NAPSRx® Final Exam Quiz Solution Questions And Answers A+ Rated 2024-2025, Exams of Nursing

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Answers A+ Rated 2024-

NAPSRx® Final Exam Quiz Solution Questions And

Answers A+ Rated 2024- 2025

How are drugs sorted into therapeutic groups and classes? {{Correct Ans- A. first by the conditions that they are used to treat. and then by their mechanisms of action

1. Bone marrow transplants...

{{Correct Ans- are a type of stem cell therapy. unless patient's own cells are reinjected.

2. What does AMA stand for?

{{Correct Ans- C. American Medical Association

3. 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 Ans- B. Contraindications

4. What is tertiary care?

{{Correct Ans- highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems brand quality

5. What are vasodilators used to do?

{{Correct Ans- decrease vascular resistance and increase blood flow

6. 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?

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{{Correct Ans- steady state

7. Which statement is TRUE about ocular administration?

{{Correct Ans- Ocular administration is used primarily to treat the eye.

8. Which entities invest's the most money in pharmaceutical R&D?

{{Correct Ans- U.S. pharmaceutical companies

9. How are most drugs excreted?

{{Correct Ans- Via the kidneys

10. Over the last few decades, what has happened to legal limitations on sales' reps discussions about off label uses?

{{Correct Ans- Limitations have decreased.

11. According to your manual, which of the following is an example of a branding"fundamental"?

{{Correct Ans- The brand name

12. What does it mean if two drugs are "at parity"?

{{Correct Ans- Both drugs are essentially in a neutral position

13. Who is most likely to benefit from electronic sampling programs?

{{Correct Ans- Everyone would benefit equally from electronic sampling programs

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14. When referring to medication dosage, which abbreviation means "one-half' {{Correct Ans- SS
15. What is an internist?

{{Correct Ans- a physician who practices internal medicine

16. Which of the following is a type of white blood cell?

{{Correct Ans- Lymphocytes

17. Why are novice sales representatives often placed in charge of negotiating MCO formularies?

{{Correct Ans- They are not. This job is usually reserved for more experienced reps.

18. What proportion of the drugs tested on human subjects are eventually approved by the FDA?

{{Correct Ans- about 70%

19. According to a study discussed in your manual, how do most physicians prefer to receive their drug samples?

{{Correct Ans- directly from sales representatives

20. Which of the following is an example of a central value?

{{Correct Ans- I buy Advil to show that I'm a modern consumer.

21. Which of the following specialties likely has the MOST emergency calls? {{Correct Ans- cardiology
22. What affects the rate of active transport?

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{{Correct Ans- the availability of carriers and energy

23. Over the last few decades, what has happened to the FDA approval time for new drugs?

{{Correct Ans- It has been shortened to reduce the cost of new drug development.

24. Which of the following would NOT help improve compliance?

{{Correct Ans- pharmacists understanding how generics differ from brand name drugs

25. Which entity chooses a drug's trade name?

{{Correct Ans- the FDA

26. What type of stem cells are obtained from embryos and can develop into any cell type?

{{Correct Ans- totipotent.

27. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it?

{{Correct Ans- It remains unaffected because the prescription is needed.

28. Most involuntary movements come from which type of muscle tissue? {{Correct Ans- cardiac and

smooth

29. Which of the following is NOT one of the body's major organ systems? {{Correct Ans- the cellular

system

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30. How do most drugs exert their primary physiological effects?

