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NAPSR FINAL EXAM ANSWERS (Fall 2021) Revised(100% CORRECT)

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How are drugs sorted into therapeutic groups and classes?

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1. How are drugs sorted into
therapeutic groups and classes?

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Answer Marked in Yellow Color

1. How are drugs sorted into therapeutic groups and classes?

A. first by the conditions that they are used to treat. and then by their mechanisms of action

B. First by their mechanisms of action. and then by their therapeutic effects

C. First by their side effects. and then by their therapeutic effects

D. First by their toxicity. and then by their effectiveness

2. Bone marrow transplants...

A. Require that the patient first undergo chemotherapy or radiation to kill the diseased stem cells
andpromote white blood cell production.

B. are a type of stem cell therapy. unless patient's own cells are reinjected.

C. Are always types of stem cell therapy.

D. Can help people with leukemia. a condition in which the body does not produce enough white
bloodcells.

3. What does AMA stand for?

A. American Medical Academy

B. American Medical Accreditation

C. American Medical Association

D. Association of Medical Assistants

4. What section of a drug's package insert describes situations in which the drug should not be used
because the risks outweigh the therapeutic benefits?

A. adverse reactions

B. contraindications

C. over dosage

D. warning/precautions

5 What is tertiary care?

A. adding medications together to achieve a better clinical effect

B. highly specialized medical and surgical care provided by a large medical center for unusual or complex
medical problems




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C. receiving medical or surgical care that does not require an overnight stay in the treatment facility

D. seeing a physician for routine checkups and general healthcare

6. Which of the following is NOT one of the stages in the classic approach to brand development
strategy covered in your manual?

A. brand personality

B. brand positioning

C. brand quality

D. brand values

7 What are vasodilators used to do?

A. decrease vascular resistance and increase blood flow

B. mimic pathogens to stimulate the immune system

C. narrow the blood vessels

D. stimulate the CNS to make the heart beat faster

8. What is the name of the condition that occurs after a specific dose of a drug is given at such
regular intervals that absorption and elimination (and therefore drug plasma concentration) have
become fairly constant?

