Pharmacy Operations Exam Materials
Course Introduction
Pharmacy Operations explores the foundational principles and practices needed to manage both community and institutional pharmacies efficiently. The course delves into topics such as inventory management, prescription processing, workflow optimization, billing and reimbursement, regulatory compliance, and quality assurance. Students will also study the use of pharmacy management software, medication storage and safety, customer service strategies, and human resource considerations. Emphasis is placed on real-world problem solving and the development of effective operational systems to support optimal patient care and pharmacy services.
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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Page 2
Chapter 1: History of Medicine and Pharmacy
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Sample Questions
Q1) Greek physician
A)Paracelsus
B)Asclepius
C)Gregor Mendel
D)Aristotle
E)Hippocrates
F)Roger Bacon
G)Galen
Answer: G
Q2) What is the term used for a set of standards written by a hospital or insurance company for patient treatment?
A)Laws
B)Ethics
C)Dogma
D)Protocol
Answer: D
Q3) Gerhard Domagk discovered sulfonamide,the first synthetic antibiotic.
A)True
B)False
Answer: True
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Chapter 2: Pharmacy Federal Laws and Regulations
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Sample Questions
Q1) 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
Q2) Two government agencies that are important with respect to pharmacy are the FDA and DEA.
A)True
B)False
Answer: True
Q3) Opioids are stimulants that have no addictive potential.
A)True
B)False
Answer: False
Q4) The Kefauver-Harris Drug Amendments passed in which year?
A)1962
B)1692
C)1926
D)1296
Answer: A
Page 4
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Chapter 3: Pharmacy Ethics, competencies, associations, and Settings for Technicians
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Sample Questions
Q1) Which organization is the leading entity in providing course curriculum and standards for accreditation of technician programs?
A)NABP
B)NPTA
C)APHA
D)ASHP
Answer: D
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) Closed door pharmacies are not open to the public.
A)True
B)False
Answer: True
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Chapter 4: Conversions and Calculations Used by Pharmacy Technicians
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Sample Questions
Q1) A medication contains 5.25 g of a drug in power form.If 5 ml of sterile water is added to the drug,how many milligrams of the drug will be contained in 1 ml of solution (assuming that the powder does not add volume to the final solution)? ____Â mg
A)2.6
B)26.25
C)1050
D)1.05
Q2) DLXXXIV = ____
A)569
B)634
C)584
D)1037
Q3) CMLII = ____
A)1152
B)152
C)952
D)852
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Page 6
Chapter 5: Dosage Forms, routes of Administration and Drug
Classifications, drug Abbreviations, and Medical
Terminology
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Q1) Metabolism
A)The relationship between two drugs that have the same dosage form and have similar bioavailability
B)Medication administered by injection or topically that bypasses the gastrointestinal system
C)The processes by which the body breaks down or converts medications to active or inactive substances
D)The final elimination of a drug from the body
E)The taking in of nutrients and drugs from food and liquids
F)Medications that can be purchased without a prescription
G)To place into
H)The degree to which a drug or other substance becomes available to the target tissue after administration
I)The study of the absorption, metabolism, distribution, and excretion of drugs
J)Drugs that require a prescription
Q2) None of the abbreviations that are used in prescribing medication look very much alike.
A)True
B)False
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Chapter 6: Drug Information References
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Q1) Package insert
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
Q2) Examples of the various types of information available in Gold Standard/Elsevier products include the following: comprehensive drug details,including pharmacology and pharmacokinetics; contraindications; boxed warnings; precautions; Pregnancy Category; breast-feeding; indications and dosage for all populations; off-label uses; and adverse events.
A)True
B)False
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Page 8
Chapter 7: Prescription Processing
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Q1) If the patient or the patient's physician has requested no ____,then the cap can be replaced with a snap-on lid.
A)Twist caps
B)Labels
C)Childproof caps
D)Dosage forms
Q2) Community pharmacy
A)Slang word used to describe a medical prescription
B)A pharmacy in a hospital
C)List of drugs that are not normally stocked by the pharmacy
D)Electronically sent prescription from prescriber's computer or mobile device that is transmitted directly to the pharmacy
E)Means to write
F)Attached to a container with specific instructions or information pertaining to the medication
G)These pharmacies are not open to the public
H)Machine that holds a supply of various medications
I)Found as a symbol on the header of a prescription
J)Also known as an outpatient or retail pharmacy
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Chapter 8: Over The Counter Medications
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Q1) Decongestants cannot interact with antidepressants.
