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849 > Quiz Questions > Flashcards

Quiz Questions Flashcards

1
Q

Dr. Scott practiced clinically at which of the following?
A. IU Arnett Hospital
B. Walgreens
C. Riley Children’s Hospital
D. Indiana University Hospital
E. CVS

A

C. Riley Children’s Hospital

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2
Q

All of the following is true about Dr. Scott’s interests EXCEPT:
A. Likes to read about history
B. Enjoys fishing
C. Is passionate about Purdue sports
D. Enjoys classical music
E. Has 4 grandchildren

A

B. Enjoys fishing

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3
Q

Dr. Scott served as president of which one of the following professional organizations:
A. APhA
B. American Society of Health-System Pharmacists
C. American Hospital Association
D. American Association of Colleges of Pharmacy

A

D. American Association of Colleges of Pharmacy

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4
Q

T/F: Population health looks for differences in health outcomes among groups of patients in the general population or a population subset

A

True

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5
Q

Health promotion and wellness programs (nutrition, exercise, meditation) are most appropriate and useful to implement in which of the following groups of patients on the care continuum?
A. No or low risk patients
B. Moderate risk patients
C. High risk patients

A

A. No or low risk patients

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6
Q

The easiest kind of data to acquire to use to identify population health issues is which of the following?
A. Claims data
B. EHR data
C. Satisfaction survey
D. Medication adherence data
E. Socioeconomic data

A

A. Claims data

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7
Q

T/F: According to Healthy People 2020 data, the access to health services is NOT impacted by family income

A

False

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8
Q

In 2020, the leading cause of mortality for children ages 1-19 in the United States was which of the following?
A. Cancer
B. Motor vehicle accidents
C. Heart disease
D. Firearms
E. Congenital disorders

A

D. Firearms

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9
Q

T/F: Life expectancy, maternal mortality, and infant mortality data in the US is superior to most other industrialized nations in the world.

A

False

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10
Q

Dr. Zillich would be a great resource if you wanted to do which of the following?
A. Become a pastry chef
B. Write your first novel
C. Learn how to brew your own beer
D. Become a master gardener

A

C. Learn how to brew your own beer

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11
Q

T/F: Cost of pain and suffering are examples of intangible costs and are difficult to measure

A

True

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12
Q

T/F: A cost-minimization analysis is only useful when the outcomes are equal

A

True

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13
Q

Which of the following is NOT an example of direct medical costs?
A. Medications
B. Lab Tests
C. Travel costs to hospital or clinic
D. Provider charges
E. Hospital charges

A

C. Travel costs to hospital or clinic

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14
Q

T/F: A cost-effectiveness analysis is commonly used to compare a new treatment to a standard treatment.

A

True

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15
Q

T/F: When comparing two therapeutic agents in a pharmacoeconomic analysis, all costs associated with the drug (not just acquisition cost) should be taken into account

A

True

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16
Q

Which of the following types of PE analysis is used when you want to measure the quality of outcome produced and is usually measures in quality-adjusted life years
A. Cost-benefit analysis
B. Cost-minimization analysis
C. Cost-utility analysis
D. Cost-effectiveness analysis

A

C. Cost-utility analysis

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17
Q

Which of the following is NOT a surrogate endpoint that is used to evaluate the potential benefits of using tirzepatide to treat patients with DM
A. Reduction in CV mortality
B. High A1c
C. Weight loss/BMI
D. Fasting blood glucose

A

A. Reduction in CV mortality

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18
Q

The study of the utilization and effects of drugs in large numbers of people is best defined as:
A. Pharmacovigilance
B. Comparative effectiveness research
C. Pharmacoepidemiology
D. Pharmacoeconomics

A

C. Pharmacoepidemiology

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19
Q

Which of the following is LEAST likely to identify how a drug or therapy will perform in real world settings.
A. Randomized Controlled Trials
B. Comparative Effectiveness Research
C. Pragmatic Clinical Trials

