Medical Assisting Pharmacology
Pre-Test Questions
Course Introduction
Medical Assisting Pharmacology introduces students to the fundamental principles of pharmacology as it relates to the medical assistant's role in healthcare settings. The course covers drug classifications, mechanisms of action, dosage calculations, routes of administration, and common side effects. Emphasis is placed on safe medication practices, accurate documentation, and patient education regarding various medications. Students also learn how to assist in preparing and administering medications under the supervision of licensed healthcare professionals, ensuring both patient safety and compliance with legal and ethical guidelines.
Recommended Textbook
Essentials of Pharmacology for Health Professions 7th Edition by Ruth Woodrow
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27 Chapters
675 Verified Questions
675 Flashcards
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Page 2
Chapter 1: Consumer Safety and Drug Regulations
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Sample Questions
Q1) After losing your cousin to an overdose of cocaine,you decide to get involved in law enforcement activities related to illicit drugs.Which agency is most likely to interest you?
A)Food and Drug Administration
B)Drug Enforcement Administration
C)Substance Abuse and Mental Health Services Administration
D)National Institute on Drug Abuse
Answer: B
Q2) What are legend drugs?
A)Drugs that are exceptionally safe and effective
B)Drugs that have the phrase "Caution-federal law prohibits dispensing without a prescription" on the label
C)Drugs that are manufactured before the Pure Food and Drug Act and therefore exempt from regulation
D)Drugs that have limited profitability because they are used to treat rare illnesses
Answer: B
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3
Chapter 2: Drug Names and References
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Q1) Your opinionated uncle informs you that all prescription drugs are,by definition,controlled substances because they cannot be legally obtained without a prescription.How should you respond to your uncle?
A)Controlled substances are legally defined as substances that have the potential to be abused or are addictive,but not all prescription drugs have this potential.
B)Correct;all prescription drugs are,by definition,controlled substances because they cannot be legally obtained without a prescription.
C)Some prescription drugs can be obtained without a prescription but are more typically referred to as "behind the counter" drugs.
D)The term "controlled substances" is an outdated term;prescription drugs is now the preferred term.
Answer: A
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4
Chapter 3: Sources and Bodily Effects of Drugs
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Sample Questions
Q1) Your uncle takes nitroglycerin,a vasodilator,for angina,a type of chest pain.When he feels pain from angina,he places a nitroglycerin tablet under his tongue and lets it dissolve.This route of administration is known as .
A)subcutaneous
B)sublingual
C)buccal
D)transdermal
Answer: B
Q2) Your cousin is started on medication after being diagnosed with epilepsy.Because he experiences seizures quite often,he starts with a very large dose of the anticonvulsant to elevate the levels of the drug in his blood as quickly as possible.This initial,large dose is known as a(n) .
A)overdose
B)loading dose
C)shock dose
D)therapeutic dose
Answer: B
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Chapter 4: Medication Preparations and Supplies
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Q1) As a recovering alcoholic,you know that you should avoid taking oral medication in the form of a(n) .
A)syrup
B)solution
C)suspension
D)elixir
Q2) You won the game for your team,but in doing so,seriously injured your shoulder.The doctor at the trauma center informs you that she is going to inject medication directly into your shoulder joint.What type of injection is this?
A)intraventricular
B)intraspinal
C)epidural
D)intracapsular
Q3) Hank is getting an insulin pump.Where will it be placed?
A)just below the skin near blood vessels for easy absorption
B)by his pancreas with a direct route into the islet cells
C)next to a large artery with insulin directed into the artery
D)in a large muscle mass or large fat pad for safety
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Chapter 5: Abbreviations and Systems of Measurement
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Q1) The prescription states the medication should be given bid.How often should it be given?
A)every four hours
B)as needed
C)at bedtime
D)twice a day
Q2) The liter is a measure of .
A)volume
B)length
C)weight
D)size
Q3) The instructions for your prescription state that you should take the pill with at least 500 mL of water.You do not have metric measuring devices at home,but you do have household measuring devices.How much water should you drink when you take the pill?
A)at least one cup
B)at least one pint
C)at least one-half gallon
D)at least one quart
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Chapter 6: Safe Dosage Preparation
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Q1) In the basic method formula,Q refers to the .
A)conversion factor
B)ratio of the desired to the available dose
C)quantity of the on hand dose
D)quantity of the desired dose
Q2) A trimethoprim/sulfamethoxazole suspension contains 40 mg / 5 mL.The order is for 120 mg.If you use the ratio and proportion method,the formula should be set up as follows: .
