Oral Pharmacology for the Dental Hygienist 2nd Edition Test Bank

 

Chapter 1

Multiple Choice: Select the appropriate answer(s):

  ; From the following list, select the items which are associated with the development of drugs.

          ;  flowers

         b. water

         c. glass

         d. plants

         e. genes

 

2. From the following list, select the items which are associated with drug names.

       a. brand

       b. generic

       c. trade

       d. chemical

      

  ; In which of the following pregnancy categories is systemic tetracycline classified?

          ;  A

          ;  B

          ;  C

          ;  D

          ;  X

  ; Which of the following terms is defined as “an effect that is noxious and unintended, and that occurs at doses used in man for prophylaxis, diagnosis, or therapy”?

          ;  toxic reaction

          ;  adverse drug reaction

          ;  adverse drug event

          ;  idiosyncratic reaction

  ; Which of the following adverse effects is evident with antihistamines?

          ;  diarrhea

          ;  xerostomia

         ;  sedation               

          ;  increased salivation

          ;  increased urination

  ; Acetaminophen is a:

          ;  generic name

          ;  chemical name

          ;  trade name

          ;  brand name

  ; Which of the following is an undesirable effect produced by a drug that has a predicatable response and is dose related?

          ;  therapeutic effect

          ;  adverse effect

          ;  teratogenic effect

          ;  idiosyncratic reaction

  ; Any type of adverse drug reaction should be reported to the

          ;  Food and Drug Administration (FDA).

          ;  Centers for Disease Control and Prevention (CDC).

          ;  Environmental Protection Agency (EPA).

          ;  Department of Human ; 

9. Prescription drugs are controlled by the

          ;  United States Food and Drug Administration (FDA).

          ;  Centers for Disease Control (CDC).

          ;  drug manufacturers.

          ;  local government.

; Which of the following are goals of prescription writing?

          ;  To give an order for medications to be dispensed to the patient.

          ;  To communicate with the pharmacist to minimize errors in dispensing.

          ;  To comply with any rules governing prescribing that could affect the patient’s ability to obtain the drug.

          ;  To have written logs for the number of prescriptions written in the United States.

; Which of the following is (are) found in the body of a prescription?

          ;  date

          ;  telephone number of prescriber

          ;  address of prescriber

          ;  name of drug

         e. dosage of the drug

; From the list, select the items which are found in the heading of a prescription?

          ;  dosage of drug

           b. age of the patient

          ;  name of drug

           d   Rx symbol

          ;  patient’s name

; From the list, select the items which are found in the closing of a prescription.

          ;  date the prescription was written

          ;  number of allowable refills

         ;  directions to label the container

          ;  age of patient

          ;  name of patient

; Which of the following terms is used to indicate that medical studies have shown that the drug causes a significant risk of serious or even life-threatening adverse effects?

          ;  package insert

          ;  black box warning

          ;  DEA number

          ;  indications

; From the following list, select the items associated with the metric system.

          ;  liter

           b. gram

          ;  grain

          ;  scruple

         e. milligram

         f. drams

           g. minim

; Which of the following units is a measure in the apothecary system?

          ;  liter

          ;  grain

          ;  milligram

          ;  kilogram

; From the following list, select the items associated with allowing for substitutions on a prescription.

          ;  generic drugs are better than brand name drugs.

          ;  generic drugs are cheaper for the patient.

           c. generic drugs are cheaper for the insurance company

          ;  generic drugs are more expensive.

          ;  generic drugs have less strength.

; From the following list, select the items associated with how many times can a prescription for a schedule III drug be refilled.

          ;  twice

          ;  three

          ;  four

          ;  five

        ;  six

         ;  eight

         ;  ten

; From the following list, select the items associated with ways to avoid medication errors.

          ;  write clearly on the prescription.

          ;  call the pharmacist after writing the prescription.

          ;  make a copy of the prescription.

          ;  talk to the patient about the medication he or she will be taking.

         e. write in ink.

         f. avoid abbreviations.

; The abbreviation “ac” means

          ;  before meals.

          ;  after meals.

          ;  at bedtime.

          ;  take with food.

; Which part of the prescription is the signature of the prescriber?

          ;  heading

          ;  middle

          ;  body

          ;  closing

; Which of the following ways may help reduce prescription errors?

          ;  Prescriptions should be written in pencil.

          ;  Electronic prescribing.

          ;  Prescriber should always use prescriptions with the drug name preprinted.

          ;  Telephone all prescriptions to the pharmacist.

; According to the prescription, how many capsules are being prescribed?

License: 0111111

DEA # AW123445555

John David, DDS

1111 Main Street

New York , NY 11111

(212) 111-1234

Name Mary Smith              Age ____56___

Address 1234 South St, NY       Date 7/1/06

Amoxicillin 500 mg

Disp: # _____ caps.

Sig: Take two caps stat, followed by one cap tid for 7 days until finished for dental infection

____________________________

This prescription will be filled generically unless prescriber writes “daw” in the box below

label

          ;  21

          ;  22

          ;  24

          ;  25

; Taking the “two caps stat” is considered to be a

          ;  loading dose.

          ;  maintenance dose.

          ;  toxic dose.

          ;  allergic dose.

; Written on a prescription is “Sig: 1 qid pc and ; This is translated to mean

          ;  take one 3 times a day and at night.

          ;  take one 5 times a day and after meals.

          ;  take one 4 times a day after meals and at bedtime.

          ;  take one 4 times a day before meals and in the morning.

