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Pharmacology Midterm
midterm lol
| Question | Answer |
|---|---|
| The study of drugs derived from herbal sources is known as: pharmacotherapeutics pharmacognosy pharmacokinetics pharmacodynamics | pharmacognosy |
| Which of the following organizations is a part of the United States Department of Health and Human Services? DEA CDC FDA TJC | FDA |
| Which of the following is NOT an example of a drug withdrawn from the U.S. market as a result of postmarketing surveillance? aprotinin morphine sulfate gatifloxacin lumiracoxib | morphine sulfate |
| How many people are injured annually by medication errors in the United States? 99,000 450,000 840,000 1,300,000 | 1,300,000 |
| Complementary and alternative medicine (CAM) therapies are controlled by which of the following organizations? CDC EPA NCCAM CFSAN | NCCAM |
| Which of the following drugs carries a black box warning? celecoxib valdecoxib rofecoxib rifampin | celecoxib |
| Pharmacology deals with all the drugs used in society today, including prescription, legal, OTC, and ________ drugs. generic legend illegal experimental | illegal |
| Any substance intended to be used to improve a physiologic or pathologic condition is known as a: drug dose solution compound | drug |
| A "medicine" refers to a drug mixed with other ingredients that may improve its taste, physical form, or: effectiveness stability odor color | stability |
| A sugar pill (which may be thought to be a drug by the patient) is also known as a(n): diet pill energy pill placebo antihyperglycemic agent | placebo |
| Once a drug has been administered to a patient, it is called: biological therapeutic an alternative drug a medication | a medication |
| Herbal products and dietary supplements are controlled by: The Center for Biologics Evaluation and Research The Center for Food Safety and Applied Nutrition The Center for Drug Evaluation and Research | The Center for Food Safety and Applied Nutrition |
| Which of the following is the most famous examples of a drug that was withdrawn after postmarketing surveillance? celecoxib furosemide atenolol penbutolol | celecoxib |
| Which of the following is NOT an example of a biologic drug? vaccine interferon antibody toothpaste | toothpaste |
| Manufacturers start developing their trade names for a new drug during which of the following drug approval phases? Clinical phase 1 trials Clinical phase 2 trials Clinical phase 3 trials Phase IV | Clinical phase 1 trials |
| Which of the following body fluids is the most commonly used to characterize pharmacologic drug actions? | Blood |
| Which of the following can determine the dose-effect relationship? | Both |
| Drugs must ________ before being absorbed. | dissolve |
| An example of a toxic agent in which a small dose causes drowsiness, but a large dose can be fatal is: | carbon monoxide |
| A drug that blocks the effects of another substance is called which of the following? | antagonist |
| The therapeutic index of a drug is used to predict whether a certain: | dosage is safe for a specific patient |
| The affinity for a target receptor is its: | attractive force |
| Which of the following in an enzyme embedded in cell membranes? | insulin |
| A drug that binds to a receptor, and produces a stimulatory response that is similar to what an endogenous substance would have done if it were bound to the receptor is known as a(n): | agonist |
| The primary site of gastrointestinal (GI) absorption of a drug is the: | small intestine |
| The speed of systemic availability depends on pharmaceutical factors and: | gastrointestinal absorption |
| Most drug metabolism occurs in the: | liver |
| The initial rate of distribution of a drug is heavily dependent on the ________ to various organs. | blood flow |
| Orally administered drugs are usually absorbed in the: | upper GI tract |
| The stomach has a(n) ________ environment. | acidic |
| Most drug metabolism is also referred to as: | biotransformation |
| Which of the following medications temporarily bypasses the liver? | Nitroglycerin |
| For which of the following drugs may toxicity occur when blood levels of potassium are lower than normal? | digoxin |
| Certain drugs are poorly distributed to the CNS because they: | pass through the blood-brain barrier |
| End-products of a drug occur in the: | liver |
| Side effects are generally predictable, and their intensity is: | dose dependent |
| The FDA requires serious or unexpected events to be reported within how many days? | 15 |
| Any components inside the body to which drugs bind are called: | drug targets |
| Which of the following is NOT a sign or symptom of anaphylactic shock? | hypertension |
| Which of the following drugs are most commonly linked to physical dependence? | narcotics |
| The generic name of "Lipitor" is: | atorvastatin |
| Epinephrine is frequently injected to combat anaphylactic shock, but must be administered: | soon after shock begins |
| Before administering a drug, knowledge of a patient's ________ is essential. | allergies |
| When a drug to which a person has become physically dependent is discontinued, what will occur? | abstinence syndrome |
