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2022-2023 Pharmacology Ch. 3&4 Test Review

Total questions: 77

Worksheet time: 39mins

Name
Class
Date
1.

The sublingual route of drug administration involves placing the tablet __________.

a)

in a vein

b)

in the cheek

c)

under the skin

d)

under the tongue

2.

The __________ route is used to treat the pain and burning of inflammation and infection of the bladder.

a)

intradermal

b)

intramuscular

c)

intrathecal

d)

intravesical

3.

The memory aid NAVEL is used to identify the emergency drugs that can be administered via an __________.

a)

endotracheal tube

b)

implantable port

c)

intraperitoneal catheter

d)

umbilical artery or vein

4.

Intrathecal and epidural routes are used to administer drugs into the __________.

a)

cerebrospinal fluid

b)

intravenous fluid

c)

peritoneal cavity

d)

thoracic cavity

5.

__________ of a drug involves the movement of a drug from the site of administration through the tissues and into the blood.

a)

Absorption

b)

Distribution

c)

Excretion

d)

Metabolism

6.

The initial metabolism by the __________ is referred to as the first-pass effect.

a)

intestines

b)

kidneys

c)

liver

d)

stomach

7.

The principle organ of drug excretion is the __________.

a)

intestine

b)

kidney

c)

liver

d)

stomach

8.

The processes of disintegration and dissolving are associated with the __________ step of the drug cycle.

a)

absorption

b)

distribution

c)

excretion

d)

metabolism

9.

As a drug enters the blood, some of the drug binds to circulating __________.

a)

lymphocytes

b)

plasma proteins

c)

red blood cells

d)

white blood cells

10.

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.

a)

biotransformation

b)

metabolite

c)

pharmacokinetics

d)

vesicant

11.

An enteric-coated tablet dissolves in the __________.

a)

large intestine

b)

mouth

c)

small intestine

d)

stomach

12.

A lotion is a __________.

a)

semisolid emulsion of oil and water, oil being the main ingredient

b)

semisolid emulsion of oil and water, water being the main ingredient

c)

suspension of a drug in a water base

d)

suspension of a drug in an oil base

13.

__________ contain fine, undissolved particles of a drug suspended in a water or oil base.

a)

Elixirs

b)

Suspension

c)

Syrups

d)

Tinctures

14.

A suppository is composed of a

a)

liquid base of glycerin or cocoa butter

b)

liquid base of oil and water

c)

solid base of glycerin or cocoa butter

d)

solid base of oil and water

15.

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.

a)

cream, lotion, or tincture

b)

ointment, elixir, or syrup

c)

pellet, bead, or wafer

d)

tablet, capsule, or film

16.

An __________ tablet is one that is dissolved in a glass of water before being swallowed.

a)

caplet

b)

effervescent

c)

extended release

d)

lozenge

17.

Drugs that are used for injection into body tissues or into the blood are packaged in special containers called __________.

a)

ampules or vials

b)

emulsions or gels

c)

suppositories or patches

d)

tinctures or foams

18.

Elixirs are commonly used for __________.

a)

adults and elderly patients

b)

pediatric and elderly patients

c)

pediatric and young adult patients

d)

young adults and adult patients

19.

Liquid sprays are solutions that contain the drug in a __________.

a)

lipid or alcohol base

b)

oil or lipid base

c)

oil or water base

d)

water or alcohol base

20.

__________ is a solution that contains the drug in a thickened alcohol base.

a)

Ampule

b)

Mousse

c)

Troche

d)

Wafer

21.

A solid drug form that contains the active drug (as a dried powder) plus inert ingredients to provide bulk is known as a/an ________.

a)

capsule

b)

ointment

c)

tablet

d)

emulsion

22.

What type of tablet has an indented line running across it so that it can be easily broken into equal pieces?

a)

caplet

b)

enteric

c)

scored

d)

troche

23.

A drug's trade name will often include abbreviations such as CR, LA, SR, or XL. These abbreviations indicate which type of tablet?

a)

caplets

b)

enteric

c)

slow-release

d)

troche

24.

Which drug form comes in two different varieties: a soft gelatin shell and a two-piece hard shell?

a)

capsule

b)

cream

c)

ointment

d)

tablet

25.

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?

a)

inhaled into the lungs

b)

inserted into a body cavity

c)

sprayed on skin

d)

sprinkled topically

26.

Which of the following is NOT a type of solution?

a)

mousse

b)

elixir

c)

foam

d)

suspension

27.

Which of the following statements is NOT a description of one of the forms of solutions?

a)

The drug is in fat globules dispersed uniformly throughout a water base.

b)

The drug is in a thickened water base with added sugar and flavoring.

c)

The drug is fine, undissolved particles that settle to the bottom upon standing.

d)

The drug is in a water and alcohol base.

