UYTREWA
TEST BANK
Edmunds' Pharmacology for the Primary Care Provider 5th Edition
by Constance G Visovsky
SU
PE
R
SO
LU
TI
O
N
S
PASS
, UYTREWA
Pharmacology for the Primary Care Provider, 4th Edition by Marilyn
Winterton Edmunds and Maren Stewart Mayhew Test Bank
Table of Content
PART ONE: ESSENTIAL CONCEPTS FOR THE PRESCRIPTION OF
MEDICATIONS
Unit 1: Foundations of Prescriptive Practice
SU
1. Prescriptive Authority and Role Implementation: Tradition vs. Change
2. Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and
CNSs) and Physician Assistants
Unit 2: Pharmacokinetics and Pharmacodynamics
PE
3. General Pharmacokinetic and Pharmacodynamic Principles
4. Special Populations: Geriatrics
5. Special Populations: Pediatrics
6. Special Populations: Pregnant and Nursing Women
R
7. Over-the-Counter Medications
8. Complementary and Alternative Therapies
SO
Unit 3: The Art and Science of Pharmacotherapeutics
9. Establishing the Therapeutic Relationship
10. Practical Tips on Writing Prescriptions
11. Evidence-Based Decision-Making and Treatment Guidelines
LU
12. Design and Implementation of Patient Education
PART TWO: DRUG MONOGRAPHS
Unit 4: Topical Agents
TI
13. Dermatologic Agents
14. Eye, Ear, Throat, and Mouth Agents
O
Unit 5: Respiratory Agents
15. Upper Respiratory Agents
N
16. Asthma and Chronic Obstructive Pulmonary Disease Medications
S
Unit 6: Cardiovascular Agents
17. Hypertension and Miscellaneous Antihypertensive Medications
18. Coronary Artery Disease and Antianginal Medications
19. Heart Failure and Digoxin
20. ß-Blockers
21. Calcium Channel Blockers
22. ACE Inhibitors and Angiotensin Receptor Blockers
23. Antiarrhythmic Agents
PASS
, UYTREWA
24. Antihyperlipidemic Agents
25. Agents that Act on Blood
Unit 7: Gastrointestinal Agents
26. Antacids and the Management of GERD
27. Histamine-2 Blockers and Proton Pump Inhibitors
28. Laxatives
29. Antidiarrheals
30. Antiemetics
31. Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems
SU
Unit 8: Renal/Genitourinary Agents
32. Diuretics
33. Male Genitourinary Agents
PE
34. Drugs for Urinary Incontinence and Urinary Analgesia
Unit 9: Musculoskeletal Agents
35. Acetaminophen
R
36. Aspirin and Nonsteroidal Antiinflammatory Drugs
37. Disease-Modifying Antirheumatic Drugs and Immune Modulators
38. Gout Medications
SO
39. Osteoporosis Treatment
40. Muscle Relaxants
Unit 10: Central Nervous System Agents
LU
41. Medications for Attention Deficit Hyperactivity Disorder
42. Medications for Dementia
43. Analgesia and Pain Management
44. Migraine Medications
TI
45. Antiepileptics
46. Antiparkinson Agents
O
Unit 11: Psychotropic Agents
47. Antidepressants
N
48. Antianxiety and Antiinsomnia Agents
49. Antipsychotics
S
50. Substance Abuse
Unit 12: Endocrine Agents
51. Glucocorticoids
52. Thyroid Medications
53. Diabetes Mellitus Agents
Unit 13: Reproductive System Medications
54. Contraceptives
PASS
, UYTREWA
55. Hormone Replacement Therapy – NEW Title/Focus!
56. Drugs for Breast Cancer
Unit 14: Antiinfectives
57. Principles for Prescribing Antiinfectives
58. Treatment of Specific Infections and Miscellaneous Antibiotics
59. Penicillins
60. Cephalosporins
61. Tetracyclines
62. Macrolides
SU
63. Fluoroquinolones
64. Aminoglycosides
65. Sulfonamides
66. Antitubercular Agents
PE
67. Antifungals
68. Antiretroviral Medications
69. Antiviral and Antiprotozoal Agents
R
Unit 15: Health Promotion
70. Immunizations and Biologicals
71. Weight Management
SO
72. Smoking Cessation
73. Vitamins and Minerals
LU
TI
O
N
S
PASS
, UYTREWA
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
Test Bank
MULTIPLE CHOICE
1. Which of the following has influenced an emphasis on primary care education in medical
schools?
a. Changes in Medicare reimbursement
methods recommended in 1992
b. Competition from nonphysicians desiring
to meet primary care shortages
c. The need for monopolistic control in the
SU
marketplace of primary outpatient care
d. The recognition that nonphysicians have
variable success providing primary care
PE
ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
reimbursement to clinicians who provide primary care. Coupled with a shortage of
primary care providers, this incentive led medical schools to place greater emphasis on
R
preparing primary care physicians. Competition from nonphysicians increased
coincidentally as professionals from other disciplines stepped up to meet the needs.
