Test Bank for Patient-Centered Pharmacology by Tindall
Chapter 1. Conscientious and Rational Prescribing in the 21st Century
Identify the choice that best completes the statement or answers the question.
____ 1. Which statement regarding herbals, vitamins, minerals, and food supplements is true?
|A.||Herbals, vitamins, minerals, and food supplements are not regulated by the U.S. Food, Drug, and Cosmetic Act (FDCA).|
|B.||Manufacturers must prove the safety of their herbals, vitamins, minerals, and food supplements.|
|C.||Manufacturers must prove that their herbals, vitamins, minerals, and food supplements are free from adulteration.|
|D.||Manufacturers must prove the legitimacy of any claims they make about their herbals, vitamins, minerals, and food supplements.|
____ 2. Which amendment to the FDCA established the two classes of drugs: legend or prescription-only and over the counter?
|A.||Durham-Humphrey Amendment (Prescription Drug Amendment)|
|B.||New Drug Application Amendment|
|C.||Health Education and Welfare Amendment|
|D.||Kefauer Harris Amendment|
____ 3. The package insert (PI) attached to a prescription drug contains all of the following information except:
|A.||U.S. Food and Drug Administration (FDA)-approved drug information.|
|B.||Highly detailed adverse effects and dosage information for the prescriber.|
|C.||Information in layman’s terms for the patient.|
|D.||Pharmacodynamic and pharmacokinetic drug information.|
____ 4. Which of the following best defines the term adulteration of drugs?
|A.||Adding contaminants or anything not stated on a drug label|
|B.||Claiming a drug is a cure for a certain condition, such as cancer|
|C.||Advertising a drug for a poorly defined condition, such as miasma|
|D.||Claiming a drug is safe when its safety has not been established in preclinical trials|
____ 5. The majority of “off-label” or unapproved usages for drugs are prescribed for which patient groups?
|A.||Pediatric patients and patients on chemotherapy|
|B.||Patients with neurologic diseases|
____ 6. The major goals of the Controlled Substances Act (CSA) include all of the following except:
|A.||Improving the manufacturing, distribution, prescribing, and dispensing of controlled substances by legitimate persons in the health-care sector.|
|B.||Providing research into issues of drug addiction and rehabilitation.|
|C.||Stopping the widespread diversion of controlled substances into illicit or “street” channels.|
|D.||Establishing laws and criminal sentences for the possession and sale of illicit controlled substances.|
____ 7. Which statement is true regarding the Drug Enforcement Administration (DEA) categories of scheduled drugs?
|A.||Schedule I drugs have a high potential for abuse and no accepted medical use in the United States.|
|B.||Schedule I drugs have a low potential for abuse and no accepted medical use in the United States.|
|C.||Schedule II drugs have a low potential for abuse.|
|D.||Schedule V drugs have a high potential for abuse.|
____ 8. Which statement regarding extemporaneous compounding is false?
|A.||Extemporaneous compounding is the pharmacist’s art of preparing a drug product for a specific patient using a physician’s prescription, a drug formula, or a recipe.|
|B.||Calculated amounts of ingredients are measured out and made into a uniform mixture.|
|C.||Extemporaneous compounding is the pharmacist’s art of preparing a drug product for a patient using his own drug formula rather than a physician’s prescription.|
|D.||Pediatric dosages are commonly compounded when only adult dosages are available.|
____ 9. Clinical pharmacology is best defined as:
|A.||The study of the optimum use of medication in patients.|
|B.||The study of the human body’s reaction to a drug over a specified time.|
|C.||The biologic actions of a drug at its site of action.|
|D.||The study of the effects of genetic variations on pharmacologic processes.|
____ 10. Which statement regarding over-the-counter (OTC) drugs is true?
|A.||OTC drugs are rarely associated with toxicity or overdose.|
|B.||No OTC drugs are also available in a higher dosage form by prescription.|
|C.||OTC drugs are generally more expensive than prescription drugs.|
|D.||OTC drugs contain directions and information on the label and packaging to allow consumers to self-medicate.|
____ 11. In the early 1960s, the serious birth defects caused by thalidomide prompted which of the following amendments to the FDCA?
