Pharmacy Law and Ethics
Midterm Exam
Course Introduction
Pharmacy Law and Ethics provides students with a comprehensive understanding of the legal and ethical foundations governing the pharmacy profession. The course explores key statutes, regulations, and professional codes that impact pharmacy practice, including drug control laws, licensing requirements, prescription regulations, patient privacy, and liability issues. Students will examine real-world scenarios to analyze ethical dilemmas and develop decision-making skills that uphold patient welfare, professional integrity, and legal compliance. Emphasis is placed on critical thinking, ethical responsibility, and the evolving role of pharmacists in safeguarding public health.
Recommended Textbook
Mosby s Pharmacy Technician Principles and Practice 3rd Edition by Teresa Hopper BS CPhT
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31 Chapters
900 Verified Questions
900 Flashcards
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Chapter 1: History of Medicine and Pharmacy
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Sample Questions
Q1) Which physician introduced laudanum,which was used to relieve pain?
A)Hippocrates
B)Aristotle
C)Galen
D)Paracelsus
Answer: D
Q2) Which scientist described much of the human anatomy based on the dissection of animals?
A)Hippocrates
B)Aristotle
C)Galen
D)Paracelsus
Answer: B
Q3) Which of the following choices best describes sources of materials for remedies in ancient times?
A)Chemicals, minerals, vitamins
B)Minerals, animals, prayer
C)Minerals, animals, plants
D)Plants, seeds, leaves
Answer: C
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Chapter 2: Pharmacy Federal Laws and Regulations
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Sample Questions
Q1) The Kefauver-Harris Drug Amendments passed in which year?
A)1962
B)1692
C)1926
D)1296 Answer: A
Q2) The definition of confidentiality is to keep privileged information about a customer from being disclosed without his or her consent.
A)True
B)False Answer: True
Q3) Medicare has a long history,starting in 1965.
A)True
B)False Answer: True
Q4) Having corrections added to your health information is a right of the patient.
A)True
B)False Answer: True
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Chapter 3: Pharmacy Ethics, competencies, associations, and Settings for Technicians
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Sample Questions
Q1) The White paper on pharmacy technicians 2002 addressed
A)Pharmacy technician qualifications and issues
B)Pharmacist qualifications and issues
C)The need for more pharmacists
D)None of the above
Answer: A
Q2) Which one of the following is a common job performed by an outpatient pharmacy technician?
A)Medicare billing
B)Answering the phone
C)Ordering stock
D)All of the above
Answer: D
Q3) Technicians must keep all privileged information about a customer confidential.
A)True
B)False
Answer: True
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Page 5
Chapter 4: Conversions and Calculations Used by Pharmacy Technicians
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Sample Questions
Q1) The physician orders 500 ml of a drug solution to be administered at a rate of 20 gtt/min.The IV set is calibrated to deliver 15 gtt/ml.How long will it take to administer the entire infusion? ____Â hours
A)6.5
B)6.25
C)1.6
D)10
Q2) The physician orders 392 ml of D W solution to be administered over a 14-hour period.The IV set is calibrated to deliver 15 gtt/ml.How many drops per minute should the patient receive? ____Â gtt/min
A)12
B)2
C)7
D)1.9
Q3) CMLII = ____
A)1152
B)152
C)952
D)852
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Chapter 5: Dosage Forms, routes of Administration and Drug
Classifications, drug Abbreviations, and Medical
Terminology
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Sample Questions
Q1) Sprays are composed of various bases,such as ____ or ____ in a pump-type dispenser.
A)Alcohol, water
B)Alcohol, sodium
C)Sodium, water
D)None of the above
Q2) Suspension dosage forms are also formulated to be used:
A)Topically, vaginally, in the ear, and parenterally
B)Rectally, vaginally, topically, and in the eye and ear
C)Topically, in the eye and ear, and vaginally
D)Topically, in the eye and ear, rectally, and parenterally
Q3) Repackaging medications have their own guidelines.
A)True
B)False
Q4) Which of the following is not a component that determines the rate of release of biomaterials?