{{Correct Ans- by binding to cell receptors that are sensitive to their presence

31. What is the most reliable source of information for determining therapeutically equivalent drug products?

{{Correct Ans- Orange Book

32. What does subcutaneous mean?

{{Correct Ans- beneath the outer skin

33. What should a sales representative do if all of the prime spaces in a drug cabinet are occupied?

{{Correct Ans- ask staff for permission to move some of the other products in the cabinet

34. Which one of the following testing methods is not commonly used for Allergy Testing? {{Correct

Ans- Urine test

35. The FDA defines API as the active__ ingredient in a drug, which produces the desired change in the body.

{{Correct Ans- pharmaceutical

36. What are the 2 legal classifications of wholesalers?

{{Correct Ans- primary and secondary wholesale distributors

37. What term describes the usage of a medication for purposes other than the FDA- approved indications on the labeling?

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{{Correct Ans- off-label usage

38. What is the acronym for pharmacokinetics?

{{Correct Ans- PK

39. Which of the following is not a purpose of the Arthrocentesis diagnostic test?

{{Correct Ans- To monitor joint density

40. What is typically NOT a characteristic of a pharmaceutical sales rep?

{{Correct Ans- Pharmaceutical sales reps are not concerned about competitors.

41. What entity grants drug patents?

{{Correct Ans- the U.S. Patent and Trademark Office

42. Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors?

{{Correct Ans- formulation

43. What is the difference between potency and efficacy?

{{Correct Ans- Potency refers to the drug's strength, while efficacy refers to its effectiveness.

44. 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?

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{{Correct Ans- Heart rate

45. How many names must a drug have?

{{Correct Ans- at least three

46. How has a longer development time increased the cost of bringing a new drug to market?

{{Correct Ans- by increasing the cost of capital

50. Senior citizens consume over_____ times as many pharmaceuticals as people under 65. {{Correct Ans- three times
51. What agency regulates the distribution and use of narcotics? {{Correct Ans- DEA
52. What is passive diffusion? {{Correct Ans- 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 Ans- prescription and non prescription
54. Which of the following is a natural uterotonic agent? {{Correct Ans- oxytocin
55. What are all metabolites? {{Correct Ans- products of metabolism
56. When a drug is administered orally, where does first-pass metabolism occur? {{Correct Ans- liver

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57. What is the medical term for swelling? {{Correct Ans- edema
58. Which of the following is NOT part of the Seven Step Cascade of Emotion? {{Correct Ans- be a consultant. not a rep
59. Which part of a clinical research paper is frequently referred to as the road map? {{Correct Ans- abstract
60. Which of the following is a main active ingredient in lung surfactants? {{Correct Ans- theophylline
61. What does parenteral mean? {{Correct Ans- injection
62. Which term denotes a type of substance that enhances the action of a drug or antigen? {{Correct Ans- 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? {{Correct Ans- It probably has exclusive preferred status if it is not at parity with any other drugs.
64. Which of the following is NOT one of the four basic transport mechanisms? {{Correct Ans- homeostasis
65. Which statement accurately describes a relationship between drug agonists and antagonists? {{Correct Ans- Agonists and antagonists can be used together.
66. What is the study of the effects and movement of drugs in the human body? {{Correct Ans- clinical pharmacology

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67. According to your manual, what is a common complaint that physicians have about traditional sampling methods? {{Correct Ans- that drug sample supply is too unpredictable
68. Which of these entities is formed by two or more hospitals or other healthcare entities to negotiate reduced rates with its aggregated purchasing power? {{Correct Ans- GPO
69. What is another name for a drug derived from a biologic compound? {{Correct Ans- large molecule
70. What is the most common policy regarding pharmaceutical reps dispensing drug samples in hospitals? {{Correct Ans- Drug sampling is often forbidden.
71. Which of the following would help you build trust with a physician? {{Correct Ans- asking if he or she is having any problems with the managed care coverage of your products
72. What term denotes the difference between the usual effective dose and the dose that induces severe or life-threatening side effects? {{Correct Ans- margin of safety
73. What are excipients? {{Correct Ans- the inert ingredients in a drug formulation
74. What is another term for the AWP? {{Correct Ans- list price
75. Which of these is the most likely use for a uterotonic agent? {{Correct Ans- 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 Ans- Positron Emission Tomography (PET)

