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Worksheets2022-2023 Pharmacology Ch. 3&4 Test Review
Total questions: 77
Worksheet time: 39mins
The sublingual route of drug administration involves placing the tablet __________.
in a vein
in the cheek
under the skin
under the tongue
The __________ route is used to treat the pain and burning of inflammation and infection of the bladder.
intradermal
intramuscular
intrathecal
intravesical
The memory aid NAVEL is used to identify the emergency drugs that can be administered via an __________.
endotracheal tube
implantable port
intraperitoneal catheter
umbilical artery or vein
Intrathecal and epidural routes are used to administer drugs into the __________.
cerebrospinal fluid
intravenous fluid
peritoneal cavity
thoracic cavity
__________ of a drug involves the movement of a drug from the site of administration through the tissues and into the blood.
Absorption
Distribution
Excretion
Metabolism
The initial metabolism by the __________ is referred to as the first-pass effect.
intestines
kidneys
liver
stomach
The principle organ of drug excretion is the __________.
intestine
kidney
liver
stomach
The processes of disintegration and dissolving are associated with the __________ step of the drug cycle.
absorption
distribution
excretion
metabolism
As a drug enters the blood, some of the drug binds to circulating __________.
lymphocytes
plasma proteins
red blood cells
white blood cells
A __________ is an intravenous drug that is known to be very irritating, causing blisters or tissue death when it accidentally goes into the subcutaneous tissue.
biotransformation
metabolite
pharmacokinetics
vesicant
An enteric-coated tablet dissolves in the __________.
large intestine
mouth
small intestine
stomach
A lotion is a __________.
semisolid emulsion of oil and water, oil being the main ingredient
semisolid emulsion of oil and water, water being the main ingredient
suspension of a drug in a water base
suspension of a drug in an oil base
__________ contain fine, undissolved particles of a drug suspended in a water or oil base.
Elixirs
Suspension
Syrups
Tinctures
A suppository is composed of a
liquid base of glycerin or cocoa butter
liquid base of oil and water
solid base of glycerin or cocoa butter
solid base of oil and water
A drug in the form of a __________ can be placed within a body space or body cavity, where it slowly releases the drug into the surrounding tissues.
cream, lotion, or tincture
ointment, elixir, or syrup
pellet, bead, or wafer
tablet, capsule, or film
An __________ tablet is one that is dissolved in a glass of water before being swallowed.
caplet
effervescent
extended release
lozenge
Drugs that are used for injection into body tissues or into the blood are packaged in special containers called __________.
ampules or vials
emulsions or gels
suppositories or patches
tinctures or foams
Elixirs are commonly used for __________.
adults and elderly patients
pediatric and elderly patients
pediatric and young adult patients
young adults and adult patients
Liquid sprays are solutions that contain the drug in a __________.
lipid or alcohol base
oil or lipid base
oil or water base
water or alcohol base
__________ is a solution that contains the drug in a thickened alcohol base.
Ampule
Mousse
Troche
Wafer
A solid drug form that contains the active drug (as a dried powder) plus inert ingredients to provide bulk is known as a/an ________.
capsule
ointment
tablet
emulsion
What type of tablet has an indented line running across it so that it can be easily broken into equal pieces?
caplet
enteric
scored
troche
A drug's trade name will often include abbreviations such as CR, LA, SR, or XL. These abbreviations indicate which type of tablet?
caplets
enteric
slow-release
troche
Which drug form comes in two different varieties: a soft gelatin shell and a two-piece hard shell?
capsule
cream
ointment
tablet
The powdered form of a drug can be administered in several different ways. Which of the following is NOT one of the routes of administration used for a powdered drug form?
inhaled into the lungs
inserted into a body cavity
sprayed on skin
sprinkled topically
Which of the following is NOT a type of solution?
mousse
elixir
foam
suspension
Which of the following statements is NOT a description of one of the forms of solutions?
The drug is in fat globules dispersed uniformly throughout a water base.
