Pharm
Final
- 1.
The most common source of drugs today is:
- A.
Plants
- B.
Animals
- C.
Genetic bioengineering
- D.
Chemical synthesis
Correct Answer
D. Chemical synthesis -
- 2.
Beta1 stimulation mainly affects the:
- A.
Blood vessels blood vessels blood vessels blood vessels
- B.
Airways
- C.
Heart
- D.
Skeleton and muscles
Correct Answer
C. Heart -
- 3.
The name of the parasympathetic neurotransmitter is:
- A.
Acetylcholine
- B.
Norepinephrine
- C.
Adrenalin
- D.
Cholinesterase
Correct Answer
A. Acetylcholine -
- 4.
In a situation of stress, any of the following receptors may be stimulated except:
- A.
Nicotinic
- B.
Adrenergic
- C.
Muscarinic
- D.
Beta
Correct Answer
C. Muscarinic -
- 5.
A physician has just written an order for atropine to be administered to a patient you are caring for. This parasympatholytic drug would cause all the following except:
- A.
Bronchodilation
- B.
Vasoconstriction
- C.
Bradycardia
- D.
Dry secretions
Correct Answer
C. Bradycardia -
- 6.
Beta2 stimulation results in:
- A.
Bronchodilation
- B.
Vasodilation
- C.
Vasoconstriction
- D.
Bronchospasm
Correct Answer
A. Bronchodilation -
- 7.
When a drug stimulates a receptor, it can be classified as all the following except:
- A.
Direct acting
- B.
Parasympatholytic
- C.
Sympathomimetic
- D.
An agonist
Correct Answer
B. Parasympatholytic -
- 8.
The most common and convenient route of drug administration is:
- A.
Inhalation
- B.
Transdermal
- C.
Oral
- D.
Sublingual
Correct Answer
C. Oral -
- 9.
The agency that regulates drug testing and approves new drugs is the:
- A.
Food and Drug Administration (FDA)
- B.
Centers for Disease Control and Prevention (CDC)
- C.
National Institutes of Health (NIH)r
- D.
Center for Drug Evaluation and Research (CDER)
Correct Answer
A. Food and Drug Administration (FDA) -
- 10.
After Drugs are metabolized, they can be eliminated from the body through the
- A.
Skin
- B.
Lungs
- C.
Feces and urine
- D.
All the above
Correct Answer
D. All the above -
- 11.
Drugs that antagonize or block the parasympathetic response are referred to as:
- A.
Parasympathomimetics
- B.
Antiadrenergics
- C.
Parasympatholytics
- D.
Cholinergics
Correct Answer
C. Parasympatholytics -
- 12.
Which statement best explains the control of the parasympathetic and sympathetic systems?
- A.
The parasympathetic and sympathetic systems work in a coordinated, opposite fashion to maintain balancecontrol
- B.
The parasympathetic system is the dominant controller
- C.
The parasympathetic and sympathetic systems work independently of each other to regulate autonomic control
- D.
The sympathetic system is in primary autonomic
Correct Answer
A. The parasympathetic and sympathetic systems work in a coordinated, opposite fashion to maintain balancecontrol -
- 13.
The ANS regulates all the following body functions, except:
- A.
Digestion
- B.
Skeletal muscle movement
- C.
Blood vessel constriction
- D.
Cardiac muscle control
Correct Answer
B. Skeletal muscle movement -
- 14.
A medication bag contains 0.03 liters. This is equal to how many milliliters?
- A.
3
- B.
300
- C.
30
- D.
3000
Correct Answer
C. 30 -
- 15.
The primary action of sympathomimetics is to:
- A.
Stimulate norepinephrine
- B.
Block norepinephrine
- C.
Stimulate acetylcholine
- D.
Block acetylcholine
Correct Answer
A. Stimulate norepinephrine -
- 16.
An adult female patient weighs 125 lb. In order to determine a mechanical tidal volume, you must convert her weight to kilograms. What is her weight, in kilograms?
- A.
57 kg
- B.
28 kg
- C.
63 kg
- D.
275 kg
Correct Answer
A. 57 kg -
- 17.
You receive an order for 16 gtt of Mucomyst. How many milliliters of drug would you be administering to the patient?
- A.
1 ml
- B.
5 ml
- C.
1.5 ml
- D.
0.5 ml
Correct Answer
A. 1 ml -
- 18.
While preparing an aerosol bronchodilator for a patient, you place 0.5 ml of a 1% drug solution into a small-volume nebulizer. If you add 5 ml of saline instead of 2 ml of saline, the delivered dose of drug will:
- A.
Decrease
- B.
Weaken the drug response
- C.
Remain the same
- D.
