NAPSRX/CNPR EXAM Questions And Correct Answers Verified Latest 2024-2025 Guaranteed Pass, Exams of Nursing

Download NAPSRX/CNPR EXAM Questions And Correct Answers Verified Latest 2024-2025 Guaranteed Pass and more Exams Nursing in PDF only on Docsity! P ag e1 NAPSRX/CNPR EXAM Questions And Correct Answers Verified Latest 2024-2025 Guaranteed Pass Grade A + UPDATED!! Pharmaceuticals are arguably the most socially important healthcare product? - ANSWER>>True Pharmaceutical Development is a high risk undertaking, in which many promising leads prove disappointing? - ANSWER>>True Pharmaceutical sales are the highest in which region? - ANSWER>>The US, Western Europe, and Japan The US accounts for about _____ of the worlds pharmaceutical revenues? - ANSWER>>50% Which of the following has fueled recent Pharmaceutical industry growth? - ANSWER>>Population growth and increased life expectancies According to your manual, which statement accurately describes the predicted relationship between pharmaceutical companies and genomic research facilities? - ANSWER>>Partnerships between pharmaceutical companies and genomic research facilities are not immediately profitable P ag e2 Prescription drug therapy is not cost effective for insurance companies and healthcare providers - ANSWER>>False The high price of healthcare is explained by the high price of medicines - ANSWER>>False One of the oldest pharmaceutical marketing techniques is DTC - ANSWER>>False What influences the number of districts in a region? - ANSWER>>The regions population what is an example of regionalization of healthcare delivery systems? - ANSWER>>Florida and California have different prescription and reimbursement methods The heart of the pharmaceutical sales team is the regional manager - ANSWER>>False Most DMS didn't start as representatives - ANSWER>>False How many territories make up a district? - ANSWER>>8-12 What is the most cost effective method for grabbing market share? - ANSWER>>Comparative Selling How much has the life expectancy increased since 1890? - ANSWER>>Almost 30 years P ag e5 ADME testing is primarily used in what field? - ANSWER>>Pharmacokinetics Which statement about placebos is CORRECT? - ANSWER>>Placebo effects can lead to withdrawal symptoms. On average, only about 5 of 4,000 drugs studied in the laboratory are eventually studied in people. - ANSWER>>True Which statement is TRUE about drugs taken sublingually? - ANSWER>>Sublingual drugs are absorbed directly and almost immediately into the bloodstream What are 3 of the 7 rights of drug administration? - ANSWER>>the right patient, the right drug, and the right dose Pro-drugs are administered in an active form, which is metabolized into an inactive form. - ANSWER>>False The kidney of an 85-year-old person excretes drugs only _____ as efficiently as that of a 35-year-old person. - ANSWER>>50% The normal age-related decrease in kidney function can help doctors determine an appropriate dosage based solely on a person's age. - ANSWER>>True What differentiates a caplet from a tablet? - ANSWER>>Caplets are shaped like capsules and have film coatings to aid in swallowing. P ag e6 Where will you find the legend: "Caution: Federal Law prohibits dispensing without prescription" - ANSWER>>On the label of all prescription drugs What happens in slow acetylators? - ANSWER>>Drugs that are metabolized by N-acetyl transferase tend to reach higher blood levels and remain in the body longer. About _____ of the people in the U.S. are slow acetylators. - ANSWER>>50% Which of the following statements about drug-drug interactions is INCORRECT? - ANSWER>>Drug-Drug interaction is always harmful Smoking decreases the effectiveness of some drugs. - ANSWER>>True Which of the following statements about dietary supplements is INCORRECT? - ANSWER>>Because Dietary supplements are not drugs interactions with drugs are not a concern Which statement is INCORRECT about an ideal drug, or "magic bullet" as Ehrlich phrased it? - ANSWER>>D) all of these statements are correct -It doesn't exist -It would be aimed precisely at a disease site -It wouldn't harm healthy tissues P ag e7 Which statement accurately differentiates resistance from tolerance? - ANSWER>>Tolerance refers to a persons diminished response to a drug after repeated use, while resistance applies to microorganisms or cancel cells abilities to withstand drug affects Between 3% and 7% of hospital admissions in the United States are estimated to be for treatment of adverse drug reactions. - ANSWER>>True