A)5 mL : 120 mg : 40 mg : X mL
B)120 mg : 40 mg = 5 mL : X mL
C)40 mg : X mL = 120 mg : 5 mL
D)40 mg : 5 mL = 120 mg : X mL
Q3) When using computational formulas,you should .
A)do the computation in your head if possible
B)be as brief and concise as possible
C)rely on your memory
D)write out and label all parts of the formula
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8
Chapter 7: Responsibilities and Principles of Drug Administration
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Q1) What is an innovation that reduces errors by assuring the identity and dose of each drug are prescribed specifically for the correct patient?
A)MedWatch
B)the MER
C)bar codes
D)CPOE
Q2) Logan,who has terminal cancer,has a prn order for an anxiolytic injection.When it is administered,the hospice nurse should note dose,time,route,location of injection,and .
A)assessment of need
B)likely survival time
C)effectiveness
D)likelihood of substance abuse
Q3) The medication order notes the medication is to be administered pc.What does pc mean?
A)after meals
B)as needed
C)separately from other medications
D)when requested by the patient
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Chapter 8: Administration by the Gastrointestinal Route
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Q1) A physician is most likely to order a gastric tube when a patient .
A)is extremely frightened of injections
B)is expected to be in ICU for several days following surgery
C)has difficulty swallowing pills
D)will be unable to take nourishment by mouth for a very extended period of time
Q2) Suppositories are especially useful .
A)when patients are reluctant to take medication
B)because they release medication at a consistent rate
C)when patients have dysphagia
D)because they ensure complete absorption
Q3) Ms.Chorba,age 93,is usually a pleasant and cooperative woman.This evening,however,she is refusing to take her medication.What should you do?
A)Determine why she refused to take her medication,report it to the person in charge,and document the incident.
B)Give the medication by injection,and then explain why you needed to do so.
C)Remind her that she must take the medication and may have an emergency if she refuses.
D)Arrange for a neurological examination as this behavior is so unusual for her.
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Chapter 9: Administration by the Parenteral Route
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Q1) One of the advantages of inhalation therapy is that .
A)very potent medications can be given in very small doses
B)the ease of use for virtually all patients
C)active participation by the patient is not required
D)the focus on the gradual onset of action
Q2) Proper placement for buccal administration is .
A)in the pouch between the cheek and the gum at the back of the mouth
B)under the tongue
C)in direct contact with the nasal mucosa
D)on dry,hair-free skin
Q3) When using the Z-track method,the clinician should insert the needle .
A)at a 15-degree-angle and inject the medication slowly
B)with a dart-like motion,aspirate,and then inject the medication slowly
C)quickly and inject the medication in brief,forceful pulses
D)quickly and inject the medication as quickly as possible
Q4) Metered-dose inhalers deliver the medication via .
A)a propellant gas
B)mechanical pressure
C)the force of inspiration
D)pressurized liquid
Page 11
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Chapter 10: Poison Control Part II: Drug Classifications
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Q1) Unused prescription medications should be disposed of by .
A)flushing them down the toilet
B)throwing them out in the trash
C)taking them to a household hazardous waste facility
D)dissolving them in the sink
Q2) The pediatrician has prescribed an antibiotic suspension for three-year-old Lianne.Lianne is excited that the antibiotic is bright pink and tastes like sweet bubble gum.What should her parents tell her?
A)They should express their excitement along with her.
B)They should praise her for taking her medication like a big girl.
C)They should not say anything to her,but ask for another medication that doesn't take as good.
D)They should explain that it is taken for her health and only as directed by a physician.
Q3) The American Academy of Pediatrics recommends that ipecac .
A)be kept in every home with children younger than 10
B)be used for poisoning associated with caustic agents
C)not be used,because its outcomes fail to justify its use
D)be available by prescription only
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Page 12
Chapter 11: Vitamins, Minerals, and Herbs
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Sample Questions
Q1) Freezing food results in substantial loss of .
A)B
B)B
C)B
D)B
Q2) Pernicious anemia is associated with deficiency of vitamin .
A)B
B)B
C)B
D)B
Q3) Mr.Illyich is a 58-year-old chronic alcoholic who is seen at the clinic with glossitis,cheilosis,dermatitis,and photophobia.What is a possible diagnosis?