A)Water insoluble
B)pH dependent
C)pH independent
D)Toxicity
Page 7
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Chapter 6: Drug Information References
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Q1) The classification of a drug is not important.
A)True
B)False
Q2) Generic name
A)A list of drugs that are not normally stocked by the pharmacy
B)One of the longest published reference guides
C)A list of preferred drugs to be stocked by the pharmacy
D)Official label
E)The official prescribing information for a prescription drug; medication information sheet provided by the manufacturer that includes side effects, dosage forms, indications, and other important information
F)Name assigned to a medication or nonproprietary name of a drug
G)The shape of molecules and their location to one another in a given compound
H)Lists tablet and capsule identifications
I)Provides information on current dosages for pediatric patients
J)Categorization based on various characteristics
Q3) The USP-NF provides access to official standards of the FDA.
A)True
B)False
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Page 9
Chapter 7: Prescription Processing
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Q1) Institutional pharmacies are located outside facilities such as hospitals,prisons,and other institutions.
A)True
B)False
Q2) A prescription can arrive in a pharmacy by various methods.
A)True
B)False
Q3) Interpreting,transcribing,producing labels,filling,and checking are the "____ and ____" of the pharmacy business.
A)Meat, potatoes
B)Apples, bananas
C)Chocolate, peanut butter
D)Peas, carrots
Q4) Filling a prescription is one of the most important and commonly performed duties of a pharmacy technician,regardless of the setting.
A)True
B)False
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Chapter 8: Over The Counter Medications
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Q1) Bulk forming
A)Aspirin
B)Chemical that aids in the removal of mucous secretions from the respiratory system
C)Those medications that do not require a prescription but are monitored
D)Fiber used to treat constipation or to cause a feeling of fullness to decrease appetite
E)Drug that reduces swelling, redness, and pain and that promotes healing
F)Medications that do not require a prescription and may be purchased by customers at any retail outlet
G)A drug that relieves pain by reducing the perception of pain
H)A substance that slows or stops the growth of microorganisms on surfaces such as the skin
I)Route of administration
J)A drug that can decrease the coughing reflex
Q2) Which of the following should be avoided when using a sleep aid?
A)Milk
B)Water
C)Alcohol
D)Soda
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Chapter 9: Complementary and Alternative Medicine
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Q1) Antihypertensive
A)Therapy based on the belief that dilutions of medicinal substances that cause a specific symptom can be used to treat an illness that produces the same symptoms
B)Recognition of a condition
C)Medication made in a laboratory
D)Manual manipulation of the joints and muscles
E)To prevent disease
F)Stops nausea and vomiting
G)Plant that is valued for its medicinal properties
H)Decreases blood pressure
I)An alcoholic extract of plant materials or nonvolatile substances
J)Inert compound believed by the patient to be an active agent
Q2) Valerian should be taken with benzodiazepines.
A)True
B)False
Q3) Homeopathic drugs are not regulated.
A)True
B)False
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Chapter 10: Hospital Pharmacy
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Sample Questions
Q1) Chemotherapy technician
A)Fills prescription orders as patients leave the hospital
B)Responsible for ordering all medications and supplies for the pharmacy
C)Responsible for preparing large-volume drips and parenteral nutrition
D)Similar to a small, isolated pharmacy
E)Prepares cytotoxic agents
Q2) What drugs must be labeled before they leave the pharmacy?
A)Chemotherapy drugs
B)Neonatal medications
C)Narcotics
D)All of the above
Q3) Crash carts contain:
A)Sublingual medications
B)Oral suspensions
C)Creams
D)Injectables
Q4) A stat order should be filled within 2 to 4 hours.
A)True
B)False
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Chapter 11: Repackaging and Compounding
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Sample Questions
Q1) A solvent is the greater part of a solution that dissolves a solute.
A)True
B)False
Q2) In the United States the first pharmacopoeia was published in 1920.
