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Exam (elaborations)

PTCB 2024 EXAM QUESTIONS AND ANSWERS NEW UPDATE

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PTCB 2024 EXAM QUESTIONS AND ANSWERS NEW UPDATE...

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  • September 4, 2024
  • 47
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PTCB 2024
  • PTCB 2024
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PTCB 2024 EXAM QUESTIONS AND
ANSWERS NEW UPDATE

Health Care system-Answer According to WHO, health care system is defined as a
system that consists of organizations, institutions and resources of people whose
primary purpose is to improve public health



Medicare-Answer Provides service for the elderly and disabled individuals must meet
certain criteria



Medicaid-Answer Provides service for lower income individuals. Federally and state
funded



Tricare - Answer AKA military insurance; provides service to veterans and soldiers



NIH - Answer National Institute of Health



Employer Insurance - Answer Most employers provide health insurance to full time
employees



Private Insurance - Answer Individuals can apply and pay for health insurance. Smaller
businesses offer group rates to their employees.



Copay - Answer The amount a person pays for their prescription drug after insurance.
This type of payment is made at point of sale, ie the pharmacy



Medicare A - Answer Covers inpatient hospital stays

,Medicare B - Answer Covers outpatient hospital stays as well as diabetic supplies, DME,
patients on long term disabilities, X-rays, dialysis, vaccines, and respiratory nebulizers



Medicare C - Answer Additional coverage not covered under A or B. Often called the
advantage plan or choice plan.



Medicare Part D - Answer Covers prescription medications; usually processed by private
insurance but funding is provided by CMS (government)



Medicare Part E - Answer Supplemental coverage; covers A, B, and D (Different than just
Medicare C)



Medicare C only covers A and B



HMO - Answer Health Maintenance organization



Health Maintenance Organization (HMO) - Answer With an HMO plan, you have to choose
a PCP from a network of local health providers who refers you to in-network specialists
or hospitals when treatments are needed. Your all care is routed via your PCP Lost cost
to the insurance and the patient PPO - Answer preferred provider organization



PPO - Preferred Provider Organization Preferred list of in-network providers and hospitals

-If you go out of network, you will pay a higher copay

-More flexibility= pay more money per month



EPO - Exclusive Provider Organization



Exclusive Provider Organization - EPO Answer Combination of sorts between HMO's and
PPO's

-There is a preferred list of providers and specialists but cannot choose a provider
outside of network

,-You can choose any primary care physician but they must be in-network



Workers Compensation - Response When a patient has been injured at work and his/her
company has agreed to pay for the cost of his/her medication



out of pocket - Response People without health care coverage and must pay out of
pocket expenses



Pharmacy Benefit Managers - Answer PBM

-Primarily responsible for development and maintenance of the formulary, contracting
with pharmacies, negotiating discounts and rebates with drug manufacturers, and
processing and paying prescription drug claims.

-Working with self-insured companies and government programs; trying to reduce
pharmacy expenditures of the plan and trying to improve health outcomes



Drug Development - Answer Complex and time consuming; on average it takes 8-15 years
for a drug to be developed and approved by the Food and Drug Administration



3 Basic Steps of Drug Development - Answer 1. Research

2. Testing

3. Approval



Research - Answer Can be done be pharmacologists, toxicologists, clinical
pharmacologists, pharmacists, and physicians

Research to find a new active ingredient, or change the structure of current drugs



FDA Regulation - Response The food and drug administration began in 1906

-Charged with the regulation of medications ensuring their safety and effectiveness
before medications are brought to market

, Where does testing begin? - Response In the laboratory



-Stability

-Structure

-Dosage forms of the drug



Tests are preformed in animals to evaluate _______ - Answer Toxicity



- New drug must be proved safe before being used in humans



How many steps is the approval process for testing in humans regulated by the FDA? -
Answer 4



Human Test Phase 1 - Answer Objective: To evaluate the first dose and to identify if
humans can tolerate the drug (toxicology)

A. New drug is tested on a few healthy individuals at the lowest dose and is slowly
increased



Pharmacokinetics - Answer absorption, distribution, metabolism, biotransformation, and
excretion



Most drugs do not make it past phase _______ - Answer 2



Human Test Phase 2 - Answer When the drug passes the first phase

-The drug is tested on a few hundred volunteers who have the disease the drug is
intended for

-Extensive data on pharmacokinetic and toxicology profile of the drug are collected in
this phase

-The optimal dose of the drug is determined in this phase

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