NAPSR x PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION

NAPSR x PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+RECENT VERSION 1. Pharmaceuticals are arguably the most socially important healthcare product - answer true 2. Pharmaceutical development is a high risk undertaking, in which many promising leads prove disappointing - answer true 3. Pharmaceutical sales are highest in which geographical regions - answer U.S., Western Europe, and Japan 4. The U.S. accounts for about ____ of the world's pharmaceutical revenues - answer 50% 5. Which of the following has fueled recent growth in the pharmaceutical industry - answer population growth and increased life expectancies 6. which statement accurately describes the predicted relationship between pharmaceutical companies and research facilities - answer partnerships between pharmaceutical companies and genomic companies will not prove immediately profitable 7. Prescription drug therapy is not cost-effective for insurance companies and healthcare providers - answer false 8. The high price of healthcare is explained by the high price of medicines - answer false 9. One of the oldest and least effective pharmaceutical marketing techniques is DTC advertising - answer false 10. What influences the number of districts in a region? - answer -the regions population 11. What is an example of the regionalization of healthcare delivery systems - answer -California and Florida have different prescription reimbursement policies 12. The heart of pharmaceutical sales team is the Regional Manager - answer false 13. Most DMs did not start as representatives - answer false 14. How many territories are in a typical district - answer 8-12 15. What is the most effective method of grabbing market share - answer comparative selling 16. Which term denotes the study of bodily functions? - answer physiology 17. In its broadest definition, a drug is any substance that produces a physical or psychological change in the body - answer true 18. How does the Federal Food, Drug and Cosmetic Act (FFDCA) define a drug - answer -any substance intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease, or a substance other than food intended to affect the structure or function of the body 19. Which statement about vitamins is correct - answer -most of the body's required vitamins must be taken in from outside the body 20. ADME testing measures the rate at which the body absorbs the drug, distributes it to the organs necessary to produce the desired effect, metabolizes it into waste material and the excretes it from the body - answer -true 21. ADME testing is primarily used in what field - answer -pharmacokinetics 22. Which statement about placebos is correct - answer -placebo effects can lead to withdrawal symptoms 23. On average, only about 5 of 4,000 drugs studied in the laboratory are eventually studied in people - answer true 24. Which statement is true about drugs taken sublingually - answer -sublingual drugs are absorbed directly and almost immediately into the bloodstream 25. What are 3 of the 7 rights of drug administration - answer -the right patient, the right drug, and the right dose 26. Pro-drugs are administered in an active form, which is metabolized into an inactive form - answer -false 27. The kidney of an 85-year-old person excretes drugs only ____ as efficiently as that of a 35-year-old person - answer -around 50% 28. The normal age-related decrease in kidney function can help doctors determine an appropriate dosage based solely on a person's age - answer -true 29. What differentiates a caplet from a tablet - answer -caplets are shaped like capsules and have film coatings to aid in swallowing 30. Where will you find the legend "Caution: Federal Law prohibits dispensing without a prescription"? - answer -on the label of all prescription drugs 31. What happens in slow acetylators? - answer -drugs that are metabolized by the N-acetyl transferase tend to reach higher blood levels and remain in the body longer 32. About __ of the people in the U.S. are "slow acetylators" - answer 5% 33. Drug-drug interactions - answer -duplication can involve two drugs with the same effect causing toxicity when taken together -duplication can involve two drugs with the same effect intensifying each other's therapeutic effects without any serious side effects -opposition can involve two drugs with opposing actions interacting to reduce one's effectiveness but not the other's 34. Smoking decreases the effectiveness of some drugs - answer -false 35. Which of the following statements about dietary supplements is incorrect - answer -because dietary supplements are not drugs, interactions with drugs are not a concern 36. Which statement is correct about an ideal drug, or "magic bullet" as Ehrlich phrased it? - answer -it does not exist -it would be aimed precisely at a disease site -it would not harm healthy tissues 37. Which statement accurately differentiates resistance from tolerance? - answer -tolerance refers to a person's diminished response to a drug after repeated use, whole resistance applies to microorganisms' or "cancel" cells' abilities to withstand drug effects 38. Between 3% and 7% of hospital admissions in the United States are estimated to be for treatment of adverse drug reactions - answer -true 39. Which statement is true about the universal scale for quantifying the severity of an adverse drug reaction - answer -none of these statements are true because there is no such scale 40. Why is noncompliance a serious public health concern? - answer -it increases the total cost of medial care 41. Drug's trade names are often unrelated to their intended use - answer -true 42. Like foods and household products, generic drugs are usually lower quality than the brand name drugs for which they are marketed as equivalents - answer -false 43. Legally bioequivalence of different versions of a drug can very by up to ____? - answer 20% 44. Which of the following statements about biologics is incorrect - answer -they do not cause immune responses 45. "Large Molecule" products are developed and manufactured by a chemical process - answer -false 46. What are drugs that attract or bind to cell receptors in order to mimic or enhance activities by endogenous chemical messengers - answer -agonists 47. Which term denotes how an API works in the body - answer -mechanism of action 48. What cements the active inert components together to maintain cohesive portions - answer -binders 49. What does the medical abbreviation "BID" denote - answer -twice a day 50. What is the medical abbreviation for "as needed" - answer -PRN 51. Which component might cause patients' different reactions to brand name and generic drugs - answer -differences in inactive ingredients 52. All cells have a nucleus - answer -false 53. Which of the following does not affect drug response - answer -the patient's genetic makeup, age, body size, and use of other drugs and dietary supplements -the patient's other conditions or diseases -whether or not the patient takes the drug properly 54. Drug reactions are predictable because they do not occur after a person has been previously exposed to the drug one or more times without any allergic reactions - answer -false 55. What is the typical relationship between a drug's site of administration and site of action - answer -they are usually somewhat removed from each other 56. What is CMAX - answer -the peak plasma concentration on a measuring curve 57. Which of the following is not a main concept in clinical pharmacology - answer -pharmacokinetics 58. Which of the following is not a route of drug administration - answer -transfugal 59. How are intradermal drugs delivered - answer -by injection under the skin 60. What is an example of intravenous drug delivery - answer -an injection of anesthetic directly into the bloodstream 61. What are the major organs of the gastrointestinal system - answer -mouth, esophagus, stomach, liver, pancreas, gallbladder, small and large intestines 62. Who is normally responsible for selling to distributors? - answer NAMs 63. How often do secondary drug wholesale distributors buy their drugs directly from manufactures? - answer Sometimes 64. By FDA law, large chain pharmacies are not allowed to buy directly from drug manufactures - answer False 65. Only 3 companies account for nearly 90% of all drug wholesale sales - answer -true 66. What type of sale bypasses the need for intermediary distributors? - answer -manufacturer-direct sales 67. What is a group purchasing organization (GPO)? - answer -an entity consisting of two or more hospitals or other health care entities that negotiates contracts on behalf of its members 68. Prescriptions dispensed by mail-order pharmacies are, on average, around ______ than those dispensed by retail pharmacies - answer 3 times larger 69. Which of the following is a type of non-stock sale - answer -brokerage sales -dock-to-dock sales -drop shipments 70. What is another term for rebates - answer After-market arrangements 71. The PDMA is the Prescription Drug Manufacturers Association - answer -false 72. A company that owns and operates three or fewer pharmacies is an ____ - answer -independent drug store 73. Which section of a drug's package insert information covers the usual dosage range - answer -indication and usage 74. Drug labels must include indications, usage information, and contraindications - answer -true 75. What should be included in the "description" section of a drug's package insert information - answer -the drug's proprietary name and established name 76. Exclusivity gives exclusive ____, is granted by the FDA, and can run concurrently with a patent or not - answer -marketing rights 77. What differentiates exclusivity from a patent - answer -exclusivity is only granted upon the drug's FDA approval 78. What is required of an invention for it to be worthy of patent protection - answer -it must be novel, useful, and not obvious 79. A generic drugs is ______ to the originator brand-name drug in dosage, strength, safety, and quality - answer bioequivalent 80. Which of the following is NOT required by the FDA's criteria for equivalency - answer -the drugs contain identical amounts of the same inactive ingredients