Question

Question 1. The U.S. Food and Drug Administration (FDA) regulates:

Prescribing of drugs by MDs and NPs

The official labeling for all prescriptions and over-the-counter drugs

Off-label recommendations for prescribing

Pharmaceutical educational offerings

Question 2. The U.S. Drug Enforcement Administration (DEA):

Registers the manufacturers of, and those who are prescribers of controlled substances.

Regulates NP prescribing at the state level

Sanctions providers who prescribe drugs off-label

Provides prescribers with a number they can use for insurance billing

Question 3. Precautions that should be taken when prescribing controlled substances include:

Faxing the prescription for a Schedule II drug directly to the pharmacy

Using tamper-proof papers for all prescriptions written for controlled drugs

Keeping any presigned prescription pads in a locked drawer in the clinic

Using only numbers to indicate the amount of drug to be prescribed

Question 4. Alterations in drug metabolism among Asians may lead to:

Slower metabolism of antidepressants, requiring lower doses

Faster metabolism of neuroleptics, requiring higher doses

Altered metabolism of omeprazole, requiring higher doses

Slower metabolism of alcohol, requiring higher doses

Question 5. Incorporating IT into a patient encounter takes skill and tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by:

Turning the screen around so the patient can see material being recorded

Not placing the computer screen between the provider and the patient

Both A and B

Neither A nor B

Question 6. Pharmacokinetics among Asians are universal to all the Asian ethnic groups.

True

False

Question 7. The developmental variation in Phase I enzymes has what impact on pediatric prescribing?

None; Phase I enzymes are stable throughout childhood

Children should always be prescribed lower than adult doses per weight due to low enzyme activity until puberty

Children should always be prescribed higher than adult doses per weight due to high enzyme activity

Prescribing dosages will vary based on the developmental activity of each enzyme, at times requiring lower than adult doses and at other times requiring higher than adult doses based on the age of the child

Question 8. Drugs that are absolutely contraindicated in lactating women include:

Selective serotonin reuptake inhibitors

Antiepileptic drugs such as carbamazepine

Antineoplastic drugs such as methotrexate

All of the above

Question 9. What impact does developmental variation in renal function has on prescribing for infants and children?

Lower doses of renally excreted drugs may be prescribed to infants younger than six months

Higher doses of water-soluble drugs may need to be prescribed due to increased renal excretion

Renal excretion rates have no impact on prescribing

Parents need to be instructed on whether drugs are renally excreted or not

Question 10. Liza is breastfeeding her two-month-old son, and she has an infection that requires an antibiotic. What drug factors influence the effect of the drug on the infant?

Maternal drug levels

Half-life

Lipid solubility

All of the above