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77. Why are oral drugs often taken on an empty stomach? {{Correct Ans- to pass through the stomach more quickly
78. What is one factor that differentiates community health centers from hospitals {{Correct Ans- Community health center formularies are more restrictive.
79. How does drug sampling provide a social benefit? {{Correct Ans- 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 Ans- auscultation
81. What do enteric coatings do? {{Correct Ans- prevent dissolution in the stomach
82. What is the duration of exclusivity for orphan drugs? {{Correct Ans- 7 years
83. What do National Account Managers do? {{Correct Ans- negotiate contracts with MCOs and PBMs
84. What does it usually mean if a drug recall is voluntary? {{Correct Ans- 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 Ans- phase III
86. During which phase of clinical trials is the new drug's safety and effectiveness first tested in the target group? {{Correct Ans- phase II

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87. How do antacids work? {{Correct Ans- by raising gastric pH
88. What is one of the biggest time wasters for a pharmaceutical sales rep? {{Correct Ans- travel time
89. What happens when equilibrium is reached? {{Correct Ans- equal numbers of molecules cross the membrane in both directions
90. What are the most common vectors used in gene therapy? {{Correct Ans- viruses
91. What is the percentage fee that the dispenser pays the wholesaler for distribution? {{Correct Ans- upcharge
92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction? {{Correct Ans- chronic eractions persist for a ling time wheras delayed reactions take some time to develop

93 What is clinical effect? {{Correct Ans- the response produced by a medication

94. Which of the following is an example of noncompliance? {{Correct Ans- a patient forgetting to take a drug at a specified time of day
95. What is the average circulation time of blood? {{Correct Ans- about a minute
96. What is one way in which pharmaceutical selling is different from selling in most other industries? {{Correct Ans- Representatives do NOT sell to the end user of the product.

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97. From what types of entities do primary wholesale distributors buy most of their drugs? {{Correct Ans- manufacturers

98.What is the Office of the Inspector General (01G)? {{Correct Ans- 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? {{Correct Ans- 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? {{Correct Ans- the United States Adopted Name Council
101. Drugs can be used_____ days beyond their expiration date. {{Correct Ans- D. none of these
102. What is necessary for a drug to be excreted extensively via the kidneys? {{Correct Ans- 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 Ans- D. sponsor
104. The_________ name describes the atomic or molecular structure of a drug. {{Correct Ans- 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 Ans- D. unacceptable

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106. The Hatch-Waxman Act is considered the most significant drug-related affecting the pharmaceutical industry since 1962. {{Correct Ans- legislation
107. What term denotes the the extent, quality, or degree to which a substance is poisonous or harmful to the body? {{Correct Ans- toxicity
108. What issue has MOST encouraged consumers' desire to see more OTC medications? {{Correct Ans- B. lack of insurance coverage
109. What is the degree to which a medication produces a therapeutic effect {{Correct Ans- B. efficacy
110. What is the most important benefit of electronic prescribing? {{Correct Ans- D. safety
111. When does the FDA regulate generic drugs? {{Correct Ans- C. always
112. Which phase of trials largely determines the clinical dose? {{Correct Ans- B. Phase II trials
113. What is an advantage of inactivated vaccines over attenuated vaccines {{Correct Ans- C. Inactivated vaccines have a more stable shelf life.
114. Which medical term denotes a low supply of oxygen due to low blood flow {{Correct Ans- B. ischemia
115. What are the two main types of prescription drug marketing?\ {{Correct Ans- C. (1) professional physician promotions. and (2) direct-to-consumer advertising