Which statement is true about the universal scale for quantifying the severity of an adverse drug reaction? - ANSWER>>None of these statements is true because there is no such scale Why is noncompliance a serious public health concern? - ANSWER>>It increases the cost of medical care Which of the following is not eligible for patent protection under U.S. regulations? -the drug itself -the way the drug is made -the method of delivering and releasing the drug into the bloodstream - ANSWER>>All of these are eligible for patent protection Drugs' trade names are often unrelated to their intended use. - ANSWER>>True P ag e1 0 What is CMAX? - ANSWER>>Peak plasma concentration on a measuring curve Which of the following is NOT a main concept in clinical pharmacology? -Drug Distribution and Elimination -Pharmacodynamics -Pharmacokinetics -Pharmacoprocesses - ANSWER>>Pharmacoprocesses Which of the following is NOT a route of drug administration? -Buccal -Intramuscular -Sublingual -Transfugal - ANSWER>>Transfugal How are intradermal drugs delivered? - ANSWER>>by injection under the skin what is an example of intravenous drug delivery? - ANSWER>>an injection of anesthetic directly into the bloodstream What are the major organs of the gastrointestinal system? - ANSWER>>the mouth, esophagus, stomach, liver, pancreas, gallbladder, small and large intestines Who is normally responsible for selling to distributors? - ANSWER>>NAMs P ag e1 1 How often do secondary drug wholesale distributors buy their drugs directly from manufactures? - ANSWER>>Sometimes By FDA law, large chain pharmacies are not allowed to buy directly from drug manufactures. - ANSWER>>False Only 3 companies account for nearly 90% of all drug wholesale sales. - ANSWER>>True What type of sale bypasses the need for intermediary distributors? - ANSWER>>Manufacturer direct sales What is a group purchasing organization? (GPO) - ANSWER>>an entity consisting of two or more hospitals or other health care entities that negotiates contracts on behalf of its members Prescriptions dispensed by mail-order pharmacies are, on average, around ____________ than those dispensed by retail pharmacies. - ANSWER>>three times larger Which of the following is NOT a type of non-stock sale? -brokerage sales -dock to dock sales -drop shipments - ANSWER>>All of these are examples of non stock sales What is another term for rebates? - ANSWER>>after-market arrangements P ag e1 2 The PDMA is the Prescription Drug Manufacturers Association - ANSWER>>False A company that owns and operates three or fewer pharmacies is an ____________. - ANSWER>>Independent drug store Which section of a drug's package insert information covers the usual dosage range? - ANSWER>>indications and usage Drug labels must include indications and usage information, as well as contraindications. - ANSWER>>True What should be included in the "description" section of a drug's package insert information? - ANSWER>>the drugs proprietary name and established name Exclusivity gives exclusive _____, is granted by the FDA, and can run concurrently with a patent or not. - ANSWER>>Marketing rights What differentiates exclusivity from a patent? - ANSWER>>Exclusivity is only granted upon the drug's FDA approval. What is required of an invention for it to be worth of patent protection? - ANSWER>>It must be novel, useful, and not obvious P ag e1 5 Pharmaceutical representatives must always record the amount of drug samples left and obtain a signature for that amount - ANSWER>>True What is prohibited by Section 503 of the Federal Food, Drug, and Cosmetic Act, as amended by the Prescription Drug Marketing Act? - ANSWER>>The sale, purchase, or trade or offer to sell, purchase, or trade prescription drug samples The federal government doesn't regulate the drug sampling for a pharmaceutical representative - ANSWER>>False Which of the following is permitted by Section 503 of the Federal Food, Drug, and Cosmetic Act? -Hospitals donating their prescription drug coupons to qualified charitable organizations -Hospitals donating their prescription drug samples to qualified charitable organizations -Hospitals selling their prescription drug samples to qualified charitable organizations at reduced costs -None of these - ANSWER>>None of these Which entity issues monographs that define how drugs should be stored and what variance is allowed in their stated contents? - ANSWER>>United States Pharmacopoeial Convention P ag e1 6 Storage conditions for drug products are