Pharmacology Final

In an introductory course, an instructor explains drug classifications to first-year students. Which of the following is NOT a drug classification?

Heparin

A client with diabetes is started on a new medication. The client asks the health care practitioner why there are two names on a single prescription. How could the health care practitioner respond?

The prescription is a combination of several generic names in one medication.

A health care practitioner is collecting information on a new client and compiles a current medication list. What should he know about trade names for drugs?

While there is only one generic name, there may be many trade names for the same drug.

A pharmacology student is looking up a medication in a drug reference resource. Which of the following statements is accurate regarding drug names in a reference book?

. The generic name is designated by an initial lowercase letter.

When being discharged from an orthopedic clinic, a client is directed to take an over-the-counter (OTC) anti-inflammatory medication. The client asks the health care practitioner for more information about the OTC drug. How should he respond?

An OTC drug has no purchasing restrictions by the U.S. FDA.

A student is using the Internet for her research. Which of the following is NOT true of Internet research?

Internet sources are considered to be reliable sources of information.

A health care practitioner is speaking at a health fair about the differences in trade name and generic name drugs. How would she describe a generic drug?

It is the common or general name assigned to the drug by the U.S. Adopted Name Council.

An older adult client is concerned about whether her prescription hormone medication is safe to take. The health care practitioner knows that the medication is a legend drug. What can the health care practitioner tell her client about the drug?

Legend drugs are unsafe for OTC use because of harmful side effects if taken indiscriminately.

The client has been diagnosed with hypothyroidism and is given a prescription for the medication Synthroid. The prescription contains the letters "DAW". What does this abbreviation mean?

The abbreviation indicates the prescription should be dispensed with no substitutes, as written.

A client asks the health care practitioner when her prescription will be available at a lower cost generically. What information might the health care practitioner share with the client?

The drug company has exclusive rights to market the drug for 17 years.

The health care practitioner is preparing to dispense a medication to a client who is pregnant and has checked for contraindications. What does the term "contraindications" mean?

The medication should not be given.

During the discharge of a college student from the dental clinic, the client asks the health care practitioner about the number designated on the pain-relief prescription. How would the health care practitioner respond?

The number refers to the amount of one of the generic components.

A health care practitioner is explaining the concept of medications to a curious young client. How should he define the term pharmacology?

The study of drugs and their origin, nature, properties, and effects on living organisms

A student is preparing for her medication exam. What does she need to understand about drug classifications?

Therapeutic uses and the effects on the body

A licensed practical nurse is unsure of a drug name prescribed for her client. What is the best course of action in this situation?

Use a drug reference resource.

Records of each controlled substance dispensed, received, or destroyed at the facility where you work must be available for review for what time period?

a. 7 years b. 2 years c. 3 years d. 1 year B.

The FDA, under the direction of the Department of Health and Human Services, mandates which of the following?

a. All new products must be tested by the FDA before being released to the public. b. All labels must include a listing of active ingredients; some labels require a listing of inactive ingredients as well. c. All drugs must have "warning" labels. d. Prescription and nonprescription drugs must be shown to be effective as well as safe. D.

The medical assistant knows that Ritalin is a C-II controlled substance. She explains to her client that C-II medications have what level of potential for abuse?

a. C-II medications are safe to take as the client sees fit. b. C-II medications have a high abuse potential and may lead to severe dependence. c. C-II medications may lead to limited dependence. d. C-II medications have the lowest abuse potential of all controlled substances. B.

An athlete requests a prescription for an anabolic steroid (C-III) from her physician. How often can a prescription for a C-III drug be refilled?

a. C-III drugs may be refilled at the discretion of the physician and state regulations. b. C-III drugs can only be refilled with a new written prescription. c. C-III drugs are not approved for medical use in the United States. d. C-III drugs may be refilled up to five times in six months D.

A pharmaceutical representative visits the primary care physicians' offices in a community to discuss recently developed medications. What does the 1983 Orphan Drug Act give pharmaceutical companies the financial incentive to do?

a. Develop medications for diseases that affect only a small number of people b. Give samples to health clinics c. Develop medication for orphaned children d. Develop medications requested by the local community A.

Upon leaving the exam room, a client tells her health care practitioner that she is confused regarding her prescription. She asks if a cheaper, generic drug will be weaker than her current prescription. How should the health care practitioner respond?

a. Drug standards assure consumers that the same drug must be of uniform strength, quality, and purity. b. Every drug has a different chemical composition that cannot be duplicated. c. The prescribed medication is of better quality but will cost more d. The insurance companies mandate the different strengths A.

