Paramedic Chapter 13 - Principles of
Pharmacology - Multiple Choice
A medication is used "off-label." This means that it:
A. is used for a purpose not approved by the FDA, at doses different from the
recommended doses, or by a route of administration not approved by the FDA.
B. has been determined to be safe by a physician, and is used to treat a patient's illness
before the medication has been approved by the FDA for any purpose.
C. is administered in clinical trials while the manufacturer conducts further research and
before the FDA has approved the medication for use.
D. is administered in a extreme emergency situation, but only if initial clinical trials have
determined that the medication will not cause harm to the patient. - answerA. is used for
a purpose not approved by the FDA, at doses different from the recommended doses,
or by a route of administration not approved by the FDA.
The Comprehensive Drug Abuse Prevention and Control Act of 1970:
A. regulated the import, manufacture, prescription, and sale of several nonnarcotic
medications and cocaine, opium, and their derivatives.
B. was aimed at protecting the public from mislabeled, poisonous, or otherwise harmful
food, medications, and alcoholic beverages.
C. increased the penalties for violation of the Harrison Narcotic Act, made the
possession of heroin illegal. and outlawed the acquisition and transportation of
marijuana.
D. was a legislative act dealing with narcotic and nonnarcotic medications that have a
potential for abuse, and developed a drug classification system according to the abuse
potential of the medications. - answerD. was a legislative act dealing with narcotic and
nonnarcotic medications that have a potential for abuse, and developed a drug
classification system according to the abuse potential of the medications.
Medications administered by the __________ route, by definition, have 100%
bioavailability.
A. sublingual
B. intramuscular
C. endotracheal
D. intravenous - answerD. intravenous
The United States Pharmacopeia (USP) recommended temperature range for MOST
medications in the prehospital setting is:
A. 40'F to 76'F (4'C to 24'C).
, B. 45'F to 80'F (7'C to 27'C).
C. 59'F to 86'F (15'C to 30'C).
D. 60'F to 90'F (16'C to 32'C). - answerC. 59'F to 86'F (15'C to 30'C).
Medication X is given to increase the effects of medication Y, which provides more relief
than if medication Y were given alone. This is an example of:
A. synergism.
B. summation.
C. potentiation.
D. antagonism. - answerC. potentiation.
A medication is called an antagonist if:
A. it has a higher affinity for the receptor site than the chemical mediator.
B. it stimulates a receptor site to cause the response that that receptor normally causes.
C. it attaches to a receptor site and produces an effect of series of effects.
D. the chemical mediator of a receptor has a higher affinity than the medication. -
answerA. it has a higher affinity for the receptor site than the chemical mediator.
Stimulation of alpha-1 receptors results in:
A. insulin secretion.
B. vasoconstriction.
C. arterial dilation.
D. glucagon secretion. - answerB. vasoconstriction.
A(n) ______________ agent is used to increase the pH of the serum or urine.
A. antacid
B. alkalinizing
C. anticoagulant
D. antihistamine - answerB. alkalinizing
If seizures occur following the administration of flumazenil (Romazicon):
A. an opiate medication should be given immediately because of its potent antiseizure
properties.
B. the patient should receive half the normal dose of a benzodiazepine in order to
control the the seizure.
C. the paramedic should give naloxone immediately in order to reverse the effects of the
flumazenil.
D. benzodiazepine medications will be minimally effective or ineffective in controlling the
seizure. - answerD. benzodiazepine medications will be minimally effective or ineffective
in controlling the seizure.
Pharmacology - Multiple Choice
A medication is used "off-label." This means that it:
A. is used for a purpose not approved by the FDA, at doses different from the
recommended doses, or by a route of administration not approved by the FDA.
B. has been determined to be safe by a physician, and is used to treat a patient's illness
before the medication has been approved by the FDA for any purpose.
C. is administered in clinical trials while the manufacturer conducts further research and
before the FDA has approved the medication for use.
D. is administered in a extreme emergency situation, but only if initial clinical trials have
determined that the medication will not cause harm to the patient. - answerA. is used for
a purpose not approved by the FDA, at doses different from the recommended doses,
or by a route of administration not approved by the FDA.
The Comprehensive Drug Abuse Prevention and Control Act of 1970:
A. regulated the import, manufacture, prescription, and sale of several nonnarcotic
medications and cocaine, opium, and their derivatives.
B. was aimed at protecting the public from mislabeled, poisonous, or otherwise harmful
food, medications, and alcoholic beverages.
C. increased the penalties for violation of the Harrison Narcotic Act, made the
possession of heroin illegal. and outlawed the acquisition and transportation of
marijuana.
D. was a legislative act dealing with narcotic and nonnarcotic medications that have a
potential for abuse, and developed a drug classification system according to the abuse
potential of the medications. - answerD. was a legislative act dealing with narcotic and
nonnarcotic medications that have a potential for abuse, and developed a drug
classification system according to the abuse potential of the medications.
Medications administered by the __________ route, by definition, have 100%
bioavailability.
A. sublingual
B. intramuscular
C. endotracheal
D. intravenous - answerD. intravenous
The United States Pharmacopeia (USP) recommended temperature range for MOST
medications in the prehospital setting is:
A. 40'F to 76'F (4'C to 24'C).
, B. 45'F to 80'F (7'C to 27'C).
C. 59'F to 86'F (15'C to 30'C).
D. 60'F to 90'F (16'C to 32'C). - answerC. 59'F to 86'F (15'C to 30'C).
Medication X is given to increase the effects of medication Y, which provides more relief
than if medication Y were given alone. This is an example of:
A. synergism.
B. summation.
C. potentiation.
D. antagonism. - answerC. potentiation.
A medication is called an antagonist if:
A. it has a higher affinity for the receptor site than the chemical mediator.
B. it stimulates a receptor site to cause the response that that receptor normally causes.
C. it attaches to a receptor site and produces an effect of series of effects.
D. the chemical mediator of a receptor has a higher affinity than the medication. -
answerA. it has a higher affinity for the receptor site than the chemical mediator.
Stimulation of alpha-1 receptors results in:
A. insulin secretion.
B. vasoconstriction.
C. arterial dilation.
D. glucagon secretion. - answerB. vasoconstriction.
A(n) ______________ agent is used to increase the pH of the serum or urine.
A. antacid
B. alkalinizing
C. anticoagulant
D. antihistamine - answerB. alkalinizing
If seizures occur following the administration of flumazenil (Romazicon):
A. an opiate medication should be given immediately because of its potent antiseizure
properties.
B. the patient should receive half the normal dose of a benzodiazepine in order to
control the the seizure.
C. the paramedic should give naloxone immediately in order to reverse the effects of the
flumazenil.
D. benzodiazepine medications will be minimally effective or ineffective in controlling the
seizure. - answerD. benzodiazepine medications will be minimally effective or ineffective
in controlling the seizure.
