Pharmacology Exam 1 (ch 1, 2 , 3 ,4 )

Coordination of research about drug abuse in another country is regulated by the a. CDC b. WHO c. FDA d. DEA

WHO

Why would a local anesthetic, injected into an infected wound, not produce the intended effect? a. because the local anesthetic was not strong enough b. because the local anesthetic was not absorbed c. because the local anesthetic could not reach the site of action d. because the local anesthetic could not bind to proteins

because the local anesthetic could not reach the site of action

How does a surgical technologist know is he or she can handle and administer medications in his or her state? a. by asking the surgeon b. by asking the facility's risk management c. by researching the state's policy number d. by contacting the AORN

by researching the state's policy number

How should an outdated multiuse vial of a local anesthetic be handled? a. by finishing the vial b. by returning it to pharmacy c. by giving it to the anesthesia team d. by discarding the vial

by returning it to pharmacy

which factor is an advantage of pharmacogenomics? a. complexity of the genetic research b. cost of the genetic research c. education in the use of this technology d. facilitate the medication approval process

facilitate the medication approval process

which form of drug preparation tend to act more quickly? a. solid b. semisolid c. liquid d. gas

gas

Drugs that are listed with a C-1 are considered to a. have a high-abuse potential with no medical use b. be appropriate for postoperative pain control c. have a low- abuse potential (e.g. steroids). d. be available over the counter

have a high-abuse potential with no medical use

all of the following are basic parts of a syringe except: a. hub b. barrel c. plunger d. tip

hub

Malignant hyperthermia is a(n) _____ effect to certain drugs. a. idiosyncratic b. adverse c. local d. side

idiosyncratic

What is the considered the purpose for giving a medication? a. duration b. biotransformation c. indication d. distribution

indication

What should be done to an otic suspension medication to dilute the particles before it is administered to the patient? a. it must be liquefied b. it must be concentrated c. it must be shaken d. it must be sterilized

it must be shaken

All of the following factors are disadvantages to pharmacogenetics except a. its use to target specific diseases b. the complexity of its development c. the cost of genetic research d. educating health care providers to its use

its use to target specific diseases

Before medications are delivered into the sterile field, they must be identified by: a. scrub person and circulator b. two scrub personnel c. physician and circulator d. nurse anesthetist and circulator

scrub person and circulator

who is responsible for passing a medication to the surgeon for administration during the surgical procedure? a. anesthesiologist b. scrubbed surgical technologist c. circulating nurse d. another scrubbed surgeon

scrubbed surgical technologist

Which statement does not apply to the required steps for proper medication identification? a. read the label on the container b. check the integrity of the container c. check the expiration date d. show the label to the surgeon

show the label to the surgeon

An expected but unintended effect of a drug is termed a(n) _____ effect a. idiosyncratic b. adverse c. synergic d.side

side

Which drug form is used the least in the surgical department? a. semisolid b. solid c. liquid d. gas

solid

A drug that enhances the effect of another drug is called a(n) a. agonist b. synergist c. antagonist d. receptor blocker

synergist

Demerol is an example of a a. synthetic drug b. hormone c. semisynthetic d. natural drug

synthetic drug

Which government agency was established to enforce the Controlled Substance Act? a. occupational safety and health administration (OSHA) b. the U.S. food and drug administration (FDA) c. the drug enforcement agency (DEA) d. the joint commission

the drug enforcement agency (DEA)

Volatile anesthetic agents are eliminated from the body via a. the kidneys b. the skin c. the circulatory systems d. the lungs

the lungs

The organization that internationally regulates medication is a. the joint commission b. FDA c. OSHA d. the worlds health organization

the worlds health organization

How is an order for a drug to be given three times a day indicated on a prescription? a. q3h b. hs c. qh d. tid

tid

why should the scrubbed surgical technologist repeat the medication label information aloud? a. to ensure that he or she can read b. so that he or she can he heard c. to confirm the correct drug d. so that the surgical team will know

to confirm the correct drug

How is antibiotic irrigation applied during surgery? a. parenteral b. topical c. inhalation d. emulsion

topical

The full quantity contained in a medication bottle is its a. controlled number b. administration route c. total volume d. supply dosage

total volume

a recapped bottle of sterile saline is considered a. sterile b. unsterile c. expired d. none of the above

unsterile

when recapping a needle, you should a. throw the needle into the trash b. use the two handed method c. use the one handed method d. hand the uncapped needle to the circulator

use the one handed method

Which source is the most reliable way to check that medication information is accurate online? a. researching the internet b. using the government website c. asking a clinical coordinator d. calling the FDA

using a government website

What drug is given as an antidote to warfarin? a. vitamin k b. amoxicillin c. mannitol d. succinylcholine

vitamin k

All of the following items are on the "Do Not Use" list of abbreviations except a. U for unit b. the trailing zero c. QD for once daily d. zero before the decimal point

zero before the decimal point

20 is what percent of 50?

