, Pharmacology for the Primary Care Provider, 4th Edition by Marilyn Winterton E
y y y y y y y y y y y
dmunds and Maren Stewart Mayhew Test Bank
y y y y y y
TableyofyContent
PARTyONE:yESSENTIALyCONCEPTSyFORyTHEyPRESCRIPTIONyOFy MEDICATION
S
Unity1:yFoundationsyofyPrescriptiveyPractice
1.yPrescriptiveyAuthorityyandyRoleyImplementation:yTraditionyvs.yChange
2.yHistoricalyReviewyofyPrescriptiveyAuthority:yTheyRoleyofyNursesy(NPs,yCNMs,yCRNAs,yandy CNSs)yandyP
hysicianyAssistants
Unity2:yPharmacokineticsyandyPharmacodynamics
3.yGeneralyPharmacokineticyandyPharmacodynamicyPrinciples
4.ySpecialyPopulations:yGeriatrics
5.ySpecialyPopulations:yPediatrics
6.ySpecialyPopulations:yPregnantyandyNursingyWomen
7.yOver-the-CounteryMedications
8.yComplementaryyandyAlternativeyTherapies
Unity3:yTheyArtyandyScienceyofyPharmacotherapeutics
9.yEstablishingytheyTherapeuticyRelationship
10.yPracticalyTipsyonyWritingyPrescriptions
11.yEvidence-BasedyDecision-MakingyandyTreatmentyGuidelines
12.yDesignyandyImplementationyofyPatientyEducation
PARTyTWO:yDRUGyMONOGRAPHS
Unity4:yTopicalyAgents
13.yDermatologicyAgents
14.yEye,yEar,yThroat,yandyMouthyAgents
Unity5:yRespiratoryyAgents
15.yUpperyRespiratoryyAgents
16.yAsthmayandyChronicyObstructiveyPulmonaryyDiseaseyMedications
Unity6:yCardiovascularyAgents
17.yHypertensionyandyMiscellaneousyAntihypertensiveyMedications
18.yCoronaryyArteryyDiseaseyandyAntianginalyMedications
19.yHeartyFailureyandyDigoxin
20.yß-Blockers
21.yCalciumyChannelyBlockers
22.yACEyInhibitorsyandyAngiotensinyReceptoryBlockers
23.yAntiarrhythmicyAgents
,24.yAntihyperlipidemicyAgents
25.yAgentsythatyActyonyBlood
Unity7:yGastrointestinalyAgents
26.yAntacidsyandytheyManagementyofyGERD
27.yHistamine-2yBlockersyandyProtonyPumpyInhibitors
28.yLaxatives
29.yAntidiarrheals
30.yAntiemetics
31.yMedicationsyforyIrritableyBowelySyndromeyandyOtheryGastrointestinalyProblems
Unity8:yRenal/GenitourinaryyAgents
32.yDiuretics
33.yMaleyGenitourinaryyAgents
34.yDrugsyforyUrinaryyIncontinenceyandyUrinaryyAnalgesia
Unity9:yMusculoskeletalyAgents
35.yAcetaminophen
36.yAspirinyandyNonsteroidalyAntiinflammatoryyDrugs
37.yDisease-ModifyingyAntirheumaticyDrugsyandyImmuneyModulators
38.yGoutyMedications
39.yOsteoporosisyTreatment
40.yMuscleyRelaxants
Unity10:yCentralyNervousySystemyAgents
41.yMedicationsyforyAttentionyDeficityHyperactivityyDisorder
42.yMedicationsyforyDementia
43.yAnalgesiayandyPainyManagement
44.yMigraineyMedications
45.yAntiepileptics
46.yAntiparkinsonyAgents
Unity11:yPsychotropicyAgents
47.yAntidepressants
48.yAntianxietyyandyAntiinsomniayAgents
49.yAntipsychotics
50.ySubstanceyAbuse
Unity12:yEndocrineyAgents
51.yGlucocorticoids
52.yThyroidyMedications
53.yDiabetesyMellitusyAgents
Unity13:yReproductiveySystemyMedications
54.yContraceptives
,55.yHormoneyReplacementyTherapyy–yNEWyTitle/Focus!