| Which of the following is the fourth major drug-related cause of death, especially among elderly patients in the USA? | adverse drug reaction |
| Which of the following is most often linked to cumulative toxicity? | ethyl alcohol |
| An example of an herbal supplement that interacts with NSAIDs is: | ginkgo biloba |
| Amphetamines are most commonly classified as which type of scheduled drug? | Schedule II |
| Medical facilities must comply with the Bloodborne Pathogens Standard and be able to prove their compliance to: | OSHA inspectors |
| Thalidomide was being sold as a sleeping pill outside the United States when it was discovered that the drug could harm: | fetuses during the first trimester of pregnancy |
| Anabolic steroids are derived from: | hormones |
| OSHA's mission is to ensure: | workplace safety and a healthy workplace environment |
| HIPAA stands for: | Health Insurance Portability and Accountability Act |
| The CDC's primary function is to issue: | infection control regulations |
| Standards of behavior and the concept of right and wrong beyond legal considerations are known as: | ethics |
| Drug samples: | may not be sold |
| Allied health professionals must use confidentiality in all areas that concern: | medications and their administration |
| Which of the following types of agents are sometimes used by athletes to increase physical performance and require a prescription? | Anabolic steroids |
| Why is heroin considered a Schedule I drug but cocaine is considered a Schedule II drug? | Because cocaine has accepted medical use in the United States but heroin does not |
| Severe psychological or physical dependence may result from abuse of which of the following types of scheduled drugs? | Schedule II |
| Most tablets are intended to be swallowed whole for dissolution and absorption by the: | gastrointestinal tract |
| Most rectal drugs offer: | systemic effects |
| Enteric coatings may be used to keep a drug from dissolving in the: | stomach |
| "Vital signs" are commonly abbreviated as: | VS |
| For rapid absorption, sublingual tablets must be dissolved: | under the tongue |
| Preparations that must be shaken before being administered are known as mixtures or: | suspensions |
| Topical drugs are applied directly to the skin and usually offer: | a local effect |
| Prescriptions in hospitals are usually written on a drug chart or physician order sheet and then transcribed onto a: | medication administration record (MAR) |
| All elixirs contain: | alcohol |
| Failure to administer a drug in the correct form results in a: | medication error |
| Liquid drugs are more rapidly available for GI absorption than solid drugs because they are: | more rapidly dissolved than solid drugs |
| Lotions are intended for topical use and have a(n): | water base |
| An example of a drug commonly administered transdermally is: | nicotine |
| Enteric coating prevents an irritating drug from causing a(n): | ulcer of the stomach |
| Which of the following suffixes means "disease"? | -pathy |
| The most common medication error involves: | the dosage of the drug |
| Drug errors most often involve: | antibiotics and analgesics |
| Which of the following routes is the most common route by which medications are given? | Oral |
| Most needles are made of stainless steel and are: | disposable |
| Ampules are usually marked with ink and: | prescored |
| The most common method of administering an intramuscular injection involves a: | 90-degree angle |
| How many times must the medication label be checked during its preparation to confirm the right drug, dose, and strength? | three |
| Medication errors must be documented in the medical record with: | the signature of the individual who made the error |
| Because suppositories are designed to melt at body temperature, they are usually kept: | in the refrigerator |
| The first time you should check a medication's label is when: | the medication is taken from the storage area |
| The route that may be more dangerous than others because of the possibility of injecting a drug incorrectly into a vein is which of the following routes? | Intravenous route |
| The easiest way to make sure the drug is being given to the patient it was ordered for is to: | ask the patient his or her name |
| Which of the following is often used as a diluent in parenteral medications? | Sterile normal saline |
| Dull or damaged needles should: | never be used |
| Commonly used needle shafts may range from: | 1/2 to 2 inches |
| "Wasting the medication" concerns the disposal of: | controlled substances |
| Which type of tube is placed directly into the patient's stomach and used to feed the patient? | Gastrostomy |
| Two common socioeconomic problems for elderly adults are the lack of finances to purchase medications and: | the lack of transportation to obtain them |
| The three most commonly used types of syringes are hypodermic, tuberculin, and: | insulin |
| Which of the following significantly reduces medication errors? | unit-dose systems |
| The Roman numeral system consists of letters that represent number values—most commonly of numbers between: | 1 and 100 |
| The fraction bar, which separates the numerator and denominator in a fraction, also means: | divided by |
| A common fraction represents: | equal parts of a whole |