A. homeostasis

B. steady state

C. titration

D. tolerance

9. Which statement is TRUE about ocular administration?

A. Ocular administration is primarily for drugs that must cross the blood-brain barrier.

B. Ocular administration is used primarily to treat the eye.

C. Ocular administration is used when a drug must enter the bloodstream immediately.

D. Ocular administration is used when a drug must produce immediate effects on the brain or spinal cord.

10. Which entities invests the most money in pharmaceutical R&D?

A. Canadian pharmaceutical companies

B. the NIH




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C. the U.S. Government

D. U.S. pharmaceutical companies

11. How are most drugs excreted?

A. via the bloodstream

B. via the heart

C. via the kidneys

D. via the skin

12. Over the last few decades, what has happened to legal limitations on sales' reps discussions
about off label uses?

A. Limitations have decreased.

B. Limitations have increased significantly.

C. Limitations have increased slightly.

D. Limitations have remained about the same.



13. Answer: Branding name



14. What does it mean if two drugs are at parity?

A. Both drugs are essentially in a neutral position.

B. Both drugs are generics.

C. Both drugs have exclusive preferred status.

D. The two drugs are bioequivalent.

15 Who is most likely to benefit from electronic sampling programs?

A. Everyone would benefit equally from electronic sampling programs

B. physicians in hospitals who are too busy to see representatives

C. physicians in rural areas who are not as frequently visited by representatives

D. physicians in urban areas who are too busy to see representatives

16. When referring to medication dosage, which abbreviation means "one-half':




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A. MS

B. OH

C. SM

D. SS

17 What is an internist?

A. a physician who practices internal medicine

B. a physician's intern

C. a type of oncologist who specializes in chemotherapy

D. an internal sales representative

18. Which of the following is a type of white blood cell?

A. erythrocytes

B. insulin

C. Lymphocytes

D.HCs

19. Why are novice sales representatives often placed in charge of negotiating MCO formularies?

A. to become more familiar with the healthcare industry

B. to become more familiar with their territories

C. P&T committees are more receptive to new faces.

D. They are not. This job is usually reserved for more experienced reps.

20. What distinguishes pharmacodynamics from pharmacokinetics?

A. Pharmacodynamics studies a drug's ex vivo effects.

B. Pharmacodynamics studies how drugs affect the body.

C. Pharmacodynamics studies the how the body affects drugs.

D. Pharmacodynamics studies the time required for a drug's absorption.

21 What proportion of the drugs tested on human subjects are eventually approved by the FDA?

A. about 20%




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B. about 60%

C. about 70%

D. about 95%

22. According to a study discussed in your manual, how do most physicians prefer to receive their
drug samples?

A. by borrowing them from hospitals

B. by ordering them over the Internet

C. by trading them for services

D. directly from sales representatives

23. Which of the following is an example of a central value?

A. I buy Advil to show that I'm a modern consumer.

B. I like Advil because we were both born in the 80s.

C. I prefer Advil because I like the flavor.

D. I prefer Advil because it's easier to swallow.

24. Which of the following specialties likely has the MOST emergency calls?

A. cardiology

B. psychiatry

C. urology

D. All specialists have the same number of emergency calls.

25. What affects the rate of active transport?

A. the availability of carriers. but not energy

B. the availability of energy. but not carriers

C. the availability of carriers and energy

D. neither the availability of carriers nor the availability of energy

26. Over the last few decades, what has happened to the FDA approval time for new drugs?

A. It has been lengthened to ensure safer drug products.

B. It has been lengthened to limit DTC marketing




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C. It has been shortened to improve drug quality

D. It has been shortened to reduce the cost of new drug development.

27. Which of the following would NOT help improve compliance?

A. patients liking their providers

B. patients using only one pharmacist

C. pharmacists understanding how generics differ from brand name drugs

D. support groups

28. Which entity chooses a drug's trade name?

A. the drug's inventor

B. the drug's manufacturer

C. the FDA

D. the United States Pharmaceutical Council

29. What type of stem cells are obtained from embryos and can develop into any cell type?

A. multipotent

B. pluripotent

C. totipotent

D. All stem cells can develop into any cell type.

30. As the price a patient pays for a prescription increases, what happens to the likelihood that the
patient will fill it?

A. It decreases.

B. It increases.

C. It remains unaffected because the prescription is needed.

D. It remains unaffected because the prescription's increased cost is offset by its perceived value.

31. Most involuntary movements come from which type of muscle tissue?

A. cardiac and smooth

B. only skeletal

C. skeletal and cardiac




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D. skeletal and smooth

32. Which of the following is NOT one of the body's major organ systems?

A. the cardiovascular system

B. the cellular system

C. the gastrointestinal system

D. the musculoskeletal system

33. How do most drugs exert their primary physiological effects?

A. by activating synapses between different types of tissues

B. by binding to cell receptors that are sensitive to their presence

C. by inhibiting synapses between different types of tissues

D. through genetic mutation

34. What is the most reliable source of information for determining therapeutically equivalent
drug products?

A. AMA guide

B. Blue Book

C. FDA drug list

D. Orange Book

35. What does subcutaneous mean?

A. beneath the intervention

B. beneath the muscle tissue

C. beneath the outer skin

D. beneath the suture

36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied?

A. ask staff for permission to move some of the other products in the cabinet

B. ask staff for permission to throw away expired products in the cabinet

C. ask the doctor if he still needs some of the other products in the cabinet

D. surreptitiously move your largest competitors' products out of the way




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37. It is inappropriate for physicians' prescribing behaviors to be educated by their personal tastes
and idiosyncrasies

A. TRUE

B. FALSE

38.The FDA defines API as the active ingredient in a drug, which produces the desired change in
the body.

A. pharmaceutical

B. positive

C. potent

D. primary

39. What are the 2 legal classifications of wholesalers?

A. distributors and supply chains

B. pharmacists and NAMs

C. primary and secondary wholesale distributors

D. retailers and institutions

40.What term describes the usage of a medication for purposes other than the FDA-approved
indications on the labeling?

A. contraindicative indication

B. off-indication usage

C or D. off-label



41. What is the acronym for pharmacokinetics?

A. KN

B. PC

C. PK

D. pT

42. The dosage range of a drug that is both safe and beneficial is known as the therapeutic window.

A. TRUE




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B. FALSE

43. What is typically NOT a characteristic of a pharmaceutical sales rep?

A. Pharmaceutical sales reps are authentic and real.

B. Pharmaceutical sales reps are creative.

C. Pharmaceutical sales reps are focused.

D. Pharmaceutical sales reps are not concerned about competitors.

44. What entity grants drug patents?

A. the FDA

B. the FDA if the drug is over-the-counter and the U.S. Patent and Trademark Office if the drug is
prescription

C. the FDA if the drug is prescription and the U.S. Patent and Trademark Office if the drug is over-the-
counter

D. the U.S. Patent and Trademark Office

45. Which of the following refers to all active and inert pharmaceutical ingredients in a drug,
including fillers and colors?

A. formulation

B. mycoplasma

C. peptide

D. saccharide

46. What is the difference between potency and efficacy?

A. Doctors prefer more potent drugs.

B. Drug manufacturers prefer more potent drugs.

C. Potency refers to the drug's effectiveness. while efficacy refers to its strength.

D. Potency refers to the drug's strength, while efficacy refers to its effectiveness.

47. What is the minimum level of education required for a nurse practitioner?

A. a certification program

B. an associate's degree

C. a bachelor's degree




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