Download Pharmaceutical CNPR NAPSRX Test and more Exams Nursing in PDF only on Docsity! PHARMACEUT CNPR NAPSRX TEST Course name 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 PHARMACEUT CNPR NAPSRX TEST Course name D. stimulate the CNS to make the heart beat faster PHARMACEUT CNPR NAPSRX TEST Course name A. the brand logo B. the brand name C. the brand packaging D. the brand promise 14. What does it mean if two drugs are at parity? A. Both drugs are essentially in a neutral position. B. Both drugs are generics. C. Both drugs have exclusive preferred status. D. The two drugs are bioequivalent. 15. Who is most likely to benefit from electronic sampling programs? A. Everyone would benefit equally from electronic sampling programs B. physicians in hospitals who are too busy to see representatives C. physicians in rural areas who are not as frequently visited by representatives D. physicians in urban areas who are too busy to see representatives 16.When referring to medication dosage, which abbreviation means “one- half”: D. SS 17. What is an internist? A. a physician who practices internal medicine 18.Which of the following is a type of white blood cells? C. lymphocytes 19. Why are novice sales representatives often placed in charge of negotiating MCO formularies? A. to become more familiar with the healthcare industry B. to become more familiar with their territories C. P&T committees are more receptive to new faces. D. They are not. This job is usually reserved for more experienced reps. 20.What distinguishes pharmacodynamics from pharmacokinetics? A. Pharmacodynamics studies a drug’s ex vivo effects. PHARMACEUT CNPR NAPSRX TEST Course name B. Pharmacodynamics studies how drugs affect the body. C. Pharmacodynamics studies the body affects drugs. PHARMACEUT CNPR NAPSRX TEST Course name 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? PHARMACEUT CNPR NAPSRX TEST Course name C. skeletal and cardiac D. skeletal and smooth PHARMACEUT CNPR NAPSRX TEST Course name 32. Which of the following is NOT one of the body’s major organ systems? A. the cardiovascular system B. the cellular system C. the gastrointestinal system D. the musculoskeletal system 33. How do most drugs exert their primary physiological effects? A. by activating synapses between different types of tissues B. by binding to cell receptors that are sensitive to their presence C. by inhibiting synapses between different types of tissues D. through genetic mutation 34. What is the most reliable source of information for determining therapeutically equivalent drug product? A. AMA guide B. Blue Book C. FDA drug list D. Orange Book 35. What does subcutaneous mean? C. beneath the outer skin 36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied? A. ask staff for permission to move some of the other products in the cabinet B. ask staff for permission to throw away expired products in the cabinet C. ask the doctor if he still needs some of the other products in the cabinet D. surreptitiously move your largest competitor’s products out of the way 37. It is inappropriate for physicians’ prescribing behavior to be educated by their personal tastes and idiosyncrasies A. True B. False 38. The FDA defines API as the active ingredient in a drug, which produces the desired change in the body. PHARMACEUT CNPR NAPSRX TEST Course name A. pharmaceutical PHARMACEUT CNPR NAPSRX TEST Course name D. the U.S. Patent and Trademark Office 45. Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors? A. formulation B. mycoplasma C. peptide D. saccharide 46. What is the difference between potency and efficacy? A. Doctors prefer more potent drugs. B. Drugs manufacturers prefer more potent drugs. C. Potency refers to the drug’s effectiveness, while efficacy refers to its strength. D. Potency refers to the drug’s strength, while efficacy refers to its effectiveness. 47.What is the minimum level of education required for a nurse practitioner? A. a certification program B. an associate’s degree C. a bachelor’s degree D. a graduate degree 48. How many names must a drug have? A. at most three B. at least three C. at most five D. at least five 49. How has a longer development time increased the cost of bringing a new drug to market? A. by decreasing patient attrition B. by decreasing the cost of capital C. by increasing the cost of capital D. by increasing the number of product recalls PHARMACEUT CNPR NAPSRX TEST Course name 50. Senior citizens consume over times as many pharmaceuticals as people under 65. A. three PHARMACEUT CNPR NAPSRX TEST Course name 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 PHARMACEUT CNPR NAPSRX TEST Course name D. peptide PHARMACEUT CNPR NAPSRX TEST Course name 63. If a sales representative’s product is placed on the second tier of standard three-tier formulary, which of the following is most likely true? A. it has not been reviewed by the P&T committee. B. it is in a neutral position unless it is at parity with other drugs. C. it probably has exclusive preferred status if it not at parity with any other drugs. D. it will essentially sell itself if it is granted exclusive preferred status. 