m m m m m
ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION
m m m m m
MULTIPLEmCHOICEmBASI
,CmCONCEPTS
1. Whichmhealthmcaremprofessionalmhasmthemmajormresponsibilitymformdispensingmprescri
bedmmedicalmdrugsmundermthemdirectionmofmampharmacist?
a. Physician
b Nursingmattendantmmp
. ractitioner
c. Licensedmnursingmatt
endantm
d Pharmacymtechnician
.
ACCURATEmRESPONSE:-D
Reviewmfeedback:-
>>>Themphysicianmandmnursingmattendantmhavemthemmajormresponsibilitymformprescribingmmedi
calmdrugs,mnotmdispensingmthem.mThemlicensedmnursingmattendantmhasmthemprimarymresponsibilit
ymformadministeringmmedicalmdrugs,malthoughmundermsomemcircumstancesmamlicensedmnursingmat
tendantmmaymdispensemprescribedmmedicalmdrugsmbutmthismismnotmhismormhermmajormresponsibilit
yminmmedicalmdrugmtherapy.mThempharmacymtechnicianmhasmthemmajormresponsibilitymofmdispens
ingmprescribedmmedicalmdrugsmundermthemdirectionmofmamlicensedmpharmacist.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m3
2. Whichmtermmdescribesmthemeffectmofmammedicalmdrugmthatmimprovesmbodymfunction?
a. Sidemeffect
b Intendedmaction
.
c. Adversemreaction
d Idiosyncraticmresponse
.
ACCURATEmRESPONSE:-B
Reviewmfeedbackm:-
>>>Themaimmofmmedicalmdrugmtherapymismtomtakemammedicalmdrugmtomprevent,mlessen,mormcorrect
mamhealthmproblem.mThismresponsemismanymmedicalmdrug’smintendedmactionmalsomknownmasma mth
erapeuticmresponse.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m3
3. Whichmtypemofmmedicalmdrugmnamemism“owned”mbymthemcompanymthatmmanufacturesmit?
a. Genericmname
b Chemicalmname
.
c. Categorymname
d Trademname
.
ACCURATEmRESPONSE:-D
Reviewmfeedback:-
>>>Themchemicalmnamemismammedicalmdrug’smexactmchemicalmcomposition.mThemgenericmname
,mismthemnamemassignedmtomthemmedicalmdrugmbymthemU.S.mAdoptedmNamesmCouncilmandmismnotm
ownedmbymanyone.mThemcategorymnamemrefersmtomthemtypemofmmedicalmdrugm(whatmitmdoesmormw
hatmitmismusedmfor)mandmismnotmanmactualmmedicalmdrugmname.mThemtrademnamem(brandmname)mis
mthemnamemprovidedmandmownedmbyma mspecificmmedicalmdrug’smmanufacturer.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m4
4. Whichmmedicalmdrugmormmedicalmdrugmclassmismam“highmalert”mmedicalmdrug?
a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ACCURATEmRESPONSE:-B
Reviewmfeedback:-
>>>Amhighmalertmmedicalmdrugmismoneminmwhichmharmmismlikelymtomresultmifmgivenmatmthemwrong
mdose,mtomthemwrongmhospitalmclient,mor mnotmgivenmtomthemcorrectmhospitalmclient.mMedicalmdrugs
mclassifiedmasmhighmalertmmedicalmdrugsmincludempotassium,mnarcoticsm(opioids),minsulin,mcancerm
chemotherapymmedicalmdrugs,mandmheparinm(ormanymmedicalmdrugmthatmstronglymaffectsmbloodmcl
otting).mPenicillin,mNSAIDs,mandmcalciummaremnotmconsideredmhighmalertmmedicalmdrugs.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m4
5. Whatmismthemtermmformammedicalmdrugmthatmhasmthemsamemactionmasmamnaturallymo
ccurringmbodymhormonemormenzyme?
a. Agonist
b Blockingmagent
.
c. Chemical
d Duplicator
.