56.yDrugsyforyBreastyCancer
Unity14:yAntiinfectives
57.yPrinciplesyforyPrescribingyAntiinfectives
58.yTreatmentyofySpecificyInfectionsyandyMiscellaneousyAntibiotics
59.yPenicillins
60.yCephalosporins
61.yTetracyclines
62.yMacrolides
63.yFluoroquinolones
64.yAminoglycosides
65.ySulfonamides
66.yAntitubercularyAgents
67.yAntifungals
68.yAntiretroviralyMedications
69.yAntiviralyandyAntiprotozoalyAgents
Unity15:yHealthyPromotion
70.yImmunizationsyandyBiologicals
71.yWeightyManagement
72.ySmokingyCessation
73.yVitaminsyandyMinerals
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test Bank
y y y y y y y y y y y
MULTIPLEyCHOICE
1. Whichyofytheyfollowingyhasyinfluencedyanyemphasisyonyprimaryycareyeducationyinymedicaly schools?
a. ChangesyinyMedicareyreimbursementy me
thodsyrecommendedyiny1992
b. Competitionyfromynonphysiciansydesiringy toym
eetyprimaryycareyshortages
c. Theyneedyforymonopolisticycontrolyinythey mark
etplaceyofyprimaryyoutpatientycare
d. Theyrecognitionythatynonphysiciansyhavey vari
ableysuccessyprovidingyprimaryycare
ANS:y A
TheyPhysicianyPaymentyReviewyCommissionyiny1992ydirectlyyincreasedyfinancialy reimbursementytoy
cliniciansywhoyprovideyprimaryycare.yCoupledywithyayshortageyofy primaryycareyproviders,ythisyincentiv
eyledymedicalyschoolsytoyplaceygreateryemphasisyony preparingyprimaryycareyphysicians.yCompetitiony
fromynonphysiciansyincreasedy coincidentallyyasyprofessionalsyfromyotherydisciplinesysteppedyupytoy
meetytheyneeds.
Nonphysiciansyhaveyhadyincreasingysuccessyatyprovidingyprimaryycareyandyhaveybeeny shownytoybeys
afeyandyeffective.
DIF: CognitiveyLevel:yRememberingy(Knowledge) REF:y 2
2. Whichyofytheyfollowingystatementsyisytrueyaboutytheyprescribingypracticesyofyphysicians?
a. Olderyphysiciansytendytoyprescribeymorey app
ropriateymedicationsythanyyoungery physicia
ns.
b. Antibioticymedicationsyremainyinytheytopy fiveyc
lassificationsyofymedicationsy prescribed.
c. Mostyphysiciansyrelyyonyay“therapeuticy armam
entarium”ythatyconsistsyofylessythany 100ydrugypr
eparationsyperyphysician.
d. Theydominantyformyofydrugyinformationy usedybyy
primaryycareyphysiciansycontinuesy toybeythatypr
ovidedybyypharmaceuticaly companies.
ANS:y D
Evenythoughymostyphysiciansyclaimytoyplaceylittleyweightyonydrugyadvertisements,
, pharmaceuticalyrepresentatives,yandypatientypreferenceyandystateythatytheyyrelyyony academicysource
syforydrugyinformation,yaystudyyshowedythatycommercialyratherythany scientificysourcesyofydrugyinforma
tionydominatedytheirydrugyinformationymaterials.y Youngeryphysiciansytendytoyprescribeyfeweryandymor
eyappropriateydrugs.yAntibioticsyhavey droppedyoutyofytheytopyfiveyclassificationsyofydrugsyprescribed.y
Mostyphysiciansyhaveyay therapeuticyarmamentariumyofyabouty144ydrugs.
DIF: CognitiveyLevel:yRememberingy(Knowledge) REF:y 3
3. Asyprimaryycareynurseypractitionersy(NPs)ycontinueytoydevelopytheiryroleyasyprescribersyofy medication
s,yitywillybeyimportantyto:
a. attainytheysameylevelyofyexpertiseyasy ph
ysiciansy whoy currentlyy prescribey medic
ations.
b. learnyfromytheyexperiencesyofyphysiciansy andy
developyexpertiseybasedyonyevidence-
y basedypractice.
c. maintainycollaborativeyandysupervisorialy relat
ionshipsywithyphysiciansywhoywilly overseeypr
escribingypractices.
d. developyrelationshipsywithypharmaceuticaly repr
esentativesytoylearnyaboutynewy medicationsyasy
theyyareydeveloped.
ANS:y B
Asynonphysiciansydevelopytheyrolesyassociatedywithyprescriptiveyauthority,yitywillybey importantytoylear
nyfromytheypastyexperiencesyofyphysiciansyandytoydevelopyprescribingy practicesybasedyonyevidence-
basedymedicine.yItyisyhopedythatyallyprescribers,yincludingy physiciansyandynurseypractitioners,ywillystri
veytoydoybetterythanyinytheypast.yNPsyshouldy workytowardyprescriptiveyauthorityyandyforypracticeythatyis
ynotysupervisedybyyanothery professional.yPharmaceuticalyrepresentativesyprovideyinformationythatycar
riesysomeybias.y Academicysourcesyareybetter.
