CNPR, NAPSR EXAM QUESTIONS WITH 100%
ACCURATE ANSWERS
Margin of safety - Accurate answers the difference between the usual effective dose and the dose
that induces severe or life threatening side effects
Rights of drug administration - Accurate answers right patient, right medication, right does, right
route of administration, and right time of delivery
Injection routes - Accurate answers intramuscular, intrathecal, intravenous, subcutaneous
intramuscular - Accurate answers drugs given by direct injection into muscle tissue
intrathecal - Accurate answers needle is inserted between to vertebrea in the lower spine an into
space around the spinal cord
intravenous - Accurate answers injected directly into the veins
subcutaneous - Accurate answers needle inserted into the fatty tissue just beneath the skin
Bioavailablility - Accurate answers how quickly and how much of a drug reaches its intended target
site of action
Bioequivalent - Accurate answers when drugs contain not only the same active ingredients but also
produce virtually the same blood levels over time
Therapeutic equivalence - Accurate answers production of the same medicinal effects
Areas of drug elimination and excretion - Accurate answers Lungs, breast milk, sweat tears urine
feces, bile, saliva, and exhaled air
medication error - Accurate answers failure to administer drug in the correct form
Powders - Accurate answers a drug that is dried and ground into fine particles
pills - Accurate answers 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 - Accurate answers a small pill usually accompanied usually accompanied by many others
encased within a gelatin capsule; quite often releasing medication over time
tablet - Accurate answers 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 - Accurate answers medication dosage form in which the drug is contained in an external
shell; can be pulled apart for access to contents
sustained release - Accurate answers several doses of a drug in special coatings that dissolve at
different rates
Enteric Coating - Accurate answers dosage in special coating that doesn't digest in the stomach;
only starts to digest in the intestines
caplets - Accurate answers shaped like a capsule but has the form of a tablet the shape and file
make swallowing easier
gel caps - Accurate answers an oil based medication that is enclosed in soft gelatin capsule
Emulsion - Accurate answers two agents that cannot ordinarily be combined or mixed
otic drugs - Accurate answers control localized infections or inflammation and require very low
dosages to be effective
Types of drug despensing - Accurate answers OTC and prescription
Type A (Augmented) drug reaction - Accurate answers exaggeration of the drug's therapeutic
effects
Type B (idiosyncratic) - Accurate answers results from mechanisms that are not currently
understood; largely unpredictable
Type C (continuing or chronic) - Accurate answers These persist for a long time
Type D delayed - Accurate answers these take some time to develop
Type E end of use - Accurate answers These occur during drug withdrawal
Risk Factors - Accurate answers Use of several drugs, age, Pregnancy and breast feeding
Excipients - Accurate answers inactive ingredients
Parenteral - Accurate answers intravenous, intramuscular, subcutaneous
Rectal - Accurate answers suppository
Oral - Accurate answers tablet, capsule, liquid
Transdermal - Accurate answers through the skin via creams or patches
Binders - Accurate answers cement the active and inert components of tablets
,Fillers - Accurate answers used to make the drug sufficiently large for easy manufacture and
consumption
Glidants(flow enhancers) - Accurate answers added to powdered materials used in pill production
to aid movement through tabletting machinery
suspending/dispersing agents - Accurate answers maintain consistent concentration of the active
ingredients throughout the drug product
disintegrants - Accurate answers help break up the tablets int the GI tract
Lubricants - Accurate answers ease the release of the tablets from the dies that stamp them during
the manufacturing process
AUC - Accurate answers represents the extent of the drug absorption or the quantity of the drug
that appears in the bloodstream following oral administration
Cmax - Accurate answers peak plasma concentration on a measuring curve
First pass effect - Accurate answers 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 - Accurate answers the time it takes for a drug to start having any intended affect
after it is administered
Protein Binding - Accurate answers the ability of certain drugs to bind to plasma protein
QD - Accurate answers once a day
QID - Accurate answers four times a day
PRN - Accurate answers take as needed
TID - Accurate answers three times a day
Tmax - Accurate answers time of peak plasma concentration on a measuring curve
BID - Accurate answers twice a day
Authorized distributor - Accurate answers 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) - Accurate answers published whole sale price or list price suggested
by the manufacturer
Brokerage - Accurate answers 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 - Accurate answers 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 - Accurate answers a company that owns and operates four or more pharmacies
dock to dock delivery - Accurate answers wholesaler obtains the drugs to a dispenser own
warehouse without taking the drugs into its own inventory
drop shipment - Accurate answers the drug manufacturer directly delivers the drugs to a dispenser
but the order and payments are made through a wholesaler
Float - Accurate answers 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 - Accurate answers 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 - Accurate answers wholesaler that distributes drug products in a state in
which it is physically located
independent drug store - Accurate answers a company that owns and operates three or fewer
pharmacies
Integrated Delivery Network IDN - Accurate answers a financial management structure that unites
hospitals, physicians ambulatory care site and managed care plans through ownership or exclusive
formal agreements to provide a system to deliver a continuum of healthcare services
Mail order pharmacy - Accurate answers a pharmacy that dispenses prescriptions to patients who
submit their prescriptions by mail or fax
manufacturer direct sale - Accurate answers the type of sale that bypasses the need for any
intermediary distributor
mass merchandiser - Accurate answers Department stores with a pharmacy
non-stock sales - Accurate answers brokerage sales, dock to dock sales, drop shipments, and any
form of sale not placed in inventory
out of state wolesaler - Accurate answers a wholesaler that distributes drug products in a state in
which it is not physically located
pharmacy benefit management group - Accurate answers an entity that administers the
prescription drug part of health insurance plans on behalf of plan sponsors such as self insured
employers, insureance companies, and health maintenance organizations