based on data and information supplied by the manufacturer - ANSWER>>True Medications are usually unaffected by changes in temperature, light, humidity, and other environmental factors - ANSWER>>False In which cases can degrade drugs SOMETIMES still be used? - ANSWER>>When the amount of remaining drug has not fallen lower than 85-90% of that stated on the label Drug recalls are almost always negotiated with the FDA beforehand. - ANSWER>>True Which problem would NOT be improved by electronic prescribing systems? -Patients "doctor shopping" for controlled substances -Pharmacists misreading prescriptions -Physicians wasting time calling pharmacies -none of these - ANSWER>>none of these What should you do if you receive a shipment from your employer and you notice that there are twice as many samples as what is posted on the packing slip? - ANSWER>>Call your sales manager to inform him of the mistake and ask for instructions on proper procedure Which area of drug R&D has seen the largest cost increases? - ANSWER>>Clinical trials P ag e1 7 On average, how long does it take for a new drug to be developed (i.e., from the discovery of the initial compound to FDA approval)? - ANSWER>>10-15 years Which of the following regulatory agencies is industry based? - ANSWER>>Pharmaceutical Research and Manufactures of America (PhRMA) Which of the following factors has simplified the pharmaceutical R&D process? - ANSWER>>None of these The landmark FDA Modernization act of 1997 was a major step forward in enabling safe and effective new drugs and biologics to be made available sooner to patients. - ANSWER>>True Which type of system is the best way to deliver healthcare? - ANSWER>>A market based system How would increased pharmaceutical price controls affect the US healthcare system? - ANSWER>>Increased price controls would stifle inflation Which of the following invests a greater percentage of sales in research than the biotech sector? - ANSWER>>None of these What was the intent of the Bayh-Dole Act and Stevenson- Wydler Technology Innovation Act? - ANSWER>>To hasten the P ag e2 0 Which phases of clinical studies are "open label" and which are blinded? - ANSWER>>Phase 1 and 4 trials are often open label, but phase 2 and 3 are double blinded or atleast blinded If it is not possible to measure the direct effects of a drug, what is used instead? - ANSWER>>Surrogate markers such as blood pressure and cholesterol levels Which of the following is an observational study that first identifies a group of subjects with a certain disease and a control group without the disease, then looks back in time to find exposure risk factors? - ANSWER>>Case-control study Which measure of central tendency is the sum of all observations divided by the number of observations? - ANSWER>>Mean Which measurement describes the number of new events that occur during a specified period of time in a population at risk for the event? - ANSWER>>Incidence Which of the following measures is used to best describe the variability of the population mean? - ANSWER>>Standard error of the mean Which term denotes the extent to which a test actually measures what it is trying to measure? - ANSWER>>Validity P ag e2 1 What are Kaplan-Meier analysis and Cox proportional hazards analysis? - ANSWER>>Methods of survival analysis What section of a clinical paper describes subjects entry and exclusion criteria? - ANSWER>>Methods Which document sets out how a trial is to be conducted? - ANSWER>>Protocol When designing and performing clinical trials several ethical constraints must be considered. Which of the following is NOT one of these constraints? - ANSWER>>Geographic variations What is one way in which "large molecule" drugs DIFFER from "small molecule" drugs? - ANSWER>>Large molecule drugs are mainly protein based drugs that develop in biological systems such as living cells Which of the following statements about vaccines is incorrect? - ANSWER>>Vaccines are types of small molecule drugs What is an advantage of attenuated vaccines over inactivated vaccines? - ANSWER>>Attenuated vaccines are less expensive to prepare How are toxoids derived? - ANSWER>>from the toxins secreted by a pathogen P ag e2 2 What is the estimated annual death toll for malaria - ANSWER>>1.5 to 3.5 million people There are more white blood cells than red blood cells for the same volume in the human body - ANSWER>>False How was insulin primarily obtained from the 1930s to the 1980s? - ANSWER>>Porcine and bovine extracts Which of the following