Pharmacology – Mid Term – Flashcards

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Pharmacology is
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The study of drugs and their interactions with living organisms
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The word pharmacology comes from
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The Greek word pharmakon and a suffix meaning the study of
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Drugs have three medical uses. Which of the following is NOT one of those uses?
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To cause conditions or diseases
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The medical use of drugs during radiological procedures and other types of medical tests to provide evidence of a disease process is known as
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A diagnostic use
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The medical use of foxglove to make the drug digoxin (Lanoxin) is an example of a modern drug derived from
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Plants
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The drug Premarin, a female hormone replacement used to treat the symptoms of menopause, is derived from
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Pregnant mares' urine
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It took a national tragedy to force a much needed update of the Food and Drug Act of 1906. The drug that caused this national tragedy was
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Sulfonamide, which was an early anti-infective drug
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In response to criticism related to the time lag for drug approval, which act was passed in 1997:
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Food and Drug Administration (FDA) Modernization Act
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Prescription drugs are defined as those drugs
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That are not safe to use except under professional medical supervision
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Which of the following statements concerning scheduled drugs is TRUE?
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Schedule I drugs have the highest potential for abuse and addiction, while Schedule V drugs have the lowest
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The Orphan Drug Act was passed to
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Facilitate the development of new drugs to treat rare diseases
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The word pharmacodynamics is concerned with
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How drugs produce their effects based on time and dose
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When analgesic drugs are used to control arthritis pain, this is an example of the ________ use of drugs
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Therapeutic
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Original plant sources of some commonly used drugs today included all of the following EXCEPT
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Oak tree
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Which drugs were introduced in the decade of the 1990s?
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Proscar ( for benign prostatic hypertrophy), Nicodern (for stopping smoking), Viagra (for erectile dysfunction)
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Penicillin was first introduced about the year
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1940
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Aspirin was first introduced about the year
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1900
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The first monoclonal antibody drug Orthoclone OKT3 was developed in
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1986
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Which drug was historically introduced first?
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Morphine for pain, from crude opium
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The government agency responsible for regulating the manufacturing and dispensing of controlled substances is called
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Drug Enforcement Agency (DEA)
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A schedule defines drugs by their
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Potential for physical dependence Potential for psychological dependence
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The Controlled Substances Act created ______ categories of drugs based on their potential for addiction
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Five
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In response to the tragedy of babies born with seal limbs because of thalidomide, this legislation required drugs to be both safe and effective before being marketed
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Kefauver-Harris amendment of 1962
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The belladonna plant was the original source of the drugs ______ that are still used today
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Atropine and Scopolamine
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Powdered rose hips from the rose plant are still used as a natural source of
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Vitamin C
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The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is concerned with the _________ of patient medical and drug information
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Security
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A prescription drug can be obtained with a
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Written prescription or verbal order from a helathcare professional whose license permits it Verbal order from a dentist Written prescription from a physician
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The 1951 Durham-Humphrey Amendment to the Food, Drug and Cosmetic Act defined ________ drugs as those drugs that could only be given to patients under the care of a physician
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Prescription
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Stem cells are cells that are capable of
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Differentiating into any type of body tissue
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Which drug name accurately describes its molecular structure and distinguishes it from all other drugs?
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Chemical name
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Using computers to design new drugs involves _______, which is the study of the chemical structures of drugs and their actions at the molecular level within a cell
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Molecular pharmacology
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In 1982, which drug became the first recombinant DNA technology drug to be approved by the FDA?
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Human Insulin (Humulin)
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From the moment of its discovery or design, every drug has a _________ name that is assigned by the International Union of Pure and Applied Chemistry (IUPAC)
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Chemical
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Which of the following is registered with the US Patent Office as a registered trademark?
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Trade name
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In 2001, the first embryonic stem cell was manipulated to become a
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Mature blood cell
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Once the FDA gives final approval for drug marketing, the drug company creates a
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Trade name
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The drug name that is a registered trademark is the
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Brand name
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The brand name of the drug Lithobid was selected to indicate
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How often the drug is to be given
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In clinical trials, the control group received the
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Placebo
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The patent on a new drug is in effect for ________ years
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17
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There are _________ phases of human testing for new drugs
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Three
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Recombinant DNA technology involves
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DNA spliced into a bacterial cell Gene splicing Genetic engineering
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In vivo testing is
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None of the above
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The United States Adopted Names (USAN) Council
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Works with the drug company to determine the generic name for a drug
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What does therapeutic index indicate?
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The margin of safety between the therapeutic and toxic doses
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The first recombinant DNA technology drug approved by the FDA was
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A human version of insulin
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This drug contains a double-strength dose, as shown by its trade name
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Bactrim DS
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The Human Genome Project
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Mapped all 3.2 billion parts of the human genome
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Placebos commonly are
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Injections of sterile normal saline Sugar pills
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A dextrorotary drug
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Example is that of destromethorphan Is an isomer Has a right-facing image for its molecular structure
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A solid drug form that contains the active drug (as a dried powder) plus inert ingredients to provide bulk is known as a
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Tablet
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What type of tablet has and indented line running across it so that it can be easily broken into equal pieces?
