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PHARM 340 Final Exam Practice 1

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Compiled Exam questions from past exams/quizzes
Sithichok Chang
Quiz by Sithichok Chang, updated more than 1 year ago
Sithichok Chang
Created by Sithichok Chang almost 9 years ago
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Resource summary

Question 1

Question
The primary role of the pharmacist is largely focused around:
Answer
  • medication consumption (e.g., to screen for contraindications and drug–drug interactions)
  • to serve as the physician’s resource for information about medical therapies
  • to provide patient education about medications
  • A only
  • A, B, and C

Question 2

Question
Which healthcare professional has the most in quantity?
Answer
  • Nurses
  • Physicians
  • Pharmacists
  • Pharmacy technicians
  • None of the above

Question 3

Question
The motivation of a professional shares this theme with Concordia's mission:
Answer
  • helping students
  • religious roots
  • service to others
  • development of mind, body, & spirit
  • none of the above

Question 4

Question
The “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” refers to the:
Answer
  • Definition of pharmaceutical care
  • Definition of health by the World Health Organization
  • Definition of health by Healthy People 2010

Question 5

Question
To reduce health care costs, the patient should avoid the hospital emergency room for a(n) _________ problem, and should go to a physician office, urgent care center, or a clinic setting, instead.
Answer
  • Immediate
  • Non-urgent
  • Emergent

Question 6

Question
Select the false statement.
Answer
  • In 2006, males tended to have lower average number of prescriptions including refill than females.
  • In 2006, males tended to have higher average number of prescriptions including refill than females.
  • All of the above
  • None of the above

Question 7

Question
The uninsured rate in the US in 2010 is around
Answer
  • 0% (the US has socialized medicine and everyone is covered)
  • 1.63%
  • 16.3%
  • 100%
  • None of the above

Question 8

Question
Incident-to-billing can be used in which of the following practice settings:
Answer
  • A hospital-based clinic
  • An independent clinic
  • A community pharmacy
  • A dependent hospital

Question 9

Question
Ethnicity can be:
Answer
  • One’s race, religion, ancestry, national origin or symbolic identification
  • Biological variation including phenotypical differences in stature, skin color, hair color, facial shape
  • Other inherited characteristics that may or may not be mutually exclusive in each individual
  • B and C only
  • All of the above

Question 10

Question
In 1905, the American Medical Association, with support from the Carnegie Foundation, commissioned a study of U.S. medical schools in response to decades of concern about the quality of medical education and training. The resulting Flexner Report is considered a benchmark in the history of medical education because it:
Answer
  • Recognized the pharmaceutical care model as the main model for improving health outcomes
  • stimulated licensing legislation and established new requirements pertaining to training lengths and quality standards in laboratories and other training facilities
  • RESULTED in the closure of all medical schools that did not meet established quality criteria
  • B and C only
  • All of the above

Question 11

Question
The health care system in the United States has been described as a “sickness system” developed for acute disease rather than prevention or reduction of chronic disease.
Answer
  • True
  • False

Question 12

Question
Cost is the biggest factor or reason for not having health insurance. The current healthcare reform provides provisions and incentives to lower this barrier.
Answer
  • True
  • False

Question 13

Question
According to the definition of Quality (in healthcare), it is intended to increase:
Answer
  • repeatability of health care interventions
  • predictability of patient outcomes
  • care efficacy and reimbursement efficiency
  • desired health outcomes
  • patient satisfaction

Question 14

Question
In 2006, the average number of prescription drug purchases is greater by the “poor” than for the “middle income” or “high income.”
Answer
  • True
  • False

Question 15

Question
Primary prevention initiatives in public health typically
Answer
  • cost more than secondary efforts
  • focuses on education and/or health policy
  • reverses genetic disease
  • target individuals rather than populations
  • none of the above

Question 16

Question
As discussed in the Public Health lecture, how many Essential Public Health Services are there?
Answer
  • 8
  • 10
  • 12
  • 6

Question 17

Question
According to Dr. Arneson’s lecture the most common type of community pharmacy is:
Answer
  • Chain
  • Independent
  • Supermarket
  • Mass merchandise

Question 18

Question
According to a JAMA report in 1995, 78% of system failures and errors can be attributed to:
Answer
  • Unlimited information access
  • Limited information access
  • Lacking standardization
  • B and C only
  • None of the above

Question 19

Question
Select the true statement about drug development:
Answer
  • preclinical testing is the first step that focuses on human testing.
  • Clinical phase I subjects are unhealthy individuals.
  • Clinical phase II subjects have the targeted disease.
  • Clinical phase III subjects are healthy individuals.

Question 20

Question
Some of the advantages of unit dose or unit of use include(s):
Answer
  • Reduction in medication errors
  • More efficient use of RPh and RN time
  • less accurate billing / more crediting of meds
  • a and b
  • a, b, and c

Question 21

Question
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.
Answer
  • True
  • False

Question 22

Question
The majority of patients in hospice care are
Answer
  • released to home care
  • released to assisted living
  • released to skilled nursing
  • released to CCRCs
  • none of the above

Question 23

Question
Post marketing surveillance is also known as
Answer
  • side effecting tracing
  • toxicology monitoring
  • Phase IV
  • recall monitoring
  • none of the above

Question 24

Question
Hospitals are licensed by The Joint Commission (formerly JCAHO).
Answer
  • True
  • False

Question 25

Question
Hospitals have reacted to Medicare PPS and insurance plan capitation by
Answer
  • 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

