NAPSRx CNPR Exam |160 Questions with 100%
Correct Answers (Revised 18th Edition) |Verified
| Updated
Answer Marked in Yellow Color
what does a STAT order mean? -
Correct Answer -a drug needed immediately and given only once
what information does the overdosage section of the labeling provide? -
Correct Answer -signs, symptoms and treatment of acute overdoses
types of drug-drug interactions: -
Correct Answer -duplication, opposition (antagonism) and alteration (p.51)
tolerance vs resistance -
Correct Answer -tolerance is the diminished response to a drug; resistance is the cells ability to resist the
effects of the drug on them.
abbreviated new drug application (ANDA) -
Correct Answer -the process by which applicants must scientifically demonstrate to the FDA that their
generic product is bioequivalent to or performs in the same way as the innovator drug, no duplicate testing (p.
75)
the Hatch-Waxman Act of 1984 -
Correct Answer --A.K.A. Drug Price Competition and Patent Restoration Act
-made it easier to bring generic drugs to the market by requiring the FDA to only look at bioavailability studies in
order to approve an ANDA.
-gave protection to the research based manufacturers by providing a 30-month automatic cooling off period once
an ANDA is challenged for patent infringement (p. 75)
four basic transport mechanisms -
Correct Answer -passive diffusion, facilitated diffusion, active transport, and pinocytosis (p. 95)
,potency vs efficacy -
Correct Answer -potency: amount of drug necessary to produce desired effect
efficacy: magnitude of maximal response that can be received from a drug
*efficacy is almost always more important that potency* (p. 106)
the four phases of clinical trials -
Correct Answer -phases I-IV (P. 124-126)
Key Parts Of A Clinical Paper (5) -
Correct Answer -Abstract, Introduction, methods, results, discussion/conclusions (p. 128-129)
reliability vs validity -
Correct Answer -reliability = consistency and validity = accuracy
(p. 138; 143)
sampling error vs selection bias -
Correct Answer -sampling error is unbiased and is randomly chosen from the population.
selection bias is when the sample was specifically chosen based on particular characteristics (p.142-143)
independent vs dependent variable -
Correct Answer -An independent variable is the one that influences the variation. A dependent variable is the
variable being tested and measured in a scientific experiment (the result of applying the independent
variable).
Drug Utilization Review (DUR) programs -
Correct Answer --involve retrospective monitoring of physicians' prescribing patterns
-more than 90% of HMOs require DURs
-nowadays mostly monitors cost savings (p. 181)
opportunity cost -
Correct Answer -based on the premise that all resources are scarce, and therefore every time we choose to
use a resource it reduces the possibility of it being used in another way.
what type of DTC advertising is the only legal form in Europe? -
Correct Answer -Disease-state or unbranded ads (provides public information on a disease, not a drug)
(p. 223)
can pharm sales reps offer doctors meals? (PhRMA code) -
, Correct Answer -company reps can only offer occasional meals as long as they are modest, and only offered
in an office/hospital setting in conjunction with an educational presentation. (p. 228)
FAQ about the PhRMA code -
Correct Answer -p. 268-274
Urology and selling to Urologists -
Correct Answer -p. 300-301
what is a Medical Science Liaison (MLS)? -
Correct Answer -they serve as educators and field-based medical resources. they interface between their
company and healthcare leaders.
push through vs pull through sales strategies -
Correct Answer -- push-through refers to the company's overall efforts to demonstrate clinical efficiency and
efficacy and cost effectiveness of a product.
- pull-through generates demand for the product, usually in ways consistent with the health plans goals and
guidelines. (p. 311)
drug labeling requirements FDA -
Correct Answer -https://www.fda.gov/about-fda/oncology-center-excellence/how-do-i-use-prescription-
drug-labeling#Section-10
What is predictive validity? -
Correct Answer -the ability of an indicator to correctly predict an outcome.
what are some of the criteria that influence the decision to use mass advertising in pharmaceutical
marketing? -
Correct Answer -*the size of the target patient population
the chronicity of the disease state
the relevance of that disease state to its sufferers
the avg value of a patient taking medication
according to the AMA guidelines, who should accept subsidies for continuing medical education
conferences? -
Correct Answer -conference sponsors
who is the decision maker in pharmaceutical sales? -
Correct Answer -the physician
"fast track drugs" refer to -
, Correct Answer -drugs approved for serious or life-threatening conditions
rebate definition -
Correct Answer -the amount that the manufacturer of a drug pays to an insurer or health plan for each unit of
drug dispensed.
generic drug definition -
Correct Answer -a drug identical to a brand-name drug in various aspects
how can e-prescribing prevent abuse of controlled substances? -
Correct Answer -by cross-checking regional e-prescriptions
what the reason for increased cost and complexity of phase III trials? -
Correct Answer -patient recruitment
what is the purpose of the loading dose in drug administration? -
Correct Answer -to reach equilibrium quickly
in the methods section of a clinical paper, what info is provided? -
Correct Answer -patient characteristics and demographics
what is a disadvantage of attenuated vaccines? -
Correct Answer -limited shelf life (p. 170)
why did HMOs decline in the early 2000s but rise again later? -
Correct Answer -decreasing Medicare enrollment
which of the following joints is the most common for arthrocentesis? -
Correct Answer -knee
what is the primary factor that affects the price of brand-name drugs during their exclusive rights period?