64.Which of the following is NOT one of the four basic transport mechanisms? A. active transport B. homeostasis C. passive diffusion D. pinocytosis 65. Which statement accurately describes a relationship between drug agonists and antagonists? A. Agonists and antagonists can be used together. B. Agonists and antagonists should not be used together. C. Antagonist drugs activate receptors, while agonists block access to receptors. D. Antagonists are endogenous whereas agonists are man-made. 66. What is the study of the effects and movement of drugs in the human body? C. clinical pharmacology 67. According to your manual, what is a common complaint that physicians have about traditional sampling methods? A. that drug sample supply is too unpredictable B. that patients are less likely to take free samples because they think they are lower quality C. that patients do not like seeing drug representatives in their offices D. that they receive too many drug samples 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? A. GPO B. In-state wholesaler PHARMACEUT CNPR NAPSRX TEST Course name C. PPO D. RPO PHARMACEUT CNPR NAPSRX TEST Course name 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. PHARMACEUT CNPR NAPSRX TEST Course name 80. Which medical term denotes the use of a stethoscope to listen to the heart? PHARMACEUT CNPR NAPSRX TEST Course name A. auscultation B. cardioversion C. catheterization D. echocardiography 81.What do enteric coatings do? A. facilitate vomiting B. help drugs dissolve in stomach C. help drugs enter the bloodstream more quickly D. prevent dissolution in the stomach 82. What is the duration of exclusivity for orphan drugs? A. 6 months B. 1 year C. 7 years D. 15 years 83. What do National Account Managers do? A. act as the sales reps’ primary point of contact with the rest of the corporation B. manage the FDA approval process C. negotiate contracts with MCOs and PBMs D. sell only to pharmacies 84. What does it usually mean if a drug recall is voluntary? A. Pharmacies may choose whether to return the drug or dispense it. B. The FDA has determined that the drug is perfectly safe, but ineffective. C. The manufacturer has recalled the product on its own, but negotiated with the FDA beforehand. D. The manufacturer has recall the product without negotiating with the FDA. 85.Which phase of clinical trials is also known as the pivotal phase? A. Phase I PHARMACEUT CNPR NAPSRX TEST Course name D. viruses 91. What is the percentage fee that the dispenser pays the wholesaler for distribution? A. margin fee PHARMACEUT CNPR NAPSRX TEST Course name B. recharge C. standard fee D. upcharge 92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction? A. Chronic reactions are exaggerated, whereas delayed reactions are idiosyncratic. B. Chronic reactions occur only during treatment, whereas delayed reactions only occur during withdrawal. C. Chronic reactions persist for a long time, whereas delayed reactions take some time to develop. D. Delayed reactions are always idiosyncratic, but chronic reaction not. 93.What is clinical effect? A. federally funded research condition B. the effect of maximum dosage C. the response produced by a medication D. the use of treatment drugs in chemotherapy 94.Which of the following is an example of noncompliance? A. a patient forgetting to take a drug at a specified time a day B. a patient taking a drug, but only because it has been court-mandated C. a pharmacist dispensing a generic equivalent of a drug instead of the brand name D. a physician refusing to prescribe a drug because (s)he does not trust the clinical studies on it 95.What is the average circulation time of blood? A. about a minute B. about 5 minutes C. about 5 to 10 minutes depending on the patient’s age and health conditions D. about 10 minutes 96. What is one way in which pharmaceutical selling is different from selling in most other industries? A. in pharmaceutical sales, the decisions-makers, consumers, and payers are usually the same entity PHARMACEUT CNPR NAPSRX TEST Course name B. Pharmaceutical selling