CNPR, NAPSR Exam Questions and
Answers
What industry is having a profound impact on medicine? - correct answer-Biotechnology
What are some specialties of biotechnology companies? - correct answer-
generesearch, genetically-altered drugs, and molecular biology.
What kind of companies are pharmaceutical companies joining with for a significant
research advantage? - correct answer-Genomic companies
What does AMA stand for? - correct answer-American Medical Association
Margin of safety - correct answer-the difference between the usual effective dose and
the dose that induces severe or life threatening side effects
Rights of drug administration - correct answer-right patient, right medication, right does,
right route of administration, and right time of delivery
Injection routes - correct answer-intramuscular, intrathecal, intravenous, subcutaneous
intramuscular - correct answer-drugs given by direct injection into muscle tissue
intrathecal - correct answer-needle is inserted between to vertebrea in the lower spine
an into space around the spinal cord
intravenous - correct answer-injected directly into the veins
subcutaneous - correct answer-needle inserted into the fatty tissue just beneath the skin
Bioavailablility - correct answer-how quickly and how much of a drug reaches its
intended target site of action
Bioequivalent - correct answer-when drugs contain not only the same active ingredients
but also produce virtually the same blood levels over time
Therapeutic equivalence - correct answer-production of the same medicinal effects
Areas of drug elimination and excretion - correct answer-Lungs, breast milk, sweat tears
urine feces, bile, saliva, and exhaled air
medication error - correct answer-failure to administer drug in the correct form
,Powders - correct answer-a drug that is dried and ground into fine particles
pills - correct answer-a single dose unit of medicine made by mixing the powdered drug
with liquid such as syrup and rolling it into a round or oval shape
granules - correct answer-a small pill usually accompanied usually accompanied by
many others encased within a gelatin capsule; quite often releasing medication over
time
tablet - correct answer-pharmaceutical preparation made by compressing the powdered
for of a drug and bulk filling material under high pressure; commonly used for anti acids
and antiflatulents
Capsules - correct answer-medication dosage form in which the drug is contained in an
external shell; can be pulled apart for access to contents
sustained release - correct answer-several doses of a drug in special coatings that
dissolve at different rates
Enteric Coating - correct answer-dosage in special coating that doesn't digest in the
stomach; only starts to digest in the intestines
caplets - correct answer-shaped like a capsule but has the form of a tablet the shape
and file make swallowing easier
gel caps - correct answer-an oil based medication that is enclosed in soft gelatin
capsule
Emulsion - correct answer-two agents that cannot ordinarily be combined or mixed
otic drugs - correct answer-control localized infections or inflammation and require very
low dosages to be effective
Types of drug despensing - correct answer-OTC and prescription
Type A (Augmented) drug reaction - correct answer-exaggeration of the drug's
therapeutic effects
Type B (idiosyncratic) - correct answer-results from mechanisms that are not currently
understood; largely unpredictable
Type C (continuing or chronic) - correct answer-These persist for a long time
Type D delayed - correct answer-these take some time to develop
,Type E end of use - correct answer-These occur during drug withdrawal
Risk Factors - correct answer-Use of several drugs, age, Pregnancy and breast feeding
Excipients - correct answer-inactive ingredients
Parenteral - correct answer-intravenous, intramuscular, subcutaneous
Rectal - correct answer-suppository
Oral - correct answer-tablet, capsule, liquid
Transdermal - correct answer-through the skin via creams or patches
Binders - correct answer-cement the active and inert components of tablets
Fillers - correct answer-used to make the drug sufficiently large for easy manufacture
and consumption
Glidants(flow enhancers) - correct answer-added to powdered materials used in pill
production to aid movement through tabletting machinery
suspending/dispersing agents - correct answer-maintain consistent concentration of the
active ingredients throughout the drug product
disintegrants - correct answer-help break up the tablets int the GI tract
Lubricants - correct answer-ease the release of the tablets from the dies that stamp
them during the manufacturing process
AUC - correct answer-represents the extent of the drug absorption or the quantity of the
drug that appears in the bloodstream following oral administration