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Scored
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A drug's trade name will often include abbreviations such as CR, LA, SR, or XL. These abbreviations indicate which type of tablet?
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Slow-release
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Which drug form comes in two different varieties: a soft gelatin shell and two-piece hard shell?
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Capsule
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The category of solutions includes several different drug forms. Which of the following is NOT a type of solution?
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Suspension
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Syrups are
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Sweeter and more viscous than elixirs
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Foams are
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Solutions that contain a drug in a water base Expelled from a container when they are used Expanded by tiny aerosol bubbles
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Suppositories are used to treat patients with
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Vomiting
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Which of the following is NOT a specialized type of tablet?
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Elixir
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The word viscous is used to describe a liquid drug. The word viscous means
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Thick or nonwatery
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Most over-the-counter drugs used to treat coughs are in the drug form of a
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Syrup
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Enteric-coated tablets
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Are made to dissolve in the small intestine
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A solution containing fine, undissolved particles of a drug that settle to the bottom of the container is called a
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Suspension
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Powdered drugs can be found in all of these EXCEPT in
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An ampule
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The word aqueous means _____, while the word viscous means _____
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Watery; thick
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Your friend asks you if you can identify the name of the drug he is taking. He shows you a purple capsule with gold bands. You tell him that this is the drug
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Nexium
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Which of the following drug trade names is NOT in the form of a bead, wafer, or device?
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Nexium
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Which of the following is NOT one of the steps involved in the drug cycle?
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Secretion
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When a drug is applied directly to the skin, eyes, or ears, it is administered via the ______ route
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Topical
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Which is the most convenient route of administration and the one most commonly used?
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Oral
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Which route of administration is chosen when the patient is vomiting and a drug cannot be given by injection?
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Rectal
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Which of the following is NOT a part of the parenteral route of administration?
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Endotracheal
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For most drug forms, absorption involved three steps. Which of the following is NOT one of the three steps of absorption?
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Excrete
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The process of drug metabolism is accomplished in the ____, the principal organ of metabolism
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Liver
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An intravenous drug can be administered in three different ways. Which of the following is NOT one of the three types of intravenous drug administration?
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Port
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Oral drugs that are in a liquid form do NOT go through which of the following steps?
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Disintegration
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Which method of drug administration is only used during emergency resuscitation?
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Intracardiac
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Patients with renal disease and elderly patients with decreased levels of kidney function due to aging are prescribed
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Lower doses of drugs
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The memory aid NAVEL (naloxone, atropine, valium, epinephrine, lidocaine) helps you remember which drugs can be administered
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Through an endotracheal tube
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Any liquid drug that can be given by the oral route can also be given by any of these routes EXCEPT
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Transdermal
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Which of the following routes CANNOT be used to administer drugs to an unconscious patient?
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Oral
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Sublingual administration of a drug involves placing it
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Under the tongue
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Which of the following drugs is given by subcutaneious injection?
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Insulin for diabetes mellitus Heparin Allergy shots
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The first-pass effect describes the
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Metabolism of drugs by the liver
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When a drug is given by inhalation, it is absorbed
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Through the alveoli of the lungs
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Drugs circulate in the blood bound to
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Albumin
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An equivalent word for metabolism is
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Biotransformation
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A drug that is able to unlock or activate a receptor and produce an effect is known as an
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Agonist
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A drug's main action for which it was prescribed by the physician or other healthcare provider is known as a
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Therapeutic effect
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A toxic effect of a drug results when
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The serum level of a drug rises above the therapeutic level
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Which of the following increases the likelihood of a drug-drug interaction?
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Polypharmacy
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Adrenergic receptors include
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Alpha1, Alpha2, Beta1, and Beta2 receptors
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The presence of an antigen combined with an antibody stimulates the release of ______, which produces mild-to-severe allergic symptoms, depending on the amount released
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Histamine
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Which measurement system is officially known as the International System of Units (SI)?
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Metric
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When a cube is formed that is 1 centimeter long on each side, it becomes a measurement of volume that is abbreviated as
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cc
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Receptors are specifically designed to interact with natural body chemicals. Which of the following is NOT one of those natural body chemicals?
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Proteins
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An antagonist drug
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Is similar to inserting the wrong key in a lock Keeps other drugs from activating the receptor Occupies but does not activate the receptor
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A comon side effect of narcotic drugs used to treat pain is
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Constipation
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The systemic effect of a drug is felt
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Throughout the body
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Symptoms of an allergic reaction are based on the release of
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Histamine
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When a drug has a narrow margin of safety between the correct dose and the toxic dose, the drug is said to have a low
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Therapeutic index
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A drug that can unlock or activate a receptor is known as an
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Agonist
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An idiosyncratic drug reaction is
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Based on a patient's genetic makeup
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A drug-drug reaction in which the two drugs combine to produce an effect greater than the independent effect of each drug is called
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Synergism
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The therapeutic effect of a drug is usually exterted
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On the target organ
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Which type of drug listed below is NOT measured in units?