; Which of the following is required to be on a prescription?

          ;  side effects of the medicine

          ;  drug interactions

          ;  telephone number of patient

          ;  age of the patient

         e. date prescription was written

; The abbreviation “prn” means

          ;  as needed.

          ;  take frequently.

          ;  as directed.

          ;  with meals.

; If a prescriber signs the “substitution permissible” line, then the pharmacist

          ;  must use the cheaper generic drug.

         b. can ask the patient if he/she prefers the generic or brand name drug.

          ;  must use the more expensive drug.

          ;  must use the brand name drug.

          ;  uses whatever drug is available.

True or False

________             ; Another name for the trade name of a drug is proprietary name.

____             ; Clarithromycin (Biaxin) is an antibiotic and has an “A” pregnancy category.

____             ; The Harrison Narcotics Act of 1914 established the first drug abuse legislation in the United States.

____             ; Posology is the study of the dosages of medicines and drugs.

________             ; The FDA stands for the Food and Drug Agency.

____             ; Pharmacokinetics is the study of how the drug is handled by the body.

                                                    ;      To minimize medication error, the prescription should be written in pencil.

____             ; The metric system uses the old measures of weights.

____             ; Drug dosages for infants are the same as for adults.

____10. OTC drugs require a prescription.

____           ; Prescriptions for C-II narcotics cannot be refilled by the pharmacist.

____           ; Federal laws allow the prescriber to prescribe a drug for an “off-labeled ;

____           ; A dentist can write a prescription for a drug for a heart condition.

____           ; It is not necessary to write on a prescription the dose and dose frequency of the medication because the patient knows what drug he or she is taking.

____           ; Writing “take as directed” is correct and legal.

____           ; 1 gm equals to 1000 mg.

 

 

Fill in the Blank

  ; ______________ ______________ are caused by drug induced damage to DNA (deoxyribonucleic acid) present in the male and female gametes.

  ; ______________ is defined as harmful effects associated with drug overdose.

  ; The ______________ name for a drug is a registered trademark belonging to a particular drug manufacturer.

        ;    ______________ refers to the unexplained responses of a drug.

5. Penicillin has a FDA pregnancy category of _______.

  ; It is important to avoid complications to minimize medication ______________.

  ; Drugs that have a high abuse potential are called ______________ drugs.

  ; DAW is an abbreviation for ______________ ______________.

  ; The abbreviation of a gram is ______________.

; The abbreviation of a milliliter is ______________.

; The generic name of Vibramycin is ______________.

; The abbreviation for “twice a day” is ______________.

; The abbreviation for “three times a day” is ______________.

; The abbreviation for “four times a day” is ______________.

; The abbreviation for “immediately” is ______________

abbreviation for “every hour” is ______________

; The abbreviation “SIG” means ______________ ______________ ______________.

; The abbreviation “PO” means ______________.

; Drug Enforcement Administration is abbreviated ______________.

; The abbreviation “hs” indicates to take the medicine at ______________.

; The abbreviation “qd” indicated to take the medicine ______________ ______________.

; The date the prescription was written is contained in the ______________ of the prescription.

; The generic drug is usually ______________ than the brand name.

; “NR” on a prescription indicates ______________ ______________.

; Tylenol with codeine #3, which is a C-III, may be refilled ______________ times.

 

EXTENDED MATCHING

 

1. For each term listed below, select the correct definition from the list proveded.

 

   Term  Definition

1. Adverse effect       of a drug is needed to obtain the same effect
2. Idiosynrasy             b. unexplained, uncharacteristic response to a drug
3. Tolerance               damage to the developing fetus
4. Teratogenic           d. undesirble side effects that develop

.

2. For each drug schedule listed below, select the correct drug from the list provided

 

1. C-I             a. oxycodone with acetaminophen (Percodan)
2. C-II             b. acetaminophen (Tylenol) with codeine
3. C-III           ;  alprazolam (Xanax)
4. C-IV           ;  cough syrup with codeine
5. C-V           e. heroin

                ;  hydrocodone with acetaminophen (Vicodin)

Case Study

A 65-year-old male patient presents to the dental office. His medical history revealed that he gets a rash when he takes penicillin. The patient occasionally gets angina attacks for which he takes nitroglycerin tablets. The patient takes ibuprofen daily. The patient is scheduled for a restorative procedure and an oral prophylaxis. The pateint requires an antibiotic because of a endodontic infection.

  ; What information is related to the patient’s allergy to penicillin?

  ; What are reference sources that can be used to look up medications the patient is taking?

  ; What precautions should be taken while the patient is receiving dental treatment?

  ; What are the different ways to determine if there are any drug interactions with the drugs the patient is taking?

  ; The patient asks you about what to expect in terms of good and bad effects of the drugs he is taking. How do you explain this to the patient?

 

 

 

Case Study

  ; What steps should be taken to reduce medication and prescription error in this case?

  ; Label the parts of the prescription.

  ; What would be the intended directions to the patient?

  ; Explain the prescription to the patient.

  ; The patient asked if there is a difference between the brand name and the generic form. What is your reply?

License: 0111111

DEA # AW123445555

John David, DDS

1111 Main Street

New York , NY 11111

(212) 111-1234

Name Mary Smith              Age ____A___

Address 1234 South St, NY       Date 7/1/06

Hydrocodone/acetaminophen

Disp: # 10 tablets

Sig: Take as directed

____________________________

This prescription will be filled generically unless prescriber writes “daw” in the box below

Label