TEST BANK For Edmunds' Pharmacology for the Primary
Care Provider, 5th Edition by Constance G Visovsky,
Complete Chapters 1 – 25
Table of Contents
Chapter 01 Prescriptive Authority and Role Implementation Tradition vs.
,Change 1
Chapter 02 Historical Review of Prescriptive Authority The Role of Nurses (NPs,
CNMs, CRNAs, and CNSs) and Physician Assistant 3
Chapter 03 General Pharmacokinetic and Pharmacodynamic Principles 5
Chapter 04 Special Populations Geriatrics 9
Chapter 05 Special Populations Pediatrics 12
Chapter 06 Special Populations Pregnant and Nursing Women 16
Chapter 07 Over-the-Counter Medications 19
Chapter 08 Complementary and Alternative Therapies 22
Chapter 09 Establishing the Therapeutic Relationship 25
Chapter 10 Practical Tips on Writing Prescriptions 28
Chapter 11 Evidence-Based Decision Making and Treatment Guidelines 31
Chapter 12 Design and Implementation of Patient Education 35
Chapter 13 Dermatologic Agents 38
Chapter 14 Eye, Ear, Throat, and Mouth Agents 43
Chapter 15 Upper Respiratory Agents 46
Chapter 16 Asthma and Chronic Obstructive Pulmonary Disease Medications 49
Chapter 17 Hypertension and Miscellaneous Antihypertensive Medications 53
Chapter 18 Coronary Artery Disease and Antianginal Medications 56
Chapter 19 Heart Failure and Digoxin 59
Chapter 20 Beta-Blockers 62
Chapter 21 Calcium Channel Blockers 65
Chapter 22 ACE Inhibitors and Angiotensin Receptor Blockers 68
Chapter 23 Antiarrhythmic Agents 71
Chapter 24 Antihyperlipidemic Agents 74
Chapter 25 Agents that Act on Blood 77
Chapter 26 Antacids and the Management of GERD 81
Chapter 27 Histamine-2 Blockers and Proton Pump Inhibitors 84
Chapter 28 Laxatives 87
Chapter 29 Antidiarrheals 90
Chapter 30 Antiemetics 93
Chapter 31 Medications for Irritable Bowel Syndrome and Other Gastrointestinal
Problems 96
Chapter 32 Diuretics 99
Chapter 33 Male Genitourinary Agents 103
Chapter 34 Drugs for Urinary Incontinence and Urinary Analgesia 106
Chapter 35 Acetaminophen 109
Chapter 36 Aspirin and Nonsteroidal Antiinflammatory Drugs 111
Chapter 37 Disease-Modifying Antirheumatic Drugs and Immune Modulators
115
Chapter 38 Gout Medications 119
Chapter 39 Osteoporosis Treatment 122
Chapter 40 Muscle Relaxants 125
Chapter 41 Medications for Attention-Deficit Hyperactivity Disorder 128
Chapter 42 Medications for Dementia 131
Chapter 43 Analgesia and Pain Management 134
Chapter 44 Migraine Medications 137
Chapter 45 Antiepileptics 141
, Chapter 46 Antiparkinson Agents 144
Chapter 47 Antidepressants 147
Chapter 48 Antianxiety and Insomnia Agents 151
Chapter 49 Antipsychotics 154
Chapter 50 Substance Abuse 157
Chapter 51 Glucocorticoids 160
Chapter 52 Thyroid Medications 163
Chapter 53 Diabetes Mellitus Agents 166
Chapter 54 Contraceptives 169
Chapter 55 Hormone Replacement Therapy 173
Chapter 56 Drugs for Breast Cancer 177
Chapter 57 Principles for Prescribing Antiinfectives 179
Chapter 58 Treatment of Specific Infections and Miscellaneous Antibiotics 182
Chapter 59 Penicillins 186
Chapter 60 Cephalosporins 189
Chapter 61 Tetracyclines 192
Chapter 62 Macrolides 194
Chapter 63 Fluoroquinolones 196
Chapter 64 Aminoglycosides 199
Chapter 65 Sulfonamides 201
Chapter 66 Antitubercular Agents 204
Chapter 67 Antifungals 207
Chapter 68 Antiretroviral Medications 209
Chapter 69 Antiviral and Antiprotozoal Agents 211
Chapter 70 The Immune System and Immunizations 214
Chapter 71 Weight Management 220
Chapter 72 Smoking Cessation 223
Chapter 73 Vitamins and Minerals 226
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
marketplace of primary outpatient care
d. The recognition that nonphysicians
have variable success providing
primary care
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 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
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
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.
b. Antibiotic medications remain in the
top five classifications of medications
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less
than 100 drug preparations per
physician.
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,
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 physicians who currently
prescribe medications.
b. learn from the experiences of
physicians and develop expertise based
on evidence- based practice.
c. maintain collaborative and
supervisorial relationships with
physicians who will oversee
prescribing practices.
d. develop relationships with
pharmaceutical representatives to
learn about new 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
Care Provider, 5th Edition by Constance G Visovsky,
Complete Chapters 1 – 25
Table of Contents
Chapter 01 Prescriptive Authority and Role Implementation Tradition vs.