A)thiamine deficiency
B)cobalamin overdose
C)pyridoxine overdose
D)riboflavin deficiency
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Chapter 12: Skin Medications
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Q1) Sol develops a red,itchy rash after playing in what turned out to be poison ivy.What type of medication would most likely to help Sol?
A)scabicide
B)keratolytic
C)antifungal
D)antipruritic
Q2) Collagenase is a(n) .
A)anti-acne agent
B)enzymatic agent
C)antipruritic
D)scabicide
Q3) After many unsuccessful attempts to treat his acne with topical medications including antibiotics,Flynn's doctor has prescribed isotretinoin for him.What action is the isotretinoin likely to have?
A)It will decrease oil production.
B)It will increase male hormones.
C)It will decrease cortisol levels.
D)It will act as an antiviral.
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14
Chapter 13: Autonomic Nervous System Drugs
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Q1) If a patient takes a prototype antihypertensive that works via actions on the autonomic nervous system,what drug is he likely to be taking?
A)propranolol
B)pilocarpine
C)bethanechol
D)ephedrine
Q2) Epinephrine is a(n) .
A)anticholinergic
B)adrenergic
C)beta blocker
D)cholinergic
Q3) Neostigmine is a(n) .
A)adrenergic
B)cholinergic
C)beta blocker
D)anticholinergic
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15
Chapter 14: Antineoplastic Drugs
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Sample Questions
Q1) Macy's chemotherapy has left her so anemic and prone to infections that treatment must be temporarily halted.What type of drug might Macy be prescribed to help her body produce bone marrow stem cells that divide and develop into red and white blood cells,and platelets?
A)colony stimulating factor
B)monoclonal antibody
C)vaccine
D)signal transduction inhibitor
Q2) Seventy-two year-old Adreanna has lung cancer.What semi-synthetic derived from a plant alkaloid is likely to be recommended?
A)doxorubicin
B)paclitaxel
C)vinorelbine
D)cyclophosphamide
Q3) Marcy is receiving cisplatin for the treatment of ovarian cancer.Cisplatin acts by .
A)interfering with DNA synthesis,repair,and cellular replication
B)preventing the development of a blood supply for tumor growth
C)damaging the DNA needed for cell reproduction
D)binding hormones necessary for tumor growth
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Page 16
Chapter 15: Urinary System Drugs
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Sample Questions
Q1) Pamela has multiple sclerosis and has developed neurogenic bladder with both frequent urination and urinary urgency.How might antispasmodics help?
A)By increasing her awareness of the need to urinate
B)By decreasing bladder tone and suppressing bladder contractions
C)By producing dehydration and decreasing the need for urination
D)By blocking nerve impulses to and from the bladder
Q2) Albert is taking dutasteride,an antiandrogen,for benign prostatic hyperplasia.What is the action of this drug?
A)It alters the size of the ureters,through which urine passes.
B)It shrinks abnormal prostate cells.
C)It causes the prostate to atrophy.
D)It suppresses prostate growth.
Q3) Parker is having an acute gout attack and is in pain.If he starts soon after symptoms begin,what should provide him with effective pain control?
A)a heating pad set to as high a level as he can withstand
B)NSAIDs
C)low-dose opiates
D)rest,ice,compression,and elevation
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Chapter 16: Gastrointestinal Drugs
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Sample Questions
Q1) Ariella is taking a drug for GERD that acts by blocking H receptors and reducing the amount of gastric acid released in response to stimuli such as food and caffeine.One such drug is .
A)ranitidine
B)lansoprazole
C)sucralfate
D)misoprostol
Q2) Your friend Lyn has been prescribed an antibiotic for a sinus infection.She is concerned that the antibiotic will kill off the "good" bacteria in her gut and has not even started taking it,despite being very uncomfortable from the infection.What probiotic yeast could she take to prevent the diarrhea that is sometimes associated with antibiotic use?
A)bifidobacterium
B)akkermansia muciniphila
C)lactobacillus
D)saccharomyces boulardii
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18
Chapter 17: Anti-Infective Drugs
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Q1) After a weekend of camping by the lake with her friends,Darla is experiencing severe stomach cramps,flatulence,and diarrhea.She goes to the doctor and is diagnosed with giardiasis,probably caused by accidentally swallowing water from the lake while swimming.What synthetic antimicrobial agent that is also an antibiotic will she most likely be given?
