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 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 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 D

Question 4

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

Accepted Answer

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

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

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

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

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

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

Exam 7: Cultural and Ethnic Influences in Pharmacotherapeutics