TEST BANK FOR UNDERSTANDING PHARMACOLOGY,
ESSENTIALS FOR MEDICATION SAFETY, 3RD EDITION
MULTIPLE CHOICE BASI
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,CCONCEPTS T
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1. Which healthcare professional has the major responsibility for dispensing prescribed med B
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T B
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ical drugs under the direction of a pharmacist?
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a. Physician
b Nursing attendant pra TB TBTB
. ctitioner
c. Licensed nursing atte TB TB
ndant TB
d Pharmacytechnician B
T
.
ACCURATE RESPONSE:-D TB
Review feedback:- TB
>>>The physician and nursing attendant have the major responsibility for prescribing medical drugs
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, not dispensing them. The licensed nursing attendant has the primary responsibility for administerin
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g medical drugs, althoughunder some circumstances a licensed nursing attendant maydispensepresc
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ribed medical drugs but this is not his or her major responsibility in medical drug therapy. The pharma
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cy technician has the major responsibility of dispensing prescribed medical drugs under the directio
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n of a licensed pharmacist.
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DIFFICULT: Cognitive Level: Remembering REF: p. 3 TB TB B
T TB
2. Which termdescribes the effect ofa medical drug that improves bodyfunction? TB B
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T
a. Sideeffect B
T
b Intended action TB
.
c. Adverse reaction TB
d Idiosyncraticresponse B
T
.
ACCURATE RESPONSE:-B TB
Review feedback :- TB TB
>>>The aim ofmedical drug therapy is to take a medical drugto prevent, lessen, or correct a health pro
TB TB B
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blem. This response is any medical drug’s intended action also known as a therapeutic response.
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DIFFICULT: Cognitive Level: Remembering REF: p. 3 TB TB B
T TB
3. Whichtype ofmedical drug name is “owned” bythe companythat manufactures it? B
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a. Generic name TB
b Chemicalname B
T
.
c. Category name TB
d Trade name TB
.
ACCURATE RESPONSE:-D TB
Review feedback:- TB
>>>The chemical name is a medical drug’s exact chemical composition. The generic name is the na
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me assigned to the medical drug by the U.S. Adopted Names Council and is not owned by anyone. Th
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,e categoryname refers to the type ofmedical drug (what it doesor what it is used for) and is not an actua
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l medical drug name. The trade name (brand name) is the name provided and owned by a specific med
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ical drug’s manufacturer.
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DIFFICULT: Cognitive Level: Remembering REF: p. 4 TB TB B
T TB
4. Which medical drug or medical drug class is a “high alert” medical drug?
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a. Penicillin
b Insulin
.
c. NSAIDs
d Calcium
.
ACCURATE RESPONSE:-B TB
Review feedback:- TB
>>>A high alert medical drug is one in which harm is likely to result if given at the wrong dose, to the w
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rong hospital client, or not givento the correct hospital client. Medical drugs classified as highalert me
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dical drugs include potassium, narcotics (opioids), insulin, cancer chemotherapy medical drugs, and
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heparin (or any medical drug that strongly affects blood clotting). Penicillin, NSAIDs, and calcium ar
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e not considered high alert medical drugs.
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DIFFICULT: Cognitive Level: Remembering REF: p. 4 TB TB B
T TB
5. What is the term for a medical drug that has the same action as a naturally occurring bod
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y hormone or enzyme?
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a. Agonist
b Blocking agent B
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.
c. Chemical
d Duplicator
.
ACCURATE RESPONSE:- A TB T B
Review feedback:- TB
>>>A medical drug agonist is an extrinsic medical drug that activates the receptor sites ofa cell and mi
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T TB TB TB
mics the actions ofnaturallyoccurring bodysubstances (intrinsic medical drugs). Ablocking agent is
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T B
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a medical drug antagonist.Achemicalwould not necessarilybe a medical drug at all. Aduplicator is not
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apharmacologic term.
B
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DIFFICULT: Cognitive Level: Remembering REF: pp. 6-7 TB TB B
T TB
6. Which termdescribes how the bodyaffects medical drug activity? TB B
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a. Medical drug potenc TB TB
y
b Pharmacodynamics
.
c. Therapeuticeffect B
T
d Pharmacokinetics
.
, ACCURATE RESPONSE:-D TB
Review feedback:- TB
>>>The term pharmacokinetics refers to medical drug metabolism and how the body changes a medi
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cal drug. Pharmacodynamics refers to how a medical drug worksto change bodyfunction. Medical dr
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ug potencyrefers to how strongly or to what degree a medical drug exerts its effects. The therapeutic e
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ffect is closer to pharmacodynamics, meaning how a medical drug works to change body function.
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DIFFICULT: Cognitive Level: Remembering REF: p. 10 TB TB B
T TB
7. Inthe United States, whichgroup is responsible for enforcing established standards for medi
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cal drug manufacturing?
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a. U.S. Pharmacopeia TB
b National Institutes of Health TB TB TB
.
c. Food and Medical drugAdministration TB TB TB B
T
d Association ofPharmaceuticalManufacturers TB B
T TB
.
ACCURATE RESPONSE:-C TB
Review feedback:- TB
>>>The standards for medical drug manufacture are established by the U.S. Pharmacopeia. These st
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andards are enforced bythe Food and Medical drugAdministration. Neither the NationalInstitutesof
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Health nor the Association of Pharmaceutical Manufacturers has any authority to enforce medical dr
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ug standards.
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DIFFICULT: Cognitive Level: Remembering REF: p. 5 TB TB B
T TB
8. Which factor is a major disadvantage ofthe transdermalmedical drug deliveryroute? TB TB TB TB TB TB B
T TB B
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T
a. Onlya prescriber can administer medical drugs bythe transdermal r B
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oute.
b Transdermalmedical drugs must be sterile rather thanclean. B
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T
.
c. First pass medical drug loss bythis route is the most extensive.
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d Medical drug absorption is dependent on adequate circulation. TB TB TB TB TB TB TB
ACCURATE RESPONSE:-D TB
Review feedback:- TB
>>>Once a transdermalmedical drug moves throughthe skin, it must enter the bloodstreamto reach its
TB TB B
T TB TB TB B
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T TB TB B
T
target tissue. If circulation is poor to the area where the transdermal medical drug is applied, very little,
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if any, of the medical drug will reach its target tissue.
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DIFFICULT: Cognitive Level: Remembering REF: p. 12 TB TB B
T TB
9. How are intrinsic medical drugs different fromextrinsic medical drugs? TB B
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a. Intrinsic medical drugs are made bythe body, whereas extrinsic medical drugs are made outside th TB TB TB TB TB B
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e body. TB
b Intrinsic medical drugs are administered bythe parenteralroute, whereas extrinsic medical drugs a TB TB TB B
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. re administered by the oral route.
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c. Extrinsic medical drugs canonly be applied to the skin or mucous membranes, whereas intrinsic TB TB TB TB TB TB TB TB TB TB B
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medical drugs are taken internally. TB TB TB TB
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