A

A. Randomized Controlled Trials

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20
Q

T/F: Pharmacovigilance studies are used to identify undetected ADRs or safety-related aspects of marketed drugs not observed in premarketing studies

A

True

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21
Q

Pharmacoepidemiologic and pharmacovigilance studies are primarily:
A. Experimental
B. Non-Experimental (observational)
C. Neither of the above

A

B. Non-Experimental (observational)

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22
Q

T/F: RCTs have a higher degree of external validity than do Pragmatic Trials

A

False

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23
Q

T/F: A typical randomized controlled trial may determine the efficacy of a drug but may not determine if the drug will achieve it’s desired effect in a real-world setting

A

True

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24
Q

T/F: Pharmacovigilance studies typically use observational data from a single database from a small targeted population

A

False

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25
Q

Which of the following complications associated with use of fluoroquinolones was teased out from data in post-marketing pharmacovigilance studies:
A. Blood dyscrasias
B. Electrolyte abnormalities
C. Disabling peripheral neuropathies/myopathies
D. Skin rash

A

C. Disabling peripheral neuropathies/myopathies

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26
Q

T/F: The US spend significantly more money than other comparable on healthcare but achieves poorer outcomes

A

True

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27
Q

T/F: Retail prescription drug constitutes the largest share (as a percentage) of all categories associated with national health expenditures

A

False

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28
Q

T/F: Individuals > 50 years of age consume the largest share (~50%) of health care spending in the US

A

True

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29
Q

Which of the following is NOT a strength of the US healthcare system?
A. Well equipped healthcare facilities
B. Exceptionally trained healthcare professionals
C. Choice in providers
D. Transparency with respect to costs of patients
E. New technologies and therapeutic entities

A

D. Transparency with respect to costs of patients

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30
Q

Which of the following factors currently accounts for the largest number of preventable deaths in the US?
A. Alcohol-related
B. Suicides
C. Drug overdoses
D. Deaths from communicable diseases

A

C. Drug overdoses

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31
Q

Which of the following is NOT one of the major identity discourses identified in the discussion paper by Keeler, et al?
A. Dispenser
B. Apothecary
C. Health care provider
D. Druggist
E. Merchandiser

A

D. Druggist

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32
Q

T/F: Except during the pandemic, the largest portion of public health financing and services comes from the federal government

A

True

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33
Q

T/F: One of the reasons why drug costs are higher in the US than in other comparable countries is share of the prescriptions dispensed that are generic is far less in the US than in those other countries

A

False

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34
Q

When implemented in 1966, Medicare only provided coverage for which of the following?
A. Dental care
B. In-patient hospital care
C. Eyeglasses
D. Outpatient Prescription Drugs

A

B. In-patient hospital care

35
Q

The Affordable Care Act expanded the eligibility of individuals to be covered by Medicaid and has been adopted in most states EXCEPT in which region of the US?
A. New England
B. South
C. Midwest
D. Central Plains
E. West Coast

A

B. South

36
Q

T/F: The percentage of patients on Medicare that choose the managed care option (Medicare Advantage) has grown significantly over the past 10 years

A

True

37
Q

T/F: In contrast to enrollment numbers, Medicaid per enrollee spending is significantly greater for the elderly and individuals with disabilities compares to children and adults

A

True

38
Q

Which of the following changed Dr. Pastakia’s career projection?
A. Graduate school at Harvard
B. A course on global health at Temple
C. The AIDs Epidemic
D. A particular DM patient during an APPE

A

C. The AIDs Epidemic

39
Q

Which of the following has the greatest impact on health and life expectancy?
A. Socioeconomic factors
B. Physical Environment
C. Choices and Behaviors
D. Healthcare
E. None of the above

A

A. Socioeconomic factors

40
Q

Life expectancy for patients with type-1 diabetes is lowest in which of the following geographic regions?
A. North America
B. South America
C. Europe/Asia
D. Africa
E. Australia

