A+ Answers

Exam: 084085RR - Addictive Drugs

1. Methadone maintenance treatment (MMT) is most often used to treat patients who are addicted to

A. methamphetamine.

B. cocaine.

C. opioid narcotics.

D. cannabis.

2. Natural plants such as deadly nightshade, henbane, and datura contain drug substances that are called

A. amphetamines.

B. opioids.

C. deliriants.

D. narcotics.

3. Which of the following is a common negative side effect of heavy cocaine use?

A. Respiratory depression

B. Extreme sedation

C. Drowsiness

D. Tachycardia

4. All of the following are dangerous components of smoke except

A. tars.

B. carbon dioxide.

C. nicotine.

D. smoke particles.

5. Which of the following occurs when drug administration in a physically dependent person is abruptly

terminated?

A. Physical dependence

B. Medical addiction

C. Withdrawal symptoms

D. Tolerance

6. _______ is a reduction in response to a drug after repeated administrations.

A. Addiction

B. Tolerance

C. Physical dependence

D. Toxicity

7. Which of the following substances are used illicitly by athletes to increase muscle strength and physical

stamina?

A. Barbiturates

B. Benzodiazepines

C. Amphetamines

D. Anabolic steroids

8. The sale of pseudoephedrine (an over-the-counter decongestant) is now restricted in many pharmacies

because the substance can be used in the illicit manufacture of

A. methamphetamine.

B. cocaine.

C. heroin.

D. anabolic steroids.

9. The drugs meprobamate (Miltown) and carisoprodol (Soma) are two examples of _______ that have a

high potential for abuse.

A. cannabis derivatives

B. amphetamines

C. hallucinogens

D. muscle relaxants

10. Narcotics may be used for all of the following except

A. vomiting.

B. coughing.

C. relief of diarrhea.

D. anesthetics.

11. The hallucinogenic substance that's found in the flowers and leaves of the cannabis sativa plant is called

A. phencyclidine (PCP).

B. tetrahydrocannabinol (THC).

C. lysergic acid diethylamide (LSD).

D. mescaline.

12. Excessive doses of anabolic steroids can lead to all of the following except

A. low blood pressure.

B. coronary artery disease.

C. liver damage.

D. heart damage.

13. All of the following narcotics are frequently requested through forged prescriptions except

A. hydrocodone.

B. Tylenol No. 3.

C. fentanyl.

D. oxycodone.

14. The three main types of hallucinogenic drugs are

A. psychedelics, deliriants, and dissociatives.

B. benzodiazepines, psychedelics, and anticholinergics.

C. deliriants, opiates, and steroids.

D. semi-synthetic narcotics, dissociatives, and psychedelics.

15. The prescription drug disulfiram (Antabuse) is used to treat patients who are addicted to

A. cocaine.

B. nicotine.

C. alcohol.

D. heroin.

16. Benzodiazepines are used for the treatment of all of the following except

A. obesity.

B. anxiety disorders.

C. epilepsy.

D. insomnia.

17. Diazepam (Valium) and alprazolam (Xanax) are both examples of fast-acting

A. amphetamines.

B. opioid narcotics.

C. benzodiazepines.

D. stimulants.

18. Which of the following substances has been approved by the FDA for use as an antiemetic and

antinauseant in patients who are undergoing chemotherapy for cancer?

A. Lysergic acid diethylamide (LSD)

B. Tetrahydrocannabinol (THC)

C. Fentanyl

D. Phencyclidine (PCP)

19. Dimenhydrinate (Dramamine) and diphenhydramine (Benadryl) are two examples of

A. semi-synthetic narcotics.

B. benzodiazepines.

C. cannabis derivatives.

D. deliriants.

20. The drugs hydromorphone, oxycodone, hydrocodone, and heroin are all classified as

A. amphetamines.

B. anabolic steroids.

C. hallucinogenic drugs.

D. semi-synthetic narcotics.

Exam: 084084RR - Poison/Drug Emergencies

1. Which alcohol is used as an antidote for ethylene glycol ingestions?

A. Ethanol

B. Isopropanol

C. Methanol

D. Tetradecanol

2. Which of the following statements about syrup of ipecac is not correct?

A. Ipecac stimulates the area in the brain responsible for nausea and vomiting.

B. Ipecac has a local irritant effect on the stomach.

C. Ipecac should be used to induce vomiting in all patients, regardless of age or condition.

D. Ipecac contains two active substances, emetine and cephaeline.

3. The odor of wintergreen on a child's breath might indicate ingestion of which chemical?

A. Sodium hypochlorite

B. Toluene

C. Methyl salicylate

D. Paradichlorobenzene

4. _______ is used to reverse an opiate (such as morphine or codeine) overdose.

A. Flumazenil

B. Atropine

C. Naloxone

D. Deferoxamine

5. Which of the following statements about syrup of ipecac is not correct?

A. American poison control centers rarely recommend syrup of ipecac as an intervention.

B. The side effects of ipecac ingestion include prolonged vomiting and lethargy.

C. Syrup of ipecac has been available for years in pharmacies over-the-counter.

D. The American Academy of Pediatrics recommends that parents keep syrup of ipecac in their medicine chests for emergency

use.

