Intro To Pharm Hc Midterm

Front 1

As a pharmacist, using the “teach back” technique when counseling on a new medication
1. Requires having the patient summarize/demonstrate what they understand about the medication that you presented to them

2. Requires you to summarize the key pieces of information at the end of the counseling

3. Is only important when counseling patients with low health literacy

4. A & B

5. A & C

Back 1

1. Requires having the patient summarize/demonstrate what they understand about the medication that you presented to them

Front 2

Qualities of patient-centered care include

1. Providers respect patient values

2. Care is coordinated across different providers

3. Patients are involved in the decision making process when planning treatment

4. A & C

5. All of the above

Back 2

5. All of the above

Front 3

Which aspect of patient-centered care allows the patient to make decisions regarding their treatment plans?

1. Dignity

2. Autonomy

3. Self-Respect

4. Equity

Back 3

2. Autonomy

Front 4

T/F?
In implementing the goals of pharmaceutical care, the American Council on Pharmaceutical Education (ACPE) mandated the doctor of pharmacy, a six-year degree program as the entry level requirement.

Back 4

True

Front 5

The “state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity” refers to the:

1. Definition of health by Healthy People 2010

2. Definition of pharmaceutical care

3. Definition of health by the World Health Organization

Back 5

3. Definition of health by the World Health Organization

Front 6

T/F?
Health-related quality of life is now one of the outcomes measured in the drug approval process?

Back 6

True

Front 7

SHINE is a community resource available to MAC that was mentioned in the discussion. SHINE, would provide Mac with what type of support?

1. Free generic prescription medications

2. Low cost prescription medications (generic only)

3. Free instruction and help with Medicare Part D

4. Low cost prescription medications (generic only and/or name brands)

Back 7

3. Free instruction and help with Medicare Part D

Front 8

Professor Angaran spoke about how well the system was doing in terms of HTN treatment. The trends in awareness, treatment and control of high blood pressure suggests that?

1. The survey demonstrates the need for more effective HTN medications to be developed.

2. There has been a steady increase in the percentage of people who are aware of their blood pressure

3. In the last survey (1999-2000), about half of the people with HTN were successfully treated.

4. Over the last several decades, less than half of the people with HTN were successfully treated.

Back 8

4. (but they were all marked correct)

Front 9

Direct-to-Consumer advertising on television is regulated by:

1. The Food and Drug Administration

2. The Federal Trade Commission

3. a and b

4. None of the above

Back 9

1. The Food and Drug Administration

Front 10

In 1900, the leading causes of death in comparison with today were attributed to:

1. Increase in both infectious and chronic diseases

2. More chronic diseases and less infectious diseases

3. More infectious diseases and less chronic diseases

Back 10

3. More infectious diseases and less chronic diseases

Front 11

T/F?
By decreasing patients’ out-of-pocket expenses, health insurance has encouraged patients to consume more health services than they would if they were bearing the full cost of the product and service.

Back 11

true

Front 12

T/F?
Economics is defined as “the study of how individuals and societies allocate their limited resources in attempts to satisfy their unlimited wants.”

Back 12

true

Front 13

Group policies are:

1. Usually more prone to adverse election

2. More expensive to sell and administer

3. Less expensive than individual insurance

4. A and B

5. B and C

Back 13

3. Less expensive than individual insurance

Front 14

What is a characteristic of risk in health insurance (select one)?

1. Generally not quantifiable

2. Likelihood can be determined at the individual level

3. Generally measurable

4. Cannot be attributable to a specific event

Back 14

3. Generally measurable

Front 15

When providers over-treat or over-prescribe because health care costs are covered is an example of _______.


1. moral hazard

2. adverse selection

3. coinsurance

4. co-payment process

5. prior authorization

Back 15

1. moral hazard

Front 16

Payment of health care expenses until a specified amount has been paid out-of-pocket over a period of time.

1. Coinsurance

2. Deductible

3. Copayment

4. Community rating

5. Self-funded

Back 16

2. Deductible

Front 17

If at price P there is a shift in demand to the right, then what is the impact on quantity demanded?

1. There is a decrease demanded

2. There is an increase demanded

3. There is no impact on quantity demanded

4. Cannot determine without knowing the new price point

Back 17

2. There is an increase demanded

Front 18

On the Supply-Demand Curves, the equilibrium point refers to:

1. None of the other answer choices is correct

2. When demand exceeds supply

3. When demand equals supply

4. When supply exceeds demand

Back 18

3. When demand equals supply

Front 19

Mac was newly diagnosed with what disease state in Case 2?

1. Hypothyroidism

2. Type II diabetes

3. Type I diabetes

4. Hypertension

Back 19

2. Type II diabetes

Front 20

At the price point P quantity supplied is to the right of quantity demanded. This means there is what?

1. Shortage

2. Surplus

3. Excess demand

4. Decrease in supply

Back 20

2. Surplus

Front 21

When looking at the poorest US citizens, the majority of their health related services is funded by?

1. Social Security

2. Medicare Part D

3. Medicaid

4. Medicare

Back 21

3. Medicaid

Front 22

Which of the following is a typical component of a capitated payment system?

