Pharmacology And Its Legal And Ethical Aspects: Test Bank

Fulcher: Pharmacology, 3rd Edition

Chapter 01: Introduction to Pharmacology and Its Legal and Ethical Aspects

Test Bank

MULTIPLE CHOICE

1. The definition of drug dosage is
|a. |to give a medication |
|b. |the amount of medication in a single dose |
|c. |chemicals that affect living processes |
|d. |a written direction for dispensing drugs |

ANS: B REF: 3

2. Pharmacology is defined as
the
|a. |study of diseases |
|b. |use of drugs to diagnose, prevent, or treat disease |
|c. |study of drugs, their uses, and their interactions in living tissue |
|d. |study of administration of drugs |

ANS: C REF: 3

3. To administer a drug means to
|a. |give that medication |
|b. |figure the dosage of the medication |
|c. |see how the medication affects the person |
|d. |write a prescription for a medication |

ANS: A REF: 4

4. OTC means
|a. |off the channel |
|b. |over the chemical |
|c. |only after the chemical trials |
|d. |over the counter |

ANS: D REF: 3

5. Which of the following may prescribe medications?
|a. |pharmacists |
|b. |physicians |
|c. |medical assistants |
|d. |all of the above |

ANS: B REF: 4

6. Who dispenses medications?
|a. |physicians |
|b. |allied health professionals |
|c. |pharmacists |
|d. |all of the above |

ANS: C REF: 4

7. An action following the administration of a medication that is completely unexpected, undesirable, and unintended is a(n)
|a. |side effect |
|b. |adverse reaction |
|c. |a and b |
|d. |none of the above |

ANS: B REF: 7

8.
The health professionals who are most responsible for the safety of prescriptions with patients, who check for allergies and side effects, and who ensure checks and balances in the field of medicine include
|a. |physicians |
|b. |pharmacists |
|c. |medical assistants |
|d. |a and c |
|e. |all of the above |

ANS: E REF: 4

9. The most important person in the study of pharmacology—the person who should be considered when medications are used therapeutically—is the
|a. |physician |
|b. |medical assistant
|
|c. |pharmacist |
|d. |patient |

ANS: D REF: 4

10. In the United States, who initiates the process of medical care?
|a. |patient |
|b. |pharmacist |
|c. |physician |
|d. |medical assistant |

ANS: A REF: 4

11. The person(s) with the responsibility for obtaining information and keeping records of all drugs used by a patient (both prescription and over-the-counter medications and herbs) is/are the
|a. |physician |
|b. |pharmacist |
|c.
|medical assistant |
|d. |a and b |
|e. |all of the above |

ANS: D REF: 3-4

12. What government agency or agencies control prescription or legend medications?
|a. |Drug Enforcement Agency |
|b. |Bureau of Dangerous Drugs |
|c. |Food and Drug Administration |
|d. |a and c |
|e. |all of the above |

ANS: D REF: 3-4

13. The overuse or misuse of drugs is considered
drug
|a. |abuse |
|b. |dependence |
|c. |addiction |
|d. |none of the above |

ANS: A REF: 16

14. The agency responsible for the efficacy, purity, and safety of medications is the
|a. |DEA |
|b. |FDA |
|c. |BNDD |
|d. |none of the above |

ANS: B REF: 3

15. The FDA is a division of the
|a. |Department of Justice |
|b. |Department of Health and Human Services |
|c. |Department of Social Services |
|d. |Bureau of Narcotics and Dangerous Drugs |

ANS: B REF: 10

16. Standardization of drugs began
|a. |in the 19th century |
|b. |in the 20th century |
|c. |after 1950 |
|d. |Drugs have always been standardized. |

ANS: B REF: 7

17. Consumer safety became an important issue during the latter part of the 20th century because of the
|a. |increased use of drugs by the public |
|b. |need to be sure that drugs have the expected therapeutic properties |
|c. |increased numbers of OTC medications |
|d. |all of the above |
|e. |a and c |