28.

Syrups are ________.

a)

sour and more viscous than elixirs

b)

sour and thinner than elixirs

c)

sweeter and more viscous than elixirs

d)

sweeter and thinner than elixirs

29.

Foams are ________.

a)

solutions that contain a drug in a water base

b)

expanded by tiny aerosol bubbles

c)

expelled from a container when they are used

d)

all of the answers are correct

30.

Suppositories are used to treat patients with ________

a)

diarrhea

b)

eye infections

c)

heart disease

d)

vomiting

31.

Which of the following is NOT a specialized type of tablet?

a)

caplet

b)

effervescent

c)

lozenge

d)

elixir

32.

The word viscous is used to describe a liquid drug. The word viscous means ________.

a)

clear or transparent

b)

thick or nonwatery

c)

powdered

d)

watery or thin

33.

Some over-the-counter drugs used to treat coughs are in the drug form of a/an ________ that coats the mucous membranes.

a)

elixir

b)

ampule

c)

syrup

d)

tincture

34.

Enteric-coated tablets ________.

a)

provide a slow release of the drug

b)

are made to dissolve in the stomach

c)

are made to dissolve in the small intestine

d)

are coated so they are easy to swallow

35.

All of the following relate to a drug being placed by mouth, EXCEPT ________.

a)

oral

b)

systemic

c)

transbuccal

d)

sublingual

36.

All of the following are drug forms, EXCEPT ________.

a)

pellets and beads

b)

wafers and films

c)

gases and T-shaped devices

d)

binders and fillers

37.

Solutions never need to be ________ because the drug concentration is the same in every part of the solution, even after prolonged standing.

a)

refrigerated

b)

injected

c)

mixed

d)

prescribed

38.

Transdermal patches are used for all of the following, EXCEPT ________.

a)

treat a vaginal yeast infection

b)

treat severe, chronic pain

c)

relieve the urge to smoke

d)

prevent angina attacks in patients with heart disease

39.

Valproic acid (Depakote), a drug used to treat seizures, comes in a capsule form that is ________.

a)

swallowed

b)

crushed and the vapors inhaled

c)

placed under the tongue and allowed to dissolve

d)

sprinkled on applesauce and swallowed

40.

What trade name drug used to treat severe pain comes in the drug form of a lozenge?

a)

Actiq lollipop

b)

Cepacol lozenge

c)

Alka-Seltzer

d)

MetroGel

41.

The word aqueous means ________, while the word viscous means ________.

a)

topical; skin

b)

liquid; solid

c)

intravenous; oral

d)

watery; thick

42.

The powdered form of a drug can be found in all of these, EXCEPT ________.

a)

a canister

b)

an ampule

c)

a capsule

d)

a vial

43.

An emulsifying agent is added to the drug form of a cream ________.

a)

in order to keep the oil and water mixed together

b)

in order to create an new drug form of an ointment

c)

so that the cream can be used topically in the eye

d)

so that it will exert a systemic effect

44.

Monica Thompson's antacid drug bottle has this printed on the label: "Shake Well Before Using." That is because this drug is a/an ________.

a)

suspension

b)

emulsion

c)

syrup

d)

troche

45.

A solution containing fine, undissolved particles of a drug that settle to the bottom of the container is called a/an ________.

a)

suspension

b)

elixir

c)

spray

d)

liquid

46.

Which route of administration is used to put a chemotherapy drug directly into the area of a cancerous tumor?

a)

intra-articular

b)

umbilical artery

c)

epidural

d)

intra-arterial

47.

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?

a)

implantable port

b)

vesicant

c)

gastrostomy

d)

parenteral

48.

All of the following are true about a saline lock, EXCEPT ________.

a)

it allows intravenous access without the need for a continuously infusing I.V. fluid

b)

it keeps the vein free of clots

c)

it uses an I.V. bag and an infusion pump

d)

it is a way to administer intravenous drugs on an intermittent basis

49.

Why are drugs absorbed slowly after subcutaneous administration?

a)

because there are only a few blood vessels in the subcutaneous layer

b)

because fat metabolizes a drug quickly

c)

because the fat layer is so deep

d)

all of the answers are correct

50.

As a drug leaves the blood and moves through all the body tissues, it comes in contact with ________.

a)

receptors

b)

the blood-brain barrier

c)

placenta

d)

all of the above

51.

Only drugs given by ________ administration entirely bypass the step of absorption.

a)

endotracheal

b)

subcutaneous

c)

oral

d)

intravenous

52.