| In Roman numerals, if a lower valued letter is placed before a higher valued letter: | the lower-valued letter is subtracted from the higher-valued letter |
| Fractions are used in apothecary and household measures for: | dosage calculations |
| Decimal fractions, or decimals, are used within which of the following systems? | Metric |
| Proportions express the relationship of equality between two ratios. In the proportion 1:4 :: 3:12, which terms are called the extremes and which are called the means? | 1 and 12 are the extremes and 4 and 3 are the means |
| To change a percent to a decimal, move the decimal point: | two places to the left |
| The most common, accurate, and safest system of measurement in all countries is the: | metric system |
| Which of the following is the most used parameter and is essential as a dosage unit? | Weight |
| Milliequivalents and international units indicate the: | strengths of certain drugs |
| Vitamins are measured in: | international units |
| Which of the following is NOT measured in units? | Aspirin |
| There are two common scales of temperature used throughout the world: Fahrenheit and: | Celsius |
| 32°F (freezing) is equivalent to: | 0 C |
| 100°C (boiling) is equivalent to: | 212°F |
| To convert Celsius into Fahrenheit, which equation is correct? | 1.8 × °C + 32 |
| Household measurements are NOT precisely accurate, so they should never be used in the: | medical setting |
| Most prescriptions and medication orders are written in the: | metric system |
| Which of the following is NOT a unit of volume? | Pound |
| 1 milliliter (mL) is equivalent to 1: | cubic centimeter |
| 16 ounces are equivalent to 1: | pound |
| For measuring medications at home, it is important to understand that 1 tablespoon equals: | 3 teaspoons |
| In the metric system, the basic unit of length is the: | meter |
| Drams are apothecary measures that are equivalent to: | 1/8 of an ounce |
| The definition of the term therapeutic is: | curative |
| A dropper that is marked with graduated measurements is: | calibrated |
| The amount to be administered at one time is known as the: | desired dose |
| Changing the strengths of the drug ordered and the drug available into a single unit is known as: | conversion |
| Less concentrated mixtures are known as: | dilutions |
| Tablets may be broken into parts only if they are notched or: | scored |
| A pancreatic hormone that stimulates glucose metabolism is known as: | insulin |
| The most common form of solid oral medication is the: | tablet |
| Oval-shaped gelatin shells containing medication are known as: | capsules |
| Before calculating a child's dose by body weight, you must convert his or her weight into: | kilograms |
| Young's rule is used for children: | older than 1 year old |
| Fried's rule is used for patients who are: | younger than 1 year old |
| The schedule of dosing for a drug is the: | dosing regimen |
| To produce an adequate blood level to yield the desired therapeutic effect, some drugs require: | a loading dose |
| You can calculate the amount to administer by using the: | fraction proportion method |
| If the safe dosage for a pediatric patient is NOT listed on the drug label, you can find it on the package insert, in the PDR, or in the: | U.S. Pharmacopeia |
| The definition of the term therapeutic is: | curative |
| Young's rule is used for children: | older than 1 year old |
| Fried's rule is used for patients who are: | younger than 1 year old |
| The definition of the term units is: | quantities |
| Receiving two or three medications for the same condition is referred to as: | polypharmacy |
| Toxic effects of medications may be caused by: | All of these |
| The most common medication error involves: | dosage |
| Health-care professionals should double-check medications against which of the following? | Medication administration record (MAR) |
| Keeping track of a patient's medications as he or she changes health-care providers is called: | medication reconciliation |
| The steps that can help in avoiding medication errors and promoting safe administration of medications include assessment, planning, implementation, and: | evaluation |
| Nearly half of all fatal medication errors occur in patients older than: | 60 years old |
| Why are children more likely to experience medication errors in relation to dosages? | Because dosages are based on body weight |
| After a patient is discharged, he or she should receive a complete list of which of the following? | Medications to be taken |
| Patients must be educated so they understand the potential adverse effects that need to be reported: | immediately |
| First stage errors can occur during prescribing or ordering when practitioners are: | distracted or interrupted |
| A medication error may occur when dealing with outpatients because pharmacists do NOT do which of the following? | Adequately counsel patients |
| Which of the following agencies coordinates the reporting of medication errors? | FDA |
| Which of the following general recommendations may reduce medication errors? | All of these are correct |
| MedWatch is a program for reporting medication errors and was established by which government agency? | FDA |