A)True
B)False
Q2) The strength of a drug is referred to by its bioavailability.
A)True
B)False
Q3) Aspirin decreases the clotting ability of:
A)Platelets
B)Red blood cells
C)White blood cells
D)All of the above
Q4) Which of the following is not an agent used in sore throat products?
A)Benzocaine
B)Menthol
C)Aspirin
D)Alcohol
Q5) Sleep aids cannot be used for short-term sleeping problems.
A)True
B)False
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Chapter 9: Complementary and Alternative Medicine
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Sample Questions
Q1) Products derived from the genus Tanacetum are used to treat all but which of the following?
A)Fever
B)Arthritis
C)Muscle cramps
D)Asthma
Q2) Placebo
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
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Chapter 10: Hospital Pharmacy
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Q1) Discharge pharmacy 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) An E-MAR contains drug,dose,and time administered.
A)True
B)False
Q3) Satellite pharmacy 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
Q4) Orders at the hospital only arrive between 8 AM and 5 PM.
A)True
B)False
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Chapter 11: Repackaging and Compounding
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Sample Questions
Q1) What is the recommended size that particles should not exceed in suspensions?
A)10 mm
B)100 mm
C)25 mm
D)50 mm
Q2) A solvent is the greater part of a solution that dissolves a solute.
A)True
B)False
Q3) One of the least expensive instruments is the balance or scale used to weigh powders.
A)True
B)False
Q4) Syrup is a vinegar-based liquid.
A)True
B)False
Q5) For drugs that react chemically with sugars which of the following can be added?
A)Calcium carbonate
B)Lactose
C)Sucrose
D)All of the above
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Chapter 12: Aseptic Technique
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Sample Questions
Q1) Regardless of how many milliliters run per hour,the hyperalimentation must be changed at least every ____ hours to ensure the sterility of the solution.
A)8
B)24
C)48
D)None of the above
Q2) Droplets from sneezing can attach themselves to dust particles and remain in the air for:
A)Hours
B)Days
C)Weeks
D)Months
Q3) Patients who require analgesics after major surgery or those persons who are in hospice normally have their medications prepared in a manufacturer's plant.
A)True
B)False
Q4) As the size of the syringe increases so does the accuracy.
A)True
B)False
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Chapter 13: Pharmacy Stock and Billing
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Sample Questions
Q1) Third-party billing refers to the portion of payment the customer pays.
A)True
B)False
Q2) Individuals must be 65 years or older,be younger than 65 with long-term disabilities,or suffer from end-stage renal disease in order to receive coverage from Medicare government-managed insurance.
A)True
B)False
Q3) In 1966 more than ____ million people enrolled in the newly formed Medicare program.
A)12
B)17
C)19
D)15
Q4) Formulary drugs are as effective as the brand name drugs.
A)True
B)False
Q5) A formulary is analogous to a backbone.
A)True
B)False
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Chapter 14: Medication Safety and Error Prevention
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Sample Questions
Q1) The FDA is the only reporting organization that tracks drug errors.
A)True
B)False
Q2) An error is any type of preventable mistake that is made,intentional or unintentional,whether or not it causes harm.Which of the following drug errors would not cause harm to the patient?
A)A patient receives an otic medication for the eye.
B)A patient is given 100 mg of a medication and the prescription called for 10 mg.
C)An antibiotic was discontinued by the physician, but an additional dose was given to the patient after discontinuation.
D)A patient allergic to sulfa drugs was given Bactrim.
Q3) Home health insurance coverage does NOT typically include:
A)Home IV supplies
B)Medications
C)Nurses' visits
D)Physicians' visits
Q4) Seniors have fewer interactions with medications than younger patients.
A)True
B)False
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Chapter 15: Endocrine System
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Sample Questions
Q1) Hypocalcemia occurs when there is a low concentration of calcium in the blood.
A)True
B)False
Q2) 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
Q3) Graves' disease is marked by enlargement of the neck region.
A)True
B)False
Q4) The condition that affects children suffering from hypothyroidism is known as:
A)Cretinism
B)Myxedema
C)Aplasia
D)None of the above
Q5) Excess glucose is converted into fat.