40

15 C = ____ F

59

8 is what percent of 12 ? a. 66.6% b. 150% c. 6.7% d. 33.3 %

66.6%

in the number 123.45678 which digit is in the ten thousandths place? a. 5 b. 6 c. 7 d. 8

7

8.3 x 0.09 =

7.47

the equivalent fraction to 3/4 is a. 50/100 b. 60/100 c. 75/100 d. 85/100

75/100

The surgeon's preference cards ask for 1:1:3 solution of polymyxin B surfate, bacitracin, and saline mixture on the sterile field. what percentage of the solution does each ingredient represent? a. 80%, 10%, 10% b. 20%, 20%, 60% c. 10%, 40%, 50% d. 20%, 30%, 50%

20%, 20%, 60%

0.25 % is expressed as a fraction as a. 0.25/100 b. 0.25/25 c. 25/100 d. 100/25

25/100

which hypodermic needle has the smallest lumen a. 18 gauge b. 21 gauge c. 25 gauge d. 27 gauge

27 gauge

3 5/8 written as an improper fraction is a. 29/8 b. 29/5 c. 29/3 d. 29/1

29/8

which fraction is in its lowest terms? a. 3/4 b. 10/12 c. 2/2 d. 6/8

3/4

which medication reference is published annually and updated quarterly by the American Society of Health System Pharmacists? a. AHFS b. USP-NF c. PDR d. WHO

AHFS

Liter ____

L

Which federal action sets the standards for quality and requires proper medication labeling for preparations containing morphine? a. Durham-Humphrey Amendments b. Food, Drug, and Cosmetic Act c. Pure Food and Drug Act d. Controlled Substance Act

Pure Food and Drug Act

All are found on medication labels, except a. supply dosage b. control number c. label alert d. PDR number

PDR number

32 F = _____ C

0

in the decimals 0.0000332 and 0.0000035, which has the larger value?

0.0000332

0.003 x 1.25=

0.00375

Seven o'clock in the morning, military time, would be written as: a. 0007 b.0070 c.0700 d. 7000

0700

Your surgery supervisor asks you to report to work by seven thirty in the morning. How would this be written in military time? a. 730 b. 0730 c. 7:30 d. 7300

0730

1 gram of an antibiotic is equal to __________ mL of fluid. a. 1 b. 2 c. 5 d. 10

1

a surgeon requests the use of an embolectomy catherer that has a 3mL ballon. which of these syringes is the BEST choice inflating this ballon a. 1 mL TB syringe b. 5 mL syringe c. 10 cc syringe d. a tubex syringe

1 mL TB syringe

1/12 + 5/12 =

1/2

50 F = _____ C

10

7.05 + 3.221 =

10.271

For an infant surgical procedure the operating room temperature must be warm. Your surgeon want to know the current temperature in Fahrenheit but you know the temperature is 38 degrees in Celsius. What is the Fahrenheit temperature? a. 100.4 b. 33.2 c. 32 d. 98.6

100.4

what is 25% of 50? a. 10 b. 12.5 c. 10.5 d. 12

12.5

50 C = ____F

122

6.6 - 4.4452 =

2.1548

Your surgeon is using a medication that is given according to the surgical patient's weight in kilograms. The patient weighs 6 pounds. How many kilograms is this? a. 0.367 b. 36.7% c. 27.3% d. 2.73 %

2.73%

drugs that have an accepted use in the surgical setting are on the ____ schedules. a. C-I b. C-II c. C-III d. C-IV

C-II

the most common type of syringe used in surgery is the a. plain tip b. Leur-loc c. tuberculin d. insulin

Leur-loc

who assigns a brand name to a new medication? a. the FDA b. Manufacturer c. Pharmacist d. Drug reference publisher

Manufacturer

When a drug travels from the site of administration into the bloodstream, it is called a. absorption b. distribution c. metabolism d. excretion

absorption

Which type of drug binds to receptor site proteins and then inhibits a response? a. agonist b. synergist c. antagonist d. electrolyte

antagonist

Which group of drugs is known as receptor blockers? a. antagonists b. agonists c. antipyretics d. analgesics

antagonists

Which categories of medication under the FDA's pregnancy categories are considered to be within sage limits for use during pregnancy? a. categories B and C b. categories A and B c. categories C and D d. categories A and X

categories A and B

Cubic centimeter _____

cc

which number of the surgical team must document the medications that are used at the surgical field? a. surgeon b. circulator c. surgical first assistant d. surgical technologist in the scrub role

