MAP CERTIFICATION TEST LATEST 2023/2024 REAL
EXAM 250 QUESTIONS AND CORRECT ANSWERS
A patient has asked you about the difference between a
generic drug and a trade- or brand name drug. You explain
that a generic drug (select all that apply)
A. has the potential for abuse and dependence
B. has the same chemical composition as the brand name
drug.
C. may have several brand names
D. may have several generic names
E. is usually less expensive than a brand-name drug
B. has the same chemical composition as the brand name drug.
C. may have several brand names
E. is usually less expensive than a brand-name drug
A patient with glaucoma asks you about taking oxybutynin
(Ditropan), a muscarinic antagonist, to manage an overactive
bladder. You explain that glaucoma is a contraindication for
taking oxybutynin. Patients should not take a drug that is
contraindicated because of its potential for which of the
following?
A. serious adverse reactions
B. drug tolerance
C. drug dependence
D. interactions with other drugs
A. serious adverse reactions
Some drugs are unsafe for patients with certain characteristics or
disorders, or because they eat certain foods or take certain drugs,
because these drugs have the potential to cause serious or life-
threatening adverse effects. Drug tolerance is a decreased
response to a drug over a period of time. Drug dependence is a
physiologic or psychologic need for a drug. A drug interaction is
,an alternation in the expected pharmacologic action of a drug
which results from an interaction with another drug.
You note that a primary care provide prescribed morphine
sulfate, an opioid agonist, to relieve a patient's postoperative
pain. which of the following describes the action of an
agonist on a receptor?
A. destroys the receptor
B. competes with the receptor
C. activates the receptor
D. blocks the receptor
C. activates the receptor
Agonists bind with receptor sites on a cell and activate them to
produce a response. In contrast, antagonists block drugs from
receptor sites, blocking the drug's intended reaction. Antagonists
that compete with an antagonist for cell receptor sites are called
competitive antagonists. Drugs typically do not destroy the
receptor sites on cells.
A patient who has a peanut allergy comes to the emergency
department with suspected anaphylactic shock. Which of the
following actions should you anticipate taking? (select all
that apply)
A. initiate oxygen therapy to support respiratory function
B. administer epinephrine to increase blood pressure
C. give diphenhydramine to stop histamine release
D. establish and maintain an open airway to ensure
oxygenation.
E. Administer a drug agonist to neutralize the allergic
reaction
A. initiate oxygen therapy to support respiratory function
B. administer epinephrine to increase blood pressure
C. give diphenhydramine to stop histamine release
D. establish and maintain an open airway to ensure oxygenation.
You are talking with a patient about taking tetracycline along
with an antacid. You tell the patient not to take these two
,drugs at the same time because the antacid can reduce the
absorption of tetracycline. When one drug reduces the effect
of another drug, it is
A. an allergic reaction
B. a synergistic effect
C. an antagonistic effect
D. an adverse reaction
C. an antagonistic effect
Primary care providers prescribe drug dosages for children
using which of the following information?
(Select all that apply)
A. body surface area
B. age
C. weight
D. developmental level
E. drug properties
A. body surface area
B. age
C. weight
E. drug properties
To avoid toxicity, overdose, or undertreatment, primary care
providers adjust drugs for children based on their body surface
area, age, and weight, along with drug properties such as
metabolism and excretion. The child's developmental level may
determine the method of administration, but not the appropriate
dosage.
An older adult patient may be at risk for drug toxicity due to
which of the following physiologic changes associated with
aging?
A. reduced hepatic blood flow
B. increased glomerular filtration rate
C. reduced body fat
D. increased gastric motility
A. Reduced hepatic blood flow
, You are helping a patient learn how to give himself an insulin
injection. Which of the following is the best method of
evaluating effective learning?
A. verbally quiz a family member
B. instruct the patient to complete a written test
C. have the patient demonstrate an insulin injection
D. ask the patient several key questions about the procedure
C. have the patient demonstrate an insulin injection
A health care professional obtaining a patient's health
history discovers that the patient takes loratadine (Claritin),
an over-the-counter drug. Which of the following information
about over-the-counter drugs is correct? (select all that
apply)
A. they do not require supervision of a health care
professional
B. They can interact with other drugs
C. They should be included in the drugs history assessment
D. They are less effective than prescription drugs
E. they do not cause toxicity
A. they do not require supervision of a health care professional
B. They can interact with other drugs
C. They should be included in the drugs history assessment
A health care professional is talking about drugs that have a
small margin of safety to a patient who is taking phenytoin
(Dilantin). The health care professional should include which
of the following information (select all that apply)
A. periodic laboratory tests are essential to measure serum
drug levels
B. monitoring for indications of toxicity is important
C. effects can decrease over an extended period of time
D. Taking the smallest effective dose is crucial
E. Increasing fluid intake is recommended to avoid toxicity
A. periodic laboratory tests are essential to measure serum drug
levels
EXAM 250 QUESTIONS AND CORRECT ANSWERS
A patient has asked you about the difference between a
generic drug and a trade- or brand name drug. You explain
that a generic drug (select all that apply)
A. has the potential for abuse and dependence
B. has the same chemical composition as the brand name
drug.