1. None of the answers are correct

2. Shared financial risk between healthcare providers and payers

3. A tendency to over utilize healthcare goods and services by providers in order to increase revenues and profits

4. Increased administrative costs associated with billing (accounts receivable) and payment (accounts payable)

Back 22

2. (but they were all marked correct)

Front 23

Advantages of three-tier prescription benefits include(s):

1. Generic dispensing rate increases

2. Consumer incentive to choose cost-effective drugs

3. Allows access to an open formulary that allows “choice”

4. a and b

5. a, b and c

Back 23

5. a, b, and c

Front 24

Which type of managed care organization employs everyone who delivers health care to the plan's patients?

1. Group Model HMO

2. EPO

3. PPO

4. Staff Model HMO

Back 24

1. Group Model HMO

Front 25

Which Medicare service is largely financed through payroll tax deductions?

1. Part D

2. Part B

3. Part C

4. Part A

Back 25

4. Part A

Front 26

What federal legislation mandated that pharmacy offer counseling to Medicare patients?

1. Omnibus Budget Reconciliation Act

2. Health Security Act

3. Medicare Prescription Drug Improvement and Modernization Act

4. Health Insurance Portability and Accountability Act

5. Medicare Catastrophic Coverage Act

Back 26

1. Omnibus Budget Reconciliation Act

Front 27

FDA responsibilities include(s):

1. Drugs

2. Food

3. Cosmetics

4. a and b

5. a, b, and c

Back 27

a, b, and c

Front 28

Which of the following is are covered by Medicare Part A?

1. Home health care

2. Skilled nursing facility services

3. Hospice

4. Both A & B

5. All - A, B & C

Back 28

5. All = A, B, & C

Front 29

McKesson, Cardinal Health and Amerisource Bergen account for the majority of drug product sales in the United States. These three organizations would be classified as?

1. Regional wholesalers

2. Manufacturers

3. Secondary wholesalers

4. Primary wholesalers

Back 29

4. Primary wholesalers

Front 30

The US Government affords the first manufacturer to bring to market a generic version of a medication some market exclusivity. What is the major benefit of this exclusivity?

1. Guaranteed sales for 1 year

2. 10 month wholesaler classification to reduce distribution expenses

3. Classification as a blockbuster product

4. 6 months exclusive rights to be the only distributor on the market

Back 30

4. 6 months exclusive rights to be the only distributor on the market

Front 31

A medication that is classified as a blockbuster product must have annual sales of?

1. $250 million

2. $100 million

3. $500 million

4. $1 billion

Back 31

4. $1 billion

Front 32

The process of relabeling or redefining a personal or social problem as a medical condition is called:

1. alternative therapy

2. self-care

3. pharmakon

4. medicalization

Back 32

4. medicalization

Front 33

Channels of legal distribution of prescription drugs include(s):

1. Drug wholesaling

2. Direct from the manufacturer

3. Drug diversion

4. a and b

5. a, b, and c

Back 33

4. a and b

Front 34

T/F?
The drug consumer’s mindset (beliefs) and the prescriber’s mindset about prescription drug use are usually the same.

Back 34

false

Front 35

After graduation you open up your own independent pharmacy – Gator RX Cares. Five years later you are preparing to open your fourth Gator RX Cares. How would you classify your collection of Gator RX Cares stores?

1. Independent Pharmacy

2. Franchise pharmacy

3. Mass merchandiser

4. Pharmacy chain

Back 35

4. Pharmacy chain

Front 36

The vast majority of prescription drug products that are used in the US flow through?

1. Mail Order

2. Nursing Homes

3. Hospitals

4. Outpatient Settings

Back 36

4. Outpatient settings

Front 37

According to Dr Hepler the take home message about drug related admissions/drug related morbidity is that according to research what percent are considered preventable?

1. 25%

2. Between 6.5% and 7.1%

3. 50%

4. Between 1.5% and 4.3%

Back 37

3. 50%

Front 38

Any circumstance during therapy that a competent professional would see as inconsistent with the objective of therapy is called?

1. Preventable drug related morbidity

2. Medication therapy management

3. Drug related morbidity

4. Drug therapy problem

Back 38

4. Drug therapy problem

Front 39

T/F? There are cases where a patient must be injured to obtain a desired therapeutic outcome and so this would not be classified as a drug related morbidity?

Back 39

true

Front 40

On average, what item has the greatest cost for dispensing a prescription drug in a community pharmacy?


1. Direct pharmacy expenses

2. The drug product

3. Overhead such as insurance and rent

4. Pharmacists

5. Total labor costs

Back 40

2. the drug product

Front 41

Which program was designed to provide services that will optimize therapeutic outcomes for targeted beneficiaries?

1. PDRA

2. MTM

3. DRM

4. DRA

Back 41

2. MTM

Front 42

T/F?
Drug manufacturers can be classified as either a price maker or a price taker.

Back 42

true

Front 43

A patient with a UTI that is currently on an antibiotic for treatment is still symptomatic after 3 days of continuous treatment. This can be classified as a?

1. Preventable Drug Related Morbidity

2. Drug Therapy Problem

3. Drug Related Morbidity

4. Drug Related Admission

Back 43

2. Drug Therapy Problem

Front 44

A person’s experience of not being well is the definition of

1. illness

2. disease

3. sickness

Back 44

1. illness

Front 45

An inference based on interpretation of subjective and objective data, usually from an ill person is the definition of

1. illness

2. disease

3. sickness

Back 45

2. disease

Front 46

Inability to meet obligations or engage in desired “normal” activities is the definition of

1. illness

2. disease

3. sickness

Back 46

3. sickness