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Pharmacology for the Dental Hygienist, 9th Edition – Chapter Review Questions & Answers

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This test bank accompanies Applied Pharmacology for the Dental Hygienist, 9th Edition by Elena Haveles. It includes multiple-choice, multiple-response, and true/false questions with detailed answers and rationales covering key topics such as drug legislation, pharmacokinetics, autonomic drugs, analgesics, antinfective agents, and more. Ideal for dental hygiene students preparing for exams and the NBDHE.

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TEST BANK Applied Pharmacology for the Dental Hygienist 9/E Elena Haveles
Q Q Q Q Q Q Q Q Q Q




Chapter 01: Information Sources, Regulatory Agencies, Drug Legislation, and
Q Q Q Q Q Q Q Q



Prescription Writing
Q Q




Haveles: Applied Pharmacology for the Dental Hygienist, 9th Edition
Q Q Q Q Q Q Q Q




MULTIPLE CHOICE Q




1. Knowledge of pharmacology aids the dental professional in Q Q Q Q Q Q Q



a. obtaining a patient’s healthphistory. Q Q Q



b. administering drugs in the office. Q Q Q Q



c. handling emergency situations. Q Q



d. selection of a nonprescription medication. Q Q Q Q



e. All of the above. Q Q Q




ANS: E Q



All of the choices are true. Because many of our patients are being treatedpwith drugs, knowledg
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



epof pharmacology helps in understanding and interpreting patients’ responses to health history
Q Q Q Q Q Q Q Q Q Q Q Q



questions. Knowledge of the therapeutic and adverse effects of medications obviously helps in t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



heir proper administration in the office. Emergency situations may be caused by drugs or treated
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



by drugs; thus, knowledge of pharmacology is of great help, especially because a rapid respons
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



epis sometimes required. A clear understanding of thepconcepts of drug action, drug handling by
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



the body, and drug interactions will allow the dental practitioner to make proper judgments and
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



grasp the concepts relevant to new drug therapies on the market.
Q Q Q Q Q Q Q Q Q Q Q




DIF: Application
REF: Role of the Dental Hygienist (Medication/Health History), Role of the Dental Hygienist
Q Q Q Q Q Q Q Q Q Q Q



(Medication Administration), Role of the Dental Hygienist (Emergency Situations), Role of thepDental
Q Q Q Q Q Q Q Q Q Q Q Q



Hygienist (NonprescriptionpMedication) | pp. 2-3 OBJ:
Q Q Q Q Q Q



1 TOP: NBDHE, 6.0. Pharmacology
Q Q Q Q




2. Which of the followingpstatements is true regarding planning appointments?
Q Q Q Q Q Q Q Q



a. Whether or not patients are taking medication for systemic diseases is of little consequence
Q Q Q Q Q Q Q Q Q Q Q Q Q



Q in the dental office.
Q Q Q



b. Asthmatic patients should have dental appointments in the morning. Q Q Q Q Q Q Q Q



c. Diabetic patients usually havepfewer problems with a morning appointment compared withp
Q Q Q Q Q Q Q Q Q Q



afternoon appointments.
Q Q



d. Both B and C are true. Q Q Q Q Q




ANS: D Q



Asthmatic patients who experiencepdental anxiety should schedule their appointments when the
Q Q Q Q Q Q Q Q Q Q



y are not rushed or under pressurepearly in the morning. Diabetic patients usually have relatively
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



fewer problems with a morning appointment. Patients taking medication for systemic diseases
Q Q Q Q Q Q Q Q Q Q Q Q



may require special handling inpthe dental office.
Q Q Q Q Q Q Q




DIF: Comprehension
REF: Rolepof the Dental Hygienist (Appointment Scheduling) | p. 3 OBJ:
Q Q Q Q Q Q Q Q Q Q



1 TOP: NBDHE, 6.0. Pharmacology
Q Q Q Q Q




3. Nutritional or herbal supplements Q Q Q



a. carry the U.S. Foodpand Drug Administration (FDA) approval for disease states.
Q Q Q Q Q Q Q Q Q Q

, b. are not drugs. Q Q



c. can causepadverse effects.
Q Q



d. will not interact with other drugs the patient may be taking.
Q Q Q Q Q Q Q Q Q Q




ANS: C Q



Nutritional or herbal supplements are quite capable of causing adversepeffects. The majority of n
Q Q Q Q Q Q Q Q Q Q Q Q Q



utritional or herbal supplements do not carry FDA approval for treating disease states. These su
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



pplements are drugs and can cause adverse effects and interact with different drugs.
Q Q Q Q Q Q Q Q Q Q Q Q Q




DIF: Comprehension
REF: Rolepof the Dental Hygienist (Nutritional or Herbal Supplements) | p. 3 OBJ:
Q Q Q Q Q Q Q Q Q Q Q Q



