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Mirza Final exam

Total questions: 45

Worksheet time: 26mins

Name
Class
Date
1.

The most common IV diluents include

a)

Saline (0.9% NaCl, NS)

b)

5% D5W

c)

Bacteriostatic water

d)

Lactated Ringers

2.

Which of the following are excipients in phenytoin?

a)

Propylene glycol

b)

Ethanol

c)

Sodium Hydroxide (pH 10-12.3)

d)

Water for Injections

3.

Phenytoin is incompatible with

a)

Dextrose

b)

Dextrose-containing solutions

c)

Other drug solutions..

d)

NaCl

4.

Attenuated (live), inactivated, subunit, toxoid, conjugate, DNA/RNA, recombinant vector are all examples of

a)

Diseases

b)

Incompatible injections

c)

Vaccines

5.

Which of the following are disadvantages of attenuated vaccines?

a)

An attenuated microbe in the vaccine could revert to a virulent form and cause disease

b)

Can't be given to people who have damaged or weakened immune systems

c)

Pregnancy can't be attempted until 4 weeks after receiving live vaccine

d)

Produces neurological disorders that have been directly linked to the live vaccine

6.

Which vaccine is intended to build an immunity against the toxins, but not necessarily the bacteria that produce the toxins?

a)

Conjugate

b)

Subunit

c)

Toxoids

d)

Attenuated

7.

Which of the following are advantages of RNA vaccines?

a)

Shorter manufacturing times

b)

Longer manufacturing times to ensure accuracy

c)

No risk to causing disease in person getting vaccine

d)

Mild to moderate risk of causing disease in person getting vaccine

8.

What are the possible routes for vaccine administration?

a)

Oral

b)

Injections(IM,SQ,ID, IV)

c)

Nasal

d)

Rectal

9.

Oral administration of vaccines

a)

Are usually in liquid form

b)

Have been engineered using foods, such as tomatoes

c)

Are only available in capsule form

d)

Have been engineered using eggs and need to be used with caution in pts with allergies

10.

Aluminum gels or salts of aluminum are the most common adjuvants to be used that are FDA approved

a)

True

b)

False

11.

Aluminum is an organic salt tat binds to proteins and causes them to precipitate

a)

False

b)

True

12.

It is proven that vaccines cause autism

a)

True

b)

False

13.

Where should most vaccines be stored?

a)

In a 'Drug Only' Fridge

b)

Freezer

c)

At room Temperature

d)

In the breakroom fridge, next to last weeks pizza

14.

A biosimilar is the _____version of biologics

a)

Fancy

b)

Generic

c)

Brand

15.

Which of the following pertain to Genetic Engineering?

a)

It is the process of direct manipulation of an organism's genome using biotechnology

b)

Aims to alter cell's ability to produce proteins and thus add one or more new traits that aren't already found in that organism

c)

Key techniques include rDNA and Monoclonal antibodies

16.

rDNA utilizes human cells to manufacture proteins identical to those produced in human cells

a)

true

b)

false

17.

Erbitux (Cetuximab) is used for

a)

Treatment of colon cancer

b)

Treatment of head cancer

c)

Treatment of neck cancer

d)

Treatment of prostate cancer

18.

Which of the following apply to monoclonal antibodies (mAb)

a)

They are lab-produced copies of a specific protein(antibody)

b)

Produced entirely within the cells of higher animals, including the patient

c)

Can be designed specifically to only target a certain antigen

d)

Are often difficult to manipulate and control

19.

Which of the following can be used as suspending vehicles?

a)

Sterile water

b)

Saline

c)

Growth medium

d)

gelatin

20.

Which of the following can be used as stabilizers?

a)

albumin

b)

gelatin

c)

phenol

d)

monosodium glutamate

21.

Which of the following can be used as a preservative in vaccines?

a)

thermerosal

b)

albumin

c)

saline

d)

sterile water

22.

Formaldehyde is used as a ________and _______in vaccines

a)

inactivator

b)

detoxifier

c)

pH stabilizer

d)

preservative

23.

