it is not at parity with any other drugs. 78. What is one factor that differentiates community health centers from hospitals - ANSWER--Community health center formularies are more restrictive. 79. How does drug sampling provide a social benefit? - 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? - ANSWER--auscultation 81. What do enteric coatings do? - ANSWER--prevent dissolution in the stomach 82. What is the duration of exclusivity for orphan drugs? - ANSWER--7 years 83. What do National Account Managers do? - ANSWER--negotiate contracts with MCOs and PBMs 84. 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 beforhand 85. Which phase of clinical trials is also known as the pivotal phase? - ANSWER--phase III 86. During which phase of clinical trials is the new drug's safety and effectiveness first tested in the target group? - ANSWER--phase II 87. How do antacids work? - ANSWER--by raising gastric pH 88. What is one of the biggest time wasters for a pharmaceutical sales rep? - ANSWER-- travel time 89. What happens when equilibrium is reached? - ANSWER--equal numbers of molecules cross the membrane in both directions 90. What are the most common vectors used in gene therapy? - ANSWER--viruses 91. What is the percentage fee that the dispenser pays the wholesaler for distribution? - ANSWER--upcharge 92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction? - ANSWER--chronic eractions persist for a ling time wheras delayed reactions take some time to develop 93 What is clinical effect? - ANSWER--the response produced by a medication 94. Which of the following is an example of noncompliance? - ANSWER--a patient forgetting to take a drug at a specified time of day 95. What is the average circulation time of blood? - ANSWER--about a minute 96. 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. 97. From what types of entities do primary wholesale distributors buy most of their drugs? - ANSWER--manufacturers 98. What is the Office of the Inspector General (01G)? - ANSWER--an arm of the Department of Health and Human Service 99. What are doctors required to consider when deciding whether or not to prescribe a particular drug? - ANSWER--the severity of the disorder being treated and the effect it has on the patient's quality of life 114. Which medical term denotes a low supply of oxygen due to low blood flow - ANSWER-- B. ischemia 115. What are the two main types of prescription drug marketing?\ - ANSWER--C. (1) professional physician promotions. and (2) direct-to- consumer advertising 116. What is the site of delivery for subcutaneous injections? - ANSWER--A. fatty tissue beneath the surface of the skin 117. What must be contained in the Description section of a pharmaceutical package insert? - ANSWER--D. the proprietary name and the established name 118. What is the study of a medication's effects as it travels through the body? - ANSWER-- D. pharmacokinetics 119. Customers purchase products from people they like, trust, and respect. This is called the - ANSWER--C. likeability factor 120. What is penicillin's primary mechanism of action? - ANSWER--A. It disturbs bacterial cell wall synthesis. 121. According to your manual, how has the U.S. healthcare marketplace changed in the last few decades? - ANSWER--B. Managed care has been increasingly replaced by more patient- centered approaches. 122. How does pharmaceutical marketing help narrow the treatment gap? - ANSWER--A. It encourages patients to take more active roles in their healthcare. 123. What do immunosuppressive agents do? - ANSWER--C. reduce the risk of rejection of foreign bodies 124. What types of drugs are EGFR inhibitors? - ANSWER--A. antineoplastics 125. Which of the following means outside of the living body? - ANSWER--C. ex vivo 126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals. - ANSWER--B. FALSE 127. What is the estimated net gain of private-sector healthcare's contributions to increased U.S. life expectancy? - ANSWER--D. $ 2-5 trillion 128. Which statement is TRUE regarding post-approval drug monitoring? - 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? - ANSWER--B. cross- tolerance 130. Patents expire years from the date of filing. - ANSWER--C. twenty 131. After a trade-name drug's patent expires, how may generic versions of it be sold? - ANSWER--Only under the generic branded name 132. What is required for a new pharmaceutical to be considered a viable therapy? - 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? - ANSWER--doctors 134. The act of dispensing a pharmaceutical alternative for the product prescribed is? - ANSWER--D. pharmaceutical substitution 135. What does it mean if a drug is said to have a wide margin of safety? - ANSWER--D. There is a lower chance of severe or life-threatening side effects. 150. Which term denotes the origin or cause of a medical condition? - ANSWER--etiology 151. Patients diagnosed with Type 1 diabetes... - ANSWER--B. have an autoimmune disease. 152. Which DTC pharmaceutical marketing tactic is permitted in European countries? - ANSWER--A. disease state ads 153. What is one way in which psychologists DIFFER from psychiatrists - ANSWER--B. Psychologists deal more with emotional than physical issues. 154. What are PBMs? - ANSWER--C. organizations that negotiate between pharmaceutical companies and large drug purchasers 155. How does the Hatch-Waxman Act protect research-based drug manufacturers - 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? - ANSWER--D. Titration 157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? - 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? - ANSWER--D. Substances without MHC markers are discerned as foreign and targeted for destruction. 159. What is a behind-the-counter drug? - ANSWER--A. an OTC drug that must be closely monitored by the pharmacist 160. When do MSLs meet with clinicians? - ANSWER--A. at nearly any stage of the product's life cycle