NAPSRX EXAM Q AND A
Pharmaceuticalsvgarevgarguablyvgthevgmostvgsociallyvgimportantvghealthcarevgproductvg-
vganswer--true
Pharmaceuticalvgdeveoplmentvgisvgavgbig-
riskvgundertaking,vginvgwhichvgmanyvgpromisingvgleadsvgprovevgdisappointingvg-vganswer--
true
Pharmaceuticalvgsalesvgarevghighestvginvgwhichvggeographicalvgregionsvg-vganswer--
ThevgU.S.,vgWesternvgEurope,vgandvgJapan
ThevgU.S.vgaccountsvgforvgaboutvg____vgofvgthevgworld'svgpharmaceuticalvgrevenuesvg-
vganswer--50%
Whichvgoffvgthevgfollowingvghasvgfueledvgrecentvggrowthvginvgthevgpharmaceuticalvgindustry
vg-vganswer--population vggrowthvgandvgincreasedvglifevgexpectancies
Accordingvgtovgyourvgmanual,vgwhichvgstatementvgaccuratelyvgdescribesvgthevgpredictedvg
relationshipvgbetweenvgpharmaceuticalvgcompaniesvgandvggenomicvgresearchvgfacilitiesv
g-vganswer--
partnershipsvgbetweenvgpharmaceuitcalvgcompaniesvgandvggenomicvgcompaniesvgwillvgn
otvgprovevgimmediatelyvgprofitable
prescriptionvgdrugvgtherapyvgisvgnotvgcost-
effectivevgforvginsurancevgcompaniesvgandvghealthcarevgprovidersvg-vganswer--false
thevghighvgpricevgofvghealthcarevgisvgexplainedvgbyvgthevghighvgpricevgofvgmedicinesvg-
vganswer--false
onevgofvgthevgoldestvgandvgleastvgefffectivevgpharmaceuticalvgmarjetingvgtechniquesvgisvgD
TCvg(direct-to-consumer)vgadvertisingvg-vganswer--false
whatvginfluencesvgthevgnumbervgofvgdistrictsvginvgavgregionvg-vganswer--
thevgregion'svgpopulation
whatvgisvganvgexamplevgofvgthevgregionalizationvgoffvghealthcarevgdeliveryvgsystemsvg-
vganswer--
CaliforniavgandvgFloridavghavevgdifffernetvgperscriptionvgreimbursmentvgpolicies
thevgheartvgofvgpharmaceuticalvgsalesvgisvgthevgregionalvgmanagervg-vganswer--false
mostvgDMsvgdidvgnotvgstartvgasvgrepresentativesvg-vganswer--false
howvgmanyvgterritoriesvgarevginvgavgtypicalvgdistrictvg-vganswer--8vgtovg12
,whatvgisvgthevgmostvgeffectivevgmethodvgforvggrabbingvgmarketvgsharevg-vganswer--
comparativevgselling
pharmaceuticalvgrepsvgmainlyvgvisitvgpharmaciesvg-vganswer--false
itvgusuallyvgonlyvgtakesvg1-
2vgcallsvgtovgavgphysicianvgbeforevghevgorvgshevgcommitsvgtovgprescribingvgyourvgproductvg-
vganswer--false
thevgpharmacistvgmayvgdispensevgavgproductvgothervgthanvgwhatvgthevgphysicianvgprescrib
edvg-vganswer--true
accordingvgtovgchaptervg12vgofvgyourvgmanual,vgwhichvgofvgthevgfollowingvgwouldvgclassifyvg
asvg"payers"vg-vganswer--employers
accordingvgtovgyourvgmanual,vgwhatvgdefinesvg"ethicalvgpharmaceuticalvgcompaniesvg-
vganswer--researchingvgandvgdevelopingvgnovelvgdrugs
onevgofvgthevgmostvgdiappointingvgresultsvgofvgthevgpharmaceuticalvgindustry'svgcontinuedv
ginvestmentvginvgRvg&vgDvgisvgthevgfewvgnewvgdrugsvgbeingvgapprovedvgandvginvgdevelopme
ntvg-vganswer--false
thanksvgtovgmodernvgmedicines,vghowvglongvgarevgpeoplevgnewlyvgdiagnosedvgwithvgHIVvg
expectedvgtovglivevg-vganswer--anothervg50vgyears
howvgmuchvghasvgthevgaveragevgamericanvglifespanvgincreasedvgsincevg1890vg-vganswer--
almostvg30vgyears
whatvgisvgavgtreatmentvggroupvg-vganswer--