Nonphysicians have had increasing success at providing primary care and have been
SO
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
LU
2. Which of the following statements is true about the prescribing practices of physicians?
a. Older physicians tend to prescribe more
appropriate medications than younger
physicians.
TI
b. Antibiotic medications remain in the top
five classifications of medications
O
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less than
N
100 drug preparations per physician.
S
d. The dominant form of drug information
used by primary care physicians continues
to be that provided by pharmaceutical
companies.
ANS: D
Even though most physicians claim to place little weight on drug advertisements,
PASS
, UYTREWA
pharmaceutical representatives, and patient preference and state that they rely on
academic sources for drug information, a study showed that commercial rather than
scientific sources of drug information dominated their drug information materials.
Younger physicians tend to prescribe fewer and more appropriate drugs. Antibiotics have
dropped out of the top five classifications of drugs prescribed. Most physicians have a
therapeutic armamentarium of about 144 drugs.
DIF: Cognitive Level: Remembering (Knowledge) REF: 3
3. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of
medications, it will be important to:
a. attain the same level of expertise as
SU
physicians who currently prescribe
medications.
b. learn from the experiences of physicians
and develop expertise based on evidence-
PE
based practice.
c. maintain collaborative and supervisorial
relationships with physicians who will
oversee prescribing practices.
R
d. develop relationships with pharmaceutical
representatives to learn about new
SO
medications as they are developed.
ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
important to learn from the past experiences of physicians and to develop prescribing
LU
practices based on evidence-based medicine. It is hoped that all prescribers, including
physicians and nurse practitioners, will strive to do better than in the past. NPs should
work toward prescriptive authority and for practice that is not supervised by another
professional. Pharmaceutical representatives provide information that carries some bias.
TI
Academic sources are better.