takes less time because doctors are so busy. C. Representatives do NOT sell the end user of the product. D. Representatives DO sell to the end user of the product. PHARMACEUT CNPR NAPSRX TEST Course name 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 PHARMACEUT CNPR NAPSRX TEST Course name 108. What issue has MOST encouraged consumers’ desire to see more OTC medications? PHARMACEUT CNPR NAPSRX TEST Course name A. a weaker patients’ rights movement B. lack of insurance coverage C. less reliance on the Internet D. proliferation of herbal remedies 109. What is the degree to which a medication produces a therapeutic effect? A. diffusion B. efficacy C. protease D. vector 110. What is the most important benefit of electronic prescribing? A. choice B. cost C. inquiries D. safety 111. When does the FDA regulate generic drugs? A. only if they are branded generics B. only if they have been contested C. always D. never 112. Which phase of trials largely determines the clinical dose? A. preclinical trials B. Phase II trials C. Phase III trials D. Phase IV trials 113. What is an advantage of inactivated vaccines over attenuated vaccines? A. Inactivated vaccines are less expensive to prepare. B. Inactivated vaccines have a higher probability of eliciting the desired immunological response. C. Inactivated vaccines have a more stable shelf life. PHARMACEUT CNPR NAPSRX TEST Course name C. likeability factor PHARMACEUT CNPR NAPSRX TEST Course name D. power of knowledge 120. What is penicillin’s mechanism of action? A. It disturbs bacterial cell wall synthesis. B. It inhibits the production of viruses. C. It prevents proper DNA replication. D. It sends a messenger to the bone marrow to produce extra white blood cells. 121. According to your manual, how has the U.S. healthcare marketplace changed in the last few decades? A. Fewer and fewer prescription drugs have been made available as OTCs. B. Managed care has been increasingly replaced by more patient-centered approaches. C. The aging Baby Boomer generation has begun demanding more personalized attention. D. There has been decreased emphasis on preventive health. 122.How does pharmaceutical marketing help narrow the treatment gap? A. It encourages patients to take more active roles in their healthcare. B. It makes doctors more skeptical of the pharmaceutical industry. C. It makes patients more skeptical of their doctors’ opinions. D. all of those 123. What do immunosuppressive agents do? A. decrease risk of infection B. increase risk of infection C. increase the risk of rejection of foreign bodies D. treated psoriasis 124. What types of drugs are EGFR inhibitors? A. antineoplastics B. cardiovascular agents C. CNS agents D. mitotic inhibitors PHARMACEUT CNPR NAPSRX TEST Course name 125. Which of the following means outside of the living body? A. en vivo PHARMACEUT CNPR NAPSRX TEST Course name 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? PHARMACEUT CNPR NAPSRX TEST Course name A. to assess patients’ expectations PHARMACEUT CNPR NAPSRX TEST Course name B. to assess the drug’s effectiveness C. to assess the professionalism of the study staff D. to assess the subjects’ demographics 138. A generic version is likely to have some inactive ingredients that are different from those of the original drug. A. True B. False 139. Which of the following is an example of a functional value? A. I drink Coca-Cola because I am a citizen of the world. B. I drink Coca-Cola because I like looking like a traditionalist. C. I drink Coca-Cola because I like the taste. D. I drink Coca-Cola because it is an international brand. 140.Where are most drugs metabolized? A. interstitial spaces B. liver C. stomach D. the bloodstream 141. What is essential to the ethical requirement that subjects be selected fairly? A. Selection criteria should be well-supported by documented evidence. B. Studies should make every attempt to conduct research on subjects who are underprivileged and in need of medical attention. C. Subjects should be selected based on scientific objectives. D. all of these 142. Which of the following is the most appropriate salutation for a cover letter if you cannot find a contact name? A. Dear Personnel Department B. Dear Sir or Madam, C. Dear Sir, D. To Whom It May Concern, PHARMACEUT CNPR NAPSRX TEST Course name B. It expands sales representatives’ access to patient information. PHARMACEUT CNPR NAPSRX TEST Course name 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? PHARMACEUT CNPR NAPSRX TEST Course name D. Substances without MHC markers are discerned as foreign and targeted for destruction.