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Antacid
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Side effects can be
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Mild and temporary Severe enough that the drug must be stopped Moderage and annoying
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The antibiotic drugs gentamicing and kanamycin are known to exert toxic effects on the ear. This is known as
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Ototoxicity
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When the antibiotic drug tetracycline is taken with an antacid, these two drugs
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Form an insoluable complex that prevents a therapeutic effect
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A _____ prescription is handwritten by the physician on a single preprinted sheet
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Written
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Which type of prescription is typed into the medical office's computer system, a copy printed out, and then signed by the physician and given to the patient?
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Computerized
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Which type of prescription is generated by a computer and not signed by the physician?
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Electronic
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A pharmacist can fill a prescription without having it on a prescription form and without a physician's signature for which of the following types of drugs?
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Drugs that are not controlled substances
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Prescriptions for most drugs (except schedule drugs) are valid for how long from the date on the prescription form?
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One year
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Prescriptions for Schedule III through Schedule V drugs are valid for how long from the date on the prescription form?
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Six months
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Prescriptions for Schedule II drugs are valid for how long from the date on the prescription form?
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Seven days
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Which of the following is NOT used when writing a drug name on a prescription?
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Chemical name
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Nonprescription (over-the-counter) drugs
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Do not require a prescription and can be purchased by an adult
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Which type of medication order is carried out (or dispensed) before a physician's signature is obtained?
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Verbal order
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When blood levels of sodium and potassium are sufficient
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Anything in excess of that is excreted in the urine
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Diuretic drugs
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Keep sodium and potassium from being reabsorbed from the tubules back into the blood
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Which of the following is NOT one of the diseases treated with diuretic drugs?
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Urinary tract infections
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The trade name drugs Naturetin, Diuril, Hygroton, HCTZ, HydroDIURIL, Microzide, Lozol, Enduron, and Zaroxolyn are all examples of which category of diuretic drugs?
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Thiazide diuretic drugs
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The drugs Bumex, Edecrin, Lasix, and Demadex are all examples of which category of diuretic drugs?
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Loop diuretic drugs
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Which of the following drugs in an osmotic diuretic drug?
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Mannitol
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Urinary tract infections (UTIs) are treated with drugs that are particularly effective against
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Gram-negative bacteria
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Which of these anti-infective drugs that inhibit but do not kill the bacteria that cause urinary tract infections?
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Sulfonamide drugs
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Drugs used to treat overactive bladder block the action of ______ to decrease bladder contractions
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Acetylcholine
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If a carbonic anhydrase inhibitor diuretic drug is given, it inhibits the enzyme carbonic anhydrase in the tubule cells. This means that
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Bicarbonate and hydrogen ions are not formed
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Potassium supplements are frequently prescribed for patients taking
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Thiazide and loop diuretic drugs
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The drugs ciprofloxin (Cipro), levofloxacin (Levaquin), and norfloxacin (Noroxin) are drugs used to treat
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Prostatis
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Which of the following class of drugs is NOT given orally?
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Prostaglandin E1 drugs
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Diuretic drugs are commonly used to treat
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Hypertension
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The trade name of the drug furosemide is
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Lasix
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This pellet is inserted into the urethra and produces an erection in patient with erectile dysfunction
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Muse
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Which of the following drugs is used to treat benign prostatic hypertrophy?
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Flomax
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Which of these drug pairs is used to treat urinary tract infections?
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Maxaquin and Macrodantin
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The primary cause of urinary tract infections is
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Gram-negative bacteria
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Which electrolyte must be given in conjunction with some diuretic drugs?
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Potassium
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Patients taking a thiazide or loop diuretic drug but not taking a potassium supplement could develop which of the following adverse effects?
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An extremely low level of potassium in the blood Cardiac arrhythmias Hypokalemia
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Cranberries are effective against urinary tract infections because
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They suppress the growth of bacteria because bacteria prefer an alkaline environment The fructose in them prevents bacteria from adhering to the bladder wall They increase the acidity of the urine
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The drugs Pyridium and the combination drug Pyridium Plus turn the urine an _______ color
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Red-orange
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This drug was approved in 1992 as the first nonsurgical treatment for benign prostatic hypertrophy
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Finasteride (Proscar)
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Which of the following statements is TRUE?
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Dutasteride and finasteride are androgen inhibitor drugs Androgen inhibitor drugs, if handled by the pregnant mother, can cause birth defects in a male fetus The packaging and drug inserts for androgen inhibitor drugs warn women not to handle these drugs
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All of the following are TRUE except
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Folic acid antagonist drugs stimulate the formation of folic acid in bacterial cells
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The combining form vesic/o- as used in the trade name drug Vesicare means
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Bladder
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Urinary tract analgesic drugs
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Treat burning, urinary urgency, and painful urination
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