6. A toxicologic screen (tox screen) would most likely include which set of drug classes or chemicals?

A. Digoxin, quinidine, propranolol

B. Opiates, barbiturates, cocaine

C. Arsenic, mercury, lead

D. Fluoxetine, sertraline, paroxetine

7. All of the following are poison safety tips that will help reduce the risk of poisoning except

A. referring to medicine as candy to fool a child.

B. keeping household products in a locked cabinet.

C. using child-resistant containers.

D. disposing of unused medications.

8. All of the following are nontoxic ingestions except

A. clay.

B. bath oil.

C. detergents.

D. rouge.

9. Activated charcoal will adsorb all of the following substances except

A. phenytoin.

B. theophylline.

C. ferrous sulfate.

D. acetaminophen.

10. N-acetylcysteine would be an appropriate antidote for which of the following drug overdoses?

A. Amitriptyline

B. Acetaminophen

C. Digoxin

D. Morphine

11. According to statistical data from recent years, more than 60% of calls to poison control centers involve

A. drug users who have overdosed on illegal drugs.

B. children under the age of six.

C. adults who have been exposed to chemical toxins.

D. people who have attempted suicide.

12. Most household products produce very little toxicity except

A. drain or oven cleaners.

B. soaps.

C. disc batteries.

D. shampoos.

13. Salivation, lacrimation, urination, diarrhea, and difficulty breathing are examples of which toxidrome?

A. Cholinergic

B. Sedative/hypnotic

C. Solvent

D. Anticholinergic

14. Quantitative analysis of a blood sample is useful for all of the following ingestions except

A. acetaminophen.

B. iron.

C. digoxin.

D. chlorpromazine.

15. _______ utilizes a semipermeable membrane by means of a dialysis machine to remove drugs and

toxins from the body.

A. Hemodialysis

B. Whole bowel irrigation

C. Activated charcoal

D. Gastric lavage

16. A _______ is a comprehensive source of poison information staffed by pharmacists and nurses and

available 24 hours a day by telephone.

A. poison control center

B. 911 operator

C. physician's office

D. public library

17. If a poisoning victim's stomach must be emptied in a hospital setting, the preferred method is

A. swallowing salt water.

B. mechanical stimulation.

C. swallowing mustard water.

D. gastric lavage.

18. Dilated pupils, urinary retention, tachycardia, flushed skin, dry mucous membranes, and decreased

bowel sounds would be expected following a/an _______ overdose.