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116. What is the site of delivery for subcutaneous injections? {{Correct Ans- A. fatty tissue beneath the surface of the skin
117. What must be contained in the Description section of a pharmaceutical package insert? {{Correct Ans- D. the proprietary name and the established name
118. What is the study of a medication's effects as it travels through the body? {{Correct Ans- D. pharmacokinetics
119. Customers purchase products from people they like, trust, and respect. This is called the _______ {{Correct Ans- C. likeability factor
120. What is penicillin's primary mechanism of action? {{Correct Ans- 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? {{Correct Ans- B. Managed care has been increasingly replaced by more patient- centered approaches.
122. How does pharmaceutical marketing help narrow the treatment gap? {{Correct Ans- A. It encourages patients to take more active roles in their healthcare.
123. What do immunosuppressive agents do? {{Correct Ans- C. reduce the risk of rejection of foreign bodies
124. What types of drugs are EGFR inhibitors? {{Correct Ans- A. antineoplastics
125. Which of the following means outside of the living body? {{Correct Ans- C. ex vivo

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126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals. {{Correct Ans- B. FALSE
127. What is the estimated net gain of private-sector healthcare's contributions to increased U.S. life expectancy? {{Correct Ans- D. $ 2-5 trillion
128. Which statement is TRUE regarding post-approval drug monitoring? {{Correct Ans- 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 Ans- B. cross-tolerance
130. Patents expire __ years from the date of filing. {{Correct Ans- C. twenty
131. After a trade-name drug's patent expires, how may generic versions of it be sold? {{Correct Ans- Only under the generic branded name
132. What is required for a new pharmaceutical to be considered a viable therapy? {{Correct Ans- 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 Ans- doctors
134. The act of dispensing a pharmaceutical alternative for the product prescribed is? {{Correct Ans- D. pharmaceutical substitution

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135. What does it mean if a drug is said to have a wide margin of safety? {{Correct Ans- 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 Ans- ED
137. Why is one group of subjects given an active drug, while another group only receives a placebo? {{Correct Ans- 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 Ans- 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 Ans- C. Biopsy (B)
140. Where are most drugs metabolized? {{Correct Ans- B. liver
141. What is essential to the ethical requirement that subjects be selected fairly? {{Correct Ans- C. Subjects should be selected based on scientific objectives.
142. Which of the following is the most appropriate salutation for a cover letter if you cannot find a contact name? {{Correct Ans- B. Dear Sir or Madam,
143. What is part of becoming an indispensable pharmaceutical sales rep? {{Correct Ans- A. asking for feedback
144. Which of the following is NOT typically included in the indications and usage section of the package insert information? {{Correct Ans- B. the drug's active metabolites

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145. Which term denotes the practice of classifying physicians and other potential prescribers by anticipated prescription volume? {{Correct Ans- B. deciling
146. What makes a drug eligible for fast track approval from the FDA? {{Correct Ans- 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. {{Correct Ans- B. disintegrants
148. According to your manual, what does the PDRP do?\ {{Correct Ans- D. It limits sales representatives' abilities to see individual physicians' prescribing data.
149. What are the components of the central nervous system? {{Correct Ans- B. the brain and spinal cord
150. Which term denotes the origin or cause of a medical condition? {{Correct Ans- etiology
151. Patients diagnosed with Type 1 diabetes... {{Correct Ans- B. ...have an autoimmune disease.
152. Which DTC pharmaceutical marketing tactic is permitted in European countries? {{Correct Ans- A. disease state ads
153. What is one way in which psychologists DIFFER from psychiatrists {{Correct Ans- B. Psychologists deal more with emotional than physical issues.

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154. What are PBMs? {{Correct Ans- C. organizations that negotiate between pharmaceutical companies and large drug purchasers
155. How does the Hatch-Waxman Act protect research-based drug manufacturers {{Correct Ans- 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 Ans- D. Titration
157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics? {{Correct Ans- 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 Ans- D. Substances without MHC markers are discerned as foreign and targeted for destruction.
159. What is a behind-the-counter drug? {{Correct Ans- A. an OTC drug that must be closely monitored by the pharmacist
160. When do MSLs meet with clinicians? {{Correct Ans- A. at nearly any stage of the product's life cycle