PHARM 340 Practice Exam 2

Sithichok Chang
Quiz by Sithichok Chang, updated more than 1 year ago
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Compiled questions from past exams/quizzes for final
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Question 1

Question
Major changes that have occurred in IV infusion devices as a result of the growth of home care.
Answer
  • the size and weight of infusion devices have decreased dramatically
  • Manufacturers have introduced disposable infusion devices
  • Pharmacists can only administer them
  • A & B
  • All of the above

Question 2

Question
The advent of Medicare Part D coverage in 2008 provided partial or full coverage of home care medications.
Answer
  • True
  • False

Question 3

Question
Factors influencing prescriber behavior include:
Answer
  • Education (e.g., Training in pharmacotherapeutics; Preceptors' prescribing habits)
  • Control and regulatory mechanisms
  • Demands by consumers and society
  • Promotional activities by drug manufacturers
  • All of the above

Question 4

Question
Researchers test an experimental drug or treatment in a small group of healthy people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Answer
  • Phase I
  • Phase II
  • Phase III
  • Phase IV

Question 5

Question
Drug Labeling:
Answer
  • All printed information accompanying a drug, label, wrapping & package insert
  • FDA Division of Marketing, Advertising & Communication seeks balanced, not misleading, scientifically accurate information for health care practitioners
  • Label claim (indication) is particularly important to sponsor because of its connection to reimbursement
  • A & B only
  • All of the above

Question 6

Question
Select the true statement:
Answer
  • From 2008 to 2014, there is a projected 6.6% annual decrease in spending for mental health and substance use services in the US.
  • From 2008 to 2014, there is a projected 6.6% annual increase in spending for mental health and substance use services in the US.
  • There will not be a % change in spending for mental health during this period in the US.

Question 7

Question
These groups/cultures are “at-risk” populations and more likely to delay or not seek mental health care/treatment
Answer
  • Cultural and linguistic minorities
  • Rural populations
  • Women and children in lower socio-economics
  • A & C only
  • All of the above

Question 8

Question
In 1915, Abraham Flexner declared pharmacy
Answer
  • Shouldn’t receive War Dept. commissions
  • Was not a profession
  • Should share physicians education systems
  • Had achieved doctoral status
  • None of the above

Question 9

Question
The Health Insurance Portability and Accountability Act is best known for:
Answer
  • Portability of insurance coverage
  • Patient privacy rules
  • Portability of patient records
  • The Hyde Amendment
  • The Flexner Amendment

Question 10

Question
Horizontal Integration is
Answer
  • the term used to describe an affiliation between hospitals
  • the term used to describe an affiliation between inpatient surgery centers
  • the term used to describe a commensalistic relationship between local public health unit
  • none of the above

Question 11

Question
Approx what % of hospitals utilize “UD” drug distribution?
Answer
  • 25%
  • 40%
  • 80%
  • 95%

Question 12

Question
Which is least likely to be offered by pharmacists in US hospitals?
Answer
  • Pharmacokinetic Consultations
  • Drug Use Evaluation (DUE)
  • Participation on medical rounds
  • Adverse Drug Reaction management
  • In-service Education

Question 13

Question
For pharmacists, Mental Health patients often present….
Answer
  • increase risk of drug interaction issues
  • increased risk of medication adherence problems
  • increased difficulty in communication
  • the same need for compassionate care
  • All of the above

Question 14

Question
The average charge for Assisted Living in the US is…
Answer
  • higher than skilled nursing care
  • approximately $200/bed/day (2010 data)
  • approximately $3300/month (2010 data)
  • covered by Medicare
  • none of the above

Question 15

Question
Activities of Daily Living are the basic measurement for determining…
Answer
  • quality of nursing home care
  • appropriateness of LTC setting selection
  • patient age
  • none of the above
  • all of the above

Question 16

Question
All of the following contribute to increased competition EXCEPT:
Answer
  • open information
  • available substitute goods
  • lower barriers to entry
  • many market participants
  • a strong patent and copyright system

Question 17

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

Question 18

Question
Professional Pharmacy Organizations provide service to
Answer
  • pharmacists and related individuals
  • society & community
  • the pharmacy profession
  • all of the above
  • none of the above

Question 19

Question
Hospitals are often categorized by
Answer
  • ownership
  • bed count
  • length of stay
  • A & B
  • A, B, & C

Question 20

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

Question 21

Question
Demand quantity generally always decreases as price increases because
Answer
  • 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

Question 22

Question
Phase one clinical trials focus on
Answer
  • long term safety and effectiveness
  • efficacy and dose ranging
  • safety, side effects, and preliminary dosing
  • comparison to other therapy
  • none of the above

Question 23

Question
Which market most closely resembles a monopsony?
Answer
  • 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

Question 24

Question
Factors which might make a patient a good "fit" for home care include
Answer
  • treatment need is relatively long term
  • home care services available in the area
  • available of family members to assist
  • A & B only
  • A, B, & C

Question 25

Question
Elasticity refers to change in demanded quantity due to change in
Answer
  • number of consumers
  • availability of substitutes
  • price
  • supply
  • none of the above

Question 26

Question
Pharmacy educational outcome(s) set forth by CAPE (Center for Advancement in Pharmaceutical Education) in 2004 include:
Answer
  • Pharmaceutical Care
  • Systems Management
  • Public Health
  • All of the above

Question 27

Question
A prescribed legend drug indicated for a chronic disease (e.g., diabetes) is an example of….
Answer
  • Primary prevention
  • Secondary prevention
  • Tertiary prevention
  • All of the above
  • None of the above

Question 28

Question
The iron triangle of health care include(s):
Answer
  • Cost, Access, Quality
  • Assessment, Monitor, Assurance
  • Disease, Diagnosis, Prognosis
  • Primary, Secondary, and Tertiary Prevention