are NOT types of cytokines? - ANSWER>>All of these are types of cytokines. Interferons Interleukins Monokines Which of the following is NOT a type of hormones? - ANSWER>>Blood glucose Which of the following is a basic gene therapy technique? - ANSWER>>In vitro, in which patients genetically faulted tissues are removed, loaded with normal genes in vectors, and returned to the patients bodies Which statement about stem cells is CORRECT? - ANSWER>>Pluripotent stem cells can develop into many cell types, but not a new individual. P ag e2 5 Pharmaceutical companies are more interested in acquiring and exploiting another's brands than in acquiring another's R&D and sales and marketing assets - ANSWER>>False Ideally, when should brand strategy development for a new drug begin? - ANSWER>>During phase 2 of clinical trials Which of the following is an example of a "expressive" value? - ANSWER>>I own a BMW because I want people to know that I am a serious driving enthusiast According to your manual, which of the following is NOT an example of a functional value? - ANSWER>>Uniqueness It is rare for pharmaceutical companies to explore, develop, and promote expressive values with which patients might identify - ANSWER>>True With the global need for new drugs, pharmaceutical brand names are not subject to regulatory approval. - ANSWER>>False How has DTC advertising changed over the last few decades? - ANSWER>>DTC advertising has become an essential marketing tactic for both large and small brands Which of the following MOST strongly influences physicians prescribing habits - ANSWER>>doctors personal experience, their patients unique situations P ag e2 6 Pharma companies spend more on promotional activities than R&D - ANSWER>>False Which of the following would be MOST well served by mass market print and TV ads - ANSWER>>A brand that treats a very common chronic condition To be competitive, pharmaceutical brands must be distinctive. They must possess defining characteristics that are perceived by customers to be unique, attractive and relevant to their needs. - ANSWER>>True Which of the below is the least commonly analyzed fluid for conducting a medical diagnosis test? - ANSWER>>Salive Gold standard testing achieves the greatest results among the diagnostic testing measurements. Gold standards provide the best understanding of what is happening to a patient so cost is not a factor when deciding to run these tests routinely. - ANSWER>>False Every test has some risk. - ANSWER>>True For genetic testing, which of the below cell material is not commonly used for examination to check abnormalities of chromosomes, genes (including DNA), or both? - ANSWER>>Urine P ag e2 7 There are 4 common test sites for bone marrow aspiration and biopsy. Which of the below is not one of them? - ANSWER>>The bottom bone of the foot DEXA is the only method that may be used to make a definitive diagnosis of osteoporosis and to monitor the response to treatment - ANSWER>>True Which of the below tests uses a small needle censors (electrodes) to record the electrical activity in selected muscles and peripheral nerves during rest? - ANSWER>>Electromyography (EMG) Wearable and implantable test technologies currently in development will allow for constant monitoring of body chemistry and collection of previously inaccessible data. - ANSWER>>True Diagnostic Tests are never used to detect, confirm, or rule out the presence of a disease or medical conditions - ANSWER>>False Diagnostic tests are done for a variety of reasons, which of the below is not a reason to perform a diagnostic test - ANSWER>>Provide a single purpose for scientific analysis many diagnostic tests are considered to be of a general therapeutic are and are not specified - ANSWER>>False P ag e3 0 provides compliance advice, and brings enforcement actions? - ANSWER>>Office of Inspector General It is illegal to ask receptionists for personal information about your clients such as home phone numbers, birthdays, or hobbies. A. TRUE B. FALSE - ANSWER>>False Which of the following is NOT a primary goal or function of the P&T committee? - ANSWER>>To educate sales reps on legal and ethical guidelines for professional behavior Which of the following is a major challenge facing family medicine? - ANSWER>>Managed care policies eroding patient doctor relationships Family physicians diagnose and treat approximately what proportion of patients they see? (as opposed to referring them to specialists) - ANSWER>>95% Which of the following