A

D. Africa

41
Q

T/F: Higher-income populations are more insulated from the impacts of SDOH

A

True

42
Q

T/F: The routine use of EMRs in health-systems has made the transmission of medical information about a patient less burdensome for providers as long as they are part of the same health system

A

True

43
Q

For an 87-yo patient with multiple chronic diseases and medications, who lives alone, and has mobility issues, all of the following individuals are logical to include in a transitions of care pre-discharge conference EXCEPT:
A. Pharmacist
B. Primary caregiver
C. Hospital VP for Patient Services
D. Physical therapist
E. Nurse care coordinator

A

C. Hospital VP for Patient Services

44
Q

Following the discharge of the 87-yo patient with multiple chronic diseases and medications, who lives alone, and has mobility issues, from a 7 day hospitalization to home, someone from the transitions of care team should follow up with the patient within:
A. 1-2 days
B. 5-7 days
C. 2 weeks
D. 4 weeks
E. No follow-up is necessary

A

A. 1-2 days

45
Q

Which of the following is commonly performed by pharmacists/technicians/RX students when a patient is admitted to a hospital to verify the current list of medications a patient is taking?
A. Medication history
B. MTM
C. Medication reconciliation
D. Patient counseling

A

C. Medication reconciliation

46
Q

Which of the following groups is the fastest growing segment of the US population?
A. Asian
B. Black
C. Native American
D. Hispanic
E. White

A

D. Hispanic

47
Q

Which of the following racial groups in the US (and in Indiana) has the highest incidence of maternal mortality per 100k of the population?
A. Asian
B. Black
C. Hispanic
D. White

A

B. Black

48
Q

Which of the following pieces of legislation passed by Congress played the greatest role in desegregating hospitals and opening medical care to people of color, especially in the South?
A. Hill-Burton Act
B. Medicare
C. Civil Rights Bill
D. None of the Above

A

B. Medicare

49
Q

According to the author of the podcast and assigned article, one means to help assure pharmacoequity is to make the RIGHT choice in the EHR, the _______ choice in the EHR.
A. least expensive
B. easy
C. most technical
D. difficult

A

B. easy

50
Q

The managed care version of Medicare is which of the following?
A. Part A
B. Part B
C. Part C
D. Part D

A

C. Part C

51
Q

The major reason for the implementation of managed care strategies to health care is:
A. To collect data to make pop health decisions
B. Control ever rising costs
C. Improve outcomes
D. Improve accessibility to health care

A

B. Control ever rising costs

52
Q

T/F: Accountable Care Organizations assume some financial risks if the cost of care is greater than the negotiated price with the payor

A

True

53
Q

During the past 15 years, there has been a major shift towards which of the following types of health care plans for covered workers?
A. Conventional insurance
B. HMOs
C. PPOs
D. High-deductible health plans

A

D. High-deductible health plans

54
Q

Specialty drugs are most likely to be places in which of the following tiers of a prescription drug plan?
A. Tier 5
B. Tier 4
C. Tier 3
D. Tier 2
E. Tier 1

A

A. Tier 5

55
Q

T/F: Interventions by clinical pharmacists at Cummins have resulted in a significant cost savings for metformin

A

True

56
Q

T/F: The percentage of diabetes patients at Cummins with a HgbA1c <8% is significantly greater than the national average

A

True

57
Q

Approval of individual PAs for Indiana Medicaid by which of the following who report to Mr. Musial?
A. Technicians
B. Pharmacists
C. Nurses
D. Physicians

A

B. Pharmacists

58
Q

Which of the following drug categories consumes the largest dollar amount of drug expenditures for pediatric patients covered by Indiana Medicaid?
A. Antibiotics
B. Drugs for diabetes
C. Drugs for behavioral health
D. Drugs for inflammatory disease

A

A. Antibiotics

59
Q

Which of the following drug categories will likely consume the largest dollar amount of drug expenditures for Indiana Medicaid moving forward?
A. Specialty meds
B. Generic meds
C. Traditional brand name meds
D. Biosimilars