A)True
B)False
Q3) Elixir
A)The act of mixing, reconstituting, and packaging a drug
B)Base solution that is a mixture of alcohol and water
C)Markings on a measuring device
D)Part or portion of a medicine and/or ingredient that has the same volume or weight
E)A small particle
F)Bind together
G)Holds a single-dose tablet or capsule
H)Sealed with a foil card backboard
I)A hydrophilic base
J)An agent that contains small particles (1-1000 nm) that do not precipitate under the influence of gravity but remain distributed throughout either a suspension or an emulsion
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Page 14
Chapter 12: Aseptic Technique
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Sample Questions
Q1) Compounded sterile products (CSPs)
A)Injection of a medication into the veins located on the periphery of the body system instead of a central vein or artery
B)Air originating from the back of the hood
C)Air originating from the roof of the hood moves downward
D)Preparations prepared in a sterile environment using nonsterile ingredients or devices that must be sterilized before administration
E)Medication that bypasses the digestive tract
F)Procedures used to eliminate the possibility of a drug becoming contaminated
G)To add a diluent such as saline or sterile water to a powder
H)A contained and controlled environment within the pharmacy
I)The size of the needle opening
J)To separate from solution or suspension
Q2) Beginning in ____ the USP <797> regulation was written with the intent that it would be an enforceable standard.
A)1990
B)2004
C)1999
D)1995
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Chapter 13: Pharmacy Stock and Billing
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Sample Questions
Q1) Formulary drugs are as effective as the brand name drugs.
A)True
B)False
Q2) If a patient has HMO insurance the pharmacy bills the ____ first.
A)Insurance company
B)Hospital
C)Pharmacist
D)Patient
Q3) In the past decade,there has been a decline in "me-too" drugs.
A)True
B)False
Q4) In 1966 more than ____ million people enrolled in the newly formed Medicare program.
A)12
B)17
C)19
D)15
Q5) HMO stands for Homeopathic Medicinal Organization.
A)True
B)False
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Chapter 14: Medication Safety and Error Prevention
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Sample Questions
Q1) Many technicians have relied on the pharmacist to catch mistakes that might have occurred.What is wrong with this common practice?
A)Pharmacists are solely responsible for the technician's actions.
B)Pharmacists miss or make mistakes under certain circumstances, just like technicians.
C)Pharmacy technicians are on the front lines and should be protected by the pharmacist.
D)Technicians need more supervision.
Q2) Sound-alike and look-alike drugs should be kept in different areas of the pharmacy or labeled with Name Alert stickers.
A)True
B)False
Q3) Of the reasons listed below,which one is NOT related to errors?
A)Medication names that sound alike
B)Stress and noise levels
C)Orders arriving from different sources
D)Multi-tasking
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Chapter 15: Endocrine System
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Sample Questions
Q1) The endocrine system involves the production and secretion of ____from the glands.
A)Vitamins
B)Hormones
C)Insulin
D)All of the above
Q2) Glimepiride is used to treat:
A)Type 2 diabetes
B)Type 1 diabetes
C)Both type 1 and type 2 diabetes
D)None of the above
Q3) Excess glucose is converted into fat.
A)True
B)False
Q4) The ____,located above the pituitary gland,is a bridge between the nervous system and endocrine system.
A)Pineal gland
B)Parathyroid gland
C)Adrenal gland
D)Hypothalamus
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Chapter 16: Nervous System
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Q1) Parietal lobe
A)Perception of vision
B)Respiration
C)Voluntary movement
D)Problem solving
E)Behavior
F)Understanding language
Q2) The weight of an adult's brain is 1.4 lb.
A)True
B)False
Q3) Which of the following is one of the primary neurotransmitters?
A)Caffeine
B)Norepinephrine
C)Phospholipids
D)Monoamine oxidases
Q4) Neurotransmitters are how electrical nerve impulses are transmitted between neurons.
A)True
B)False
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Chapter 17: Psychopharmacology
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Q1) Ativan
A)Antianxiety
B)Antipsychotics
C)Hypnotics
D)Antidepressant
E)ADD/ADHD medications
Q2) Tranxene
A)Antianxiety
B)Antipsychotics
C)Hypnotics
D)Antidepressant
E)ADD/ADHD medications
Q3) Insomnia is a common disease.