C. may have several brand names
D. may have several generic names
E. is usually less expensive than a brand-name drug
B. has the same chemical composition as the brand name drug.
C. may have several brand names
E. is usually less expensive than a brand-name drug
A patient with glaucoma asks you about taking oxybutynin
(Ditropan), a muscarinic antagonist, to manage an overactive
bladder. You explain that glaucoma is a contraindication for
taking oxybutynin. Patients should not take a drug that is
contraindicated because of its potential for which of the
following?
A. serious adverse reactions
B. drug tolerance
C. drug dependence
D. interactions with other drugs
A. serious adverse reactions
Some drugs are unsafe for patients with certain characteristics or
disorders, or because they eat certain foods or take certain drugs,
because these drugs have the potential to cause serious or life-
threatening adverse effects. Drug tolerance is a decreased
response to a drug over a period of time. Drug dependence is a
physiologic or psychologic need for a drug. A drug interaction is
,an alternation in the expected pharmacologic action of a drug
which results from an interaction with another drug.
You note that a primary care provide prescribed morphine
sulfate, an opioid agonist, to relieve a patient's postoperative
pain. which of the following describes the action of an
agonist on a receptor?
A. destroys the receptor
B. competes with the receptor
C. activates the receptor
D. blocks the receptor
C. activates the receptor
Agonists bind with receptor sites on a cell and activate them to
produce a response. In contrast, antagonists block drugs from
receptor sites, blocking the drug's intended reaction. Antagonists
that compete with an antagonist for cell receptor sites are called
competitive antagonists. Drugs typically do not destroy the
receptor sites on cells.
A patient who has a peanut allergy comes to the emergency
department with suspected anaphylactic shock. Which of the
following actions should you anticipate taking? (select all
that apply)
A. initiate oxygen therapy to support respiratory function
B. administer epinephrine to increase blood pressure
C. give diphenhydramine to stop histamine release
D. establish and maintain an open airway to ensure
oxygenation.
E. Administer a drug agonist to neutralize the allergic
reaction
A. initiate oxygen therapy to support respiratory function
B. administer epinephrine to increase blood pressure
C. give diphenhydramine to stop histamine release
D. establish and maintain an open airway to ensure oxygenation.
You are talking with a patient about taking tetracycline along
with an antacid. You tell the patient not to take these two
,drugs at the same time because the antacid can reduce the
absorption of tetracycline. When one drug reduces the effect
of another drug, it is
A. an allergic reaction
B. a synergistic effect
C. an antagonistic effect
D. an adverse reaction
C. an antagonistic effect
Primary care providers prescribe drug dosages for children
using which of the following information?
(Select all that apply)
A. body surface area
B. age
C. weight
D. developmental level
E. drug properties
A. body surface area
B. age
C. weight
E. drug properties
To avoid toxicity, overdose, or undertreatment, primary care
providers adjust drugs for children based on their body surface
area, age, and weight, along with drug properties such as
metabolism and excretion. The child's developmental level may
determine the method of administration, but not the appropriate
dosage.
An older adult patient may be at risk for drug toxicity due to
which of the following physiologic changes associated with
aging?
A. reduced hepatic blood flow
B. increased glomerular filtration rate
C. reduced body fat
D. increased gastric motility
A. Reduced hepatic blood flow
, You are helping a patient learn how to give himself an insulin
injection. Which of the following is the best method of
evaluating effective learning?
A. verbally quiz a family member
B. instruct the patient to complete a written test
C. have the patient demonstrate an insulin injection
D. ask the patient several key questions about the procedure
C. have the patient demonstrate an insulin injection
A health care professional obtaining a patient's health
history discovers that the patient takes loratadine (Claritin),
an over-the-counter drug. Which of the following information
about over-the-counter drugs is correct? (select all that
apply)
A. they do not require supervision of a health care
professional
B. They can interact with other drugs
C. They should be included in the drugs history assessment
D. They are less effective than prescription drugs
E. they do not cause toxicity
A. they do not require supervision of a health care professional
B. They can interact with other drugs
C. They should be included in the drugs history assessment
A health care professional is talking about drugs that have a
small margin of safety to a patient who is taking phenytoin
(Dilantin). The health care professional should include which
of the following information (select all that apply)
A. periodic laboratory tests are essential to measure serum
drug levels
B. monitoring for indications of toxicity is important
C. effects can decrease over an extended period of time
D. Taking the smallest effective dose is crucial
E. Increasing fluid intake is recommended to avoid toxicity
A. periodic laboratory tests are essential to measure serum drug
levels