Avggroupvgofvgpatientsvgassignedvgtovgreceivevgavgspecifiedvgtreatment
whatvgisvgthevgmainvgdifferencevgbetweenvgavgblindedvgandvgdouble-blindedvgstudyvg-
vganswer--
invgavgdoublevgblindedvgstudy,vgneithervgthevgstudyvgstaffvgnorvgthevgstudyvgparticipantsvgkn
owvgwhichvgsubjectsvgarevginvgthevgexperimentalvggroupvgandvgwhichvgarevginvgthevgcontrol
whatvgdoesvg"asymptomatic"vgmeanvg-vganswer--notvgexhibitingvgsignsvgorvgsymptoms
whatvgtermvgdenotesvgthevgstudyvgofvgbodilyvgfunctionsvg(asvgopposedvgtovgstructures)vg-
vganswer--physiology
Invgitsvgbroadestvgdefinition,vgavgdrugvgisvganyvgsubstancevgthatvgproducesvgavgphysicalvgorv
gpsychologicalvgchangevginvgthevgbodyvg-vganswer--true
howvgdoesvgthevgfederalvgfood,vgdrugvgandvgcosmeticvgactvg(FFDCA)vgdefinevgavgdrugvg-
vganswer--
anyvgsubstancevgintendedvgforvgusevginvgthevgdiagnosis,vgcure,vgmitigation,vgtreatmentvgorv
gpreventionvgoffvgdisease,vgorvgavgsubstancevgothervgthanvgfoodvgintendedvgtovgaffectvgthevg
structurevgorvgfunctionvgofvgthevgbody
, whichvgstatementvgaboutvgvitaminsvgisvgcorrectvg-vganswer--
mostvgofvgthevgbodysvgrequiredvgvitaminsvgmustvgbevgtakenvginvgfromvgoutsidevgthevgbody
ADMEvgtestingvgmeasuresvgthevgratevgatvgwhichvgthevgbodyvgabsorbsvgthevgdrug,vgdistribut
esvgitvgtovgthevgorgansvgnecessaryvgtovgproducevgthevgdesiredvgeffect,vgmetabolizesvgitvginto
vgwastevgmaterialvgandvgthenvgexcretesvgitvgfromvgthevgbody.vg-vganswer--true
ADMEvgtestingvgisvgprimarilyvgusedvginvgwhatvgfieldvg-vganswer--Pharmacokinetics
whichvgstatementvgaboutvgplacebosvgisvgcorrectvg-vganswer--
Placebovgeffectsvgcanvgleadvgtovgwithdrawalvgsymptoms.
onvgaverage,vgonlyvgaboutvg5vgoffvg4,000vgdrugsvgstudiedvginvgthevglabratoryvgarevgeventual
lyvgstudiedvginvgpeoplevg-vganswer--true
whichvgstatementvgisvgtruevgaboutvgdrugsvgtakenvgsublinguallyvg-vganswer--
sublingualvgdrugsvgarevgabsorbedvgdirectlyvgandvgalmostvgimmediatelyvgintovgthevgbloodstr
eam
whatvgarevg3vgoffvgthevg7vgrightsvgofvgdrugvgadministrationvg-vganswer--
thevgrightvgpatient,vgrigtvgdrug,vgandvgrightvgdose
pro-
drugsvgarevgadministeredvginvganvgactivevgform,vgwhichvgisvgmetabolizedvgintovganvginactive
vgformvg-vganswer--false
thevgkidneyvgofvganvg85-year-
oldvgpersionvgexcretesvgdrugsvgonlyvg____vgasvgefficientlyvgasvgthatvgofvgavg35-year-
oldvgpersonvg-vganswer--aroundvg50%
thevgnormalvgage-
relatedvgdecreasevginvgkidneyvgfunctionvgcemvghelpvgdoctorsvgdeterminevganvgappropiatevg
dosagevgbasedvgsoleyvgonvgavgperson'svgagevg-vganswer--true
whatvgdifferentiatesvgavgcapletvgfromvgavgtabletvg-vganswer--
capletsvgarevgshapedvglikevgcapsulesvgandvghavevgfilmvgcoatingsvgtovgaidvginvgscallowing
whatvgwillvgyouvgfindvgthevglegendvg"Caution:vgfederalvglawvgprohibitsvgdispensingvgwihtoutv
gavgprescriptionvg-vganswer--onvgthevglabelvgofvgallvgprescriptionvgdrugs
whatvghappensvgtovgslowvgacetylatorsvg-vganswer--DrugsvgthatvgarevgmetabolizedvgbyvgN-
acetylvgtransferasevgtendvgtovgreachvghighervgbloodvglevelsvgandvgremainvginvgthevgbodyvglo
nger.