,Change 1
Chapter 02 Historical Review of Prescriptive Authority The Role of Nurses (NPs,
CNMs, CRNAs, and CNSs) and Physician Assistant 3
Chapter 03 General Pharmacokinetic and Pharmacodynamic Principles 5
Chapter 04 Special Populations Geriatrics 9
Chapter 05 Special Populations Pediatrics 12
Chapter 06 Special Populations Pregnant and Nursing Women 16
Chapter 07 Over-the-Counter Medications 19
Chapter 08 Complementary and Alternative Therapies 22
Chapter 09 Establishing the Therapeutic Relationship 25
Chapter 10 Practical Tips on Writing Prescriptions 28
Chapter 11 Evidence-Based Decision Making and Treatment Guidelines 31
Chapter 12 Design and Implementation of Patient Education 35
Chapter 13 Dermatologic Agents 38
Chapter 14 Eye, Ear, Throat, and Mouth Agents 43
Chapter 15 Upper Respiratory Agents 46
Chapter 16 Asthma and Chronic Obstructive Pulmonary Disease Medications 49
Chapter 17 Hypertension and Miscellaneous Antihypertensive Medications 53
Chapter 18 Coronary Artery Disease and Antianginal Medications 56
Chapter 19 Heart Failure and Digoxin 59
Chapter 20 Beta-Blockers 62
Chapter 21 Calcium Channel Blockers 65
Chapter 22 ACE Inhibitors and Angiotensin Receptor Blockers 68
Chapter 23 Antiarrhythmic Agents 71
Chapter 24 Antihyperlipidemic Agents 74
Chapter 25 Agents that Act on Blood 77
Chapter 26 Antacids and the Management of GERD 81
Chapter 27 Histamine-2 Blockers and Proton Pump Inhibitors 84
Chapter 28 Laxatives 87
Chapter 29 Antidiarrheals 90
Chapter 30 Antiemetics 93
Chapter 31 Medications for Irritable Bowel Syndrome and Other Gastrointestinal
Problems 96
Chapter 32 Diuretics 99
Chapter 33 Male Genitourinary Agents 103
Chapter 34 Drugs for Urinary Incontinence and Urinary Analgesia 106
Chapter 35 Acetaminophen 109
Chapter 36 Aspirin and Nonsteroidal Antiinflammatory Drugs 111
Chapter 37 Disease-Modifying Antirheumatic Drugs and Immune Modulators
115
Chapter 38 Gout Medications 119
Chapter 39 Osteoporosis Treatment 122
Chapter 40 Muscle Relaxants 125
Chapter 41 Medications for Attention-Deficit Hyperactivity Disorder 128
Chapter 42 Medications for Dementia 131
Chapter 43 Analgesia and Pain Management 134
Chapter 44 Migraine Medications 137
Chapter 45 Antiepileptics 141
, Chapter 46 Antiparkinson Agents 144
Chapter 47 Antidepressants 147
Chapter 48 Antianxiety and Insomnia Agents 151
Chapter 49 Antipsychotics 154
Chapter 50 Substance Abuse 157
Chapter 51 Glucocorticoids 160
Chapter 52 Thyroid Medications 163
Chapter 53 Diabetes Mellitus Agents 166
Chapter 54 Contraceptives 169
Chapter 55 Hormone Replacement Therapy 173
Chapter 56 Drugs for Breast Cancer 177
Chapter 57 Principles for Prescribing Antiinfectives 179
Chapter 58 Treatment of Specific Infections and Miscellaneous Antibiotics 182
Chapter 59 Penicillins 186
Chapter 60 Cephalosporins 189
Chapter 61 Tetracyclines 192
Chapter 62 Macrolides 194
Chapter 63 Fluoroquinolones 196
Chapter 64 Aminoglycosides 199
Chapter 65 Sulfonamides 201
Chapter 66 Antitubercular Agents 204
Chapter 67 Antifungals 207
Chapter 68 Antiretroviral Medications 209
Chapter 69 Antiviral and Antiprotozoal Agents 211
Chapter 70 The Immune System and Immunizations 214
Chapter 71 Weight Management 220
Chapter 72 Smoking Cessation 223
Chapter 73 Vitamins and Minerals 226
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
marketplace of primary outpatient care
d. The recognition that nonphysicians
have variable success providing
primary care
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 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
shown to be safe and effective.
DIF: Cognitive Level: Remembering (Knowledge) REF: 2
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.
b. Antibiotic medications remain in the
top five classifications of medications
prescribed.
c. Most physicians rely on a “therapeutic
armamentarium” that consists of less
than 100 drug preparations per
physician.
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,
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 physicians who currently
prescribe medications.
b. learn from the experiences of
physicians and develop expertise based
on evidence- based practice.
c. maintain collaborative and
supervisorial relationships with
physicians who will oversee
prescribing practices.
d. develop relationships with
pharmaceutical representatives to
learn about new 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