The drug is in a thickened water base with added sugar and flavoring.
The drug is fine, undissolved particles that settle to the bottom upon standing.
The drug is in a water and alcohol base.
Syrups are ________.
sour and more viscous than elixirs
sour and thinner than elixirs
sweeter and more viscous than elixirs
sweeter and thinner than elixirs
Foams are ________.
solutions that contain a drug in a water base
expanded by tiny aerosol bubbles
expelled from a container when they are used
all of the answers are correct
Suppositories are used to treat patients with ________
diarrhea
eye infections
heart disease
vomiting
Which of the following is NOT a specialized type of tablet?
caplet
effervescent
lozenge
elixir
The word viscous is used to describe a liquid drug. The word viscous means ________.
clear or transparent
thick or nonwatery
powdered
watery or thin
Some over-the-counter drugs used to treat coughs are in the drug form of a/an ________ that coats the mucous membranes.
elixir
ampule
syrup
tincture
Enteric-coated tablets ________.
provide a slow release of the drug
are made to dissolve in the stomach
are made to dissolve in the small intestine
are coated so they are easy to swallow
All of the following relate to a drug being placed by mouth, EXCEPT ________.
oral
systemic
transbuccal
sublingual
All of the following are drug forms, EXCEPT ________.
pellets and beads
wafers and films
gases and T-shaped devices
binders and fillers
Solutions never need to be ________ because the drug concentration is the same in every part of the solution, even after prolonged standing.
refrigerated
injected
mixed
prescribed
Transdermal patches are used for all of the following, EXCEPT ________.
treat a vaginal yeast infection
treat severe, chronic pain
relieve the urge to smoke
prevent angina attacks in patients with heart disease
Valproic acid (Depakote), a drug used to treat seizures, comes in a capsule form that is ________.
swallowed
crushed and the vapors inhaled
placed under the tongue and allowed to dissolve
sprinkled on applesauce and swallowed
What trade name drug used to treat severe pain comes in the drug form of a lozenge?
Actiq lollipop
Cepacol lozenge
Alka-Seltzer
MetroGel
The word aqueous means ________, while the word viscous means ________.
topical; skin
liquid; solid
intravenous; oral
watery; thick
The powdered form of a drug can be found in all of these, EXCEPT ________.
a canister
an ampule
a capsule
a vial
An emulsifying agent is added to the drug form of a cream ________.
in order to keep the oil and water mixed together
in order to create an new drug form of an ointment
so that the cream can be used topically in the eye
so that it will exert a systemic effect
Monica Thompson's antacid drug bottle has this printed on the label: "Shake Well Before Using." That is because this drug is a/an ________.
suspension
emulsion
syrup
troche
A solution containing fine, undissolved particles of a drug that settle to the bottom of the container is called a/an ________.
suspension
elixir
spray
liquid
Which route of administration is used to put a chemotherapy drug directly into the area of a cancerous tumor?
intra-articular
umbilical artery
epidural
intra-arterial
Which of the following is an intravenous drug that is known to be very irritating and can cause blisters if it accidentally goes into the subcutaneous tissue?
implantable port
vesicant
gastrostomy
parenteral
All of the following are true about a saline lock, EXCEPT ________.
it allows intravenous access without the need for a continuously infusing I.V. fluid
it keeps the vein free of clots
it uses an I.V. bag and an infusion pump
it is a way to administer intravenous drugs on an intermittent basis
Why are drugs absorbed slowly after subcutaneous administration?
because there are only a few blood vessels in the subcutaneous layer
because fat metabolizes a drug quickly
because the fat layer is so deep
all of the answers are correct
As a drug leaves the blood and moves through all the body tissues, it comes in contact with ________.
receptors
the blood-brain barrier
placenta
all of the above
Only drugs given by ________ administration entirely bypass the step of absorption.
endotracheal
subcutaneous
oral
intravenous
The intravesical route of administration is used to administer chemotherapy drugs into the ________.
