Download Pharmaceutical Sales Exam Questions and Answers and more Exams Nursing in PDF only on Docsity! Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR National Association of Pharmaceutical Sales Representatives (NAPSRx®) NAPSRx® Exam Answer Marked in Yellow Color 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 their therapeutic effects D. first by their toxicity. 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? A. American Medical Academy B. American Medical Accreditation C. American Medical Association D. Association of Medical Assistants 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? A. adverse reactions B. contraindications C. overdosage D. warning/precautions 5 What is tertiary care? A. adding medications together to achieve a better clinical effect B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems C. receiving medical or surgical care that does not require an overnight stay in the treatment facility D. seeing a physician for routine checkups and general healthcare 6. Which of the following is NOT one of the stages in the classic approach to brand development strategy covered in your manual? A. brand personality B. brand positoning C. brand quality Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR D. brand values 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 8. What is the name of the condition that occurs after a specific dose of a drug is pggliilvaasesemnmatcsouncchenretrgautliaorni)nhtearvveablsecthoamt eabfasiorlryptcionsatnadnte?limination (and therefore drug 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 entities invest's the most money in pharmaceutical R&D? BA. tChaenNaIdHian pharmaceutical companies 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. . Limitations have rinecmreainsed asbligo tlyth. e same. 13.Answer: Branding name 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 Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR 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 e3q4u. iWvahlaetnitsdtrhuegmproosdturecltisa?ble source of information for determining therapeutically A. AMA guide B. Blue Book C. FDA drug list D. Orange Book 35.What does subcutaneous mean? A. beneath the intervention B. beneath the muscle tissue C. beneath the outer skin D. beneath the suture 36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied? AB..ask sttaffffforr permisi sioionttomthorovew saowmaey oefxtphire dotphreordpurcotdsuicntsthien cthaebicnaebtinet C. ask the doctor if he still needs some of the other products in the cabinet D. surreptitiously move your largest competitors' products out of the way 37. It is inappropriate for physicians' prescribing behaviors 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. A. pharmaceutical B. positive C. potent 3D39. . pWrihmhaatryare the 2 legal classifications of 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 or D. off- label 41. What is the acronym for pharmacokinetics? Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR A. KN B. PC C. PK D. pT 42. The dosage range of a drug that is both safe and beneficial is known as the therapeutic window. A. TRUE 4B43. .FWALhSaEt 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 reps are focused. D. Pharmaceutical sales reps 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 if the drug is prescription and the U.S. Patent and Trademark Office if the drug is over-the-counter D. the U.S. Patent and Trademark Office 45. Which of the following refers to all active and inert pharmaceutical ingredientsin 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. Drug 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 . a nba scshoecloiar'tse'dsedgeregeree 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? Answer: Increasing the cost of capital Explaination (Option Not taken so find out in below para): Lengthening development time dramatically increase the cost of bringing a new drug to market by increasing the Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR cost of capital needed for R&D. The cost of capital increases as companies are exposed to Economic Risk and uncertainty over a longer period of development time. Stringent FDA guideline and long approval times have greatly increased the cost of developing new drugs. 50. Senior citizens consume over times as many pharmaceuticals as people under 65. AB. ftihvre e 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 Don. ewhen a substance freely moves through 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.Answer: Oxytocin 55. What are all metabolites? A. active substances . inajecttivioensubstances D. products of metabolism 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? A. assay B. edema C. instillation D. protease Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR A. dock-to-dock price 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 DC. to struepapt lheympenrthoyraolidfoisomd intake 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 an empty stomach? A. to be more wholly absorbed by the stomach B. to minimize absorption by the intestine C. to minimize nausea D. to pass through the stomach more quickly 7A8. . CWohmamt iusnoitynehefaalcthtocretnhtaetr dfoirfmfeurelanrtiteiasteasrecmomremurensittriycthiveea.lth centers from hospitals? 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 drug sampling provide a social benefit? A. Doctors donate their unused drug samples to charities. B. Doctors often use drug 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. 80. Which medical term denotes the use of a stethoscope to listen to the heart? A. auscultation . carthdeiotverirzsaiotinon D. echocardiography 81. What do enteric coatings do? A. facilitate vomiting B. help drugs dissolve in the 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 Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR 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. BC. The FmDaAnuhfasctduereterrmhainserdecthalltetdhethderupgroidsu pcetrfoenctiltys soawfen.. butti nefgfeoctitaivted. beforehand. with the FDA D. The manufacturer has recalled the product without negotiating with the FDA. 85. Which phase of clinical trials is also known as the pivotal phase? A. Phase I B. Phase III C Phase IV 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 . 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. Pharcists C. receptionists D. travel time 89. What happens when equilibrium is reached? AB.. emqoulaelcnulemsbsetrospomf movoinlegcules cross the membrane in both directions 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 91. What is the percentage fee that the dispenser pays the wholesaler for distribution? A. margin fee B. recharge Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR 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. Cto. dCehvreolnoipc. reactions persist for a long time. whereas delayed reactions take some time D. Delayed reactions are always idiosyncratic. but chronic reactions are 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 of 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 he or she does not trust the clinical 9s9t5u.dWiehsaotnisit 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. B. Pharmaceutical selling takes less time because doctors are so busy. C. Representatives do NOT sell to the end user of the product. D. Representatives DO sell to the end user of the product. 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 (01G)? 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 to prescribe a particular drug? A. quantity of life over quality of life Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR 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 DC. pt hearpmroapcroiektianreytincasme and the established name 118. What is the study of a medication's effects as it travels 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 C. likeability factor D. power of knowledge 1A2. 0It. dWishtuartbiss bpaecnteicriialllinc'esllpwriamll asyryntmheescish.anism of action? 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? BA. It menackoeusradgoecstoprsatmieonrtes stoketapktiecaml orfethaectpivhearmolaecseiuntitchaelirinhdeuasltrhyc.are. C. It makes patients more skeptical of their doctors' opinions. D. all of these 123.What do immunosuppressive agents do? A. decrease risk of infection B. increase risk of infection C. reduce the risk of rejection of foreign bodies D. treat psoriasis 124.What types of drugs are EGFR inhibitors? A. antineoplastics B. cardiovascular agents C. CNS agents Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR D. mitotic inhibitors 125.Which of the following means outside of the living body? A. en vivo B. ex vitro C. ex vivo D. intra vivo 126. The FDA requirements for nutraceuticals and medicinal herbs are just as sAt.rTinRgUeEnt as for pharmaceuticals. 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. r.ovDernuginmclainiucfalcstturdeires .are only required to report adverse effects if they have been 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 1D13. 1th. iArtyfter 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 srcinal trade name D. under the srcinal trade name or a 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. Bio 141. NAPSRx® Final Exam (143 out of 160 Correct) PHARMACEUT CNPR 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 iAs. alternative licensure B. equivalence practice C. necessitated substitution D. pharmaceutical substitution 135. What does it mean if a drug is said to have a wide margin of safety? A. Its safety levels have yet to be adequately verified. B. Its safety varies widely among different types of patients. C. There is a greater chance of severe or life-threatening side effects. 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? A. DE B. ED CD. EefFf D 137. Why is one group of subjects given an active drug, while another group only receives a placebo? A. to assess patients' expectations 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 srcinal drug. A. TRUE B. FALSE 139.Which of the following is an example of a functional value? BA . I drink Coca-Cola because I alikme alocoikt i znegnliokfetahetrwadoirtlido.nalist. 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.