DIF: CognitiveyLevel:yApplyingy(Application) REF:y 4
y y y y y y y y y y y
dmunds and Maren Stewart Mayhew Test Bank
y y y y y y
TableyofyContent
PARTyONE:yESSENTIALyCONCEPTSyFORyTHEyPRESCRIPTIONyOFy MEDICATION
S
Unity1:yFoundationsyofyPrescriptiveyPractice
1.yPrescriptiveyAuthorityyandyRoleyImplementation:yTraditionyvs.yChange
2.yHistoricalyReviewyofyPrescriptiveyAuthority:yTheyRoleyofyNursesy(NPs,yCNMs,yCRNAs,yandy CNSs)yandyP
hysicianyAssistants
Unity2:yPharmacokineticsyandyPharmacodynamics
3.yGeneralyPharmacokineticyandyPharmacodynamicyPrinciples
4.ySpecialyPopulations:yGeriatrics
5.ySpecialyPopulations:yPediatrics
6.ySpecialyPopulations:yPregnantyandyNursingyWomen
7.yOver-the-CounteryMedications
8.yComplementaryyandyAlternativeyTherapies
Unity3:yTheyArtyandyScienceyofyPharmacotherapeutics
9.yEstablishingytheyTherapeuticyRelationship
10.yPracticalyTipsyonyWritingyPrescriptions
11.yEvidence-BasedyDecision-MakingyandyTreatmentyGuidelines
12.yDesignyandyImplementationyofyPatientyEducation
PARTyTWO:yDRUGyMONOGRAPHS
Unity4:yTopicalyAgents
13.yDermatologicyAgents
14.yEye,yEar,yThroat,yandyMouthyAgents
Unity5:yRespiratoryyAgents
15.yUpperyRespiratoryyAgents
16.yAsthmayandyChronicyObstructiveyPulmonaryyDiseaseyMedications
Unity6:yCardiovascularyAgents
17.yHypertensionyandyMiscellaneousyAntihypertensiveyMedications
18.yCoronaryyArteryyDiseaseyandyAntianginalyMedications
19.yHeartyFailureyandyDigoxin
20.yß-Blockers
21.yCalciumyChannelyBlockers
22.yACEyInhibitorsyandyAngiotensinyReceptoryBlockers
23.yAntiarrhythmicyAgents
,24.yAntihyperlipidemicyAgents
25.yAgentsythatyActyonyBlood
Unity7:yGastrointestinalyAgents
26.yAntacidsyandytheyManagementyofyGERD
27.yHistamine-2yBlockersyandyProtonyPumpyInhibitors
28.yLaxatives
29.yAntidiarrheals
30.yAntiemetics
31.yMedicationsyforyIrritableyBowelySyndromeyandyOtheryGastrointestinalyProblems
Unity8:yRenal/GenitourinaryyAgents
32.yDiuretics
33.yMaleyGenitourinaryyAgents
34.yDrugsyforyUrinaryyIncontinenceyandyUrinaryyAnalgesia
Unity9:yMusculoskeletalyAgents
35.yAcetaminophen
36.yAspirinyandyNonsteroidalyAntiinflammatoryyDrugs
37.yDisease-ModifyingyAntirheumaticyDrugsyandyImmuneyModulators
38.yGoutyMedications
39.yOsteoporosisyTreatment
40.yMuscleyRelaxants
Unity10:yCentralyNervousySystemyAgents
41.yMedicationsyforyAttentionyDeficityHyperactivityyDisorder
42.yMedicationsyforyDementia
43.yAnalgesiayandyPainyManagement
44.yMigraineyMedications
45.yAntiepileptics
46.yAntiparkinsonyAgents
Unity11:yPsychotropicyAgents
47.yAntidepressants
48.yAntianxietyyandyAntiinsomniayAgents
49.yAntipsychotics
50.ySubstanceyAbuse
Unity12:yEndocrineyAgents
51.yGlucocorticoids
52.yThyroidyMedications
53.yDiabetesyMellitusyAgents
Unity13:yReproductiveySystemyMedications
54.yContraceptives
,55.yHormoneyReplacementyTherapyy–yNEWyTitle/Focus!