DIF: Cognitive Level: Applying (Application) REF: 4
O
N
S
PASS
TEST BANK
Edmunds' Pharmacology for the Primary Care Provider 5th Edition
by Constance G Visovsky
SU
PE
R
SO
LU
TI
O
N
S
PASS
, UYTREWA
Pharmacology for the Primary Care Provider, 4th Edition by Marilyn
Winterton Edmunds and Maren Stewart Mayhew Test Bank
Table of Content
PART ONE: ESSENTIAL CONCEPTS FOR THE PRESCRIPTION OF
MEDICATIONS
Unit 1: Foundations of Prescriptive Practice
SU
1. Prescriptive Authority and Role Implementation: Tradition vs. Change
2. Historical Review of Prescriptive Authority: The Role of Nurses (NPs, CNMs, CRNAs, and
CNSs) and Physician Assistants
Unit 2: Pharmacokinetics and Pharmacodynamics
PE
3. General Pharmacokinetic and Pharmacodynamic Principles
4. Special Populations: Geriatrics
5. Special Populations: Pediatrics
6. Special Populations: Pregnant and Nursing Women
R
7. Over-the-Counter Medications
8. Complementary and Alternative Therapies
SO
Unit 3: The Art and Science of Pharmacotherapeutics
9. Establishing the Therapeutic Relationship
10. Practical Tips on Writing Prescriptions
11. Evidence-Based Decision-Making and Treatment Guidelines
LU
12. Design and Implementation of Patient Education
PART TWO: DRUG MONOGRAPHS
Unit 4: Topical Agents
TI
13. Dermatologic Agents
14. Eye, Ear, Throat, and Mouth Agents
O
Unit 5: Respiratory Agents
15. Upper Respiratory Agents
N
16. Asthma and Chronic Obstructive Pulmonary Disease Medications
S
Unit 6: Cardiovascular Agents
17. Hypertension and Miscellaneous Antihypertensive Medications
18. Coronary Artery Disease and Antianginal Medications
19. Heart Failure and Digoxin
20. ß-Blockers
21. Calcium Channel Blockers
22. ACE Inhibitors and Angiotensin Receptor Blockers
23. Antiarrhythmic Agents
PASS
, UYTREWA
24. Antihyperlipidemic Agents
25. Agents that Act on Blood
Unit 7: Gastrointestinal Agents
26. Antacids and the Management of GERD
27. Histamine-2 Blockers and Proton Pump Inhibitors
28. Laxatives
29. Antidiarrheals
30. Antiemetics
31. Medications for Irritable Bowel Syndrome and Other Gastrointestinal Problems
SU
Unit 8: Renal/Genitourinary Agents
32. Diuretics
33. Male Genitourinary Agents
PE
34. Drugs for Urinary Incontinence and Urinary Analgesia
Unit 9: Musculoskeletal Agents
35. Acetaminophen
R
36. Aspirin and Nonsteroidal Antiinflammatory Drugs
37. Disease-Modifying Antirheumatic Drugs and Immune Modulators
38. Gout Medications
SO
39. Osteoporosis Treatment
40. Muscle Relaxants
Unit 10: Central Nervous System Agents
LU
41. Medications for Attention Deficit Hyperactivity Disorder
42. Medications for Dementia
43. Analgesia and Pain Management
44. Migraine Medications
TI
45. Antiepileptics
46. Antiparkinson Agents
O
Unit 11: Psychotropic Agents
47. Antidepressants
N
48. Antianxiety and Antiinsomnia Agents
49. Antipsychotics
S
50. Substance Abuse
Unit 12: Endocrine Agents
51. Glucocorticoids
52. Thyroid Medications
53. Diabetes Mellitus Agents
Unit 13: Reproductive System Medications
54. Contraceptives
PASS
, UYTREWA
55. Hormone Replacement Therapy – NEW Title/Focus!
56. Drugs for Breast Cancer
Unit 14: Antiinfectives
57. Principles for Prescribing Antiinfectives
58. Treatment of Specific Infections and Miscellaneous Antibiotics
59. Penicillins
60. Cephalosporins
61. Tetracyclines
62. Macrolides
SU
63. Fluoroquinolones
64. Aminoglycosides
65. Sulfonamides
66. Antitubercular Agents
PE
67. Antifungals
68. Antiretroviral Medications
69. Antiviral and Antiprotozoal Agents
R
Unit 15: Health Promotion
70. Immunizations and Biologicals
71. Weight Management
SO
72. Smoking Cessation
73. Vitamins and Minerals
LU
TI
O
N
S
PASS
, UYTREWA
Chapter 01: Prescriptive Authority and Role Implementation: Tradition vs. Change
Test Bank
MULTIPLE CHOICE
1. Which of the following has influenced an emphasis on primary care education in medical
schools?
a. Changes in Medicare reimbursement
methods recommended in 1992
b. Competition from nonphysicians desiring
to meet primary care shortages
c. The need for monopolistic control in the
SU
marketplace of primary outpatient care
d. The recognition that nonphysicians have
variable success providing primary care
PE
ANS: A
The Physician Payment Review Commission in 1992 directly increased financial
reimbursement to clinicians who provide primary care. Coupled with a shortage of
primary care providers, this incentive led medical schools to place greater emphasis on
R
preparing primary care physicians. Competition from nonphysicians increased
coincidentally as professionals from other disciplines stepped up to meet the needs.
Nonphysicians have had increasing success at providing primary care and have been
SO
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
LU
2. Which of the following statements is true about the prescribing practices of physicians?
a. Older physicians tend to prescribe more
appropriate medications than younger
physicians.
TI
b. Antibiotic medications remain in the top
five classifications of medications
O
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less than
N
100 drug preparations per physician.
S
d. The dominant form of drug information
used by primary care physicians continues
to be that provided by pharmaceutical
companies.
ANS: D
Even though most physicians claim to place little weight on drug advertisements,
PASS
, UYTREWA
pharmaceutical representatives, and patient preference and state that they rely on
academic sources for drug information, a study showed that commercial rather than
scientific sources of drug information dominated their drug information materials.
Younger physicians tend to prescribe fewer and more appropriate drugs. Antibiotics have
dropped out of the top five classifications of drugs prescribed. Most physicians have a
therapeutic armamentarium of about 144 drugs.
DIF: Cognitive Level: Remembering (Knowledge) REF: 3
3. As primary care nurse practitioners (NPs) continue to develop their role as prescribers of
medications, it will be important to:
a. attain the same level of expertise as
SU
physicians who currently prescribe
medications.
b. learn from the experiences of physicians
and develop expertise based on evidence-
PE
based practice.
c. maintain collaborative and supervisorial
relationships with physicians who will
oversee prescribing practices.
R
d. develop relationships with pharmaceutical
representatives to learn about new
SO
medications as they are developed.
ANS: B
As nonphysicians develop the roles associated with prescriptive authority, it will be
important to learn from the past experiences of physicians and to develop prescribing
LU
practices based on evidence-based medicine. It is hoped that all prescribers, including
physicians and nurse practitioners, will strive to do better than in the past. NPs should
work toward prescriptive authority and for practice that is not supervised by another
professional. Pharmaceutical representatives provide information that carries some bias.
TI
Academic sources are better.
DIF: Cognitive Level: Applying (Application) REF: 4
O
N
S
PASS
