Pregunta 1
Pregunta
Major changes that have occurred in IV infusion devices as a result of the growth of home care.
Respuesta
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the size and weight of infusion devices have decreased dramatically
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Manufacturers have introduced disposable infusion devices
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Pharmacists can only administer them
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A & B
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All of the above
Pregunta 2
Pregunta
The advent of Medicare Part D coverage in 2008 provided partial or full coverage of home care medications.
Pregunta 3
Pregunta
Factors influencing prescriber behavior include:
Respuesta
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Education (e.g., Training in pharmacotherapeutics; Preceptors' prescribing habits)
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Control and regulatory mechanisms
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Demands by consumers and society
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Promotional activities by drug manufacturers
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All of the above
Pregunta 4
Pregunta
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.
Respuesta
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Phase I
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Phase II
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Phase III
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Phase IV
Pregunta 5
Respuesta
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All printed information accompanying a drug, label, wrapping & package insert
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FDA Division of Marketing, Advertising & Communication seeks balanced, not misleading, scientifically accurate information for health care practitioners
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Label claim (indication) is particularly important to sponsor because of its connection to reimbursement
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A & B only
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All of the above
Pregunta 6
Pregunta
Select the true statement:
Respuesta
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From 2008 to 2014, there is a projected 6.6% annual decrease in spending for mental health and substance use services in the US.
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From 2008 to 2014, there is a projected 6.6% annual increase in spending for mental health and substance use services in the US.
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There will not be a % change in spending for mental health during this period in the US.
Pregunta 7
Pregunta
These groups/cultures are “at-risk” populations and more likely to delay or not seek mental health care/treatment
Pregunta 8
Pregunta
In 1915, Abraham Flexner declared pharmacy
Respuesta
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Shouldn’t receive War Dept. commissions
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Was not a profession
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Should share physicians education systems
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Had achieved doctoral status
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None of the above
Pregunta 9
Pregunta
The Health Insurance Portability and Accountability Act is best known for:
Pregunta 10
Pregunta
Horizontal Integration is
Respuesta
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the term used to describe an affiliation between hospitals
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the term used to describe an affiliation between inpatient surgery centers
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the term used to describe a commensalistic relationship between local public health unit
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none of the above
Pregunta 11
Pregunta
Approx what % of hospitals utilize “UD” drug distribution?
Pregunta 12
Pregunta
Which is least likely to be offered by pharmacists in US hospitals?
Respuesta
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Pharmacokinetic Consultations
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Drug Use Evaluation (DUE)
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Participation on medical rounds
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Adverse Drug Reaction management
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In-service Education
Pregunta 13
Pregunta
For pharmacists, Mental Health patients often present….
Respuesta
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increase risk of drug interaction issues
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increased risk of medication adherence problems
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increased difficulty in communication
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the same need for compassionate care
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All of the above
Pregunta 14
Pregunta
The average charge for Assisted Living in the US is…
Respuesta
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higher than skilled nursing care
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approximately $200/bed/day (2010 data)
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approximately $3300/month (2010 data)
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covered by Medicare
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none of the above
Pregunta 15
Pregunta
Activities of Daily Living are the basic measurement for determining…
Pregunta 16
Pregunta
All of the following contribute to increased competition EXCEPT:
Pregunta 17
Pregunta
An extremely small percentage of Americans (<1%) are estimated to have a mental disorder in their lifetime.
Pregunta 18
Pregunta
Professional Pharmacy Organizations provide service to
Pregunta 19
Pregunta
Hospitals are often categorized by
Respuesta
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ownership
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bed count
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length of stay
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A & B
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A, B, & C
Pregunta 20
Pregunta
A patient is likely not a good fit for ambulatory care if they:
Respuesta
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have no obvious symptoms
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have no insurance
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have only Medicare, Medicaid, or SCHIP coverage
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need assistance with activities of daily living
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need a specialty, international travel-related immunization
Pregunta 21
Pregunta
Demand quantity generally always decreases as price increases because
Respuesta
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replacement products lower prices
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utility is often elastic as prices increase
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fewer buyers have ability or willingness to pay the higher price
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complementary products become available as substitutes
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the number of consumers in the market increases
Pregunta 22
Pregunta
Phase one clinical trials focus on
Respuesta
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long term safety and effectiveness
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efficacy and dose ranging
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safety, side effects, and preliminary dosing
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comparison to other therapy
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none of the above
Pregunta 23
Pregunta
Which market most closely resembles a monopsony?
Respuesta
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A rural community with one grocery store and many residents
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A farming community with one cotton mill and many cotton farms
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An urban neighborhood with several "bodega" style food markets and many residents
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An urban area with two oil refineries and many automobiles
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A farmer's market in a suburban community
Pregunta 24
Pregunta
Factors which might make a patient a good "fit" for home care include
Respuesta
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treatment need is relatively long term
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home care services available in the area
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available of family members to assist
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A & B only
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A, B, & C
Pregunta 25
Pregunta
Elasticity refers to change in demanded quantity due to change in
Pregunta 26
Pregunta
Pharmacy educational outcome(s) set forth by CAPE (Center for Advancement in
Pharmaceutical Education) in 2004 include:
Respuesta
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Pharmaceutical Care
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Systems Management
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Public Health
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All of the above
Pregunta 27
Pregunta
A prescribed legend drug indicated for a chronic disease (e.g., diabetes) is an example of….