Cmax - correct answer-peak plasma concentration on a measuring curve
First pass effect - correct answer-metabolizing process in the liver that suppresses the
amount of drug that eventually reaches the systemic circulation and the site of action
onset of action - correct answer-the time it takes for a drug to start having any intended
affect after it is administered
Protein Binding - correct answer-the ability of certain drugs to bind to plasma protein
QD - correct answer-once a day
QID - correct answer-four times a day
, PRN - correct answer-take as needed
TID - correct answer-three times a day
Tmax - correct answer-time of peak plasma concentration on a measuring curve
BID - correct answer-twice a day
Authorized distributor - correct answer-any distributor of a prescription drug that has a
written agreement with the manufacturers of the prescription drug and conducts at least
two transactions with the manufacturer of the prescription drug within any 24-month
period
Average whole price (AWP) - correct answer-published whole sale price or list price
suggested by the manufacturer
Brokerage - correct answer-the combination of -drop ship and dock to dock delivery
services provided by wholesalers. Wholesalers do not bring the product into their
warehouses
Buy-side margin - correct answer-refers to the early payment discounts and other
earned or negotiated rebates and discounts received by wholesalers from drug
manufacturers; increase in the value of wholesalers' inventories ad manufacturers'
prices rise
chain drug store - correct answer-a company that owns and operates four or more
pharmacies
dock to dock delivery - correct answer-wholesaler obtains the drugs to a dispenser own
warehouse without taking the drugs into its own inventory
drop shipment - correct answer-the drug manufacturer directly delivers the drugs to a
dispenser but the order and payments are made through a wholesaler
Float - correct answer-the time differential between when a wholesaler receives
payment from its customer and when the payment is due to its supplier
Group Purchasing Organization GPO - correct answer-an entity consisting of two or
more hospitals or other healthcare entities that is formed to offer its members access to
purchasing contracts for health supplies
In-state wholesaler - correct answer-wholesaler that distributes drug products in a state
in which it is physically located
Answers
What industry is having a profound impact on medicine? - correct answer-Biotechnology
What are some specialties of biotechnology companies? - correct answer-
generesearch, genetically-altered drugs, and molecular biology.
What kind of companies are pharmaceutical companies joining with for a significant
research advantage? - correct answer-Genomic companies
What does AMA stand for? - correct answer-American Medical Association
Margin of safety - correct answer-the difference between the usual effective dose and
the dose that induces severe or life threatening side effects
Rights of drug administration - correct answer-right patient, right medication, right does,
right route of administration, and right time of delivery
Injection routes - correct answer-intramuscular, intrathecal, intravenous, subcutaneous
intramuscular - correct answer-drugs given by direct injection into muscle tissue
intrathecal - correct answer-needle is inserted between to vertebrea in the lower spine
an into space around the spinal cord
intravenous - correct answer-injected directly into the veins
subcutaneous - correct answer-needle inserted into the fatty tissue just beneath the skin
Bioavailablility - correct answer-how quickly and how much of a drug reaches its
intended target site of action
Bioequivalent - correct answer-when drugs contain not only the same active ingredients
but also produce virtually the same blood levels over time
Therapeutic equivalence - correct answer-production of the same medicinal effects
Areas of drug elimination and excretion - correct answer-Lungs, breast milk, sweat tears
urine feces, bile, saliva, and exhaled air
medication error - correct answer-failure to administer drug in the correct form
,Powders - correct answer-a drug that is dried and ground into fine particles
pills - correct answer-a single dose unit of medicine made by mixing the powdered drug
with liquid such as syrup and rolling it into a round or oval shape
granules - correct answer-a small pill usually accompanied usually accompanied by
many others encased within a gelatin capsule; quite often releasing medication over
time
tablet - correct answer-pharmaceutical preparation made by compressing the powdered
for of a drug and bulk filling material under high pressure; commonly used for anti acids
and antiflatulents
Capsules - correct answer-medication dosage form in which the drug is contained in an