ANS: E REF: 7

18. The act that placed dangerous drugs into schedules is the
|a. |Kefauver-Harris Amendment |
|b. |Federal Food, Drug, and Cosmetic Act of 1938 |
|c. |Controlled Substances Act of 1970 |
|d. |Harrison Narcotic Act of 1914 |

ANS: C REF: 9

19. The formulary for medications is approved by the
|a. |USP |
|b. |NF |
|c. |FDA |
|d. |DEA |

ANS: B REF: 7

20. Drug testing is done on which of the following before being named an Investigational New Drug?
|a. |animals |
|b. |humans |
|c. |a and b |
|d. |none of the above |

ANS: A REF: 11

21. The physician must keep which of the following records when using drugs found on the DEA list of scheduled medications?
|a. |a log of all scheduled medications given |
|b. |copies of the supplier’s invoices showing the receipt of the drug |
|c. |a copy of a BNDD number for each place where the physician administers Schedule II medications |
|d. |b and c |
|e. |all of the above |

ANS: E REF: 12

22. The act that allows drug manufacturers to find new uses in rare medical conditions for medications previously found to be dangerous is the
|a. |Controlled Substances Act of 1970 |
|b. |Omnibus Reconciliation Act of 1990 |
|c. |Orphan Drug Act of 1983 |
|d. |Kefauver-Harris Amendment |

ANS: C REF: 9

TRUE/FALSE

1. Pharmacology is a science that stands alone and does not require knowledge from other science areas.

ANS: F REF: 10

2. Drugs always bring the body into homeostasis.

ANS: F REF: 9

3. The first decade of the 20th century was a time when many new medications were being discovered and placed into use with permission of the FDA.
ANS: F REF: 7

4. Vaccines for communicable diseases have been used on a routine basis for over 100 years.

ANS: F REF: 17

5. The 1950s brought about many sociological and medical changes with the advent of oral contraceptives and drugs to treat mental illness.

ANS: T REF: 3

6. Medications today are made from DNA technology as well as from plant and animal sources.

ANS: T REF: 9

7. Penicillin for the control of communicable diseases was first used during the 1920s.

ANS: F REF: 7

8. Sulfonamides were made popular for use during the first 10 years of the 20th century.

ANS: F REF: 7

9. Cortisone was introduced in the late 1940s, and this advancement opened the doors for organ transplants and immunosuppression therapy.

ANS: T REF: 7

10. A new area for medication administration in the near future will be refillable microchips that are placed under the skin for administering medications as needed.

ANS: T REF: 7

11. A patient can always consider an Internet pharmacy to be safe and reliable.

ANS: F REF: 7

12. The needs of the armed services were important in the extension of the pharmaceutical field.

ANS: T REF: 13

13. Folk medicine has no connection to today’s pharmacology.

ANS: F REF: 13

14. Society has no influence on the field of pharmacology. The patient-physician-pharmacist-allied health professional relationship is the only influence that is important in the field of pharmacology.

ANS: F REF: 13

15. The field of pharmacology is basically only 100 years old.

ANS: F REF: 13

16. Folklore was the basis of much early research in pharmacology.

ANS: T REF: 13

17. Patient attitudes toward medications are important in how a patient takes prescriptions.

ANS: T REF: 3

18. A physician may prescribe medications without a license because he or she has the necessary education.

ANS: F REF: 3

19. Drug standards are the same in all states and countries.

ANS: F REF: 8

20. OTC drugs are not regulated by the FDA.

ANS: F REF: 6

21. The first regulation on importation, manufacture, sale, and use of narcotics and their derivatives was found in the Harrison Narcotic Act of 1914.

ANS: T REF: 6

22. For a drug to be classified as OTC, it must be safe for use when the pharmacist suggests its use.

ANS: F REF: 6-7

23. The Federal Trade Commission and the Consumer Products Safety Commission have regulation over drug packaging.

ANS: T REF: 6

24. If an adverse reaction occurs during the use of a drug, documentation in the medical record is necessary to provide the physician with the information needed to report the reaction to the appropriate agencies.

