Pharmacology 3rd Edition By Richard D – Test Bank
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Sample
Questions
Fulcher: Pharmacology, 3rd Edition
Chapter 04: Understanding Drug Dosages for Special Populations
Test Bank
MULTIPLE CHOICE
1. Drugs
that may cause fetal defects are called
|
a. |
potentiates |
|
b. |
antagonists |
|
c. |
synergists |
|
d. |
teratogens |
|
e. |
fetal antagonists |
ANS:
D
REF: 57
2. Medications
considered relatively safe in pregnancy are found in FDA category
|
a. |
A |
|
b. |
B |
|
c. |
C |
|
d. |
D |
|
e. |
X |
ANS:
A
REF: 58
3. Geriatric
patients may have unexpected reactions to medications because of
|
a. |
polypharmacy |
|
b. |
dentition |
|
c. |
slowed gastric mobility |
|
d. |
all but b |
|
e. |
a, b, and c |
ANS:
E
REF: 60-61
4. To
assist the elderly with compliance
|
a. |
medications should be given
at a convenient time |
|
b. |
medications should be given
in a convenient form |
|
c. |
the reason for prescribed
medications should be explained |
|
d. |
all of the above |
|
e. |
none of the above |
ANS:
D
REF: 62
5. Variables
that affect drug dosage and action are
|
a. |
patient size |
|
b. |
diet |
|
c. |
gender |
|
d. |
a and b |
|
e. |
all of the above |
ANS:
E
REF: 54-56
6. Responses
to medications vary by all of the following EXCEPT
|
a. |
educational background |
|
b. |
route and time of
administration |
|
c. |
environment |
|
d. |
history of previous
medication |
|
e. |
drug samples |
ANS:
E
REF: 54-56
7. When
the patient sees more than one physician for medical conditions, the system of
checks and balances becomes even more important because of the chance of
|
a. |
polypharmacy |
|
b. |
decreased patient safety |
|
c. |
increased drug interactions |
|
d. |
all of the above |
|
e. |
none of the above |
ANS:
D
REF: 54
8. Routine
adult doses of medications are based on all of the following EXCEPT
|
a. |
ages 18 to 65 |
|
b. |
weight of approximately 150
pounds |
|
c. |
BSA |
|
d. |
possible therapeutic
effects |
|
e. |
all of the above |
ANS:
C
REF: 54-56
9. Which
of the following is least likely to be considered when prescribing medications
for infants and small children?
|
a. |
height |
|
b. |
environmental factors |
|
c. |
familial history |
|
d. |
ability to swallow |
|
e. |
weight |
ANS:
B
REF: 58-59
10. Factors
that affect the doses of medication in the geriatric patient include all of the
following EXCEPT
|
a. |
state of hydration |
|
b. |
electrolyte balance |
|
c. |
organ function |
|
d. |
ability to comply with
orders socially and economically |
|
e. |
all of the above |
ANS: E
REF: 61-62
11. When
deciding on the medications that are ordered for the patient, the physician
should take into account
|
a. |
literacy level of the
patient |
|
b. |
religious, cultural, and
social beliefs |
|
c. |
printed materials available
from the manufacturer |
|
d. |
a and b |
|
e. |
all of the above |
ANS:
D
REF: 63-65
TRUE/FALSE
1. All
adverse effects of drugs taken during pregnancy are apparent at the time of the
child’s birth.
ANS:
F
REF: 54-56
2. It is
very important that the allied health professional obtain the height and weight
of a pediatric patient with each visit to the physician’s office.
ANS:
T
REF: 54-56
3. Chronic
and debilitating conditions often lead to drug interference.
ANS:
T
REF: 54-56
4. Transdermal
medications are used as a preferred route of administration for older patients
because their skin is thin and well hydrated and drugs are easily absorbed.
ANS:
F
REF: 54-56
5. A person
might not respond the same way each time to the same medication.
ANS:
T
REF: 54-56
6. The
body’s size and functional ability are more important than age in determining
the dosage of most drugs.
ANS: T
REF: 54-56
7. The
allied health professional is an important factor in patient safety when more
than one physician is being consulted.
ANS:
T
REF: 54-56
8. Age
is considered a reliable guide for administering medications to infants and
small children.
ANS:
F
REF: 54-56
9. The
literacy level of the patient must be considered in the decision for
medications ordered.