circulator

the scrub person may receive medications into the sterile field in all of the following ways except a. circulator places the bottle on the corner of the back table b. circulator pours the medication into a sterile container c. scrub person draws up the medication from the bottle held by the circulator d. circulator reconstitutes powder medication and the liquid is withdraw with a syringe

circulator places the bottle on the corner of the back table

All are terms used to describe the body's response or reaction to medications, except a. idiosyncratic b. contraindication c. side effects d. hypersensitivity

contraindication

Medication labels must contain all of the following information except: a. generic and trade names b. contraindications c. strength of medications d. amount of medication

contraindications

Which drug law established classifications, known as schedules, of medications that had potential for abuse? a. controlled substance act b. pure food and drug act c. federal food, drug, and cosmetic act d. drug enforcement administration

controlled substance act

when changing shifts, the incoming surgical technologist notices one of the medications on the sterile field is not accurately labeled. What should he or she do? a. discard the medication and ask the circulator for a new dose b. ask the scrub person to label the medication before leaving c. ask the circulator to show him or her the empty vial and then label it properly d. ask the surgeon what to do

discard the medication and ask the circulator for a new dose

Which step does not apply once a medication error has occurred? a. notify the surgeon immediately b. notify the unit supervisor c. follow institutional policy d. do not complete an incident report

do not complete an incident report

What is the first action that should be taken by the scrubbed surgical technologist when withdrawing medication from an inverted vial held by the circulator? a. puncture the rubber stopper b. remove the rubber stopper c. remove the syringe plunger d. draw air into the syringe

draw air into the syringe

A surgical patient is given a drug during surgery and suspects he or she is having a delayed allergic reaction to the drug, several days later. Which symptom indicates that the patient may be having a delayed drug reaction? a. drowsiness b. circulatory collapse c. joint swelling d. excessive anticoagulation

joint swelling

Most drugs are excreted and eliminated by the a. lungs b. colon c. kidney d. liver

kidney

Drugs are chemically altered via a process called metabolism in the a. lungs b. colon c. kidney d. liver

liver

all of the following items must be read aloud when identifying a drug except a. drug name b. manufacturer c. strength d. expiation date

manufacturer

When handling medications in the surgical department, which statement does not apply? a. both the scrub and the circulator must follow aseptic technique b. multidose vials may be recapped aseptically and dated to enable the remaining portions to be used at a later time c. medications in a powder form must be reconstituted by the circulator before delivery to the sterile field d. when the circulator is delivering solutions to the sterile field, the scrub person should hold the container away from the sterile table

multidose vials may be recapped aseptically and dated to enable the remaining portions to be used at a later time

The identifying number on every prescription that is required by federal law is called the a. nation drug code b. label alert c. barcode symbol d. lot number

nation drug code

Improper or inadequate labeling of medication may be considered a. malpractice b. tort c. materia medica d. negligence

negligence

A medication's generic name is? a. never capitalized on the label b. followed by the registered trademark (r) symbol c. its formula d. its proprietary name

never capitalized on the label

The abbreviation NPO represents a. discontinue b. immediately c. keep vein open d. nothing by mouth

nothing by mouth

all of the following are containers acceptable for storing medication on the sterile table, except a. pitchers b. opened ampules c. medicine cups d. basins

opened ampules

Which drug administration route causes many drugs to undergo the "first-pass effect" ? a. sublingual b. oral c. transdermal d. inhalation

oral

Drugs that are used for diseases and disorders that affect fewer than 200,000 people in the U.S are considered? a. phase 0 drugs b. category A drugs c. C-II drugs d. orphan drugs

orphan drugs

Nonprescription medication are also known as a. addictive medications b. over-the-counter medications c. controlled substances d. schedule C-11 medications

over-the-counter medications

The study of drugs derived from natural sources is called a. pharmacology b. biotechnology c. pharmacokinetics d. pharmacognosy

pharmacognosy

_______________ is the study of the four basic processes of absorption, distribution, metabolism, and excretion in response to drugs. a. pharmacokinetics b. pharmacodynamics c. biotransformation d. sympathomimetics

pharmacokinetics

On some medication labels, the generic name is a. placed inside parentheses b. capitalized c. not required d. most prominent

placed inside parentheses

In the phases of human medication testing, what is the last phase? a. phase 0 b. clinical investigation c. clinical trials d. postmaking study

postmaking study

Many antibiotics used in surgery come in _____ form and must be reconstituted? a. liquid b. gas c. ointment d. powder

powder

How is an order for a drug to be taken every 4 hours indicated on a prescription? a. q4h b. qid c. qod d. qs

q4h

which of these is not one of the "five rights" but is crucial in medication administration? a. right documentation b. right patient c. right route d. right time

right documentation

The five rights of medication administration include all of the following except a. right drug b. right dose c. right patient d. right physician e. right time

right physician