ACCURATEmRESPONSE:-m A
Reviewmfeedback:-
>>>Ammedicalmdrugmagonistmismanmextrinsicmmedicalmdrugmthatmactivatesmthemreceptormsitesmofm
amcellmandmmimicsmthemactionsmofmnaturallymoccurringmbodymsubstancesm(intrinsicmmedicalmdrug
s).mAmblockingmagentmismammedicalmdrugmantagonist.mAmchemicalmwouldmnotmnecessarilymbemamm
edicalmdrugmatmall.mAmduplicatormismnotmampharmacologicmterm.
DIFFICULT:mCognitivemLevel:mRemembering REF: pp.m6-7
6. Whichmtermmdescribesmhowmthembodymaffectsmmedicalmdrugmactivity?
a. Medicalmdrugmpote
ncy
b Pharmacodynamics
.
c. Therapeuticmeffect
d Pharmacokinetics
.
, ACCURATEmRESPONSE:-D
Reviewmfeedback:-
>>>Themtermmpharmacokineticsmrefersmtommedicalmdrugmmetabolismmandmhowmthembodymchang
esmammedicalmdrug.mPharmacodynamicsmrefersmtomhowmammedicalmdrugmworksmtomchangembodym
function.mMedicalmdrugmpotencymrefersmtomhowmstronglymormtomwhatmdegreemammedicalmdrugmex
ertsmitsmeffects.mThemtherapeuticmeffectmismclosermtompharmacodynamics,mmeaningmhowmammedi
calmdrugmworksmtomchangembodymfunction.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m10
7. InmthemUnitedmStates,mwhichmgroupmismresponsiblemformenforcingmestablishedmstandards
mformmedicalmdrugmmanufacturing?
a. U.S.mPharmacopeia
b NationalmInstitutesmofmHealth
.
c. FoodmandmMedicalmdrugmAdministration
d AssociationmofmPharmaceuticalmManufacturers
.
ACCURATEmRESPONSE:-C
Reviewmfeedback:-
>>>ThemstandardsmformmedicalmdrugmmanufacturemaremestablishedmbymthemU.S.mPharmacopeia.m
ThesemstandardsmaremenforcedmbymthemFoodmandmMedicalmdrugmAdministration.mNeithermthemNa
tionalmInstitutesmofmHealthmnormthemAssociationmofmPharmaceuticalmManufacturersmhasmanymaut
horitymtomenforcemmedicalmdrugmstandards.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m5
8. Whichmfactormismammajormdisadvantagemofmthemtransdermalmmedicalmdrugmdeliverymroute?
a. Onlymamprescribermcanmadministermmedicalmdrugsmbymthemtransde
rmalmroute.
b Transdermalmmedicalmdrugsmmustmbemsterilemrathermthanmclean.
.
c. Firstmpassmmedicalmdrugmlossmbymthismroutemismthemmostmextensiv
e.
d Medicalmdrugmabsorptionmismdependentmonmadequatemcirculation.
ACCURATEmRESPONSE:-D
Reviewmfeedback:-
>>>Oncemamtransdermalmmedicalmdrugmmovesmthroughmthemskin,mitmmustmentermthembloodstreamm
tomreachmitsmtargetmtissue.mIfmcirculationmismpoormtomthemareamwheremthemtransdermalmmedicalmdru
gmismapplied,mverymlittle,mifmany,mofmthemmedicalmdrugmwillmreachmitsmtargetmtissue.
DIFFICULT:mCognitivemLevel:mRemembering REF: p.m12
9. Howmaremintrinsicmmedicalmdrugsmdifferentmfrommextrinsicmmedicalmdrugs?
a. Intrinsicmmedicalmdrugsmaremmadembymthembody,mwhereasmextrinsicmmedicalmdrugsmaremmade
moutsidemthembody.