|A.||Kefauver Harris Drug Efficacy Amendment|
|B.||Dietary Supplement and Health Act|
|C.||Orphan Drug Status Act|
|D.||Controlled Substances Act|
____ 12. Which medication is an example of a schedule I (C-I) drug?
____ 13. Which statement regarding schedule II (C-II) controlled substance drugs is true?
|A.||Heroin is an example of a schedule II drug.|
|B.||Prescribers can write orders that include up to five refills of schedule II prescription drugs.|
|C.||Cough syrup with codeine is an example of a schedule II drug.|
|D.||Emergency verbal orders for a schedule II drug must be confirmed with a written prescription within 72 hours.|
____ 14. According to the Centers for Disease Control and Prevention, the number of preventable medical errors per year is approximately:
____ 15. Adverse drug events:
|A.||Occur once a day in every hospital in the United States.|
|B.||Do not increase healthcare-related costs.|
|C.||Are less common among Medicare patients.|
|D.||Are not common among residents in a long-term care facility.|
____ 16. In 1994, the World Health Organization (WHO) released recommendations for rational prescribing that included all of the following recommendations except:
|A.||Use only brand (trade) name drugs.|
|B.||Ensure medication choices are safe and effective for the defined problem.|
|C.||Monitor the results of treatment.|
|D.||Stop the use of a drug when the treatment period is complete.|
____ 17. Which statement is true regarding medication errors?
|A.||Telephone communication of drug orders decreases the frequency of medication errors.|
|B.||Mail order medications are less likely to cause issues with medication errors.|
|C.||Lack of patient history information is a common source of medication errors.|
|D.||Patient education regarding medications should be left to the pharmacist to avoid medication errors.|
____ 18. Which statement is true regarding medication errors?
|A.||They are most commonly the result of a single event.|
|B.||They are most commonly the result of multiple events.|
|C.||They are usually caused by a single careless person.|
|D.||A faulty system will not contribute to medication errors.|
____ 19. The “Signa,” or signatura, component of a written prescription includes:
|A.||Patient data, such as age, name, and gender.|
|B.||Prescriber data, such as name, practice location and phone number, and professional degree.|
|C.||Instructions the prescriber has given to the patient, which will appear on medication label.|
|D.||Brand or generic name and strength of medication.|
____ 20. Which of the following examples could be the inscription component on a prescription?
|A.||John Smith, RPA-C, License number|
|B.||Dispense # 20|
|C.||Cefuroxime 500 mg|
|D.||Take one tablet PO twice daily for 10 days|
____ 21. Which of the following examples could be the subscription component on a prescription?
|A.||Dispense # 100 ml|
|B.||John Smith, RPA-C, License number|
|C.||Patient name and address|
|D.||Take 5 ml PO twice daily for 10 days|
____ 22. A prescriber wants a patient to receive the Dilantin brand and does not wish to substitute with the generic, phenytoin. Which of the following statements is false regarding generic and brand substitution?
|A.||The Drug Substitution Law allows a pharmacist to substitute a generic bioequivalent drug for one stated on a prescription.|
|B.||A prescriber can write “DAW,” meaning “dispense as written,” to ensure that a patient receives the brand name drug.|
|C.||The FDA regulates and reports on bioequivalence testing for generic drugs.|
|D.||All brand drugs can be switched to generic without biologically significant fluctuations.|
____ 23. Which abbreviation indicates that a patient should take their medication at bedtime?
____ 24. A patient is instructed to apply one drop to each eye. Which abbreviation for these instructions is accurate?
|A.||One gtt ou|
|B.||One gr ad|
|C.||One gtt au|
|D.||One gtt od|
____ 25. Which abbreviation indicates that a medication should be taken by mouth twice daily?
____ 26. Which abbreviation indicates that three drops should be placed in both ears?
|A.||Three gtt as|
|B.||Three gtt ad|
|C.||Three gtt au|
|D.||Three gtt od|