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Napsrx Practice Quiz Napsrx Practice Quiz

How are drugs sorted into therapeutic group and classes?First by the conditions that they are used to treat, and then by their mechanisms of actionFirst by their mechanisms of action, and then by their therapeutic effectsFirst by their side effects, and then by their therapeutic effectsFirst by their toxicity, and then by their effectivenessWhat section of a drug’s package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits?Adverse reactionsContraindicationsOverdosageWarming/precautionsWhich of the following is NOT one of the stages in the classic approach to band development strategy covered in your manual?Band personalityBand positioningBand qualityBand valuesWhat is the name of the condition that occurs after a specific dose of a drug is given at such regular intervals that absorption and elimination (and therefore drug plasma concentration) have become fairly constant?homeostasissteady statetitrationtoleranceWhich entity/entities invest/s the most money in pharmaceutical R&D?Canadian pharmaceutical companiesThe NIHThe U.S GovernmentU.S pharmaceutical companiesOver the last few decades, what has happened to legal limitations sales’ reps discussions about off label uses?Limitations have decreased.Limitations have increased significantly.Limitations have increased slightly.Limitations have remained about the same.

      7. Why are novice sales representatives often placed in charge of negotiating MCO formularies?

A. to become more familiar with the healthcare industry

B. to be more familiar with their territories

C. P&T committees are more receptive to new experienced reps.

D. They are not. This job is usually reserved for more experienced reps.

Which of the following is an example of a central value?I buy Advil to show that I’m modern consumer.I like Advil because we were both born in the 80s.I prefer Advil because I like the flavor.I prefer Advil because it’s easier to swallow.Which of the following specialties likely has the MOST emergency calls?CardiologyPsychiatryUrologyAll specialists have the same number of emergency callsWhat affects the rate of active transport?The availability of carriers, but not energyThe availability of energy, but not carriersThe availability of carriers and energyNeither the availability of carriers nor the availability of energyOver the last few decades, what has happened to the FDA approval time for new drugs?It has been lengthened to ensure safer drug products.It has been lengthened to limit DTC marketing.It has been shortened to improve drug quality.It has been shortened to reduce the cost of new drug development.Which of the following would NOT help improve compliance?Patients liking their providersPatients using only one pharmacistPharmacists understanding how generics differ from brand name drugsSupport groups As the price a patient pays for prescription increases, what happens to the likelihood that the patient will fill it?It decreasesIt increasesIt remains unaffected because the prescription is neededIt remains unaffected because the prescription’s increased cost is offset by its perceived valueWhich of the following is NOT one of the body’s major organ systems?The cardiovascular systemThe cellular systemThe gastrointestinal systemThe musculoskeletal system How do most drugs exert their primary physiological effects?By activating synapses between different types of tissuesBy binding to cell receptors that are sensitive to their presenceBy inhibiting synapses between different types of tissuesThrough genetic mutation What should a sale representative do if all of the prime spaces in a drug cabinet are occupied?Ask staff for permission to move some of the other products in the cabinetAsk staff for permission to throw away expired product in the cabinetAsk the doctor if he still needs some of the other products in the cabinetSurreptitiously move your largest competitor’s products out of the wayIt is inappropriate for physicians’ prescribing behaviors to be educated by their personal tastes and idiosyncrasiesTrueFalseThe FDA defines API as the active———-ingredient in a drug, which produces the desired change in the body.PharmaceuticalPositivePotentPrimaryWhat term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling?Contraindicative indicationOff-indication usageOff label useOff usageWhat is typically NOT a characteristic of a pharmaceutical rep?Pharmaceutical sales reps are authentic and real.Pharmaceutical sales reps are creative.Pharmaceutical sale reps are focused.Pharmaceutical sale reps are not concerned about competitors.Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors?FormulationMycoplasmaPeptideSaccharideSenior citizens consume over——–times as many pharmaceutical as people under 65.ThreeFiveTenFifteenWhat is passive diffusion?A type of pinocytosisMembrane transport via vesiclesThe use of energy to help a substance pass from a low concentration gradient to a high oneWhen a substance freely moves through a membrane from a high concentration gradient to a low oneWhat are all metabolites?Type of pinocytosisMembrane transport via vesiclesThe use of energy to help a substance pass a low concentration gradient to a high oneWhen a substance freely moves through a membrane from a high concentration gradient to allow oneWhen a drug is administered orally, where does first-pass metabolism occur?IntestineLiverPancreasStomachWhich of the