A)True
B)False
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Chapter 16: Nervous System
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Sample Questions
Q1) In the parasympathetic nervous system,nerves are separated from each other by a saline layer.
A)True
B)False
Q2) The limbic system contains:
A)Phalanges
B)The frontal lobe
C)The temporal lobe
D)The amygdala
Q3) Which of the following is not a main function of the nervous system (NS)?
A)Relaying impulses to and from the central nervous system
B)Coordination of nervous system activities
C)Detection of body changes
D)Transportation of nutrients
Q4) The somatic system is a network of nerves that relay messages about internal sensations.
A)True
B)False
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Page 18
Chapter 17: Psychopharmacology
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Sample Questions
Q1) Elavil
A)Antianxiety
B)Antipsychotics
C)Hypnotics
D)Antidepressant
E)ADD/ADHD medications
Q2) Barbiturates are a:
A)Sedative
B)Stimulant
C)Mood stabilizer
D)None of the above
Q3) Children who have ADHD can perform poorly in school because of their inability to focus.
A)True
B)False
Q4) OCD and OCPD are interchangeable terms.
A)True
B)False
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Page 19
Chapter 18: Respiratory System
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Sample Questions
Q1) When our immune system responds to a nonrecognized substance,it can cause:
A)Cystic fibrosis
B)Influenza
C)Cold
D)Allergies
Q2) The larynx is also called the voicebox.
A)True
B)False
Q3) Which of the following is a function of the lungs?
A)External oxygen extraction
B)Delivery of oxygen to the extremities
C)Removal of carbon dioxide
D)All the above
E) Both A and C
Q4) Which of the following is not a mechanism that causes a sneeze?
A)Ciliary action
B)Bronchial tube spasm
C)Peristaltic motion of the bronchioles
D)Cough reflex
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Chapter 19: Visual and Auditory Systems
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Q1) Retina
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) Earwax provides a barrier from infection and acts as an antibacterial agent.
A)True
B)False
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Page 21
Chapter 20: Integumentary System
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Sample Questions
Q1) Skin contains all the following except:
A)Nerves
B)Muscles
C)Glands
D)Blood vessels
Q2) A person with herpes will be:
A)Cured with Zovirax
B)Susceptible to flare-ups when the immune system is weakened
C)On bed rest for the rest of their life
D)None of the above
Q3) Common warts are caused by:
A)DNA mutations triggered by excessive UVA and UVB rays
B)Bacterial growth on the skin
C)A virus causing growths on the skin
D)A parasite
Q4) Desquamation is:
A)A normal process
B)Associated with diseases
C)All the above
D)None of the above
22
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Chapter 21: Gastrointestinal System
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Q1) H.pylori is the cause of:
A)Gastritis
B)Peptic ulcers
C)Cancer of the stomach
D)All of the above
E) None of the above
Q2) Many people take OTC medications without:
A)Checking with their pharmacist
B)Carefully reading the label to check for alerts
C)Checking with their physician
D)All of the above
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) Children older than 2 years can begin to use OTC laxatives without physician approval.
A)True
B)False
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Chapter 22: Urinary System
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Q1) Polycystic renal disease causes renal failure because the immune system views the kidney as a foreign invader and attacks the kidney.
A)True
B)False
Q2) Which of the following is true about urinary tract infections?
A)Each year, approximately 10 million people see a physician for a UTI.
B)UTIs most often cause an increase in urine output.
C)UTIs are more common in men.
D)Painful sensations when urinating occur with UTIs.
Q3) 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
Q4) Nocturia
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
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Chapter 23: Cardiovascular System
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Q1) The vena cava is the vessel that carries deoxygenated blood toward the heart.
A)True
B)False
Q2) All of the following are signs of hypertension except:
A)Blurred vision
B)Pain in the feet
C)Headache
D)Shortness of breath
Q3) Niacor
A)Antihyperlidemic
B)HMG-CoA reductase inhibitors (statins)
C)Calcium channel blocker
D)Antihypertensives
E)Anticoagulants
F)Diuretics
G)Antiplatelet
Q4) The electrical charges that create the catalyst for the heart to pump are referred to as the cardiac conduction system.
A)True
B)False
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Chapter 24: Reproductive System
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Q1) Testosterone is currently made from:
A)The testes of bulls
B)The urine of horses
C)Synthesis of canine testes
D)All of the above
E) None of the above
Q2) Benign prostatic hypertrophy:
A)Is fatal
B)Is cancerous
C)Has no medication to relive symptoms
D)Makes urination difficult
Q3) Hypogonadism is a condition where males become easily aroused.