56.yDrugsyforyBreastyCancer
Unity14:yAntiinfectives
57.yPrinciplesyforyPrescribingyAntiinfectives
58.yTreatmentyofySpecificyInfectionsyandyMiscellaneousyAntibiotics
59.yPenicillins
60.yCephalosporins
61.yTetracyclines
62.yMacrolides
63.yFluoroquinolones
64.yAminoglycosides
65.ySulfonamides
66.yAntitubercularyAgents
67.yAntifungals
68.yAntiretroviralyMedications
69.yAntiviralyandyAntiprotozoalyAgents
Unity15:yHealthyPromotion
70.yImmunizationsyandyBiologicals
71.yWeightyManagement
72.ySmokingyCessation
73.yVitaminsyandyMinerals
,Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change Test Bank
y y y y y y y y y y y
MULTIPLEyCHOICE
1. Whichyofytheyfollowingyhasyinfluencedyanyemphasisyonyprimaryycareyeducationyinymedicaly schools?
a. ChangesyinyMedicareyreimbursementy me
thodsyrecommendedyiny1992
b. Competitionyfromynonphysiciansydesiringy toym
eetyprimaryycareyshortages
c. Theyneedyforymonopolisticycontrolyinythey mark
etplaceyofyprimaryyoutpatientycare
d. Theyrecognitionythatynonphysiciansyhavey vari
ableysuccessyprovidingyprimaryycare
ANS:y A
TheyPhysicianyPaymentyReviewyCommissionyiny1992ydirectlyyincreasedyfinancialy reimbursementytoy
cliniciansywhoyprovideyprimaryycare.yCoupledywithyayshortageyofy primaryycareyproviders,ythisyincentiv
eyledymedicalyschoolsytoyplaceygreateryemphasisyony preparingyprimaryycareyphysicians.yCompetitiony
fromynonphysiciansyincreasedy coincidentallyyasyprofessionalsyfromyotherydisciplinesysteppedyupytoy
meetytheyneeds.
Nonphysiciansyhaveyhadyincreasingysuccessyatyprovidingyprimaryycareyandyhaveybeeny shownytoybeys
afeyandyeffective.
DIF: CognitiveyLevel:yRememberingy(Knowledge) REF:y 2
2. Whichyofytheyfollowingystatementsyisytrueyaboutytheyprescribingypracticesyofyphysicians?
a. Olderyphysiciansytendytoyprescribeymorey app
ropriateymedicationsythanyyoungery physicia
ns.
b. Antibioticymedicationsyremainyinytheytopy fiveyc
lassificationsyofymedicationsy prescribed.
c. Mostyphysiciansyrelyyonyay“therapeuticy armam
entarium”ythatyconsistsyofylessythany 100ydrugypr
eparationsyperyphysician.
d. Theydominantyformyofydrugyinformationy usedybyy
primaryycareyphysiciansycontinuesy toybeythatypr
ovidedybyypharmaceuticaly companies.
ANS:y D
Evenythoughymostyphysiciansyclaimytoyplaceylittleyweightyonydrugyadvertisements,
, pharmaceuticalyrepresentatives,yandypatientypreferenceyandystateythatytheyyrelyyony academicysource
syforydrugyinformation,yaystudyyshowedythatycommercialyratherythany scientificysourcesyofydrugyinforma
tionydominatedytheirydrugyinformationymaterials.y Youngeryphysiciansytendytoyprescribeyfeweryandymor
eyappropriateydrugs.yAntibioticsyhavey droppedyoutyofytheytopyfiveyclassificationsyofydrugsyprescribed.y
Mostyphysiciansyhaveyay therapeuticyarmamentariumyofyabouty144ydrugs.
DIF: CognitiveyLevel:yRememberingy(Knowledge) REF:y 3
3. Asyprimaryycareynurseypractitionersy(NPs)ycontinueytoydevelopytheiryroleyasyprescribersyofy medication
s,yitywillybeyimportantyto:
a. attainytheysameylevelyofyexpertiseyasy ph
ysiciansy whoy currentlyy prescribey medic
ations.
b. learnyfromytheyexperiencesyofyphysiciansy andy
developyexpertiseybasedyonyevidence-
y basedypractice.
c. maintainycollaborativeyandysupervisorialy relat
ionshipsywithyphysiciansywhoywilly overseeypr
escribingypractices.
d. developyrelationshipsywithypharmaceuticaly repr
esentativesytoylearnyaboutynewy medicationsyasy
theyyareydeveloped.
ANS:y B
Asynonphysiciansydevelopytheyrolesyassociatedywithyprescriptiveyauthority,yitywillybey importantytoylear
nyfromytheypastyexperiencesyofyphysiciansyandytoydevelopyprescribingy practicesybasedyonyevidence-
basedymedicine.yItyisyhopedythatyallyprescribers,yincludingy physiciansyandynurseypractitioners,ywillystri
veytoydoybetterythanyinytheypast.yNPsyshouldy workytowardyprescriptiveyauthorityyandyforypracticeythatyis
ynotysupervisedybyyanothery professional.yPharmaceuticalyrepresentativesyprovideyinformationythatycar
riesysomeybias.y Academicysourcesyareybetter.
DIF: CognitiveyLevel:yApplyingy(Application) REF:y 4