Increase
Correct Answer
C. Remain the same -
- 19.
Bronchodilation is achieved by using which of the following classifications of drugs? I. parasympatholytic II. sympatholytics III. adrenergic agonists
- A.
II and III
- B.
I, II, and III
- C.
I and II
- D.
I and III
Correct Answer
D. I and III -
- 20.
You note that a physician has made a new entry on a patient's chart. The entry reads "500 mg acetaminophen PO QID." What does this order mean?
- A.
500 mg acetaminophen postop, then every 4 hours
- B.
500 mg acetaminophen per order, six times daily
- C.
500 mg acetaminophen by mouth, four times daily
- D.
500 mg acetaminophen preop, then daily
Correct Answer
C. 500 mg acetaminophen by mouth, four times daily -
- 21.
The name given to a drug that is considered the nonproprietary name and not owned by any particular pharmaceutical company is the
- A.
Brand Name
- B.
Trade name
- C.
Generic Name
- D.
Chemical name
Correct Answer
C. Generic Name -
- 22.
A drug that does not elicit a response
- A.
Is an agonist
- B.
Increases drug action
- C.
Is an antagonist
- D.
Activates the receptor
Correct Answer
C. Is an antagonist -
- 23.
The sympathetic system causes which of the following effects
- A.
Bonchoconstriction
- B.
Increased Digestion
- C.
Decreased Heart Rate
- D.
Bladder relaxation
Correct Answer
D. Bladder relaxation -
- 24.
A Drug that is classified as a Beta blocker would cause which of the following effects?
- A.
Vasodilation
- B.
Increased Heart Rate
- C.
Increased respirations
- D.
Bronchoconstricton
Correct Answer
D. Bronchoconstricton -
- 25.
Two drugs occupy a receptor site. one drug has no effect, but when it is added to the second drug it causes the second drug to produce a larger effect (0+1=3) This phenomenon is defined as
- A.
Snergism
- B.
Potentiation
- C.
Additive
- D.
None of the above
Correct Answer
B. Potentiation -
- 26.
A respiratory theripist administers bronchodilators simultaneously to a patient. The two bronchodilators work by different mechanisms and both produce an effect. however, when administered together, bronchodilation is greater than if each effect were added together. (1+1=3) this phenomenon is called
- A.
Synergism
- B.
Potentiation
- C.
Additive
- D.
None of the above
Correct Answer
A. Synergism -
- 27.
What are the six rights that are required on a prescription
- A.
Patient, Dose, Time, Route, Drug, Documentation
- B.
Patient, Dose, Reason, Freq, Equipment, Documentation
- C.
Dose, time, reason, Administation, Documentation
- D.
None of the above
Correct Answer
A. Patient, Dose, Time, Route, Drug, Documentation -
- 28.
Adverse drug reaction is defines as
- A.
The time it takes for the drug concentration to fall to 50% of the body
- B.
An agent that introduce vomit
- C.
The starting dose that is administered to acheive a therapeutic concentration rapidly
- D.
The unintended side effects from medication
Correct Answer
D. The unintended side effects from medication -
- 29.
A Patient who weighs 55 kilograms is to receive a drug dosage of 10mg/kg. How much drug should be administered?
- A.
550 mg
- B.
250 mg
- C.
25 mg
- D.
5.5 mg
Correct Answer
A. 550 mg -
- 30.
A solution of drug containes 80 units/ml. How many milliters would you need to deliver 320 units of the drug?
- A.
0,4 ml
- B.
4 ml
- C.
14 ml
- D.
40 ml
Correct Answer
B. 4 ml -
- 31.
Nicotin receptors are found in both the parasympathetic and sympathetic nervous system
- A.
True
- B.
False
Correct Answer
A. True -
- 32.
Beta blockers are classified as sympatholytics
- A.
True
- B.
False
Correct Answer
A. True -
- 33.
CNS is comprised of
Correct Answer
Brain and Spinal cord - 34.
The branch of the ANS responsible for flight or flight reactions
Correct Answer
sympathtic - 35.
A 16-year-old asthmatic comes into the ER in acute distress due to bronchospasm. The patient has received two treatments with albuterol, but her condition is deteriorating quickly. The patient is moderately hypoxemic, with a respiratory rate of 32. Which of the following would you recommend to help improve oxygen and medication delivery?
- A.
Inhalation of 5% carbon dioxide and 95% oxygen
- B.
Inhalation of 100% oxygen via a nonrebreathing mask
- C.
Inhalation of 30% oxygen and 70% helium
- D.
Inhalation of nitric oxide via a nonrebreathing mask
Correct Answer
C. Inhalation of 30% oxygen and 70% helium -
- 36.