A)True
B)False
Q4) The term phobia comes from the Greek language and means panic attack.
A)True
B)False
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Chapter 18: Respiratory System
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Sample Questions
Q1) The parietal pleura contains fluid to help reduce friction.
A)True
B)False
Q2) Tessalon
A)Decongestants
B)Antihistamines
C)Bronchodilators
D)Antitussives
E)Corticosteroids
F)Expectorant
Q3) The air we breathe contains:
A)21% oxygen
B)4% hydrogen
C)34% carbon dioxide
D)79% oxygen
Q4) How much mucus is produced by our respiratory system each day?
A)5 ml
B)29 ml
C)100 ml
D)125 ml
21
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Chapter 19: Visual and Auditory Systems
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Q1) Orbit
A)Contraction of the pupil
B)A transparent protective mucous membrane that lines the underside of the eyelid
C)Pertaining to the ear
D)A 1-inch tubular structure that extends from the external ear to the middle ear
E)A tubular structure within the middle ear that extends to the nasopharynx (throat); it functions to equalize pressure and to drain mucus
F)Dilation of the pupil
G)Pertaining to the eye
H)Eye socket
I)A membranous piece of skin that separates the external ear from the middle ear
J)Innermost layer of the eye; a complex structure that is considered part of the central nervous system (CNS); contains photoreceptor cells (rods and cones) that transmit impulses to the optic nerve; also the location of the macula (a yellow spot)
Q2) Ophthalmic preparations are sterile and can be used in the ear.
A)True
B)False
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Page 22
Chapter 20: Integumentary System
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Sample Questions
Q1) Dynapen
A)Antibacterial
B)Antifungal
C)Antivirals
D)Biologics
Q2) All of the following can be causes of photosensitivity except:
A)Infections
B)Autoimmune disorders
C)Herbs
D)Contact with chemicals
Q3) Amevive
A)Antibacterial
B)Antifungal
C)Antivirals
D)Biologics
Q4) Desquamation is:
A)A normal process
B)Associated with diseases
C)All the above
D)None of the above
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Chapter 21: Gastrointestinal System
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Sample Questions
Q1) Fleet mineral oil
A)Nausea and vomiting
B)Constipation
C)Antiflatulent
D)Laxative
Q2) Which of the following is not a main function of gastrointestinal system?
A)Exertion
B)Absorption
C)Metabolism
D)Digestion
Q3) The gastrointestinal system is active:
A)During waking hours
B)Immediately upon mastication
C)24 hours a day
D)None of the above
Q4) Dramamine
A)Nausea and vomiting
B)Constipation
C)Antiflatulent
D)Laxative
24
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Chapter 22: Urinary System
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Sample Questions
Q1) The most common cause of a urinary tract infection is:
A)Excessive soda consumption
B)Fungus growing on food
C)The bacterium E. coli
D)Chlamydia
Q2) Nephrolithiasis
A)Kidney stones
B)The loss of control over excretion of urine of feces
C)The loss of bladder control at night
D)The membranous tissue that surrounds and supports the kidneys.
E)Urination
Q3) How much urine can the bladder hold?
A)1000 ml
B)250-300 ml
C)960 ml
D)500 ml
Q4) The smell of urine is caused by the presence of methane.
A)True
B)False
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Chapter 23: Cardiovascular System
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Sample Questions
Q1) The vena cava is the vessel that carries deoxygenated blood toward the heart.
A)True
B)False
Q2) Congestive heart failure is when the heart is unable to meet the demands of the body.
A)True
B)False
Q3) The "silent killer" is:
A)Elevated heart rate
B)Elevated blood pressure
C)Enlarged heart
D)Infection of the endocardium
Q4) Niacor
A)Antihyperlidemic
B)HMG-CoA reductase inhibitors (statins)
C)Calcium channel blocker
D)Antihypertensives
E)Anticoagulants
F)Diuretics
G)Antiplatelet
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Chapter 24: Reproductive System
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Q1) Progestasert
A)Erectile dysfunction
B)Infertility medications
C)Long-acting contraceptives
D)STD medications
E)Endometriosis
Q2) Depo-Provera
A)Erectile dysfunction
B)Infertility medications
C)Long-acting contraceptives
D)STD medications
E)Endometriosis
Q3) Testosterone's main function is to increase the size of muscles.