A. fluoxetine

B. caffeine

C. antihistamine

D. haloperidol

19. All of the following are possible causes of jaundice except

A. heavy metals.

B. certain mushrooms.

C. acetaminophen.

D. methanol.

20. The term overdose implies a/an

A. intentional toxic exposure.

B. misreading of a prescription label.

C. accidental toxic exposure.

D. safe dosage administration.

Exam: 084083RR - How Drugs Work

1. Which method of delivery does not initially bypass the liver?

A. Oral

B. Skin patch

C. Injection

D. Inhalation

2. The site of action for skeletal muscle relaxants is the

A. cerebral cortex.

B. chemoreceptor trigger zone.

C. spinal cord.

D. limbic system.

3. Specific tissues containing receptors for drugs are referred to as

A. sites of action.

B. the circulation.

C. the trigger zone.

D. inactive tissues.

4. The most important characteristic that a drug must have to freely pass from the gastrointestinal tract into

the circulation is to be

A. fat soluble.

B. in salt form.

C. bound to protein.

D. bound to a receptor.

5. The bacterial site of action for this drug is the ribosomes.

A. Antifungal drug

B. Ampicillin

C. Erythromycin

D. Cephalexin (Keflex)

6. Drugs that act on enzymes to produce their therapeutic effects include all of the following except

A. blood pressure medicines.

B. contraceptives.

C. cholesterol-lowering drugs.

D. aspirin.

7. This is the site of action in the brain where antipsychotics work.

A. Limbic system

B. Chemoreceptor trigger zone

C. Cerebral cortex

D. Basal ganglia

8. The bacterial site of action of this antibiotic is the cell wall.

A. Tetracycline

B. Penicillin VK

C. Erythromycin

D. Clindamycin

9. Which of the following diuretic drugs act at the distal part of the nephron?

A. Potassium-sparing diuretics

B. Loop diuretics

C. Anticoagulants

D. Thiazides

10. The site of action for warfarin (Coumadin) anticoagulant is the

A. blood.

B. electrical conduction system of the cardiac muscle.

C. kidney.

D. cardiac muscle.

11. This is the site of action of sleeping pills in the brain.

A. Cerebral cortex

B. Chemoreceptor trigger zone

C. Basal ganglia

D. Limbic system

12. This is the major form in which drugs may be detected in the urine.

A. Bound to plasma protein

B. Hydroxylati derivative

C. The glucuronic acid metabolite

D. The original parent compound

13. This is the drug distribution site where a drug is metabolized to different components.

A. Kidney

B. Lung

C. Liver

D. Intestine

14. The route of excretion of volatile drugs is through the

A. kidneys.

B. liver.

C. intestines.

D. lungs.

15. A drug that lowers high blood pressure by acting on the peripheral blood vessels works on this substance.

A. Beta-2 adrenergic receptor

B. Cyclo-oxygenase enzyme

C. H

D. Angiotensin-converting enzyme

1

16. As described, which one of the following four drugs is most potent as a pain reliever?

A. Orudis KT—12.5 mg

B. Aleve—220 mg

C. Aspirin—325 mg

D. Advil—200 mg

17. The site of action for an antiarrhythmic drug is the

A. electrical conduction system of the cardiac muscle.

B. peripheral blood vessels.

C. kidneys and their functioning nephrons.

D. basal ganglia.

18. A drug that dilates the airway acts at this site of action.

A. Angiotensin-converting enzyme

B. H

C. Cyclo-oxygenase enzyme

D. Beta-2 adrenergic receptor

19. Aspirin acts at this site of action.

A. Cyclo-oxygenase enzyme

B. Beta-2 adrenergic receptor

C. Angiotensin-converting enzyme

D. H

20. Digitalis drugs work directly on the cardiac muscle cells to _______ their individual contractile activity.

A. eliminate

B. increase

C. stabilize

D. decrease

Exam: 084082RR - Basic Chemistry of Drug Molecules

Questions 1 to 20: Select the best answer to each question. Note that a question and its answers may be split across a page

break, so be sure that you have seen the entire question and all the answers before choosing an answer.

1. The two most well-known alkaline earth metals are

A. magnesium and barium.

B. strontium and radium.

C. calcium and barium.

D. calcium and magnesium.

2. _______ is the classic structural formula for all the addictive narcotics.

A. Tetracycline

B. Codeine

C. Diazepam

D. Amitriptyline

3. Phenol has a functional group known as the _______ group present in the molecule.

A. methyl

B. amine

C. carbonyl

D. hydroxyl

4. _______ is a compound formed from combining a carboxylic acid and an alcohol.

A. Aldehyde

B. Ketone

C. Ether

D. Ester

5. Which of the following is not a halogen element?

A. Chlorine

B. Bromine

C. Fluorine

D. Oxygen

6. _______ is a halogen that easily combines with carbon compounds to provide new properties to the

molecule.

A. Potassium

B. Magnesium

C. Iodine

D. Lithium

7. Benzene is a cyclic structure containing how many carbons?

A. Zero

B. Six

C. Eight

D. Four

8. Which of the following drugs is a polypeptide?

A. Amitriptyline hydrochloride (Elavil)

B. Codeine sulfate

C. Tissue plasminogen activator (t-pa)

D. Acetaminophen

9. _______ is effective in the treatment of psychosis and schizophrenia.

A. Amitriptyline

B. Chlorpromazine

C. Codeine

D. Tetracycline

10. Refer to the periodic table of elements (Figure 30 in your study unit) to help you answer this question.

The molecular formula of citrate is C

A. 192

B. 29.01

C. 29.08

D. 192.08

6

H

8

O

7

. What is the molecular weight of this drug?

11. Refer to the periodic table of elements (Figure 30 in your study unit) to help you answer this question.

The molecular formula of lithium carbonate is Li

A. 6.94

B. 100.88

C. 48

D. 73.88

2

CO

3

. What is the molecular weight of this drug?

12. Refer to the periodic table of elements (Figure 30 in your study unit) to help you answer this question.

The molecular formula of ethane is C

A. 30.06

B. 1.01

C. 24

2

H

6

. What is the molecular weight of this drug?

D. 6.06

13. The insulin molecule contains _______ amino acids.

A. 16

B. 4

C. 86

D. 26

14. A carbon compound that contains oxygen between two hydrocarbon groups is known as a/an

A. amine.

B. ether.

C. ketone.

D. ester.

15. Amitriptyline (Elavil) is a/an

A. narcotic.

B. anti-inflammatory.

C. pain reliever.

D. antidepressant.

16. Which of the following elements is an alkaline earth metal that combines more readily with inorganic

compounds than with organic molecules?

A. Chlorine

B. Calcium

C. Sodium

D. Iodine

17. Compounds made from living sources all contain the element

A. magnesium.

B. zinc.

C. carbon.

D. potassium.

18. Refer to the periodic table of elements (Figure 30 in your study unit) to help you answer this question.

The molecular formula of calcium chloride is CaCl

A. 111.1

B. 35.5

C. 40.1

D. 71

19. Ephedrine sulfate is a compound better known as a

A. decongestant.

What is the molecular weight of this drug?

B. narcotic.

C. tranquilizer.

D. stimulant.

20. Which class of antibiotics has a specific ring structure within their molecules known as the beta lactam ring?

A. Tricyclic antidepressants

B. Steroids

C. Penicillins

D. Tetracyclines