A patient with a tracheostomy is weaned successfully from the ventilator and is now breathing spontaneously but needs supplemental oxygen. His arterial blood gases were within normal limits, with an FIO2 of 40% on the ventilator. Which of the following devices would you recommend?
- A.
Air entrainment mask
- B.
Large-volume nebulizer with tracheostomy collar
- C.
Simple mask
- D.
Large-volume nebulizer with face tent
Correct Answer
B. Large-volume nebulizer with tracheostomy collar -
- 37.
Expectorants are thought to work by all except which of the following actions?
- A.
Breaking disulfide bonds in the mucus
- B.
Increasing vagal-gastric reflex stimulation
- C.
Absorption into respiratory glands, causing direct stimulation to increase mucus production
- D.
Increasing the amount of fluid in the respiratory tract
Correct Answer
A. Breaking disulfide bonds in the mucus -
- 38.
Bypassing the upper airway by placing an endotracheal tube into the lungs can lead to which of the following?
- A.
Infection
- B.
Impaired ciliary action
- C.
Accumulation of mucus in the lungs
- D.
All of the above
Correct Answer
D. All of the above -
- 39.
Which of the following organisms are classified by whether they contain RNA or DNA?
- A.
Bacteia
- B.
Fungi
- C.
Viruses
- D.
Bacilli
Correct Answer
C. Viruses -
- 40.
A local anesthetic commonly used during bronchoscopy is
- A.
Benzocaine
- B.
Ketamine
- C.
Diazepam
- D.
Lidocaine
Correct Answer
D. Lidocaine -
- 41.
Which of the following patients would benefit from inhalation of nitric oxide?
- A.
Premature infants with persistent pulmonary hypertension
- B.
Asthmatic patients in acute bronchospasm
- C.
Patients with postoperative anesthetized patient
- D.
Patients with persistent singulation
Correct Answer
A. Premature infants with persistent pulmonary hypertension -
- 42.
All except which of the following statements are true about opioids?
- A.
Morphine sulfate is classified as an opioid.
- B.
Opioid analgesics are regulated by the FDA
- C.
Respiratory depression is not a side effect of opioid
- D.
Opioid analgesics can be administered by epidural infusion
Correct Answer
C. Respiratory depression is not a side effect of opioid -
- 43.
The alveolar structures responsible for the manufacture of surfactant are
- A.
Type I pneumocytes
- B.
Type II pneumocytes
- C.
Clara cells
- D.
Alveolar ducts
Correct Answer
B. Type II pneumocytes -
- 44.
You are called to the labor and delivery department to aid in the care of a 28 weeks' gestation infant. Soon after the baby is delivered, the decision is made to begin surfactant replacement therapy. The physician orders Infasurf for the 2,000 gm infant. What dosage would you prepare?
- A.
10 ml
- B.
8 ml
- C.
6 ml
- D.
5 ml
Correct Answer
C. 6 ml -
- 45.
The process of hemoglobin releasing oxygen at the tissue level is referred to as:
- A.
Ventilation
- B.
Respiration
- C.
External respiration
- D.
Internal respiration
Correct Answer
D. Internal respiration -
- 46.
The range of PaO2 hat is classified as moderate hypoxemia is
- A.
60 to 79 mmhg
- B.
40 to 59 mmhg
- C.
30 to 49 mmhg
- D.
>30 mmhg
Correct Answer
B. 40 to 59 mmhg -
- 47.
Ventilatory depression that causes hypoxemia results from which of the following
- A.
A right-to-left shunt
- B.
A V/Q mismatch
- C.
An alveolar hypoventilation
- D.
A low level of atmospheric oxygen
Correct Answer
C. An alveolar hypoventilation -
- 48.
Which of the following conditions causes a reduction in ventilation and results in a V/Q mismatch
- A.
Interstitial pulmonary fibrosis
- B.
Pulmonary embolism
- C.
Heart Failure
- D.
Pulkmonary hypertension
Correct Answer
B. Pulmonary embolism -
- 49.
Which of the following conditions causes a reduction in ventilation and results in a V/Q mismatch
- A.
Interstitial pulmonary fibrosis
- B.
Pulmonary embolism
- C.
Heart Failure
- D.
Pulkmonary hypertension
Correct Answer
B. Pulmonary embolism -
- 50.
Which of the following conditions causes a reductions in perfusion and results in a V/Q mismatch?
- A.
Peumonia
- B.
Lung Cancer
- C.
Pulmonary embolism
- D.
Emphysema
Correct Answer
A. Peumonia -
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Feb 15, 2013Quiz Edited by
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Apr 27, 2012Quiz Created by
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