ANS: T REF: 6

25. All drugs with the potential for abuse, as found under the auspices of the Controlled Substances Act of 1970, are followed by the DEA from manufacture to sale in a pharmacy or use by the physician.

ANS: T REF: 6

26. Controlled substances in Schedule II should be kept separate from other drugs and in a secure area.

ANS: T REF: 6

27. An inventory of controlled substances must be taken in a physician’s office every 5 years.

ANS: F REF: 10

28. If controlled substances are administered but not dispensed in a physician’s office, the medical record may be used as the documentation of the use of the controlled substance.

ANS: T REF: 6

29. If medications are administered and dispensed in a physician’s office, separate records (other than the patient record) must be kept showing where the medications have been used.

ANS: T REF: 5

30. The physician must have permission from the DEA to dispose of outdated controlled substances.

ANS: T REF: 7 | 16

31. The physician must have permission from the FDA to dispose of any outdated medications.

ANS: F REF: 5

32. Prescription pads should be left on the physician’s desk in each exam room for ease in writing prescriptions.

ANS: F REF: 5

33. A good safeguard in preventing forgery of prescriptions is to photocopy all prescriptions leaving the office.

ANS: T REF: 5

34. Drug samples require a signature by the physician before a drug sales representative leaves the medication.

ANS: T REF: 4 | 5

35. The medical assistant should allow the drug sales representative to leave any medication that might be used in the office for patient care.

ANS: F REF: 7

36. Drug samples provided to a patient may not be repackaged before dispensing to the patient in the medical office.

ANS: T REF: 4

37. Prescription pads make wonderful notepads and paper for ordering blood tests and X-rays.

ANS: F REF: 8

38. It is ethical and legal to charge for drug samples in a physician’s office.

ANS: F REF: 8

MATCHING

Match the following terms with their descriptions below.
|a. |adverse reaction |
|b. |pharmacology |
|c. |DEA |
|d. |FDA |
|e. |side effects |
|f. |BNDD |

1. Responsible for reviewing and testing all drugs released to the public

2. Responsible for continued regulation and enforcement of manufacturing and dispensing of dangerous and potentially abused drugs

3. Those effects that are undesirable or unintended

4. The effect of a drug other than the desired effect but usually has been seen in clinical trials

5. The study of drugs and their interactions with living systems

6. Responsible for registration of all persons who dispense, administer, prescribe, or manufacture controlled substances

1. ANS: D REF: 10

2. ANS: C REF: 11

3. ANS: A REF: 12

4. ANS: E REF: 14

5. ANS: B REF: 14

6. ANS: F REF: 14

Match the following terms with their descriptions below.
|a. |potency |
|b. |quality |
|c. |efficacy |
|d. |purity |
|e. |placebo |

7. A drug that has no therapeutic effect

8. The concentration of active ingredients in a drug preparation

9. The ability of a drug to produce the desired effect

10. The standard that specifies the type and concentration of a substance in a drug

11. The fact that the consumer will receive the same standard of medication with each prescription

7. ANS: E REF: 14

8. ANS: A REF: 15

9. ANS: C REF: 15

10. ANS: D REF: 16

11. ANS: B REF: 16

Match the following schedules to the drugs described below that may be abused.
|a. |Schedule I |
|b. |Schedule II |
|c. |Schedule III |
|d. |Schedule IV |
|e. |Schedule V |

12. A drug that requires a written prescription because of its high potential for abuse

13. A prescription that may be phoned to the pharmacist because of the lower potential for abuse and limited psychological/physical dependence

14. A drug with no medical indication

15. A drug that has a low abuse indication and may be bought OTC

16. A drug with moderate potential for abuse but may have a prescription phoned to the pharmacist with five refills in 6 months

12. ANS: B REF: 17

13. ANS: D REF: 17-18

14. ANS: A REF: 17-18

15. ANS: E REF: 16

16. ANS: C REF: 17-18