ANS:
T
REF: 54-56
10. Ethnic
and cultural differences influence the acceptance or refusal of medicinal
treatment.
ANS:
F
REF: 54-56
11. Ethnic
perceptions of medications affect the patient’s compliance with medicinal
therapy.
ANS:
T
REF: 54-56
12. Nonverbal
communication is as important as verbal communication in patient compliance to
medication therapy.
ANS:
T
REF: 54-56
13. A
person’s feelings about medications are important in patient treatment.
ANS: T
REF: 54-56
14. Placebos
are used for psychologic medication needs.
ANS:
T
REF: 54-56
15. Language
barriers do not interfere in medication therapy.
ANS:
F
REF: 54-56
16. The
allied health professional does not have any direct influence on the patient’s
compliance with medication therapy.
ANS:
F
REF: 54-56
17. Drug
route, dosage, and pharmacokinetics are important in medications during
pregnancy and lactation.
ANS: T
REF: 54-56
18. The
first trimester of pregnancy is the time of greatest risk for fetal defects and
abnormalities of the embryo and fetus caused by teratogens.
ANS:
T
REF: 54-56
19. OTC
medications are safe for use during pregnancy and lactation.
ANS:
F
REF: 54-56
20. During
lactation, some drugs in maternal circulation are transferred to the infant
through breast milk.
ANS:
T
REF: 54-56
21. Height
and weight are the least important factors when considering dosages of
medication for pediatric patients.
ANS:
F
REF: 54-56
22. A
standard dosage of medication is common for children.
ANS:
F
REF: 54-56
23. Chronologic
age is well correlated to the development of organ systems in children.
ANS:
F
REF: 54-56
24. Gastric
motility in infants and small children is important when deciding on pediatric
doses.
ANS:
T
REF: 63-65
25. Young
children usually are not vulnerable to adverse reactions because their organ
systems are immature and the body compensates.
ANS:
F
REF: 63-65
26. Dosages
for children may be calculated in milligrams per kilogram.
ANS:
T
REF: 63-65
27. The
use of intramuscular injections in infants and children is different from
adults because of the faster absorption of the medication in the muscle tissue.
ANS:
T
REF: 63-65
28. Tetracyclines
are safe for pediatric patients; therefore these drugs are often the drug of
choice.
ANS:
F
REF: 63-65
29. Drugs
may cause suppression of growth and development in children.
ANS:
T
REF: 63-65
30. Recreational
drugs, smoking, and alcohol are causes for teratogenic effects.
ANS:
T
REF: 63-65
31. Genetics
must be considered when medications are prescribed.
ANS:
T
REF: 63-65
32. Family
history plays no role in medication administration.
ANS: F
REF: 63-65
33. Women
respond more strongly to some medications than men.
ANS:
T
REF: 63-65
34. Older
adults should bring a list of all medications being taken to each office visit
to assist in preventing polypharmacy.
ANS:
T
REF: 57
35. The
price of medications may be a source of noncompliance, especially with older
adults.
ANS:
T
REF: 58
36. Suggesting
the use of a pill container will assist with medication compliance in patients
taking multiple medications at multiple times per day.
ANS:
T
REF: 60
37. Giving
written materials to patients will ensure compliance with medications.
ANS:
F
REF: 60-61
38. Illiterate
patients and patients with language barriers often are embarrassed to ask for
help with medication administration compliance.
ANS:
T
REF: 54
39. Stimulants
should be given at the hour of sleep so the body is ready to function at a high
level the next day.
ANS:
F
REF: 58
40. Obtaining
medications and medical care are equally available in rural and urban areas.
ANS:
F
REF: 62
41. Inability
to read prescription labels may lead to life-threatening situations.
ANS:
T
REF: 54-55
42. The
FDA regulations require patient education and information be provided with
prescription medications.
ANS:
T
REF: 63
43. Medications
may be given to pregnant women to cross the placenta for a therapeutic effect
on the fetus.
ANS:
T
REF: 63
44. The
FDA has an effect on medication administration safety during pregnancy.
ANS:
T
REF: 63
45. Children
are miniature adults.
ANS:
F
REF: 65
46. Age
is a reliable factor in prescribing medications for children.
ANS:
F
REF: 56
47. By
age 1 year, the liver and kidneys have matured sufficiently to metabolize drugs
at the adult level.