A)vancomycin
B)metronidazole
C)linezolid
D)daptomycin
Q2) Demetrius is HIV positive and is being treated with highly active antiretroviral therapy.One of the agents he takes has caused his cheeks to sink,while fat accumulates on the back of his neck.He has also developed hyperlipidemia and diabetes mellitus.What class of drugs has this side effect profile?
A)fusion inhibitors
B)nucleoside reverse transcriptase inhibitors
C)antiretroviral protease inhibitors
D)non-nucleoside reverse transcriptase inhibitors
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Page 19
Chapter 18: Eye Medications
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Q1) Brent is taking a beta-adrenergic blocker to treat his glaucoma.What action do beta-adrenergic blockers have?
A)They increase the rate of aqueous humor outflow.
B)They decrease the rate of aqueous humor outflow.
C)They decrease the rate of aqueous humor production.
D)They increase the rate of aqueous humor production.
Q2) May has been diagnosed with glaucoma and is told she will be taking medications for the rest of her life.What is the primary function of antiglaucoma drugs?
A)increase of aqueous humor production
B)reduction of intraocular pressure
C)reduction of inflammation
D)protection of the cornea
Q3) Krissi is using eye drops for glaucoma.What can she do to help reduce the possibility of systemic effects?
A)Take multiple drops in quick succession.
B)Apply gentle pressure to inner canthus after instillation.
C)Rub vigorously after instillation.
D)Warm eye drops to body temperature before instilling.
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Page 20
Chapter 19: Analgesics, Sedatives, and Hypnotics
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Q1) Maggie,aged 77,occasionally takes diphenhydramine to help her sleep.Is there any reason for concern?
A)Yes.Because of her age,she is much more likely to have a hypertensive crisis.
B)Yes.Because of her age,she may be more prone to side effects like confusion.
C)No.This medication is considered safe for people of any age.
D)Probably not,but she should be monitored for indications of addiction.
Q2) A celebrity with no history of substance abuse or bizarre behavior is found driving in circles around a fountain at three o'clock in the morning.His publicist releases a statement attributing the behavior to a prescription benzodiazepine sleep medication.Is this plausible?
A)Yes,but only if taken at well above the prescribed dose.
B)Yes,but only when combined with alcohol or other CNS depressants.
C)Yes.Use of these medications has been associated with the occurrence of complex behaviors while asleep.
D)No.This is likely a rationalization.
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21
Chapter 20: Psychotropic Medications, Alcohol, and Drug Abuse
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Q1) Bryce is taking modafinil for narcolepsy.It is particularly important to caution him . A)about the need to ensure he gets adequately restorative sleep
B)that it has a higher potential of abuse than amphetamine
C)the likelihood that it will greatly improve his ability to concentrate D)the potential for severe paradoxical weight gain
Q2) Patrick,who has bipolar disorder,has a history of serious suicide attempts.What mood stabilizer is successful in reducing suicide rates in persons with bipolar disorder?
A)carbamazepine
B)valproate
C)lithium
D)olanzapine
Q3) Jillian is taking an antidepressant that inhibits the reuptake of both serotonin and norepinephrine.This medication is most likely to be .
A)doxepin
B)isocarboxazid
C)venlafaxine
D)citalopram
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Page 22
Chapter 21: Musculoskeletal and Anti-Inflammatory Drugs
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Q1) Marlee has heard that COX-2 inhibitors are less likely to cause GI bleeds than are NSAIDs.What property of COX-2 inhibitors makes them less likely to cause GI bleeds?
A)COX-2 inhibitors form a protective coating in the stomach as they dissolve.
B)COX-2 inhibitors increase the production of protective mucous.
C)COX-2 inhibitors do not inhibit platelet aggregation.
D)COX-2 inhibitors decrease the production of stomach acids.
Q2) Myra is taking a bisphosphonate for treatment of osteoporosis.She should take the bisphosphonate with a .
A)protein rich breakfast and glass of milk
B)full glass of water,at least 30 minutes before her first food of the day
C)calcium rich snack before bedtime
D)fatty snack upon arising
Q3) Caitlin strained her back and her doctor prescribes a centrally-acting muscle relaxant during the initial checkup.After the pain subsides,her doctor is likely to prescribe .
A)exercise
B)an NSAID
C)immobilization
D)a peripherally-acting muscle relaxant
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Page 23
Chapter 22: Anticonvulsants, Antiparkinsonian Drugs, and Agents for Alzheimers Disease
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Q1) Clarissa is being treated with oxcarbazepine,a second-generation oral anticonvulsant indicated for the treatment of ____.