US antibiotic vaccine all contain small-moderate amounts of penicillin

a)

False

b)

True

24.

In vaccines, adjuvants are used as

a)

suspending agents

b)

stabilizers

c)

enhancers

d)

preservatives

25.

Egg protein is used in which vaccines?

a)

Influenza

b)

Zoster

c)

yellow fever

d)

Pneumonia

26.

Co-administration of tetracyclines with antacids containing Ca2+ will result in an increased absorption of the tetracycline

a)

True

b)

False

27.

Acidic drugs have a tendency to be reabsorbed from a basic urine

a)

True

b)

False

28.

Which of the following describes a strategy to prevent in vivo drug precipitation

a)

By using glass infusion sets

b)

By setting a slow infusion rate

c)

By visually inspecting the IV solutions before their administration

29.

What is the potential impact of a drug adsorption by plastics?

a)

Increased drug concentration in the formulation

b)

Decreased drug concentration in the formulation

c)

Enhanced bioavailability of the drug

d)

Enhanced therapeutic effect of the drug

30.

When dispensing tetracycline (a chelate-forming drug) to a patient, a pharmacist should advise a patient to take the antibiotic with_____

a)

A glass of milk

b)

A glass of water

c)

A Mg containing antacid

d)

Mg containing multivitamins

31.

What is the most common mechanism of incompatibility of dextrose solutions with the IV solutions of phenytoin?

a)

In vivo pH alteration

b)

Chelate formation between dextrose and onse of the excipients

c)

Specific interactions between dextrose and propylene glycol

32.

The process by which plasticizers are extracted by a liquid formulation is known as

a)

Precipitation

b)

Leaching

c)

Adsorption

d)

Evaporation

33.

Chelators are beneficial in the treatment of heavy metals poisoning

a)

True

b)

False

34.

Which of these is false?

a)

Vaccines can't be administered orally

b)

Vaccines are administered to establish immunity against a particular pathogen

c)

A vaccine is a suspension of live or killed microorganisms or their fractions

d)

Biologics are medical products made from a variety of natural choices

35.

Concerning adjuvants, which of the following statements is false

a)

Alum is a biological molecule

b)

Alum causes protein precipitation

c)

Adjuvants enhance the immune response to the vaccine

d)

Aluminum salts are the most commonly used adjuvants

36.

Erbitux (Cetuximab) is indicated for treatment of colon cancer and head cancer and is an example of _____

a)

Novel drug delivery systems

b)

Therapeutic monoclonal antibodies

c)

Radiopharmaceuticals

d)

Liposome-based formulation

e)

rDNA

37.

Regarding genetic engineering, which of the following is false

a)

Bacterial cell are typically utilized for the production of mAB-based therapeutics

b)

Insulin was one of the first rDNA commercial products

c)

mAB and rDNA are key genetic engineering techniques

d)

This process of direct manipulation of an organism's genome using biotechnology

38.

Which of the following vaccines is intended to build immunity agaisnt the toxins but not necessarily the bacteria that produce the toxins

a)

Toxoid vaccines

b)

Subunit vaccines

c)

Inactivated vacciens

d)

Conjugate vaccines

e)

Attenuated vaccines

39.

Which type of vaccines has a potential to revert to a virulent form and cause actual disease

a)

DNA vacciens

b)

Subunit vaccines

c)

Toxoid vaccines

d)

Attenuated vaccines

40.

Formaldehyde is an additive that is commonly used in inactivated vaccine formulation

a)

True

b)

False

41.

Biosimilars are generic versions of biologics

a)

True

b)

False

42.

RNA vaccines impose no risk of causing disease in a vaccinated person

a)

True

b)

False

43.

There is a direct proof showing the association between vaccines and autism

a)

True

b)

False

44.

Which of the following is the most typical storage requirement for vaccines

a)

Room temperature

b)

Controlled room temp

c)

Keep refrigerated

d)

Keep frozen

45.

A multidose-vial influenza vaccine is labeled to contain themesoral. What is the function of thimesoral in the vaccine formulation?

a)

Active component

b)

Adjuvant

c)

Vehicle

d)

Preservative