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NAPSRX>PHARMACEUT CNPR pharmacuetical Test Exam Update, Exams of Nursing

NAPSRX>PHARMACEUT CNPR pharmacuetical Test Exam Update

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2021/2022

Available from 06/09/2022

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Download NAPSRX>PHARMACEUT CNPR pharmacuetical Test Exam Update and more Exams Nursing in PDF only on Docsity! NAPSRX Test. NAPSRX Test 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 therapeutic effects D. first by their toxically, 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 does AMA stand for? C. American Medical Association 4. 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? B. contraindications 5.What is tertiary care? B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems 6. Which of the following is NOT one of the stages in the classic approach to brand development strategy covered in your manual? C. brand quality 7. What are vasodilators used to do? A. decrease vascular resistance and increase blood flow B. mimic pathogens to stimulate the immune system C. narrow the blood vessels D. stimulate the CNS to make the heart beat faster pg. 1 NAPSRX Test. 8. 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 constant? A. homeostasis B. steady state C. titration D. tolerance 9. Which statement is TRUE about ocular administration? A. Ocular administration is primarily for drugs that must cross the blood-brain barrier. B. Ocular administration is used primarily to treat the eye.’ C. Ocular administration is used when a drug must enter the bloodstream immediately. D. Ocular administration is used when a drug must produce immediate effects on the brain or spinal cord. 10. Which entity/entities invest(s) the most money in pharmaceutical R&D? A. Canadian pharmaceutical companies B. the NIH C. the U.S. Government D. U.S. pharmaceutical companies 11.How are most drugs excreted? A. via the bloodstream B. via the heart C. via the kidneys D. via the skin 12. Over the last few decades, what has happened to legal limitations on sales’ reps discussions about off label uses? A. Limitations have decreased. B. Limitations have increased significantly. C. Limitations have increased slightly. D. Limitations have remained about the same. pg. 2 NAPSRX Test. B. Pharmacodynamics studies how drugs affect the body. C. Pharmacodynamics studies the body affects drugs. pg. 5 NAPSRX Test. 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 FDA? A. about 20% 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 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 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. pg. 6 NAPSRX Test. B. It has been lengthened to limit DTC marketing. 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 names 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 pg. 7 NAPSRX Test. A. pharmaceutical pg. 10 NAPSRX Test. B. positive C. potent D. primary 39. What are the 2 legal classifications pf 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. off-label usage D. secondary indication 41. What is the acronym pharmacokinetics? C. PK 42. The dosage range of a drug that is both safe and beneficial known as the therapeutic window. A. True 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 rep are focused. D. Pharmaceutical sales rep 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 of the drug is prescription and the U.S. Patent and Trademark Office if the drug is pg. 11 NAPSRX Test. over- the -counter pg. 12 NAPSRX Test. 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 thorough 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. Which of the following is a natural uterotonic agent? A. hemoglobin B. leukotriene C. oxytocin D. Vitamin K 55. What are all metabolites? A. active substances B. inactive substances C. injections D. products of metabolism pg. 15 NAPSRX Test. 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? B. edema 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? 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? B. injections 62. Which term denotes a type of substance that enhances the action of a drug or antigen? A. adjuvant B. indicated C. ligase pg. 16 NAPSRX Test. D. peptide pg. 17 NAPSRX Test. 69. What is another name for a drug derived a biologic compound? A. large molecule B. oligonucleotide C. organism 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 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 generic equivalents 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? pg. 20 NAPSRX Test. A. dock-to-dock price pg. 21 NAPSRX Test. 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 empty stomach? A. to be more wholly absorbed by stomach B. to minimize absorption by 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. D. none of these 79. How does sampling provide a social benefit? A. Doctors donate their unused drug samples to charities. B. Doctors often use drugs 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. pg. 22 NAPSRX Test. C. Phase IV pg. 25 NAPSRX Test. D. Phase IX 86. During which phase of clinical trials is the new drug’s safety and effectiveness first tested in the target group? A. preclinical B. Phase I C. Phase II D. Phase III 87.How do antacids work? A. by increasing blood flow to the stomach B. by lowering gastric pH C. by raising gastric pH D. by suppressing cholesterol formation by the liver 88. What is one of the biggest time wasters for a pharmaceutical sales rep? A. caterers B. pharmacists C. receptionists D. travel time 89. What happens when equilibrium is reached? 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 pg. 26 NAPSRX Test. 91. What is the percentage fee that the dispenser pays the wholesaler for distribution? A. margin fee pg. 27 NAPSRX Test. 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 (OIG)? 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 prescribe a particular drug? A. quantity of life over quality of life B. that no drugs with adverse effects should ever be used 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. pg. 30 NAPSRX Test. C. The drug must have a phospholipid bilayer and bind well to proteins in the bloodstream. pg. 31 NAPSRX Test. 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 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 extent, quality, or degree to which a substance is poisonous or harmful to the body? A. caliber B. chronicity C. indication D. toxicity pg. 32 NAPSRX Test. D. Inactivated vaccines only require a single dose. pg. 35 NAPSRX Test. 114. Which medical term denotes a low supply of oxygen due to blood flow? A. potentiation B. ischemia C. TID D. titration 115. What are the two main of prescription drug marketing? A. (1) marketing to insurance companies, and (2) marketing to pharmacies B. (1) PBM marketing, and (2) marketing to governments C. (1) professional physician promotions, and (2) direct-to-consumer advertising D. (1) publicly-funded marketing, and (2) physician-funded marketing 116.What is the site of delivery for subcutaneous injections? A. fatty tissue beneath the surface of the skin B. lymphatic tissue C. muscle tissue D. the stomach, via a special type of needle 117. What must be contained in the Description section of a pharmaceutical package insert? A. adverse effects B. mechanism of action C. pharmacokinetics D. the proprietary name and established name 118. What is the study of a mediation’s effects as it through the body? A. pharmacodynamics B. pharmacogenetics C. pharmacogenomics D. pharmacokinetics 119. Customers purchase products from people they like, trust, and respect. This is called the . A. closing of the sale B. first time advantage pg. 36 NAPSRX Test. C. likeability factor pg. 37 NAPSRX Test. 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 C. twenty pg. 40 NAPSRX Test. D. thirty pg. 41 NAPSRX Test. 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 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. skipped 136. Which of the following is the correct medical acronym for effective dose? A. DE B. ED C. EFD D. eff D 137. Why is one group of subjects given an active drug, while another group only receives a placebo? A. to assess patients’ expectations pg. 42 NAPSRX Test. B. It expands sales representatives’ access to patient information. pg. 45 NAPSRX Test. 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 centrals 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 … B. … have an autoimmune disease. 152. Which DTC pharmaceutical marketing tactic is permitted in European countries? A. disease state ads 153. What is one way in which psychologists DIFFER from psychiatrists? B. Psychologists deal more with emotional than physical issues. 154. What are PBMs? C. organizations that negotiate between pharmaceutical companies and large drug purchasers. 155.How does the Hatch-Waxman Act protect research-based drug manufacturers? 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? D. titration 157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? 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? D. Substances without MHC markers are discerned as foreign and targeted for destruction. pg. 46 NAPSRX Test. 159.What is a behind-the-counter drug? A. Medication that must be closely monitored by the pharmacist. 160.When do MSLs meet with clinicians? A. at nearly any stage of the product’s life cycle pg. 47