Question 1

Asians from Eastern Asia are known to be fast acetylators. Fast acetylators:

Accepted Answer

A)  Require acetylization in order to metabolize drugs 
B)  Are unable to tolerate higher doses of some drugs that require acetylization 
C)  May have a toxic reaction to drugs that require acetylization 
D)  Require higher doses of drugs metabolized by acetylization to achieve efficacy 
A)  Require acetylization in order to metabolize drugs 
B)  Are unable to tolerate higher doses of some drugs that require acetylization 
C)  May have a toxic reaction to drugs that require acetylization 
D)  Require higher doses of drugs metabolized by acetylization to achieve efficacy D

Question 2

Cultural factors that must be taken into account when prescribing include(s):

Accepted Answer

A)  Who the decision maker is in the family regarding health-care decisions 
B)  The patient's view of health and illness 
C)  Attitudes regarding the use of drugs to treat illness 
D)  All of the above 
A)  Who the decision maker is in the family regarding health-care decisions 
B)  The patient's view of health and illness 
C)  Attitudes regarding the use of drugs to treat illness 
D)  All of the above D

Question 3

According to the U.S. Office of Minority Health, poor health outcomes among African Americans are attributed to:

Accepted Answer

A)  The belief among African Americans that prayer is more powerful than drugs 
B)  Poor compliance on the part of the African American patient 
C)  The genetic predisposition for illness found among African Americans 
D)  Discrimination, cultural barriers, and lack of access to health care 
A)  The belief among African Americans that prayer is more powerful than drugs 
B)  Poor compliance on the part of the African American patient 
C)  The genetic predisposition for illness found among African Americans 
D)  Discrimination, cultural barriers, and lack of access to health care D

Question 4

Pharmacokinetics among Asians are universal to all the Asian ethnic groups.

Accepted Answer

A)  True 
B)  False 
A)  True 
B)  False

Question 5

The racial difference in drug pharmacokinetics seen in American Indian or Alaskan Natives are:

Accepted Answer

A)  Increased CYP 2D6 activity, leading to rapid metabolism of some drugs 
B)  Largely unknown due to lack of studies of this population 
C)  Rapid metabolism of alcohol, leading to increased tolerance 
D)  Decreased elimination of opioids, leading to increased risk for addiction 
A)  Increased CYP 2D6 activity, leading to rapid metabolism of some drugs 
B)  Largely unknown due to lack of studies of this population 
C)  Rapid metabolism of alcohol, leading to increased tolerance 
D)  Decreased elimination of opioids, leading to increased risk for addiction

Question 6

Hispanic native healers (curanderas):

Accepted Answer

A)  Are not heavily utilized by Hispanics who immigrate to the United States 
B)  Use herbs and teas in their treatment of illness 
C)  Provide unsafe advice to Hispanics and should not be trusted 
D)  Need to be licensed in their home country in order to practice in the United States 
A)  Are not heavily utilized by Hispanics who immigrate to the United States 
B)  Use herbs and teas in their treatment of illness 
C)  Provide unsafe advice to Hispanics and should not be trusted 
D)  Need to be licensed in their home country in order to practice in the United States

Question 7

Ethnic differences have been found in drug:

Accepted Answer

A)  Absorption 
B)  Hepatic metabolism 
C)  Filtration at the glomerulus 
D)  Passive tubular reabsorption 
A)  Absorption 
B)  Hepatic metabolism 
C)  Filtration at the glomerulus 
D)  Passive tubular reabsorption

Question 8

According to the National Standards of Culturally and Linguistically Appropriate Services, an interpreter for health care:

Accepted Answer

A)  May be a bilingual family member 
B)  May be a bilingual nurse or other health-care provider 
C)  Must be a professionally trained medical interpreter 
D)  Must be an employee of the organization 
A)  May be a bilingual family member 
B)  May be a bilingual nurse or other health-care provider 
C)  Must be a professionally trained medical interpreter 
D)  Must be an employee of the organization

Question 9

Alterations in drug metabolism among Asians may lead to:

Accepted Answer

A)  Slower metabolism of antidepressants, requiring lower doses 
B)  Faster metabolism of neuroleptics, requiring higher doses 
C)  Altered metabolism of omeprazole, requiring higher doses 
D)  Slower metabolism of alcohol, requiring higher doses 
A)  Slower metabolism of antidepressants, requiring lower doses 
B)  Faster metabolism of neuroleptics, requiring higher doses 
C)  Altered metabolism of omeprazole, requiring higher doses 
D)  Slower metabolism of alcohol, requiring higher doses

Question 10

The National Standards of Culturally and Linguistically Appropriate Services are required to be implemented in all:

Accepted Answer

A)  Hospitals 
B)  Clinics that serve the poor 
C)  Organizations that receive federal funds 
D)  Clinics that serve ethnic minorities 
A)  Hospitals 
B)  Clinics that serve the poor 
C)  Organizations that receive federal funds 
D)  Clinics that serve ethnic minorities

Exam 7: Cultural and Ethnic Influences in Pharmacotherapeutics

Asians from Eastern Asia are known to be fast acetylators. Fast acetylators:

Cultural factors that must be taken into account when prescribing include(s):

According to the U.S. Office of Minority Health, poor health outcomes among African Americans are attributed to:

Pharmacokinetics among Asians are universal to all the Asian ethnic groups.

The racial difference in drug pharmacokinetics seen in American Indian or Alaskan Natives are:

Hispanic native healers (curanderas):

Ethnic differences have been found in drug:

According to the National Standards of Culturally and Linguistically Appropriate Services, an interpreter for health care:

Alterations in drug metabolism among Asians may lead to:

The National Standards of Culturally and Linguistically Appropriate Services are required to be implemented in all:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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