A)partial seizures
B)absence seizures
C)status epilepticus
D)febrile seizures
Q2) Zelina has just been diagnosed with generalized seizures and the decision has been made to start treating her with anticonvulsants.What is likely the first choice of treatment?
A)a single second generation anticonvulsant
B)a cocktail of first and second generation anticonvulsants
C)a single first generation anticonvulsant
D)a benzodiazepine
Q3) Kody takes a broad-spectrum anticonvulsant,which is likely to be .
A)clonazepam
B)valproic acid
C)ethosuximide
D)carbamazepine
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Chapter 23: Endocrine System Drugs
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Q1) Bennie has hyperthyroidism due to Grave's disease.What is his likely course of treatment?
A)an antithyroid agent followed by treatment with radioactive iodine
B)treatment of radioactive iodine followed by an antithyroid agent
C)treatment with radioactive iodine followed by surgical removal of the thyroid.
D)an antithyroid agent followed by surgical removal of the thyroid
Q2) Your friend Kaylin,who has Type 1 diabetes,shows signs of hypoglycemia,although she is still conscious.What should you do?
A)Give her 4 ounces of orange juice,candy,honey,or syrup,followed by a high protein snack like peanut butter or milk.
B)Administer a bolus dose of insulin and recheck her blood glucose 30 minutes later.
C)Give her a high protein snack,recheck her blood glucose,and give her 4 ounces of orange juice,candy,honey,or syrup if needed.
D)Administer an IM injection of glucose solution.
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25
Chapter 24: Reproductive System Drugs
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Q1) Brayan has both erectile dysfunction (ED)and benign prostatic hyperplasia (BPH).Which PDE inhibitor is approved to treat both ED and BPH?
A)Revatio
B)Viagra
C)Cialis
D)Stendra
Q2) Dina has AIDS and is experiencing profound weight loss and cachexia.What hormonal medication might help her with these issues?
A)Provera
B)Megace
C)Activella
D)Climara
Q3) Kara is using Next Choice for emergency contraception.What formulation is Next Choice?
A)2 tablets of the progestin levonorgestrel
B)4 tablets of norgestrel and levonorgestrel
C)1 tablet of the progestin levonorgestrel
D)8 tablets of norgestrel and levonorgestrel
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Chapter 25: Cardiovascular Drugs
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Q1) Mateo takes an antiarrhythmic that acts by inhibiting adrenergic nerve receptors.He is most likely taking .
A)lidocaine
B)disopyramide
C)propafenone
D)propranolol
Q2) Drew is taking an angiotensin receptor blocker to treat hypertension.What medication has most likely been prescribed?
A)losartan
B)amlodipine
C)atenolol
D)nebivolol
Q3) Bernice is being treated with adenosine.She likely has .
A)an arrhythmia
B)heart failure
C)a clotting disorder
D)hypertension
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Chapter 26: Respiratory System Drugs and Antihistamines
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Q1) The primary cause of COPD is .
A)cigarette smoking
B)pollution
C)genetic defects
D)allergens
Q2) Diarmuid wants to quit smoking and wonders whether smoking cessation aids are useful.Are they?
A)No.They may even make it more difficult to quit.
B)Yes.They twice as many smokers quit as going "cold turkey."
C)Yes,but only when used at higher doses than recommended D)Possibly,but only if the smoker is highly motivated
Q3) Sapphire has rhinitis and has been prescribed an intranasal corticosteroid.What is important for her to know about its use?
A)The medication will relieve congestion but not inflammation.
B)The medication should be used only when symptoms occur.
C)The medication should be started before symptoms occur.
D)The medication should be used only after rinsing the mouth with mouthwash to avoid fungal infections.
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28
Chapter 27: Drugs and Older Adults
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Q1) According to a recent study,what percentage of Americans over the age of 65 are unnecessarily exposed to potentially hazardous prescribing in the course of a year?
A)33%
B)25%
C)20%
D)10%
Q2) Lela works in a nursing home and notices copies of The Beers List at nursing stations and in medication rooms.What does The Beers List list?
A)potentially inappropriate medications
B)Medicare formulary medications
C)first line medication choices
D)generally safe medications
Q3) Deann,79 years of age,simply doesn't drink as much water or other fluids as she used to when younger.What process might this affect?
A)excretion
B)distribution
C)metabolism
D)absorption
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