following is NOT part of the Seven Step Cascade of Emotion?Be a consultant, not a repIdentify what your product doesReflectVisualize the power 10If a sales representative’s product is placed on the second tier of a standard three-tier formulary, which of the following is most likely true?It has not been reviewed by the P&T committee.It is in a neutral position unless it is at parity with other drugsIt probably has exclusive preferred status if it is not at parity with any other drugs.It will essentially sell itself if it is granted exclusive preferred status.According to your manual, what is a common complaint that physicians have about traditional sampling methods?That drug sample supply is too unpredictableThat patients are less likely to take free samples because they think they are lower qualityThat patients do not like seeing drug representatives in their officesThat they receive too many drug samplesWhich of the following would help you build trust with a physician?Asking if he or she is having any problems with the managed care coverage of your productsRepeating a question you already askedSurprising the office staff with a new poster in the break roomNone of these would help you build trust with a physician As of November 2013, which of these countries has legalized DTC advertising of prescription drugs?CanadaJapanSpainNone of theseWhich phase of clinical trial is also known as the pivotal phase?Phase IPhase IIIPhase IVPhase IX During which phase of clinical trials is also known as the pivotal phase?PreclinicalPhase IPhase IIPhase IIIWhat is one of the biggest time wasters for a pharmaceutical sales rep?WinterersPharmacistsReceptionistsPhysicians What is the percentage fee that the dispenser pays the wholesaler for distribution?Margin feeRechargeStandard feeUpchargeWhich of the following is an example of noncompliance?A patient forgetting to take a drug at a specified time of dayA patient taking a drug, but only because it has been court-mandatedA pharmacist dispensing a generic equivalent of a drug instead of the brand nameA physician refusing to prescribe a drug because he or she does not trust the clinical studies on itWhat is one way in which pharmaceutical selling is different from selling in most other industries?In pharmaceutical sales, the decision-makers consumers, and payers are usually the same entityPharmaceutical selling takes less time because doctors are so busy.Representatives do NOT sell to the user of the product.Representatives DO sell to the end user of the productDrugs can be used—– days beyond their expiration date.2-7 days, depending on the most current monograph.2-90 days, depending on the state laws7-90 days, depending on the type of drug and its therapeutic class.None of theseWhat issue has MOST encouraged consumers’ desire to see more OTC medications?A weaker patients ‘right movementLack of insurance coverageLess reliance on the internetProliferation of herbal remediesWhich phase of trials largely determines the clinical dose?Preclinical trialsPhase II trialsPhase III trialsPhase IV trialsWhat must be contained in the Description section of a pharmaceutical package insert?Adverse effectsMechanism of actionPharmacokineticsThe proprietary name and the established name Customers purchase products from people they like, trust, and respect. This is called the———-Closing of the saleFirst time advantageLikeability factorPower of knowledge According to your manual, how has the U.S. healthcare marketplace changed in the last few decades?Fewer and fewer prescription drugs have been made available as OTCs.Managed care has been increasingly replaced by more patient- centered approaches.The aging Baby Boomer generation has begun demanding more personalized attention.There has been decreased emphasis on preventive health.How does pharmaceutical marketing help narrow the treatment gap?It encourages patients to take more active roles in their healthcare.It makes doctors more skeptical of the pharmaceutical industry.It makes patients more skeptical of their doctors’ opinions.All of theseThe FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals.TrueFalse After a trade-name drug’s patent expires, how may generic versions of it be sold?Only under the branded generic nameOnly under the generic nameOnly under the original trade nameUnder the original trade name or a generic nameWhat is required for a new pharmaceutical to be considered a viable therapy?It causes no serious adverse effects.It causes no side effects.It has an active placebo.It is more effective and/or causes fewer serious adverse effects than other drugs on the market. A generic version is likely to have some inactive ingredients that are different from those of the original drug.TrueFalseWhere are most drugs metabolized?Interstitial spacesLiverStomachThe bloodstreamWhat is essential to the ethical requirement that subjects be selected fairly?Selection criteria should be well-supported by documented evidence.Studies should make every attempt to conduct research on subjects who are underprivileged and in need of medical attentionSubject should be selected based on scientific objectives.All of theseWhich of the following is NOT typically included in the indications and usage section of the package insert information?Diseases or conditions that the drug is approved to treatThe drug’s active metabolitesThe drug’s recommended usual dosageThe drug’s usual dosage range

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