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How should an outdated multiuse vial of a local anesthetic be handled?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