A client in an emergency room of a hospital is admitted for complaints of chest pains. Upon evaluation, the client states that he used heroin earlier in the day. What should you know about heroin?

a. It can only be obtained illegally in the United States. b. It can be dispensed by pain management specialists. c. It can be dispensed to clients in critical care units. d. It can be obtained legally through alternative medicine practitioners. A.

An instructor is explaining the roles of the FDA and DEA in setting standards for drug control. What area does the FDA control?

a. Monitors the need for changing the schedules of abused drugs b. Enforces laws against drug activities, including illegal drug use, dealing and manufacturing c. Concerned with controlled substances only d. Responsible for the approval and removal of products on the market D.

A medical assistant looks in a reference book to determine whether a particular drug is a controlled substance. What is the MOST authoritative standard for officially approved drugs in the United States?

a. OBRA b. USP/NF c. DEA d. FDA B

An older adult client is reluctant to take any prescribed medications and questions her health care practitioner about the production process and safety of her medications. How should the health care practitioner respond?

a. Pharmaceutical companies follow their own guidelines. b. Most medications are made outside the United States. c. Federal laws require all drugs marketed in the United States to meet the minimal standards of strength, purity, and quality. d. Insurance carriers set the parameters for drug manufacturing. C.

The office assistant is explaining the use of prescription pads to a new employee. What is a good guideline to follow regarding prescription pads?

a. Prescription pads are distributed in limited numbers to each provider. b. Prescription pads should be kept in a locked or secure area when not being used. c. There are no established guidelines regarding prescription pads. d. Prescription pads should be easily accessible to health care providers for distribution to clients. B.

The office assistant discusses the use of a newly marketed orthopedic device to a client. Which of the following is an accurate statement regarding the safety of the device?

a. The Drug Enforcement Administration handles all the safety requirements of new products. b. The device is safe to use because a number of clients have used it. c. The manufacturing company is responsible for ensuring the safety of a device before distributing it to the public. d. The FDA ensures basic standards prior to allowing any drug or new product to be marketed. D.

Which of the following was the first federal regulation established for consumer protection in the manufacturing of drugs and food?

a. The Foods and Drug Administration b. The Pure Food and Drug Act c. The Controlled Substance Act d. The Federal Food, Drug and Cosmetic Act B.

A client asks why pharmacists must offer counseling before dispensing medication. The office manager explains that this is required by which act?

a. The Pure Food and Drug Act b. Omnibus Budget Reconcilation Act c. The Federal Food, Drug, and Cosmetic Act d. The Controlled Substances Act B.

A client asks her health care practitioner if there are any regulations concerning nonprescription medicines. The health care practitioner explains that nonprescription medicines are governed by which act?

a. The Pure Food and Drug Act b. The Federal Food, Drug, and Cosmetic Act c. The Omnibus Budget Reconciliation Act d. The Controlled Substance Act B.

A client asks the office assistant about the relative danger of various drugs. She explains that the Drug Enforcement Administration (DEA) classifies drugs that can be abused or are addictive into categories or schedules. Which of the following is NOT a factor when classifying the schedule of a particular drug?

a. The harmfulness of the drug b. The potential for abuse or addiction c. The potential cost to produce the drug d. The medical value of the drug C.

A client calls her health care practitioner's office to ask about a label on a new prescription bottle that has a warning about drowsiness. What does the office manager know about prescription labels?

a. The label is a recommendation provided by the pharmacy. b. The DEA enforces the use of warning labels for all medications. c. The FDA regulations mandate that all prescriptions must include a listing of all active and inactive ingredients, and that certain preparations must include warning labels. d. Health care practitioners are required to give the pharmacy appropriate warnings. C.

Why is it important for health care practitioners to keep a current drug reference available?

a. To establish pricing b. To identify controlled substances c. To use for patient education d. To document prescription histories B.

A client visits her health care practitioner for her annual physical. She questions the office staff regarding the use of an herbal supplement that she saw advertised on television for weight loss. What information can the health care practitioner share with her client?

a. Under the Dietary Supplement Health and Education Act of 1994 (DSHEA), the FDA is responsible for ensuring that a dietary supplement is safe before it is marketed. b. Herbal medicines are tested by the FDA to determine if they have interactions with prescribed medications. c. Herbal medicines, while not approved by the FDA, are considered harmless. d. The production of herbal medicines is not regulated by the FDA. D.

An office manager is discussing the prescription policy to her client for some possible medications. Which drug, according to its classification, requires a new written prescription for a refill?

a. Valium (C-IV) b. Codeine with Tylenol (C-III) c. Promethazine with codeine (C-V) d. Codeine (C-II) D.