external shell; can be pulled apart for access to contents
sustained release - correct answer-several doses of a drug in special coatings that
dissolve at different rates
Enteric Coating - correct answer-dosage in special coating that doesn't digest in the
stomach; only starts to digest in the intestines
caplets - correct answer-shaped like a capsule but has the form of a tablet the shape
and file make swallowing easier
gel caps - correct answer-an oil based medication that is enclosed in soft gelatin
capsule
Emulsion - correct answer-two agents that cannot ordinarily be combined or mixed
otic drugs - correct answer-control localized infections or inflammation and require very
low dosages to be effective
Types of drug despensing - correct answer-OTC and prescription
Type A (Augmented) drug reaction - correct answer-exaggeration of the drug's
therapeutic effects
Type B (idiosyncratic) - correct answer-results from mechanisms that are not currently
understood; largely unpredictable
Type C (continuing or chronic) - correct answer-These persist for a long time
Type D delayed - correct answer-these take some time to develop
,Type E end of use - correct answer-These occur during drug withdrawal
Risk Factors - correct answer-Use of several drugs, age, Pregnancy and breast feeding
Excipients - correct answer-inactive ingredients
Parenteral - correct answer-intravenous, intramuscular, subcutaneous
Rectal - correct answer-suppository
Oral - correct answer-tablet, capsule, liquid
Transdermal - correct answer-through the skin via creams or patches
Binders - correct answer-cement the active and inert components of tablets
Fillers - correct answer-used to make the drug sufficiently large for easy manufacture
and consumption
Glidants(flow enhancers) - correct answer-added to powdered materials used in pill
production to aid movement through tabletting machinery
suspending/dispersing agents - correct answer-maintain consistent concentration of the
active ingredients throughout the drug product
disintegrants - correct answer-help break up the tablets int the GI tract
Lubricants - correct answer-ease the release of the tablets from the dies that stamp
them during the manufacturing process
AUC - correct answer-represents the extent of the drug absorption or the quantity of the
drug that appears in the bloodstream following oral administration
Cmax - correct answer-peak plasma concentration on a measuring curve
First pass effect - correct answer-metabolizing process in the liver that suppresses the
amount of drug that eventually reaches the systemic circulation and the site of action
onset of action - correct answer-the time it takes for a drug to start having any intended
affect after it is administered
Protein Binding - correct answer-the ability of certain drugs to bind to plasma protein
QD - correct answer-once a day
QID - correct answer-four times a day
, PRN - correct answer-take as needed
TID - correct answer-three times a day
Tmax - correct answer-time of peak plasma concentration on a measuring curve
BID - correct answer-twice a day
Authorized distributor - correct answer-any distributor of a prescription drug that has a
written agreement with the manufacturers of the prescription drug and conducts at least
two transactions with the manufacturer of the prescription drug within any 24-month
period
Average whole price (AWP) - correct answer-published whole sale price or list price
suggested by the manufacturer
Brokerage - correct answer-the combination of -drop ship and dock to dock delivery
services provided by wholesalers. Wholesalers do not bring the product into their
warehouses
Buy-side margin - correct answer-refers to the early payment discounts and other
earned or negotiated rebates and discounts received by wholesalers from drug
manufacturers; increase in the value of wholesalers' inventories ad manufacturers'
prices rise
chain drug store - correct answer-a company that owns and operates four or more
pharmacies
dock to dock delivery - correct answer-wholesaler obtains the drugs to a dispenser own
warehouse without taking the drugs into its own inventory
drop shipment - correct answer-the drug manufacturer directly delivers the drugs to a
dispenser but the order and payments are made through a wholesaler
Float - correct answer-the time differential between when a wholesaler receives
payment from its customer and when the payment is due to its supplier
Group Purchasing Organization GPO - correct answer-an entity consisting of two or
more hospitals or other healthcare entities that is formed to offer its members access to
purchasing contracts for health supplies
In-state wholesaler - correct answer-wholesaler that distributes drug products in a state
in which it is physically located
