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NAPSRx CNPR Exam |160 Questions with 100%
Correct Answers (Revised 18th Edition) |Verified
| Updated
Answer Marked in Yellow Color
what does a STAT order mean? - Correct Answer - a drug needed immediately and given only once what information does the overdosage section of the labeling provide? - Correct Answer - signs, symptoms and treatment of acute overdoses types of drug-drug interactions: - Correct Answer - duplication, opposition (antagonism) and alteration (p.51) tolerance vs resistance - Correct Answer - tolerance is the diminished response to a drug; resistance is the cells ability to resist the effects of the drug on them. abbreviated new drug application (ANDA) - Correct Answer - the process by which applicants must scientifically demonstrate to the FDA that their generic product is bioequivalent to or performs in the same way as the innovator drug, no duplicate testing (p.
the Hatch-Waxman Act of 1984 - Correct Answer --A.K.A. Drug Price Competition and Patent Restoration Act
- made it easier to bring generic drugs to the market by requiring the FDA to only look at bioavailability studies in order to approve an ANDA.
- gave protection to the research based manufacturers by providing a 30 - month automatic cooling off period once an ANDA is challenged for patent infringement (p. 75) four basic transport mechanisms - Correct Answer - passive diffusion, facilitated diffusion, active transport, and pinocytosis (p. 95)
potency vs efficacy - Correct Answer - potency: amount of drug necessary to produce desired effect efficacy: magnitude of maximal response that can be received from a drug efficacy is almost always more important that potency (p. 106) the four phases of clinical trials - Correct Answer - phases I-IV (P. 124 - 126) Key Parts Of A Clinical Paper (5) - Correct Answer - Abstract, Introduction, methods, results, discussion/conclusions (p. 128 - 129) reliability vs validity - Correct Answer - reliability = consistency and validity = accuracy (p. 138; 143) sampling error vs selection bias - Correct Answer - sampling error is unbiased and is randomly chosen from the population. selection bias is when the sample was specifically chosen based on particular characteristics (p.142-143) independent vs dependent variable - Correct Answer - An independent variable is the one that influences the variation. A dependent variable is the variable being tested and measured in a scientific experiment (the result of applying the independent variable). Drug Utilization Review (DUR) programs - Correct Answer --involve retrospective monitoring of physicians' prescribing patterns
- more than 90% of HMOs require DURs
- nowadays mostly monitors cost savings (p. 181) opportunity cost - Correct Answer - based on the premise that all resources are scarce, and therefore every time we choose to use a resource it reduces the possibility of it being used in another way. what type of DTC advertising is the only legal form in Europe? - Correct Answer - Disease-state or unbranded ads (provides public information on a disease, not a drug) (p. 223) can pharm sales reps offer doctors meals? (PhRMA code) -
Correct Answer - drugs approved for serious or life-threatening conditions rebate definition - Correct Answer - the amount that the manufacturer of a drug pays to an insurer or health plan for each unit of drug dispensed. generic drug definition - Correct Answer - a drug identical to a brand-name drug in various aspects how can e-prescribing prevent abuse of controlled substances? - Correct Answer - by cross-checking regional e-prescriptions what the reason for increased cost and complexity of phase III trials? - Correct Answer - patient recruitment what is the purpose of the loading dose in drug administration? - Correct Answer - to reach equilibrium quickly in the methods section of a clinical paper, what info is provided? - Correct Answer - patient characteristics and demographics what is a disadvantage of attenuated vaccines? - Correct Answer - limited shelf life (p. 170) why did HMOs decline in the early 2000s but rise again later? - Correct Answer - decreasing Medicare enrollment which of the following joints is the most common for arthrocentesis? - Correct Answer - knee what is the primary factor that affects the price of brand-name drugs during their exclusive rights period?
- Correct Answer - competition from generic drugs which of the following joints is the most common site for arthrocentesis? - Correct Answer - knee what type of interactions should pharmaceutical sales representatives have with healthcare professionals according to PhRMA? - Correct Answer - informing healthcare professionals about products
what is the Product Adoption Continuum? - Correct Answer - a framework for understanding how physician's (consumers) adopt new products when should you ask thought-provoking questions during a sales call? - Correct Answer - at the beginning of a call (p. 343) how can you set the mood for a successful speaker program during the event? - Correct Answer - Introduce the speaker and allow for a question-and-answer format how can pharmaceutical sales representatives leverage clinical evidence to address rumors? - Correct Answer - present current clinical studies that address concerns what is a key driver of the pharmaceutical industry's growth in the last few decades? - Correct Answer - heavy investment in R&D (p. 17) what does the term "anaphylaxis" refer to? - Correct Answer - severe allergic reaction what is the term for the pharmacy's submission of prescriptions by mail or fax, with the pharmacy mailing the filled prescription? - Correct Answer - mail-order pharmacy 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 Bone marrow transplants... E. require that the patient first undergo chemotherapy or radiation to kill the diseased stem cells andpromote white blood cell production. F. are a type of stem cell therapy. unless patient's own cells are reinjected. G. are always a type of stem cell therapy. H. can help people with leukemia. a condition in which the body does not produce enough white bloodcells.