ACCURATE ANSWERS
Margin of safety - Accurate answers the difference between the usual effective dose and the dose
that induces severe or life threatening side effects
Rights of drug administration - Accurate answers right patient, right medication, right does, right
route of administration, and right time of delivery
Injection routes - Accurate answers intramuscular, intrathecal, intravenous, subcutaneous
intramuscular - Accurate answers drugs given by direct injection into muscle tissue
intrathecal - Accurate answers needle is inserted between to vertebrea in the lower spine an into
space around the spinal cord
intravenous - Accurate answers injected directly into the veins
subcutaneous - Accurate answers needle inserted into the fatty tissue just beneath the skin
Bioavailablility - Accurate answers how quickly and how much of a drug reaches its intended target
site of action
Bioequivalent - Accurate answers when drugs contain not only the same active ingredients but also
produce virtually the same blood levels over time
Therapeutic equivalence - Accurate answers production of the same medicinal effects
Areas of drug elimination and excretion - Accurate answers Lungs, breast milk, sweat tears urine
feces, bile, saliva, and exhaled air
medication error - Accurate answers failure to administer drug in the correct form
Powders - Accurate answers a drug that is dried and ground into fine particles
pills - Accurate answers 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 - Accurate answers a small pill usually accompanied usually accompanied by many others
encased within a gelatin capsule; quite often releasing medication over time
tablet - Accurate answers 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 - Accurate answers medication dosage form in which the drug is contained in an external
shell; can be pulled apart for access to contents
sustained release - Accurate answers several doses of a drug in special coatings that dissolve at
different rates
Enteric Coating - Accurate answers dosage in special coating that doesn't digest in the stomach;
only starts to digest in the intestines
caplets - Accurate answers shaped like a capsule but has the form of a tablet the shape and file
make swallowing easier
gel caps - Accurate answers an oil based medication that is enclosed in soft gelatin capsule
Emulsion - Accurate answers two agents that cannot ordinarily be combined or mixed
otic drugs - Accurate answers control localized infections or inflammation and require very low
dosages to be effective
Types of drug despensing - Accurate answers OTC and prescription
Type A (Augmented) drug reaction - Accurate answers exaggeration of the drug's therapeutic
effects
Type B (idiosyncratic) - Accurate answers results from mechanisms that are not currently
understood; largely unpredictable
Type C (continuing or chronic) - Accurate answers These persist for a long time
Type D delayed - Accurate answers these take some time to develop
Type E end of use - Accurate answers These occur during drug withdrawal
Risk Factors - Accurate answers Use of several drugs, age, Pregnancy and breast feeding
Excipients - Accurate answers inactive ingredients
Parenteral - Accurate answers intravenous, intramuscular, subcutaneous
Rectal - Accurate answers suppository
Oral - Accurate answers tablet, capsule, liquid
Transdermal - Accurate answers through the skin via creams or patches
Binders - Accurate answers cement the active and inert components of tablets
,Fillers - Accurate answers used to make the drug sufficiently large for easy manufacture and
consumption
Glidants(flow enhancers) - Accurate answers added to powdered materials used in pill production
to aid movement through tabletting machinery
suspending/dispersing agents - Accurate answers maintain consistent concentration of the active
ingredients throughout the drug product
disintegrants - Accurate answers help break up the tablets int the GI tract
Lubricants - Accurate answers ease the release of the tablets from the dies that stamp them during
the manufacturing process
AUC - Accurate answers represents the extent of the drug absorption or the quantity of the drug
that appears in the bloodstream following oral administration
Cmax - Accurate answers peak plasma concentration on a measuring curve
First pass effect - Accurate answers 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 - Accurate answers the time it takes for a drug to start having any intended affect
after it is administered
Protein Binding - Accurate answers the ability of certain drugs to bind to plasma protein
QD - Accurate answers once a day
QID - Accurate answers four times a day
PRN - Accurate answers take as needed
TID - Accurate answers three times a day
Tmax - Accurate answers time of peak plasma concentration on a measuring curve
BID - Accurate answers twice a day
Authorized distributor - Accurate answers 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) - Accurate answers published whole sale price or list price suggested
by the manufacturer
Brokerage - Accurate answers 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 - Accurate answers 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 - Accurate answers a company that owns and operates four or more pharmacies
dock to dock delivery - Accurate answers wholesaler obtains the drugs to a dispenser own
warehouse without taking the drugs into its own inventory
drop shipment - Accurate answers the drug manufacturer directly delivers the drugs to a dispenser
but the order and payments are made through a wholesaler
Float - Accurate answers 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 - Accurate answers 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 - Accurate answers wholesaler that distributes drug products in a state in
which it is physically located
independent drug store - Accurate answers a company that owns and operates three or fewer
pharmacies
Integrated Delivery Network IDN - Accurate answers a financial management structure that unites
hospitals, physicians ambulatory care site and managed care plans through ownership or exclusive
formal agreements to provide a system to deliver a continuum of healthcare services
Mail order pharmacy - Accurate answers a pharmacy that dispenses prescriptions to patients who
submit their prescriptions by mail or fax
manufacturer direct sale - Accurate answers the type of sale that bypasses the need for any
intermediary distributor
mass merchandiser - Accurate answers Department stores with a pharmacy
non-stock sales - Accurate answers brokerage sales, dock to dock sales, drop shipments, and any
form of sale not placed in inventory
out of state wolesaler - Accurate answers a wholesaler that distributes drug products in a state in
which it is not physically located
pharmacy benefit management group - Accurate answers an entity that administers the
prescription drug part of health insurance plans on behalf of plan sponsors such as self insured
employers, insureance companies, and health maintenance organizations