-
Correct Answer -competition from generic drugs
which of the following joints is the most common site for arthrocentesis? -
Correct Answer -knee
what type of interactions should pharmaceutical sales representatives have with healthcare professionals
according to PhRMA? -
Correct Answer -informing healthcare professionals about products
Correct Answers (Revised 18th Edition) |Verified
| Updated
Answer Marked in Yellow Color
what does a STAT order mean? -
Correct Answer -a drug needed immediately and given only once
what information does the overdosage section of the labeling provide? -
Correct Answer -signs, symptoms and treatment of acute overdoses
types of drug-drug interactions: -
Correct Answer -duplication, opposition (antagonism) and alteration (p.51)
tolerance vs resistance -
Correct Answer -tolerance is the diminished response to a drug; resistance is the cells ability to resist the
effects of the drug on them.
abbreviated new drug application (ANDA) -
Correct Answer -the process by which applicants must scientifically demonstrate to the FDA that their
generic product is bioequivalent to or performs in the same way as the innovator drug, no duplicate testing (p.
75)
the Hatch-Waxman Act of 1984 -
Correct Answer --A.K.A. Drug Price Competition and Patent Restoration Act
-made it easier to bring generic drugs to the market by requiring the FDA to only look at bioavailability studies in
order to approve an ANDA.
-gave protection to the research based manufacturers by providing a 30-month automatic cooling off period once
an ANDA is challenged for patent infringement (p. 75)
four basic transport mechanisms -
Correct Answer -passive diffusion, facilitated diffusion, active transport, and pinocytosis (p. 95)
,potency vs efficacy -
Correct Answer -potency: amount of drug necessary to produce desired effect
efficacy: magnitude of maximal response that can be received from a drug
*efficacy is almost always more important that potency* (p. 106)
the four phases of clinical trials -
Correct Answer -phases I-IV (P. 124-126)
Key Parts Of A Clinical Paper (5) -
Correct Answer -Abstract, Introduction, methods, results, discussion/conclusions (p. 128-129)
reliability vs validity -
Correct Answer -reliability = consistency and validity = accuracy
(p. 138; 143)
sampling error vs selection bias -
Correct Answer -sampling error is unbiased and is randomly chosen from the population.
selection bias is when the sample was specifically chosen based on particular characteristics (p.142-143)
independent vs dependent variable -
Correct Answer -An independent variable is the one that influences the variation. A dependent variable is the
variable being tested and measured in a scientific experiment (the result of applying the independent
variable).
Drug Utilization Review (DUR) programs -
Correct Answer --involve retrospective monitoring of physicians' prescribing patterns
-more than 90% of HMOs require DURs
-nowadays mostly monitors cost savings (p. 181)
opportunity cost -
Correct Answer -based on the premise that all resources are scarce, and therefore every time we choose to
use a resource it reduces the possibility of it being used in another way.
what type of DTC advertising is the only legal form in Europe? -
Correct Answer -Disease-state or unbranded ads (provides public information on a disease, not a drug)
(p. 223)
can pharm sales reps offer doctors meals? (PhRMA code) -
, Correct Answer -company reps can only offer occasional meals as long as they are modest, and only offered
in an office/hospital setting in conjunction with an educational presentation. (p. 228)
FAQ about the PhRMA code -
Correct Answer -p. 268-274
Urology and selling to Urologists -
Correct Answer -p. 300-301
what is a Medical Science Liaison (MLS)? -
Correct Answer -they serve as educators and field-based medical resources. they interface between their
company and healthcare leaders.
push through vs pull through sales strategies -
Correct Answer -- push-through refers to the company's overall efforts to demonstrate clinical efficiency and
efficacy and cost effectiveness of a product.
- pull-through generates demand for the product, usually in ways consistent with the health plans goals and
guidelines. (p. 311)
drug labeling requirements FDA -
Correct Answer -https://www.fda.gov/about-fda/oncology-center-excellence/how-do-i-use-prescription-
drug-labeling#Section-10
What is predictive validity? -
Correct Answer -the ability of an indicator to correctly predict an outcome.
what are some of the criteria that influence the decision to use mass advertising in pharmaceutical
marketing? -
Correct Answer -*the size of the target patient population
the chronicity of the disease state
the relevance of that disease state to its sufferers
the avg value of a patient taking medication
according to the AMA guidelines, who should accept subsidies for continuing medical education
conferences? -
Correct Answer -conference sponsors
who is the decision maker in pharmaceutical sales? -
Correct Answer -the physician
"fast track drugs" refer to -
, Correct Answer -drugs approved for serious or life-threatening conditions
rebate definition -
Correct Answer -the amount that the manufacturer of a drug pays to an insurer or health plan for each unit of
drug dispensed.
generic drug definition -
Correct Answer -a drug identical to a brand-name drug in various aspects
how can e-prescribing prevent abuse of controlled substances? -
Correct Answer -by cross-checking regional e-prescriptions
what the reason for increased cost and complexity of phase III trials? -
Correct Answer -patient recruitment
what is the purpose of the loading dose in drug administration? -
Correct Answer -to reach equilibrium quickly
in the methods section of a clinical paper, what info is provided? -
Correct Answer -patient characteristics and demographics
what is a disadvantage of attenuated vaccines? -
Correct Answer -limited shelf life (p. 170)
why did HMOs decline in the early 2000s but rise again later? -
Correct Answer -decreasing Medicare enrollment
which of the following joints is the most common for arthrocentesis? -
Correct Answer -knee
what is the primary factor that affects the price of brand-name drugs during their exclusive rights period?
-
Correct Answer -competition from generic drugs
which of the following joints is the most common site for arthrocentesis? -
Correct Answer -knee
what type of interactions should pharmaceutical sales representatives have with healthcare professionals
according to PhRMA? -
Correct Answer -informing healthcare professionals about products