1 TOP: NBDHE, 6.0. Pharmacology
Q Q Q Q Q




4. Which type of drug name usually begins with a lowercase letter?
Q Q Q Q Q Q Q Q Q Q



a. Brand name Q



b. Code name Q



c. Generic name Q



d. Trade name Q




ANS: C Q



Before any drug is marketed, it is given a generic name that becomes the “official” name of the
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



drug. Each drug is assigned only one generic name selected by the U.S. Adopted Name Council,
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



and the name is not capitalized. The brand name is equivalent to the tradepname and is capitaliz
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



ed. Although thepbrand name is technically the name of the company marketing the product, this
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



term is often used interchangeably with the tradepname. The code name is thepinitial term used
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



within a pharmaceutical company to refer to a drug while it is undergoing investigation andpis of
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



ten a combination of capital letters and numbers, the letters representingpan abbreviation of thepc
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



ompany name.
Q Q




DIF: Comprehension REF: Drug Names | p. 4 Q Q Q Q Q



OBJ:
Q 3 TOP: NBDHE, 6.0. Pharmacology Q Q Q




5. A drug’s generic name is selected by the
Q Q Q Q Q Q Q



a. pharmaceutical company manufacturing it. Q Q Q



b. Food and Drug Administrationp(FDA). Q Q Q



c. U.S. Adopted Name Council. Q Q Q



d. Federal Patent Office. Q Q




ANS: C Q



Each drug is assigned only one generic name (e.g., ibuprofen). It is selected by thepU.S.
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



Adopted Name Council. The generic name is not selected by the FDA or the Federal Patent Offi
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



ce. The pharmaceutical company manufacturing the drugpclearly has an influence on the generic
Q Q Q Q Q Q Q Q Q Q Q Q Q



name given its drug, but the final decision is not the company’s.
Q Q Q Q Q Q Q Q Q Q Q Q




DIF: Recall REF: Drug Names | p. 4 Q Q Q Q Q OBJ:
3 TOP: NBDHE, 6.0. Pharmacology
Q Q Q Q




6. Which of the following is true concerningpgeneric and trade names of drugs?
Q Q Q Q Q Q Q Q Q Q Q



a. A drug may only have one genericpname and one trade name.
Q Q Q Q Q Q Q Q Q Q



b. A drug may only have one genericpname, but it may havepseveral trade names.
Q Q Q Q Q Q Q Q Q Q Q Q



c. A drug may have several generic names, but it may only have one trade name.
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



d. A drug may have several generic names and several tradepnames.
Q Q Q Q Q Q Q Q Q



ANS: B Q

, Each drug has only one generic name but may have several trade names. For each drug, there is
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



only one generic name. It is not capitalized, and itpbecomes the “official” name of the drug. Thep
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



Qpharmaceutical company discoveringpthe drug gives the drug a trade name. The trade name is pr
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



otected by thepFederal PatentpLaw for 20 years from the earliest claimed filing date, plus patent t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



erm extensions. Although the brand name is technically the name of the company marketing the
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



product, it is often used interchangeably with the trade name.
Q Q Q Q Q Q Q Q Q Q




DIF: Comprehension REF: Drug Names | p. 4 Q Q Q Q Q



OBJ:
Q 3 TOP: NBDHE, 6.0. Pharmacology Q Q Q




7. Two drugs that are found to be chemically equivalent, but not biologically equivalent or thera
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



peutically equivalent are said to differ in
Q Q Q Q Q Q Q



a. potency.
b. efficacy.
c. bioavailability.
d. therapeutic index. Q




ANS: C Q



A preparationpcan be chemically equivalent yet not biologically or therapeutically equivalent. T
Q Q Q Q Q Q Q Q Q Q Q



hesepproducts arepsaid to differ in their bioavailability. The potency of a drug is a function of the
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



amount of drug required to produce an effect. Thepefficacy is the maximum intensity of effectpor
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



response that can be produced by a drug. The therapeutic index is the ratio of the lethal dose for
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



50% of the experimental animals divided by the effective dose for 50% of the experimental ani
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



mals. If the value of the therapeutic index is small, toxicity is moreplikely.
Q Q Q Q Q Q Q Q Q Q Q Q Q




DIF: Recall REF: Drug Names (Drug Substitution) | p. 5 OBJ: 4 TOP: N
Q Q Q Q Q Q Q Q Q Q Q Q Q



BDHE, 6.0. Pharmacology
Q Q Q




8. How many years must pass after a drug patent expires before other drug companies can marke
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



tpthe same compound as a generic drug?
Q Q Q Q Q Q Q



a. 20 years Q



b. 17 years Q



c. 7 years Q



d. 0 years Q




ANS: D Q



Once a drug patent expires, competingpcompanies may immediately market the same compound
Q Q Q Q Q Q Q Q Q Q Q



in generic form. The pharmaceutical company discovering the drug gives the drug a trade name
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