lungs
abdomen
spinal cord
bladder
An equivalent word for metabolism is ________.
biotransformation
metabolite
distribution
parenteral
Drugs circulate in the blood bound to ________.
red blood cells
white blood cells
albumin
plasma
Drug doses for an elderly patient are decreased because of the patient's decreased ________.
need for medication
activity levels
mental ability to administer correct doses
liver and kidney function
Drugs that are not absorbed after oral administration ________.
are metabolized in the stomach
can be used to treat diseases of the stomach or intestine
are not therapeutically effective
are excreted in the urine
When a drug is given by inhalation, it is absorbed ________.
through the stomach and intestine
through the nasal cavity
through the lungs
through the breast milk
All of the following drugs are administered topically, EXCEPT ________.
nitroglycerin (Nitrostat) tablets
antibiotic ointment for a skin injury
eye drops for glaucoma
antibiotic drops for an ear infection
All of the following are accepted sites for an intramuscular injection in adults, EXCEPT ________.
ventrogluteal
subcutaneous
deltoid
dorsogluteal
Which of the following is NOT one of the steps involved in the drug cycle?
absorption
distribution
metabolism
secretion
When a drug is applied directly to the skin, eyes, or ears, it is administered via the ________ route.
oral
sublingual
topical
transdermal
Which is the most convenient route of administration and the one most commonly used?
injection
oral
rectal
tablets
Which route of administration is chosen when the patient is vomiting and a drug cannot be given by injection?
intradermal
parenteral
rectal
sublingual
In actual clinical use, which of the following is NOT considered to be part of the parenteral route of administration?
intradermal
intramuscular
endotracheal
intravenous
For most drug forms, absorption involved three steps. Which of the following is NOT one of the three steps of absorption?
absorb
disintegrate
dissolve
excrete
Oral drugs that are in a liquid form do NOT go through which of the following steps?
absorption
disintegration
dissolving
excretion
Which method of drug administration is only used during emergency resuscitation?
intra-articular
intracardiac
intravesical
intramuscular
Following drug administration, most drugs go through a well-defined sequence of steps before being excreted from the body. Which of the following is the correct order of those steps?
absorption, distribution, metabolism, excretion
distribution, metabolism, absorption, excretion
excretion, metabolism, distribution, absorption
metabolism, distribution, absorption, excretion
Drugs given orally are absorbed from the intestines into the blood of the portal vein. Before this vein empties into the general circulation, it passed through the ________.
intestines
kidney
liver
skin
Patients with kidney disease and elderly patients with a decreased level of kidney function due to aging are prescribed ________.
lower doses of drugs
higher doses of drugs
the same dose of drugs
different routes of administration
Any liquid drug that can be given by the oral route can also be given by any of these routes, EXCEPT ________.
jejunostomy
nasogastric
transdermal
gastrostomy
Which of the following routes CANNOT be used to administer drugs to an unconscious patient?
oral
rectal
intravenous
none of the answers are corect
Which route of administration is commonly abbreviated as PO?
oral
parenteral
rectal
inhalation
Parenteral administration of a drug commonly includes all of the following routes, EXCEPT ________.
intramuscular
intravenous
oral
subcutaneous
The first-pass effect describes the ________.
metabolism of drugs by the stomach
metabolism of drugs by the liver
absorption of drugs by the stomach
excretion of drugs by the kidneys
Which of the following statements is FALSE?
Different forms of a drug are appropriate for different routes of administration.
Intradermal injection injects the drug into the subcutaneous fat.
Some drugs are ineffective when administered by a certain route.
Drugs may seriously injury the patient if administered by the wrong route
Which of the following statements is FALSE?
All syringes are calibrated in units.
When an intradermal injection is positioned correctly, the tip of the needle is still visible through the epidermis.
An intramuscular injection is placed in the belly (area of greatest mass) of the muscle.
Drugs injected intramuscularly are absorbed more quickly than with subcutaneous administration.