Aboutvg___vgofvgthevgpeoplevginvgthevgU.S.vgarevg"slowvgacetylators"vg-vganswer--50%
whichvgofvgthevgfollowingvgstatementsvgaboutvgdrug-drugvginteractionsvgisvgincorrectvg-
vganswer--drug-drugvginteractionsvgarevgalwaysvgharmful
Pharmaceuticalsvgarevgarguablyvgthevgmostvgsociallyvgimportantvghealthcarevgproductvg-
vganswer--true
Pharmaceuticalvgdeveoplmentvgisvgavgbig-
riskvgundertaking,vginvgwhichvgmanyvgpromisingvgleadsvgprovevgdisappointingvg-vganswer--
true
Pharmaceuticalvgsalesvgarevghighestvginvgwhichvggeographicalvgregionsvg-vganswer--
ThevgU.S.,vgWesternvgEurope,vgandvgJapan
ThevgU.S.vgaccountsvgforvgaboutvg____vgofvgthevgworld'svgpharmaceuticalvgrevenuesvg-
vganswer--50%
Whichvgoffvgthevgfollowingvghasvgfueledvgrecentvggrowthvginvgthevgpharmaceuticalvgindustry
vg-vganswer--population vggrowthvgandvgincreasedvglifevgexpectancies
Accordingvgtovgyourvgmanual,vgwhichvgstatementvgaccuratelyvgdescribesvgthevgpredictedvg
relationshipvgbetweenvgpharmaceuticalvgcompaniesvgandvggenomicvgresearchvgfacilitiesv
g-vganswer--
partnershipsvgbetweenvgpharmaceuitcalvgcompaniesvgandvggenomicvgcompaniesvgwillvgn
otvgprovevgimmediatelyvgprofitable
prescriptionvgdrugvgtherapyvgisvgnotvgcost-
effectivevgforvginsurancevgcompaniesvgandvghealthcarevgprovidersvg-vganswer--false
thevghighvgpricevgofvghealthcarevgisvgexplainedvgbyvgthevghighvgpricevgofvgmedicinesvg-
vganswer--false
onevgofvgthevgoldestvgandvgleastvgefffectivevgpharmaceuticalvgmarjetingvgtechniquesvgisvgD
TCvg(direct-to-consumer)vgadvertisingvg-vganswer--false
whatvginfluencesvgthevgnumbervgofvgdistrictsvginvgavgregionvg-vganswer--
thevgregion'svgpopulation
whatvgisvganvgexamplevgofvgthevgregionalizationvgoffvghealthcarevgdeliveryvgsystemsvg-
vganswer--
CaliforniavgandvgFloridavghavevgdifffernetvgperscriptionvgreimbursmentvgpolicies
thevgheartvgofvgpharmaceuticalvgsalesvgisvgthevgregionalvgmanagervg-vganswer--false
mostvgDMsvgdidvgnotvgstartvgasvgrepresentativesvg-vganswer--false
howvgmanyvgterritoriesvgarevginvgavgtypicalvgdistrictvg-vganswer--8vgtovg12
,whatvgisvgthevgmostvgeffectivevgmethodvgforvggrabbingvgmarketvgsharevg-vganswer--
comparativevgselling
pharmaceuticalvgrepsvgmainlyvgvisitvgpharmaciesvg-vganswer--false
itvgusuallyvgonlyvgtakesvg1-
2vgcallsvgtovgavgphysicianvgbeforevghevgorvgshevgcommitsvgtovgprescribingvgyourvgproductvg-
vganswer--false
thevgpharmacistvgmayvgdispensevgavgproductvgothervgthanvgwhatvgthevgphysicianvgprescrib
edvg-vganswer--true
accordingvgtovgchaptervg12vgofvgyourvgmanual,vgwhichvgofvgthevgfollowingvgwouldvgclassifyvg
asvg"payers"vg-vganswer--employers
accordingvgtovgyourvgmanual,vgwhatvgdefinesvg"ethicalvgpharmaceuticalvgcompaniesvg-
vganswer--researchingvgandvgdevelopingvgnovelvgdrugs
onevgofvgthevgmostvgdiappointingvgresultsvgofvgthevgpharmaceuticalvgindustry'svgcontinuedv
ginvestmentvginvgRvg&vgDvgisvgthevgfewvgnewvgdrugsvgbeingvgapprovedvgandvginvgdevelopme
ntvg-vganswer--false
thanksvgtovgmodernvgmedicines,vghowvglongvgarevgpeoplevgnewlyvgdiagnosedvgwithvgHIVvg
expectedvgtovglivevg-vganswer--anothervg50vgyears
howvgmuchvghasvgthevgaveragevgamericanvglifespanvgincreasedvgsincevg1890vg-vganswer--
almostvg30vgyears
whatvgisvgavgtreatmentvggroupvg-vganswer--