N. American Medical Accreditation O. American Medical Association P. Association of Medical Assistants 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 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 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 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. Which entities invest's the most money in pharmaceutical R&D? E. Canadian pharmaceutical companies F. the NIH G. the U.S. Government H. U.S. pharmaceutical companies How are most drugs excreted? I. ia the bloodstream J. via the heart K. via the kidneys L. via the skin Over the last few decades, what has happened to legal limitations on sales' reps discussions about off label uses? M. Limitations have decreased. N. Limitations have increased significantly. O. Limitations have increased slightly. P. Limitations have remained about the same. Answer: Branding name What does it mean if two drugs are at parity? Q. Both drugs are essentially in a neutral position. R. Both drugs are generics. S. Both drugs have exclusive preferred status. T. The two drugs are bioequivalent. 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
B. about 60% C. about 70% D. about 95% According to a study discussed in your manual, how do most physicians prefer to receive theirdrug 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 Which of the following is an example of a central value? E. I buy Advil to show that I'm a modern consumer. F. I like Advil because we were both born in the 80s. G. I prefer Advil because I like the flavor. H. I prefer Advil because it's easier to swallow. Which of the following specialties likely has the MOST emergency calls? I. cardiology J. psychiatry K. urology L. All specialists have the same number of emergency calls. What affects the rate of active transport? M. the availability of carriers. but not energy N. the availability of energy. but not carriers O. the availability of carriers and energy P. neither the availability of carriers nor the availability of energy Over the last few decades, what has happened to the FDA approval time for new drugs? Q. It has been lengthened to ensure safer drug products. R. It has been lengthened to limit DTC marketing
S. It has been shortened to improve drug quality T. It has been shortened to reduce the cost of new drug development. Which of the following would NOT help improve compliance? U. patients liking their providers V. patients using only one pharmacist W. pharmacists understanding how generics differ from brand name drugs X. support groups 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 What type of stem cells are obtained from embryos and can develop into any cell type? Y. multipotent Z. pluripotent AA. totipotent BB. All stem cells can develop into any cell type. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it? CC. It decreases. DD. It increases. EE. It remains unaffected because the prescription is needed. FF.It remains unaffected because the prescription's increased cost is offset by its perceived value. Most involuntary movements come from which type of muscle tissue? GG. cardiac and smooth HH. only skeletal II. skeletal and cardiac
It is inappropriate for physicians' prescribing behaviors to be educated by their personal tastes and idiosyncrasies AAA. TRUE BBB. FALSE The FDA defines API as the active ingredient in a drug, which produces the desired change in the body. CCC. pharmaceutical DDD. positive EEE. potent FFF. primary What are the 2 legal classifications of wholesalers? GGG. distributors and supply chains HHH. pharmacists and NAMs III. primary and secondary wholesale distributors JJJ. retailers and institutions What term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling? KKK. contraindicative indication LLL. off-indication usageC or D. off-label What is the acronym for pharmacokinetics? MMM. KN NNN. PC OOO. PK PPP. pT The dosage range of a drug that is both safe and beneficial is known as the therapeutic window. QQQ. TRUE
RRR. FALSE
What is typically NOT a characteristic of a pharmaceutical sales rep? SSS. Pharmaceutical sales reps are authentic and real. TTT. Pharmaceutical sales reps are creative. UUU. Pharmaceutical sales reps are focused. VVV. Pharmaceutical sales reps are not concerned about competitors.
23. 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 24. 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 25. 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. 26. 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. when a substance freely moves through a membrane from a high concentration gradient to a low one
32. 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 33. Answer: Oxytocin 34. What are all metabolites? A. active substances B. inactive substances C. injections D. products of metabolism 35. When a drug is administered orally, where does first-pass metabolism occur? A. intestine B. liver C. pancreas D. stomach 36. What is the medical term for swelling? A. assay B. edema C. instillation D. protease 37. 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
38. Which part of a clinical research paper is frequently referred to as the road map? A. abstract B. findings C. letter to the editorD. methods 39. Which of the following is a main active ingredient in lung surfactants? A. animal lung extract B. germicides C. sympathomimetic drugs D. theophylline 40. What does parenteral mean? A. child prescriptions B. injection C. oral D. tablet 41. Which term denotes a type of substance that enhances the action of a drug or antigen? A. adjuvant B. indicated C. ligase Dpeptide 42. 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. PPO
D. RPO
48. What is another name for a drug derived from a biologic compound? A. large molecule B. oligonucleotide C. orgaanism D. small molecule 49. 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.