The intravesical route of administration is used to administer chemotherapy drugs into the ________.

a)

lungs

b)

abdomen

c)

spinal cord

d)

bladder

53.

An equivalent word for metabolism is ________.

a)

biotransformation

b)

metabolite

c)

distribution

d)

parenteral

54.

Drugs circulate in the blood bound to ________.

a)

red blood cells

b)

white blood cells

c)

albumin

d)

plasma

55.

Drug doses for an elderly patient are decreased because of the patient's decreased ________.

a)

need for medication

b)

activity levels

c)

mental ability to administer correct doses

d)

liver and kidney function

56.

Drugs that are not absorbed after oral administration ________.

a)

are metabolized in the stomach

b)

can be used to treat diseases of the stomach or intestine

c)

are not therapeutically effective

d)

are excreted in the urine

57.

When a drug is given by inhalation, it is absorbed ________.

a)

through the stomach and intestine

b)

through the nasal cavity

c)

through the lungs

d)

through the breast milk

58.

All of the following drugs are administered topically, EXCEPT ________.

a)

nitroglycerin (Nitrostat) tablets

b)

antibiotic ointment for a skin injury

c)

eye drops for glaucoma

d)

antibiotic drops for an ear infection

59.

All of the following are accepted sites for an intramuscular injection in adults, EXCEPT ________.

a)

ventrogluteal

b)

subcutaneous

c)

deltoid

d)

dorsogluteal

60.

Which of the following is NOT one of the steps involved in the drug cycle?

a)

absorption

b)

distribution

c)

metabolism

d)

secretion

61.

When a drug is applied directly to the skin, eyes, or ears, it is administered via the ________ route.

a)

oral

b)

sublingual

c)

topical

d)

transdermal

62.

Which is the most convenient route of administration and the one most commonly used?

a)

injection

b)

oral

c)

rectal

d)

tablets

63.

Which route of administration is chosen when the patient is vomiting and a drug cannot be given by injection?

a)

intradermal

b)

parenteral

c)

rectal

d)

sublingual

64.

In actual clinical use, which of the following is NOT considered to be part of the parenteral route of administration?

a)

intradermal

b)

intramuscular

c)

endotracheal

d)

intravenous

65.

For most drug forms, absorption involved three steps. Which of the following is NOT one of the three steps of absorption?

a)

absorb

b)

disintegrate

c)

dissolve

d)

excrete

66.

Oral drugs that are in a liquid form do NOT go through which of the following steps?

a)

absorption

b)

disintegration

c)

dissolving

d)

excretion

67.

Which method of drug administration is only used during emergency resuscitation?

a)

intra-articular

b)

intracardiac

c)

intravesical

d)

intramuscular

68.

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?

a)

absorption, distribution, metabolism, excretion

b)

distribution, metabolism, absorption, excretion

c)

excretion, metabolism, distribution, absorption

d)

metabolism, distribution, absorption, excretion

69.

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 ________.

a)

intestines

b)

kidney

c)

liver

d)

skin

70.

Patients with kidney disease and elderly patients with a decreased level of kidney function due to aging are prescribed ________.

a)

lower doses of drugs

b)

higher doses of drugs

c)

the same dose of drugs

d)

different routes of administration

71.

Any liquid drug that can be given by the oral route can also be given by any of these routes, EXCEPT ________.

a)

jejunostomy

b)

nasogastric

c)

transdermal

d)

gastrostomy

72.

Which of the following routes CANNOT be used to administer drugs to an unconscious patient?

a)

oral

b)

rectal

c)

intravenous

d)

none of the answers are corect

73.

Which route of administration is commonly abbreviated as PO?

a)

oral

b)

parenteral

c)

rectal

d)

inhalation

74.

Parenteral administration of a drug commonly includes all of the following routes, EXCEPT ________.

a)

intramuscular

b)

intravenous

c)

oral

d)

subcutaneous

75.

The first-pass effect describes the ________.

a)

metabolism of drugs by the stomach

b)

metabolism of drugs by the liver

c)

absorption of drugs by the stomach

d)

excretion of drugs by the kidneys

76.

Which of the following statements is FALSE?

a)

Different forms of a drug are appropriate for different routes of administration.

b)

Intradermal injection injects the drug into the subcutaneous fat.

c)

Some drugs are ineffective when administered by a certain route.

d)

Drugs may seriously injury the patient if administered by the wrong route

77.

Which of the following statements is FALSE?

a)

All syringes are calibrated in units.

b)

When an intradermal injection is positioned correctly, the tip of the needle is still visible through the epidermis.

c)

An intramuscular injection is placed in the belly (area of greatest mass) of the muscle.

d)

Drugs injected intramuscularly are absorbed more quickly than with subcutaneous administration.