Avggroupvgofvgpatientsvgassignedvgtovgreceivevgavgspecifiedvgtreatment
whatvgisvgthevgmainvgdifferencevgbetweenvgavgblindedvgandvgdouble-blindedvgstudyvg-
vganswer--
invgavgdoublevgblindedvgstudy,vgneithervgthevgstudyvgstaffvgnorvgthevgstudyvgparticipantsvgkn
owvgwhichvgsubjectsvgarevginvgthevgexperimentalvggroupvgandvgwhichvgarevginvgthevgcontrol
whatvgdoesvg"asymptomatic"vgmeanvg-vganswer--notvgexhibitingvgsignsvgorvgsymptoms
whatvgtermvgdenotesvgthevgstudyvgofvgbodilyvgfunctionsvg(asvgopposedvgtovgstructures)vg-
vganswer--physiology
Invgitsvgbroadestvgdefinition,vgavgdrugvgisvganyvgsubstancevgthatvgproducesvgavgphysicalvgorv
gpsychologicalvgchangevginvgthevgbodyvg-vganswer--true
howvgdoesvgthevgfederalvgfood,vgdrugvgandvgcosmeticvgactvg(FFDCA)vgdefinevgavgdrugvg-
vganswer--
anyvgsubstancevgintendedvgforvgusevginvgthevgdiagnosis,vgcure,vgmitigation,vgtreatmentvgorv
gpreventionvgoffvgdisease,vgorvgavgsubstancevgothervgthanvgfoodvgintendedvgtovgaffectvgthevg
structurevgorvgfunctionvgofvgthevgbody
, whichvgstatementvgaboutvgvitaminsvgisvgcorrectvg-vganswer--
mostvgofvgthevgbodysvgrequiredvgvitaminsvgmustvgbevgtakenvginvgfromvgoutsidevgthevgbody
ADMEvgtestingvgmeasuresvgthevgratevgatvgwhichvgthevgbodyvgabsorbsvgthevgdrug,vgdistribut
esvgitvgtovgthevgorgansvgnecessaryvgtovgproducevgthevgdesiredvgeffect,vgmetabolizesvgitvginto
vgwastevgmaterialvgandvgthenvgexcretesvgitvgfromvgthevgbody.vg-vganswer--true
ADMEvgtestingvgisvgprimarilyvgusedvginvgwhatvgfieldvg-vganswer--Pharmacokinetics
whichvgstatementvgaboutvgplacebosvgisvgcorrectvg-vganswer--
Placebovgeffectsvgcanvgleadvgtovgwithdrawalvgsymptoms.
onvgaverage,vgonlyvgaboutvg5vgoffvg4,000vgdrugsvgstudiedvginvgthevglabratoryvgarevgeventual
lyvgstudiedvginvgpeoplevg-vganswer--true
whichvgstatementvgisvgtruevgaboutvgdrugsvgtakenvgsublinguallyvg-vganswer--
sublingualvgdrugsvgarevgabsorbedvgdirectlyvgandvgalmostvgimmediatelyvgintovgthevgbloodstr
eam
whatvgarevg3vgoffvgthevg7vgrightsvgofvgdrugvgadministrationvg-vganswer--
thevgrightvgpatient,vgrigtvgdrug,vgandvgrightvgdose
pro-
drugsvgarevgadministeredvginvganvgactivevgform,vgwhichvgisvgmetabolizedvgintovganvginactive
vgformvg-vganswer--false
thevgkidneyvgofvganvg85-year-
oldvgpersionvgexcretesvgdrugsvgonlyvg____vgasvgefficientlyvgasvgthatvgofvgavg35-year-
oldvgpersonvg-vganswer--aroundvg50%
thevgnormalvgage-
relatedvgdecreasevginvgkidneyvgfunctionvgcemvghelpvgdoctorsvgdeterminevganvgappropiatevg
dosagevgbasedvgsoleyvgonvgavgperson'svgagevg-vganswer--true
whatvgdifferentiatesvgavgcapletvgfromvgavgtabletvg-vganswer--
capletsvgarevgshapedvglikevgcapsulesvgandvghavevgfilmvgcoatingsvgtovgaidvginvgscallowing
whatvgwillvgyouvgfindvgthevglegendvg"Caution:vgfederalvglawvgprohibitsvgdispensingvgwihtoutv
gavgprescriptionvg-vganswer--onvgthevglabelvgofvgallvgprescriptionvgdrugs
whatvghappensvgtovgslowvgacetylatorsvg-vganswer--DrugsvgthatvgarevgmetabolizedvgbyvgN-
acetylvgtransferasevgtendvgtovgreachvghighervgbloodvglevelsvgandvgremainvginvgthevgbodyvglo
nger.
Aboutvg___vgofvgthevgpeoplevginvgthevgU.S.vgarevg"slowvgacetylators"vg-vganswer--50%
whichvgofvgthevgfollowingvgstatementsvgaboutvgdrug-drugvginteractionsvgisvgincorrectvg-
vganswer--drug-drugvginteractionsvgarevgalwaysvgharmful