Respuesta
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Primary prevention
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Secondary prevention
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Tertiary prevention
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All of the above
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None of the above
Pregunta 28
Pregunta
The iron triangle of health care include(s):
Respuesta
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Cost, Access, Quality
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Assessment, Monitor, Assurance
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Disease, Diagnosis, Prognosis
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Primary, Secondary, and Tertiary Prevention
Pregunta 29
Pregunta
Which statement is true?
Respuesta
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The HMO Act of 1973 mandated exclusion of a prepaid, fixed-fee option for some
employers.
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The HMO Act of 1973 mandated inclusion of a prepaid, fixed-fee option for some
employers.
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The HMO Act of 1973 mandated inclusion of a cost-plus option for some employers.
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None of the above
Pregunta 30
Pregunta
Select the true statement.
Respuesta
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In 2006, the average number of prescription drug purchases is lesser by the poor than for
the middle income or high income.
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In 2006, the average number of prescription drug purchases is greater by the poor than
for the middle income or high income.
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In 2006, the average number of prescription drug purchases is equal by the poor, middle
income, and high income.
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None of the above
Pregunta 31
Pregunta
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:
Pregunta 32
Pregunta
Specialty pharmacies:
Respuesta
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are projected not to exist within the next 10 years.
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are only found in rural areas.
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are the most prevalent of all community pharmacies.
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usually specialize in the medication management of one or two disease states.
Pregunta 33
Pregunta
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.”
Respuesta
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Emergency Medical Treatment and Association Labor Act
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Emergency Medical Treatment and Active Law Act
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Emergency Medical Treatment and Active Legal Act
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Emergency Medical Treatment and Active Labor Act
Pregunta 34
Pregunta
The federal government operates a number of hospitals for specific populations, including:
Respuesta
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Veterans
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Military personnel
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Native Americans
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A & B only
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A, B, & C
Pregunta 35
Pregunta
Hospital mergers or acquisitions often take advantage of:
Respuesta
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Finance of Scale
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Scale of Economy
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Scale of Justice
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Economies of Scale
Pregunta 36
Pregunta
The patient Protection Affordable Care Act has:
Respuesta
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Disincentives for preventive health services
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Incentives and requirements for preventive health services
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Incentives and requirements for tertiary prevention
-
B & C
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All of the above
Pregunta 37
Pregunta
An example of adjudication in healthcare is
Respuesta
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defaulting on a pharmacy claim
-
processing a pharmacy claim
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Neither A or B is an example
-
Both A and B
Pregunta 38
Pregunta
Which of the following is a type of Pharmacoeconomics?
Respuesta
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Cost minimization
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Cost effectiveness
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Cost utility
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Cost perspective
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A, B, & C
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All of the above
Pregunta 39
Pregunta
Activities of Daily Living (ADL) are the basic measurement for determining…
Pregunta 40
Pregunta
Home care pharmacy standards are developed by:
Respuesta
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American Association of Colleges of Pharmacy
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American Society of Health-System Pharmacists
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American Colleges of Pharmaceutical Education
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All of the above
Pregunta 41
Pregunta
Elasticity refers to change in demanded quantity due to change in
Pregunta 42
Pregunta
Hospice services cannot legally be provided in a patient's home in most states.
Pregunta 43
Pregunta
Which federal program always had a higher reimbursement prior to ACA?
Respuesta
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Medicaid
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Medicare
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None of the above
Pregunta 44
Pregunta
Similar to property and casualty insurance, health insurance applies the theory of risk pooling to manage unanticipated risk.
Pregunta 45
Pregunta
Group policies are usually less expensive than individual policies because:
Respuesta
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Group policies are most often negotiated by large companies with skilled negotiators
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Insurance companies pay significantly greater sales commissions for individual policies than group policies
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Individual policies are most often purchased by those less healthy in need of coverage but groups policies include everyone in the group
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Insurance companies selling individual policies cannot legally restrict policyholders to specific (discounted) hospital/physicians
Pregunta 46
Pregunta
Skilled Nursing Facilities are highly regulated by state and federal agencies.
Pregunta 47
Pregunta
The biggest difference in health care between developing and developed countries is:
Respuesta
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Communicable diseases are more prevalent than chronic diseases in developing countries.
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Chronic diseases are more prevalent than communicable diseases in developing countries.
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Developing countries all have portability of benefits.
-
Developing countries all have a socialized medicine system of health care.
Pregunta 48
Pregunta
Continuing challenges of applying technology in a healthcare environment include
Respuesta
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systems integration
-
transactional integrity
-
barcode specificity
-
A & B only
-
A, B, & C
Pregunta 49
Pregunta
Adherence implies a patient choice in making the decision to follow a health professional's recommendations.
Pregunta 50
Pregunta
The FDA's roles in drug development include all of the following EXCEPT:
Pregunta 51
Pregunta
Typical Home Care services include all EXCEPT
Respuesta
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homemaker services
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wound care
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parental nutrition
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minor home surgery
-
hospice care
Pregunta 52
Pregunta
Health insurance is not a strong "fit" with the criteria for insurable risk and prescription coverage is an even worse "fit".
Pregunta 53
Pregunta
The Durham-Humphrey amendment created
Pregunta 54
Pregunta
Every substance can be toxic and some can be therapeutic depending on the concentration.