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Exam 2

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Kevin Vu
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PHAR340 - Exam 2

Question 1 of 42

1

Activities of Daily Living are the basic measurement for determining…

Select one of the following:

  • quality of nursing home care

  • appropriateness of LTC setting selection

  • patient age

  • all of the above

  • none of the above

Explanation

Question 2 of 42

1

The average bed count for Wisconsin community hospitals is approximately 461 beds (FY2008)

Select one of the following:

  • True
  • False

Explanation

Question 3 of 42

1

For a patented prescription drug, the slope of the demand curve will likely stay the same after introduction of a generic version because the same number of patients need the drug.

Select one of the following:

  • True
  • False

Explanation

Question 4 of 42

1

The majority of Assisted Living residents move in from

Select one of the following:

  • their homes

  • the hospital

  • skilled nursing facilities

  • hospice

  • none of the above

Explanation

Question 5 of 42

1

The majority of patients in hospice care are

Select one of the following:

  • released to home care

  • released to assisted living

  • released to skilled nursing

  • released to CCRCs

  • none of the above

Explanation

Question 6 of 42

1

The FDA…

Select one of the following:

  • recommends drug recalls to the Consumer Products Safety Commission

  • has little control of how a drug is used after approval

  • has no regulatory authority for non-print advertising (FCC regulates) of drugs

  • provides DEA agents to Homeland Security to enforce reimportation regulations

  • all of the above

Explanation

Question 7 of 42

1

Innovations in the pharmacist's role attributed to the Indian Health Service include all EXCEPT:

Select one of the following:

  • pharmacists participating in hospital rounds

  • private consultation rooms

  • pharmacists in primary care role for chronic disease

  • pharmacist access to patient chart for dispensing

  • all of the above are IHS innovations

Explanation

Question 8 of 42

1

All of the following contribute to increased competition EXCEPT:

Select one of the following:

  • open information

  • available substitute goods

  • lower barriers to entry

  • many market participants

  • a strong patent and copyright system

Explanation

Question 9 of 42

1

Post marketing surveillance is also known as

Select one of the following:

  • Phase IV

  • side effect tracing

  • toxicology monitoring

  • recall monitoring

  • none of the above

Explanation

Question 10 of 42

1

Regulations prohibit direct sales of legend drugs from legend drug manufacturers to

Select one of the following:

  • Pharmaceutical distributors

  • Hospital pharmacies

  • Community pharmacies

  • All of the above

  • None of the above

Explanation

Question 11 of 42

1

Many patients of employer-based insurance plans suffering from a mental or substance abuse disorder avoid diagnosis or treatment.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 42

1

An extremely small percentage of Americans (<1%) are estimated to have a mental disorder in their lifetime.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 42

1

In drug development, preclinical testing is the first step that focuses on human testing.

Select one of the following:

  • True
  • False

Explanation

Question 14 of 42

1

Professional Pharmacy Organizations provide service to

Select one of the following:

  • pharmacists and related individuals

  • society & community

  • the pharmacy profession

  • all of the above

  • none of the above

Explanation

Question 15 of 42

1

For every compound which enters Stage "0" trials, 250 compounds enter Stage III.

Select one of the following:

  • True
  • False

Explanation

Question 16 of 42

1

EMTALA prevents physicians from transferring patients ("patient dumping") from a clinic to a private practice.

Select one of the following:

  • True
  • False

Explanation

Question 17 of 42

1

VA medical centers and urban tertiary teaching hospitals are typically the largest community hospitals.

Select one of the following:

  • True
  • False

Explanation

Question 18 of 42

1

Hospitals are often categorized by

Select one of the following:

  • bed count

  • ownership

  • length of stay

  • bed count & length of stay only

  • All the above,

Explanation

Question 19 of 42

1

Hospitals are licensed by The Joint Commission (formerly JCAHO).

Select one of the following:

  • True
  • False

Explanation

Question 20 of 42

1

Funding for delivery of Mental Health services

Select one or more of the following:

  • is nearly all federally-based

  • has shifted amongst payors for many years

  • follows the 1910 Flexner recommendation

  • is nearly all state-based

  • none of the above

Explanation

Question 21 of 42

1

A New Drug Application (NDA) is submitted to the FDA

Select one of the following:

  • A. to request approval for marketing a new drug

  • B. prior to phase IV clinicals

  • C. to request approval to begin phase I clinicals

  • A & B only

  • All the above

Explanation

Question 22 of 42

1

Unlike demand, supply is unaffected by changes in raw material costs.

Select one of the following:

  • True
  • False

Explanation

Question 23 of 42

1

Most Home Care patients continue normal daily activities independently in their own homes.

