Question 1

Strategies prescribers can use to prevent misuse of controlled prescription drugs include:

Accepted Answer

A)  Use of chemical dependency screening tools 
B)  Firm limit-setting regarding prescribing controlled substances 
C)  Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances 
D)  All of the above 
A)  Use of chemical dependency screening tools 
B)  Firm limit-setting regarding prescribing controlled substances 
C)  Practicing "just say no" to deal with patients who are pushing the provider to prescribe controlled substances 
D)  All of the above D

Question 2

Precautions that should be taken when prescribing controlled substances include:

Accepted Answer

A)  Faxing the prescription for a Schedule II drug directly to the pharmacy 
B)  Using tamper-proof paper for all prescriptions written for controlled drugs 
C)  Keeping any pre-signed prescription pads in a locked drawer in the clinic 
D)  Using only numbers to indicate the amount of drug to be prescribed 
A)  Faxing the prescription for a Schedule II drug directly to the pharmacy 
B)  Using tamper-proof paper for all prescriptions written for controlled drugs 
C)  Keeping any pre-signed prescription pads in a locked drawer in the clinic 
D)  Using only numbers to indicate the amount of drug to be prescribed B

Question 3

Off-label prescribing is:

Accepted Answer

A)  Regulated by the U.S. Food and Drug Administration 
B)  Illegal by NPs in all states (provinces) 
C)  Legal if there is scientific evidence for the use 
D)  Regulated by the Drug Enforcement Administration 
A)  Regulated by the U.S. Food and Drug Administration 
B)  Illegal by NPs in all states (provinces) 
C)  Legal if there is scientific evidence for the use 
D)  Regulated by the Drug Enforcement Administration C

Question 4

A prescription needs to be written for:

Accepted Answer

A)  Legend drugs 
B)  Most controlled drugs 
C)  Medical devices 
D)  All of the above 
A)  Legend drugs 
B)  Most controlled drugs 
C)  Medical devices 
D)  All of the above

Question 5

Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration:

Accepted Answer

A)  Are known teratogens during pregnancy 
B)  May not be refilled; a new prescription must be written 
C)  Have a low abuse potential 
D)  May be dispensed without a prescription unless regulated by the state 
A)  Are known teratogens during pregnancy 
B)  May not be refilled; a new prescription must be written 
C)  Have a low abuse potential 
D)  May be dispensed without a prescription unless regulated by the state

Question 6

The U.S. Food and Drug Administration approval is required for:

Accepted Answer

A)  Medical devices, including artificial joints 
B)  Over-the-counter vitamins 
C)  Herbal products, such as St John's wort 
D)  Dietary supplements, such as Ensure 
A)  Medical devices, including artificial joints 
B)  Over-the-counter vitamins 
C)  Herbal products, such as St John's wort 
D)  Dietary supplements, such as Ensure

Question 7

Medication agreements or "Pain Medication Contracts" are recommended to be used:

Accepted Answer

A)  Universally for all prescribing for chronic pain 
B)  For patients who have repeated requests for pain medication 
C)  When you suspect a patient is exhibiting drug-seeking behavior 
D)  For patients with pain associated with malignancy 
A)  Universally for all prescribing for chronic pain 
B)  For patients who have repeated requests for pain medication 
C)  When you suspect a patient is exhibiting drug-seeking behavior 
D)  For patients with pain associated with malignancy

Question 8

The U.S. Drug Enforcement Administration:

Accepted Answer

A)  Registers manufacturers and prescribers of controlled substances 
B)  Regulates NP prescribing at the state level 
C)  Sanctions providers who prescribe drugs off-label 
D)  Provides prescribers with a number they can use for insurance billing 
A)  Registers manufacturers and prescribers of controlled substances 
B)  Regulates NP prescribing at the state level 
C)  Sanctions providers who prescribe drugs off-label 
D)  Provides prescribers with a number they can use for insurance billing

Question 9

The U.S. Food and Drug Administration regulates:

Accepted Answer

A)  Prescribing of drugs by MDs and NPs 
B)  The official labeling for all prescription and over-the-counter drugs 
C)  Off-label recommendations for prescribing 
D)  Pharmaceutical educational offerings 
A)  Prescribing of drugs by MDs and NPs 
B)  The official labeling for all prescription and over-the-counter drugs 
C)  Off-label recommendations for prescribing 
D)  Pharmaceutical educational offerings

Question 10

Behaviors predictive of addiction to controlled substances include:

Accepted Answer

A)  Stealing or borrowing another patient's drugs 
B)  Requiring increasing doses of opiates for pain associated with malignancy 
C)  Receiving refills of a Schedule II prescription on a regular basis 
D)  Requesting that only their own primary care provider prescribe for them 
A)  Stealing or borrowing another patient's drugs 
B)  Requiring increasing doses of opiates for pain associated with malignancy 
C)  Receiving refills of a Schedule II prescription on a regular basis 
D)  Requesting that only their own primary care provider prescribe for them

Question 11

Phase IV clinical trials in the United States are also known as:

Accepted Answer

A)  Human bioavailability trials 
B)  Postmarketing research 
C)  Human safety and efficacy studies 
D)  The last stage of animal trials before the human trials begin 
A)  Human bioavailability trials 
B)  Postmarketing research 
C)  Human safety and efficacy studies 
D)  The last stage of animal trials before the human trials begin

Question 12

An Investigational New Drug is filed with the U.S. Food and Drug Administration:

Accepted Answer

A)  When the manufacturer has completed phase III trials 
B)  When a new drug is discovered 
C)  Prior to animal testing of any new drug entity 
D)  Prior to human testing of any new drug entity 
A)  When the manufacturer has completed phase III trials 
B)  When a new drug is discovered 
C)  Prior to animal testing of any new drug entity 
D)  Prior to human testing of any new drug entity

Exam 4: Legal and Professional Issues in Prescribing

Strategies prescribers can use to prevent misuse of controlled prescription drugs include:

Precautions that should be taken when prescribing controlled substances include:

Off-label prescribing is:

A prescription needs to be written for:

Drugs that are designated Schedule II by the U.S. Drug Enforcement Administration:

The U.S. Food and Drug Administration approval is required for:

Medication agreements or "Pain Medication Contracts" are recommended to be used:

The U.S. Drug Enforcement Administration:

The U.S. Food and Drug Administration regulates:

Behaviors predictive of addiction to controlled substances include:

Phase IV clinical trials in the United States are also known as:

An Investigational New Drug is filed with the U.S. Food and Drug Administration:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

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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