Question 29

Question
Which statement is true?
Answer
  • The HMO Act of 1973 mandated exclusion of a prepaid, fixed-fee option for some employers.
  • The HMO Act of 1973 mandated inclusion of a prepaid, fixed-fee option for some employers.
  • The HMO Act of 1973 mandated inclusion of a cost-plus option for some employers.
  • None of the above

Question 30

Question
Select the true statement.
Answer
  • In 2006, the average number of prescription drug purchases is lesser by the poor than for the middle income or high income.
  • In 2006, the average number of prescription drug purchases is greater by the poor than for the middle income or high income.
  • In 2006, the average number of prescription drug purchases is equal by the poor, middle income, and high income.
  • None of the above

Question 31

Question
Until the mid-1980s, hospitals were reimbursed for their expenses for the prior year on a retrospective basis. Now they are paid a certain amount for each patient’s care on a prospective basis. The amount they are paid is based on:
Answer
  • prospective patient categories (PPCs)
  • epidemiology
  • diagnosis related groups (DRGs)
  • None of the above

Question 32

Question
Specialty pharmacies:
Answer
  • are projected not to exist within the next 10 years.
  • are only found in rural areas.
  • are the most prevalent of all community pharmacies.
  • usually specialize in the medication management of one or two disease states.

Question 33

Question
A law that compels hospital to treat patients who present in the emergency room regardless of ability to pay or insurance status. The law also intends to prevent “patient dumping.”
Answer
  • Emergency Medical Treatment and Association Labor Act
  • Emergency Medical Treatment and Active Law Act
  • Emergency Medical Treatment and Active Legal Act
  • Emergency Medical Treatment and Active Labor Act

Question 34

Question
The federal government operates a number of hospitals for specific populations, including:
Answer
  • Veterans
  • Military personnel
  • Native Americans
  • A & B only
  • A, B, & C

Question 35

Question
Hospital mergers or acquisitions often take advantage of:
Answer
  • Finance of Scale
  • Scale of Economy
  • Scale of Justice
  • Economies of Scale

Question 36

Question
The patient Protection Affordable Care Act has:
Answer
  • Disincentives for preventive health services
  • Incentives and requirements for preventive health services
  • Incentives and requirements for tertiary prevention
  • B & C
  • All of the above

Question 37

Question
An example of adjudication in healthcare is
Answer
  • defaulting on a pharmacy claim
  • processing a pharmacy claim
  • Neither A or B is an example
  • Both A and B

Question 38

Question
Which of the following is a type of Pharmacoeconomics?
Answer
  • Cost minimization
  • Cost effectiveness
  • Cost utility
  • Cost perspective
  • A, B, & C
  • All of the above

Question 39

Question
Activities of Daily Living (ADL) are the basic measurement for determining…
Answer
  • quality of nursing home care
  • patient age
  • appropriateness of Long-Term Care (LTC) setting selection
  • None of the above
  • All of the above

Question 40

Question
Home care pharmacy standards are developed by:
Answer
  • American Association of Colleges of Pharmacy
  • American Society of Health-System Pharmacists
  • American Colleges of Pharmaceutical Education
  • All of the above

Question 41

Question
Elasticity refers to change in demanded quantity due to change in
Answer
  • number of consumers
  • availability of substitutes
  • supply
  • price
  • none of the above

Question 42

Question
Hospice services cannot legally be provided in a patient's home in most states.
Answer
  • True
  • False

Question 43

Question
Which federal program always had a higher reimbursement prior to ACA?
Answer
  • Medicaid
  • Medicare
  • None of the above

Question 44

Question
Similar to property and casualty insurance, health insurance applies the theory of risk pooling to manage unanticipated risk.
Answer
  • True
  • False

Question 45

Question
Group policies are usually less expensive than individual policies because:
Answer
  • Group policies are most often negotiated by large companies with skilled negotiators
  • Insurance companies pay significantly greater sales commissions for individual policies than group policies
  • Individual policies are most often purchased by those less healthy in need of coverage but groups policies include everyone in the group
  • Insurance companies selling individual policies cannot legally restrict policyholders to specific (discounted) hospital/physicians

Question 46

Question
Skilled Nursing Facilities are highly regulated by state and federal agencies.
Answer
  • True
  • False

Question 47

Question
The biggest difference in health care between developing and developed countries is:
Answer
  • Communicable diseases are more prevalent than chronic diseases in developing countries.
  • Chronic diseases are more prevalent than communicable diseases in developing countries.
  • Developing countries all have portability of benefits.
  • Developing countries all have a socialized medicine system of health care.

Question 48

Question
Continuing challenges of applying technology in a healthcare environment include
Answer
  • systems integration
  • transactional integrity
  • barcode specificity
  • A & B only
  • A, B, & C

Question 49

Question
Adherence implies a patient choice in making the decision to follow a health professional's recommendations.
Answer
  • True
  • False

Question 50

Question
The FDA's roles in drug development include all of the following EXCEPT:
Answer
  • premarketing clearance
  • regulation of labeling
  • manufacturing regulation
  • development of bioequivalent compounds
  • conducting postmarketing surveillance

Question 51

Question
Typical Home Care services include all EXCEPT
Answer
  • homemaker services
  • wound care
  • parental nutrition
  • minor home surgery
  • hospice care

Question 52

Question
Health insurance is not a strong "fit" with the criteria for insurable risk and prescription coverage is an even worse "fit".
Answer
  • True
  • False

Question 53

Question
The Durham-Humphrey amendment created
Answer
  • hospital funding
  • the FDA
  • the category of Legend drugs
  • pharmacists' license requirements

Question 54

Question
Every substance can be toxic and some can be therapeutic depending on the concentration.
Answer
  • True
  • False
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