A)True
B)False
Q4) The malignant enlargement of the prostate gland is benign prostatic hypertrophy.
A)True
B)False
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Chapter 25: Antiinfectives
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Q1) Fungi flourish in which type of environment?
A)Dry and cool
B)Warm and moist
C)At freezing temperatures
D)Outdoors
Q2) The word antibiotic literally means:
A)Flora
B)Against life
C)Bactericidal
D)Ophthalmic
Q3) ____ is a common ear infection experienced in smaller children and also infants.
A)Tetracycline
B)Syphilis
C)Otitis media
D)HPV
Q4) The Gram-stain procedure is still used and is applied in modern times.
A)True
B)False
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Chapter 26: Antiinflammatories and Antihistamines
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Q1) Tendonitis
A)Meninges
B)Small intestines
C)Joints
D)Tendons
E)Nose
F)Liver
G)Stomach
H)Ovary
I)Lungs
J)Colon
Q2) Pain is measured by:
A)Sonogram
B)Ultrasound
C)Cardiograph
D)None of the above
Q3) The most common condition that is self-medicated is inflammation,followed by the common cold.
A)True
B)False
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Chapter 27: Vitamins and Minerals
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Q1) Found in whole grains
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q2) Protects the skin against cancer
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q3) Vitamin C is an antioxidant.
A)True
B)False
Q4) Deficiency may cause anemia
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q5) Vitamins are good for patient health because it is not possible to overdose.
A)True
B)False
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Chapter 28: Vaccines
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Q1) Thimerosal is the suspected cause of the unsubstantiated link between autism and vaccines.
A)True
B)False
Q2) Macrophages are large cells that help transport oxygen.
A)True
B)False
Q3) A spectrum of disorders characterized by various degrees of communication difficulties,social impairments,and repetitive types of behavior is called:
A)HIV
B)Autism
C)Polio
D)Cancer
Q4) Orthoclone
A)Inactivated viral vaccines
B)Vaccines against bacterial illness
C)Systemic immunosuppressive agents
D)Biological response modifiers
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Chapter 29: Oncology Agents
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Q1) A benign tumor is not life-threatening.
A)True
B)False
Q2) How many times will a normal cell divide before it is too old to continue?
A)More than 1000
B)50-100
C)100-200
D)20-60
Q3) Traditional antibiotics can be used to treat cancer.
A)True
B)False
Q4) CAM refers to investigational drugs used to help treat cancer patients.
A)True
B)False
Q5) If the cell control apparatus malfunctions,the cells grow much slower than normal. A)True
B)False
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Page 32
Chapter 30: Microbiology
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Q1) How do viruses replicate?
A)Via DNA and RNA duplication
B)By lying dormant until the host cell is weakened
C)Through fission
D)By invading a host cell and taking over the replication process
Q2) Gram-positive cell walls contain a lipid that becomes toxic (endotoxins)when in the bloodstream of the host.
A)True
B)False
Q3) The average life span of an adult in the 1600s was 40 years.
A)True
B)False
Q4) What is the most common way to identify viruses?
A)Reaction with antibodies
B)Replication methods
C)Shape and size
D)All of the above
Q5) Virology is the study of viruses.
A)True
B)False
33
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Chapter 31: Chemistry
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Q1) The physical and chemical changes that take place within an organism
A)Micro
B)Mole
C)Amino acids
D)Catabolism
E)Ion
F)Covalent bond
G)Metabolism
H)Ionic bond
Q2) Macromolecules that make up proteins
A)Micro
B)Mole
C)Amino acids
D)Catabolism
E)Ion
F)Covalent bond
G)Metabolism
H)Ionic bond
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Page 34