is Not one of the steps on the Product Adoption Continuum? - ANSWER>>These are all steps on the continuum Adoption awareness evaluation P ag e3 1 Which of the following would be classified as a type of somatic psychiatric treatment? - ANSWER>>Drug therapy Why is the last 10 minutes of each hour usually the best time to make office visits to psychiatrists? - ANSWER>>Psychiatrist often see patients on the hour for 45 minutes What is/are an advantages of selling to residents? - ANSWER>>Residents are often more open minded What is drug utilization review (DUR)? - ANSWER>>an MCO's practice of monitoring prescribing patterns What is drug utilization review (DUR)? - ANSWER>>an MCO's practice of monitoring prescribing patterns What is the focus of the short call protocol? - ANSWER>>beginning with a specific patient type Who is the Medical Science Liaison (MSL)? - ANSWER>>someone employed by a pharmaceutical company who builds relationships with thought leaders and acts as an informational resources What type of education do MSLs typically have? - ANSWER>>graduate-level science degrees How do companies typically judge the MSL team's contributions? - ANSWER>>return on education P ag e3 2 What differentiates push through programs from pull through programs? - ANSWER>>Sales reps are more involved in pull through programs Which of these is NOT a type of pull through program - ANSWER>>All of these are pull through programs Adherence educational support therapeutic intervention What is MOST LIKELY reason that a doctor would lack interest in one of your clinical studies? - ANSWER>>The doctor doesn't like the way you are presenting it Which of the following is NOT an effective method for reaching the 65+ market? - ANSWER>>All of these are effective methods for reaching the 65+ market Being a Medicare Part D information resource Knowing the physician payer mix Taking advantage of partnership programs When a physician visits your hospital display, you should begin the conversation with :"Can I help you?" - ANSWER>>False Which of the following is NOT a rule un making the most out of your sales calls? - ANSWER>>Your agenda, not theirs P ag e3 5 Renal pertains to - ANSWER>>kidneys Which term denotes the practice of locating genes on a chromosome - ANSWER>>Gene mapping What field is MOST concerned with drug effects due to slight genetic differences? - ANSWER>>Pharmacogenomics Which entity or entities fund the National Institutes of Health - ANSWER>>United States Federal Government What does IDN stand for? - ANSWER>>integrated delivery network What is SS an abbreviation for? - ANSWER>>semis What term denotes drugs that are non biological in nature? - ANSWER>>Small molecule When referring to medication dosage, which medical abbreviation denotes "hour"? - ANSWER>>H Which of the following term denotes the study of drugs beneficial and toxic effects on living cells tissues and organisms? - ANSWER>>Pharmacology What are specialized cells and tissues that work together to perform a specific body function for a common purpose? - ANSWER>>Organs P ag e3 6 What is the mechanism of action? - ANSWER>>the method by which a medication produces its therapeutic effects What is plasma? - ANSWER>>Fluid portion of blood What is anaphylaxis? - ANSWER>>An extreme sensitivity and reaction to a foreign substance, including medications Which of the following is NOT a way in which CNS agents are used? - ANSWER>>They're all used in these ways analegesics anesthetics anti convulsants How do cholinergic agonists work? - ANSWER>>by mimicking the actions of acetylcholine Which of the following types of therapeutic agents is used to promote blood clot formation? - ANSWER>>Fibrinolytics Which of the following is NOT a type of GI agents? - ANSWER>>Prolactin inhibitors What is the main function of a tocolytic agent? - ANSWER>>To suppress labor P ag e3 7 Which of these conditions is NOT treated with anti androgens? - ANSWER>>dyspepsia which types of patients are MOST likely to receive immune globulins? - ANSWER>>Patients with weakened immune systems What is iron's main role in the body? - ANSWER>>Help carry oxygen to various tissues Which of the following is NOT a type of anti infectant? - ANSWER>>Antimetabolites What is one difference between entry level and experienced resumes? - ANSWER>>Entry level resumes are more likely to begin with education rather than experience Which statement about targeted cover letters is true? - ANSWER>>Targeted cover letters are always tailored to specific companies