Question 26

Question
Ambulatory care has grown in the past several decades due to
Answer
  • Medicare PPS implementation
  • positive patient experiences
  • technological advances
  • HMOs
  • All of the above

Question 27

Question
All of the professional pharmacy organizations below have a focus on professional advocacy EXCEPT
Answer
  • ASHP
  • APhA
  • NCPA
  • PSW
  • None of the above

Question 28

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

Question 29

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 patient and copyright system

Question 30

Question
A New Drug Application (NDA) is submitted to the FDA
Answer
  • to request approval for marketing a new drug
  • prior to phase IV clinicals
  • to request approval to begin phase I clinicals
  • A & B only
  • All of the above

Question 31

Question
The following statements concerning the Veterans Administration are true:
Answer
  • The VA system includes medical centers, outpatient clinics and community clinics
  • VA pharmacists provide a large variety of clinical services
  • Ambulatory services available through the VA are restricted to combat related illnesses
  • A and B
  • All of the above

Question 32

Question
Funding for delivery of Mental Health services
Answer
  • follows the 1910 Flexner recommendation
  • is nearly all state-based
  • has shifted amongst payors for many years
  • is nearly all federally-based
  • None of the above

Question 33

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

Question 34

Question
Select the false statement about mental health and substance abuse:
Answer
  • Cost is the #1 barrier for not receiving mental health treatment
  • The DSM-IV (Diagnostic and Statistical Manual of Mental Disorders) is used by clinicians to diagnose mental disorders.
  • An extremely small percentage of Americans (<1%) are estimated to have a mental disorder in their lifetime.
  • Lifetime prevalence for a mental or substance disorder is approximately 32%-48%

Question 35

Question
Select the true statement.
Answer
  • The Maximum Data System (MDS) is a form for nursing home resident assessment and care screening.
  • The Minimum Data Set (MDS) is a form for nursing home resident assessment and care screening.
  • The Maximum Data Set (MDS) is a form for nursing home resident assessment and care screening.
  • The Minimum Data System (MDS) is a form for nursing home resident assessment and care screening.

Question 36

Question
The long term care continuum is correctly indicated in which progression:
Answer
  • Day Services ⇒ Self Care ⇒ Home Care/Nursing Care ⇒ Independent Living ⇒Assisted Living ⇒ Skilled Nursing ⇒ Hospice
  • Home Care/Nursing Care ⇒ Self Care ⇒ Day Services ⇒ Independent Living ⇒ Assisted Living ⇒ Skilled Nursing ⇒ Hospice
  • Self-Care ⇒ Day Services ⇒ Home Care/Nursing Care ⇒ Independent Living ⇒ Assisted Living ⇒ Skilled Nursing ⇒ Hospice
  • None of the above

Question 37

Question
With respect to risk management, the possibility of loss but no gain (for example fires and storms) is considered:
Answer
  • Pure risk
  • Indemnity
  • Speculative risk
  • None of the above

Question 38

Question
We are projected to run out of bar codes
Answer
  • in 10-15 years
  • in 15-30 years
  • in over 100 years
  • not projected - depends on rate of new drug approval
  • none of the above

Question 39

Question
Many patients of employer-based insurance plans suffering from a mental or substance disorder avoid diagnosis or treatment.
Answer
  • True
  • False

Question 40

Question
The passage of Medicare and Medicaid led to
Answer
  • A decrease in the number of prescriptions
  • An increase in the number of prescriptions
  • An increase in the cost of non-legend drugs
  • A decrease in the cost of non-legend drugs

Question 41

Question
Hospitals are accredited by:
Answer
  • American Medical Association (AMA)
  • American Hospital Association (AHA)
  • Centers for Medicare and Medicaid Services (CMS)
  • The Joint Commission (TJC)
  • None of the above

Question 42

Question
The federal government often intercedes in healthcare when
Answer
  • Market failure prevents healthcare access
  • Safety of a product must be assured
  • practitioners must be licensed
  • A & B
  • A, B, & C

Question 43

Question
The Medicare program is administered by the CMS.
Answer
  • True
  • False

Question 44

Question
Pick the correct order for increasing educational requirements and compensation:
Answer
  • PT -> BSN -> RN
  • MD -> Social Worker -> LPN
  • MD -> DO -> PharmD
  • LPN -> RN -> APN
  • APN -> LPN -> RN
  • None of the above

Question 45

Question
While health care reform laws have been proposed and debated in congress during multiple presidential administrations including Truman and most recently Clinton, the 2010 reforms represent the first passage of any federal reform law.
Answer
  • True
  • False

Question 46

Question
An example(s) of socialized medicine is which of the following:
Answer
  • United States
  • Cuba
  • Japan
  • None of the above

Question 47

Question
The type of health care system where the government participates in or enforces participation in the country’s health care system, employs health care practitioners, owns health care facilities, and administers the health care system is:
Answer
  • Social security
  • Socialized medicine
  • Socialized health insurance
  • Social partnership

Question 48

Question
Services of PBMs include all of the following except:
Answer
  • recruiting physician networks
  • formulary management
  • academic counter-detailing
  • mail order prescription service
  • claims adjudication

Question 49

Question
Diagnosis-related groups are the basis for:
Answer
  • some capitated insurance plans
  • Medicare PPS
  • ICD-9
  • A & B
  • A, B, & C

Question 50

Question
HMOs typically employ several characteristic strategies including
Answer
  • capitation
  • risk pools
  • gatekeepers
  • A & B
  • A, B, & C
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