. The trade name is protected by the Federal Patent Law for 20 years from the earliest claimed fil
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



Qingpdate, plus the patent term extensions. Q Q Q Q Q




DIF: Application REF: Drug Names (Drug Substitution) | p. 5 OBJ: 4 TO
Q Q Q Q Q Q Q Q Q Q Q Q



P: NBDHE, 6.0. Pharmacology
Q Q Q Q




9. Two drugpformulations that produce similar concentrations in the blood and tissues after drug
Q Q Q Q Q Q Q Q Q Q Q Q



administrationpare termed
Q equivalent. Q Q



a. chemically
b. biologically
c. therapeutically
ANS: B Q



Biologic equivalence refers to identical pharmacokinetic parameters of two drugpformulations (
Q Q Q Q Q Q Q Q Q Q



bioequivalence, for short). Chemical equivalence indicates that two formulations of a drug meet
Q Q Q Q Q Q Q Q Q Q Q Q Q

, the chemical and physical standards established by the regulatory agencies. Therapeutic equiva
Q Q Q Q Q Q Q Q Q Q Q



lencepmeans that two formulations produce the same therapeutic effects over the same duration.
Q Q Q Q Q Q Q Q Q Q Q Q Q




DIF: Application REF: Drug Names (Drug Substitution) | p. 5 OBJ: 4 TO
Q Q Q Q Q Q Q Q Q Q Q Q



P: NBDHE, 6.0. Pharmacology
Q Q Q Q




10. The federal body that determines whether a drug is considered a controlled substance and to w
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



hich schedule itpbelongs is the
Q Q Q Q Q



a. Food and Drug Administration (FDA). Q Q Q Q



b. Federal Trade Commission (FTC). Q Q Q



c. Drug Enforcement Administration (DEA). Q Q Q



d. U.S. Pharmacopeia (USP). Q Q




ANS: C Q



The DEA regulates thepmanufacture and distribution of substances with abuse potential.
Q Q Q Q Q Q Q Q Q Q



Hence prescriber DEA numbers must appear on prescriptions for controlled substances. The FD A
Q Q Q Q Q Q Q Q Q Q Q Q Q



does not have any special powers in regard to drugs of abuse. ThepFTC regulates commerce a nd
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



advertising claims of foods, over-the-
Q Q Q Q Q



counter (OTC) products, and cosmetics. The USP regulates the uniformity and purity of drugs.
Q Q Q Q Q Q Q Q Q Q Q Q Q




DIF: Comprehension Q Q Q



REF: Federal Regulations and Regulatory Agencies (US Drug Enforcement Administration) | p. 5 OBJ:
Q Q Q Q Q Q Q Q Q Q Q Q Q



5 TOP: NBDHE, 6.0. Pharmacology
Q Q Q Q Q




11. Which federal regulatory agency decides whichpdrugs require a prescription and which drugs
Q Q Q Q Q Q Q Q Q Q Q



may bepsold over-the-counter (OTC)?
Q Q Q Q



a. FDA
b. OSHA
c. FTC
d. DEA
ANS: A Q



The Food and DrugpAdministration (FDA) is part of Department of Human and Health Services
Q Q Q Q Q Q Q Q Q Q Q Q Q



(DHHS), and determines what drugs may be soldpby prescription andpOTC and regulates the lab
Q Q Q Q Q Q Q Q Q Q Q Q Q Q



eling and advertising of prescription drugs. The Occupational Safety and Health Administration
Q Q Q Q Q Q Q Q Q Q Q Q



(OSHA) ensures the safety and health of workers in thepUnited States by setting and enforcing s
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q



tandards. The Federal Trade Commission (FTC) regulates theptrade practices of drug companies
Q Q Q Q Q Q Q Q Q Q Q Q



and prohibits thepfalsepadvertising of foods, nonprescription (OTC) drugs, and cosmetics. Thep
Q Q Q Q Q Q Q Q Q Q Q



QDrug Enforcement Administrationp(DEA) is a part of the Department of Justice and regulates th
Q Q Q Q Q Q Q Q Q Q Q Q Q



epmanufacture and distribution of substances that have appotential for abuse, including opioids, s
Q Q Q Q Q Q Q Q Q Q Q Q Q



timulants, and sedatives.
Q Q Q




DIF: Recall
REF: Federal Regulations and Regulatory Agencies (US Food and DrugpAdministration) | p. 5
Q Q Q Q Q Q Q Q Q Q Q



OBJ:
Q 5 TOP: NBDHE, 6.0. Pharmacology Q Q Q



12.
Whichpfederal regulatory body regulates theptrade practices of drug companies and prohibits fal
Q Q Q Q Q Q Q Q Q Q Q



se advertisingpof foods, nonprescription drugs, and cosmetics?
Q Q Q Q Q Q Q



a. FDA
b. FTC
c. DEA
d. OBRA

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