Select one of the following:

  • True
  • False

Explanation

Question 24 of 42

1

A believable rumor of an upcoming price increase will likely:

Select one of the following:

  • cause an increase in demand

  • cause a decrease in demand

  • cause increased utility

  • cause decreased utility

  • none of the above

Explanation

Question 25 of 42

1

A patient is likely not a good fit for ambulatory care if they:

Select one of the following:

  • have no obvious symptoms

  • have no insurance

  • have only Medicare, Medicaid, or SCHIP coverage

  • need assistance with activities of daily living

  • need a specialty, international travel-related immunization

Explanation

Question 26 of 42

1

Hospitals have reacted to Medicare PPS and insurance plan capitation by

Select one of the following:

  • increasing use of PAs and NPs

  • performing more services on an inpatient basis

  • increasing outpatient services offered

  • requiring minimum patient stay lengths

  • requiring prior approvals

Explanation

Question 27 of 42

1

Intravenous antibiotic therapy is a typical home care service.

Select one of the following:

  • True
  • False

Explanation

Question 28 of 42

1

Hospital pharmacists are typically responsible for drug distribution as well as

Select one of the following:

  • drug therapy monitoring

  • adverse-drug-reaction monitoring

  • medication-utilization evaluation

  • IV admixture services

  • all of the above

Explanation

Question 29 of 42

1

Demand quantity generally always decreases as price increases because

Select one of the following:

  • replacement products lower prices

  • utility is often elastic as prices increase

  • fewer buyers have ability or willingness to pay the higher price

  • complementary products become available as substitutes

  • the number of consumers in the market increases

Explanation

Question 30 of 42

1

Phase one clinical trials focus on

Select one of the following:

  • long term safety and effectiveness

  • efficacy and dose ranging

  • safety, side effects, and preliminary dosing

  • comparison to other therapy

  • none of the above

Explanation

Question 31 of 42

1

Which characteristic is typically associated with a modern hospital?

Select one of the following:

  • staffed by health care professionals

  • provides both ambulatory and inpatient care

  • includes pharmacists as a part of the care team

  • concentration of healthcare facilities and equipment

  • all of the above

Explanation

Question 32 of 42

1

Ambulatory care has grown in the past several decades due to

Select one of the following:

  • Medicare PPS implementation

  • positive patient experiences

  • technological advances

  • HMOs

  • all of the above

Explanation

Question 33 of 42

1

Advocacy is

Select one of the following:

  • pleading for a cause or proposal

  • a central function of most professional organizations

  • highly recommended for all pharmacists

  • all of the above

  • none of the above

Explanation

Question 34 of 42

1

All of the professional pharmacy organizations below have a focus on professional advocacy EXCEPT

Select one of the following:

  • ASHP

  • APhA

  • NCPA

  • PSW

  • none of the above

Explanation

Question 35 of 42

1

Children’s Hospital of Wisconsin is a private nonprofit specialty hospital.

Select one of the following:

  • True
  • False

Explanation

Question 36 of 42

1

A rural community with a few primary care physicians (an oligopoly) could collude to raise pricing and induce demand.

Select one of the following:

  • True
  • False

Explanation

Question 37 of 42

1

A patient treatment need which is not typical for LTC is…

Select one of the following:

  • physical therapy

  • broken leg rehab

  • Alzheimer's

  • surgery

  • IV drug therapy

Explanation

Question 38 of 42

1

Which market most closely resembles a monopsony?

Select one of the following:

  • A rural community with one grocery store and many residents

  • A farming community with one cotton mill and many cotton farms

  • An urban neighborhood with several "bodega" style food markets and many residents

  • An urban area with two oil refineries and many automobiles

  • A farmer's market in a suburban community

Explanation

Question 39 of 42

1

As a market, all of healthcare has been highly competitive since the completion of PPS systems for the remaining categories.

Select one of the following:

  • True
  • False

Explanation

Question 40 of 42

1

Hospital emergency rooms are high-cost, high capability entities making them a good fit for only a small portion of healthcare cases.

Select one of the following:

  • True
  • False

Explanation

Question 41 of 42

1

Factors which might make a patient a good "fit" for home care include

Select one of the following:

  • A. treatment need is relatively long term

  • B. home care services available in the area

  • C. available of family members to assist

  • A & B only

  • A, B, & C

Explanation

Question 42 of 42

1

Elasticity refers to change in demanded quantity due to change in

Select one of the following:

  • number of consumers

  • availability of substitutes

  • price

  • supply

  • none of the above

  • All the above

Explanation