NAPSR Final Exam done on may 2015 latest [ 80 questions ]
1. How are drugs sorted into
therapeutic groups and classes?
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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
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 given at such regular
intervals that absorption and elimination (and therefore drug plasma
concentration) have become fairly 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 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.
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
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’:
A.
MS
B. OH
C. SM
D.
SS
17 What is an internist?
A.
a physician who practices
internal medicine
B.
a physician’s intern
C.
a type of oncologist who specializes in chemotherapy
D.
an internal sales representative
18. Which of the following is a
type of white blood cell?
A. erythrocytes
B.
insulin
C.
Lymphocytes
D.HCs
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.
B.
Pharmacodynamics studies
how drugs affect the body.
C.
Pharmacodynamics studies the how the body affects drugs.
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 the 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 a
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 of 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.
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 name 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
D.
skeletal and smooth
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 products?
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?
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 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
D.
primary
39. What are 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?
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
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 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 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.
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
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?
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 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.
A.
three
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 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
B.
inactive substances
C.
injections
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
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?
A. child prescriptions
B. injection
C.
oral
D.
tablet
62. Which term denotes a type of
substance that enhances the action of a drug or antigen?
A.
adjuvant
B.
indicated
C.
ligase
D
peptide
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?
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 is 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?
A. anatomy
B.
antology
C.
clinical pharmacology
D. pathology
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
C. PPO
D.
RPO
69. What is another name for a
drug derived from a biologic compound?
A. large molecule
B.
oligonucleotide
C.
orgaanism
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 the 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 for 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?
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
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 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
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 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
B.
cardioversion
C.
catheterization
D.
echocardiography
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