Deck 7: Cultural and Ethnic Influences in Pharmacotherapeutics

Question 1

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

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

Answer 1

Require higher doses of drugs metabolized by acetylization to achieve efficacy

Question 2

Alterations in drug metabolism among Asians may lead to:

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

Answer 2

Slower metabolism of antidepressants, requiring lower doses

Question 3

Ethnic differences have been found in drug:

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

Answer 3

Hepatic metabolism

Question 4

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

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 5

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

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

Question 6

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

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

Question 7

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

A) True
B) False

Question 8

Hispanic native healers (curanderas):

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 9

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

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

Question 10

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

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