A)True
B)False
Q4) Testosterone products are on the schedule III list of controlled medications.
A)True
B)False
Q5) A woman with osteoporosis might be given estrogens.
A)True
B)False
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Chapter 25: Antiinfectives
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Q1) Who discovered penicillin?
A)Hans Christian Gram
B)Marie Curie
C)Francis Penicillin
D)Alexander Fleming
Q2) Influenza is most dangerous to all of the following patient populations except:
A)Babies
B)Older adults
C)Immunosuppressed individuals
D)Adults ages 18 to 25 years
Q3) Antibiotics are a large group of unicellular,non-nucleated organisms.
A)True
B)False
Q4) What is the trade name of the drug AZT?
A)Retrovir
B)Viramune
C)Sustiva
D)Invirase
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Chapter 26: Antiinflammatories and Antihistamines
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Q1) Corticosteroids cause mild side effects.
A)True
B)False
Q2) The adrenal cortex produces:
A)Corticosteroids
B)Glucocorticoids
C)Mineral corticoids
D)All the above
Q3) Gastritis
A)Meninges
B)Small intestines
C)Joints
D)Tendons
E)Nose
F)Liver
G)Stomach
H)Ovary
I)Lungs
J)Colon
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Page 28
Chapter 27: Vitamins and Minerals
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Q1) MedWatch is a department of the FBI used for reporting problems.
A)True
B)False
Q2) Vitamins and supplements are regulated by the FDA.
A)True
B)False
Q3) Protects the skin against cancer
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q4) Deficiency can cause rickets in children
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q5) Found in whole grains
A)Vitamin A
B)Vitamin D
C)Vitamin E
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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) An inactivated viral vaccine is one in which the virus is destroyed so it cannot grow in the host.This ensures antibodies are produced without jeopardizing the recipient.
A)True
B)False
Q3) Who should not receive a live vaccine?
A)A healthy toddler
B)A senior citizen
C)A person with rheumatoid arthritis
D)A person with allergies
Q4) Which of the following statements does not describe the spleen?
A)It contains macrophages.
B)It is located in the upper chest.
C)It is the largest lymphatic organ.
D)It filters blood cells at the end of their life cycle.
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Chapter 29: Oncology Agents
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Q1) A carcinogen is a chemical that can decrease the risk of developing cancer.
A)True
B)False
Q2) Factors that are taken into account when diagnosing cancer include:
A)Etiology
B)Karyotype
C)Morphology
D)All of the above
Q3) Which of the following chemotherapeutic agents is NOT used to treat cancer?
A)Analgesics
B)Mitotic inhibitors
C)Nitrogen mustards
D)Antimetabolites
Q4) Radioactive isotopes often are implanted directly into the cancer site for treatment.
A)True
B)False
Q5) Cancer can be caused by a virus.
A)True
B)False
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Chapter 30: Microbiology
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Q1) Facultative anaerobe
A)The study of microscopic organisms
B)A protein that accelerates a reaction by reducing the amount of energy required to initiate a reaction; also called a biological catalyst
C)A term that describes organisms that need oxygen to survive
D)The study of viruses
E)Requiring complex carbon and nitrogen for metabolic synthesis
F)A microorganism that can live with or without oxygen
G)A term that describes organisms that live in the absence of oxygen
H)The study of life
I)A microscopic organism that replicates exclusively inside the host's cell, using parts of the host cell including DNA, ribosomes, and proteins
J)Refers to microorganisms not visible without a microscope
Q2) Gram-positive cell walls contain a lipid that becomes toxic (endotoxins)when in the bloodstream of the host.
A)True
B)False
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32
Chapter 31: Chemistry
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Q1) A shortage of iodine can lead to osteoporosis.
A)True
B)False
Q2) The acronym denoting administration through a smaller peripheral vein is:
A)TPN
B)EBSL
C)PPN
D)GTTS
Q3) Which type of ion is negatively charged?
A)Captions
B)Amino acids
C)Phosphorus
D)Anions
Q4) Potassium levels can be increased by NSAIDs,ACE inhibitors,and heparin.
A)True
B)False
Q5) Amino acids are proteins that can regulate the speed of reactions.
A)True
B)False
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