ANS: F
REF: 65
48. Pediatric
doses of medications are standardized.
ANS:
F
REF: 63
49. Children
over 2 years of age typically metabolize medications faster than adults.
ANS:
T
REF: 61 | 63
50. Gastric
motility in children and older adults has no effect on drug absorption and
metabolism.
ANS:
F
REF: 57
51. Polypharmacy
may occur when a person receives more than one medication in the same
medication classes.
ANS:
T
REF: 57
52. When
medications are prescribed from different medication classes, polypharmacy is
no problem.
ANS:
F
REF: 57
53. Underdosing
with failure to respond to treatment leads to polypharmacy.
ANS: T
REF: 57
54. Filling
medications at the same pharmacy leads to a drug profile being created and the
reduction of the risk of polypharmacy.
ANS:
T
REF: 58-59
55. After
providing information to a patient, the allied health professional should ask
the patient to restate the information and encourage asking questions as
needed.
ANS:
T
REF: 58-59
MATCHING
Match the following terms and their influence on medication
decisions, compliance, and administration. If the factor influences the
decisions, select option “A”; if there is no influence, select option “B”.
|
a. |
Influence |
|
b. |
No influence |
1. Time
medications are administered
2. Skin
hydration
3. Familial
attitudes
4. Pregnancy
and lactation
5. Previous
medical history
6. FDA
regulations
7. Gender
8. Diet
preferences
9. Transportation
10. Genetics
11. Drug
dependence
12. Physical
strength
13. Previous
medications taken
14. Ability
to pay for medications
15. Location
of pharmacy
16. Present
disease
17. Previous
diseases
18. Education
level
19. Vision
and hearing ability
20. “On-”
or “off-label” drug use
21. Religious
beliefs
22. Patient
compliance in the past
23. Physicians
giving concurrent care
1. ANS:
A
REF: 58
2. ANS:
A
REF: 58
3. ANS: A
REF: 58-59
4. ANS:
A
REF: 59
5. ANS:
A
REF: 59
6. ANS:
B
REF: 60
7. ANS:
A
REF: 59
8. ANS:
A
REF: 59
9. ANS:
A
REF: 56
10. ANS:
A
REF: 56
11. ANS: A
REF: 56
12. ANS:
B
REF: 62
13. ANS:
A
REF: 62
14. ANS:
A
REF: 62
15. ANS:
A
REF: 62
16. ANS:
A
REF: 63
17. ANS:
A
REF: 56
18. ANS:
A
REF: 56
19. ANS: A
REF: 63
20. ANS:
B
REF: 57
21. ANS:
A
REF: 57
22. ANS:
A
REF: 57
23. ANS:
B
REF: 58
Match the following beliefs about health and illness to the
correct paradigm. The answers will be used more than once.
|
a. |
Holistic |
|
b. |
Magicoreligious |
|
c. |
Scientific-biomedical |
24. Cause
of health and illness is not organic but is mystical.
25. A
cause-and-effect relationship exists between life events.
26. Disease
is caused by a chemical or physical imbalance that causes chaos.
27. The
body functions as a machine.
28. Humans
are at the mercy of good and evil.
29. Human
life is only one part of the cosmos; everything has its place and role to
maintain order.
30. Mind
and body are two distinct entities.
31. Supernatural
forces cause illness.
32. Environment,
behavior, and sociocultural factors influence and maintain health.
33. Exercise,
medications, and treatments provide preventive and restorative therapy.
33. Fulcher:
Pharmacology, 3rd Edition
Chapter 07: Measurement Systems and Their
Equivalents
Test Bank
MULTIPLE CHOICE
a. Common
medical prefix(es) used for weight in the metric system is/are
|
a. |
kilo |
|
b. |
milli |
|
c. |
micro |
|
d. |
all of the above |
|
e. |
b and c only |
ANS: D
REF: 114
b. The
metric system uses
|
a. |
Arabic numbers |
|
b. |
decimals |
|
c. |
fractions |
|
d. |
all of the above |
|
e. |
a and b only |
ANS:
E
REF: 114-115
c. Premature
babies that are extremely small are often weighed in
|
a. |
kilograms |
|
b. |
grams |
|
c. |
milligrams |
|
d. |
micrograms |
|
e. |
none of the above |
ANS:
B
REF: 119
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