A

A. Specialty meds

60
Q

The industry standard for sharing healthcare costs between employers and employees is now which of the following? (Employer:Employee)
A. 85%:15%
B. 80%:20%
C. 75%:25%
D. 70%:30%

A

C. 75%:25%

61
Q

T/F: Purdue employees have to meet their deductible each year before any preventative medical service or medication is covered

A

False

62
Q

Which of the following is TRUE about self-insured health plans?
A. Usually offer by smaller employers
B. The insurance company assumes the risk for health coverage
C. Must comply with all state-mandated benefits
D. Allows for more customization of plans

A

D. Allows for more customization of plans

63
Q

Employers typically pay _____ of total annual salary each year for employee benefits
A. 5-10%
B. 15-20%
C. 25-30%
D. 35-40%
E. 45-50%

A

C. 25-30%

64
Q

T/F: The veteran population served by VA health care providers is younger and more diverse than in the previous decades

A

True

65
Q

Most prescriptions in the VA system are processed in which of the following locations?
A. VA hospitals
B. Primary community-based care clinics
C. VA mail order facilities
D. Local community pharmacies

A

C. VA mail order facilities

66
Q

Prior authorizations in the VA system are approved or denied by which of the following?
A. Physicians
B. Pharmacists at individual VA facilities
C. Pharmacists at a national call center
D. Contracted personnel at the VA home office

A

B. Pharmacists at individual VA facilities

67
Q

T/F: Pharmacists in primary and specialty care clinics at VA facilities, with appropriate credentialing, can prescribe and adjust medications as a mid-level practitioner

A

True

68
Q

T/F: The government impacts all aspects of the pharmaceutical supply chain via regulations.

A

True

69
Q

Which of the following classifications of drugs has been hit hardest by the drug shortage crisis?
A. Generic injectables
B. Generic non-injectables
C. Branded non-contract
D. Branded contract

A

A. Generic injectables

70
Q

Based on the best aggregate data, the causes of drug shortages in 2023 in the US is which of the following?
A. Manufacturing issues
B. Supply/Demand issues
C. Business decision
D. Raw material issue
E. Unknown/mfg would not provide info

A

E. Unknown/mfg would not provide info

71
Q

T/F: Manufactures of brand name products typically reduce the price of their drug products during the 6-mon period prior to end of their products market exclusivity

A

False

72
Q

T/F: Lower-income patients populations are more vulnerable to the impacts of climate change than higher income populations

A

True

73
Q

Potential impacts of climate change on healthcare include ALL but which one of the following?
A. Spread of vector-borne diseases
B. Increased cold-related disease
C. Worsening of air quality
D. Food insecurity and malnutrition
E. Waterborne disease

A

B. Increased cold-related disease

74
Q

A rare disease in the US is defined as less than ____ cases?
A. 50,000
B. 100,000
C. 200,000
D. 1 million

A

C. 200,000

75
Q

T/F: The Orphan Drug Act incentivized the development of drugs to treat rare diseases

A

True

76
Q

T/F: The road to diagnosis for most patients with rare diseases is usually 6-12 months

A

False

77
Q

T/F: The data necessary to determine the effectiveness of drug therapy for rare diseases is easy to collect via EHRs and claims data

A

False

78
Q

Which of the following is NOT consistent with most specialty medications?
A. Requires special handling
B. High cost medication
C. Meds for small populations and rare disease
D. Easy reimbursement mechanism

A

D. Easy reimbursement mechanism

79
Q

T/F: Specialty medications now account for >50% of the drug spending in the US

A

True

80
Q

T/F: The FDA determines if a specialty medication will be available via an open or a controlled distribution model

A

False

81
Q

T/F: Walgreens has both centralized specialty pharmacies (Telehealth-based) and community-based walk-in specialty pharmacies

A

True

82
Q

T/F: Specialty pharmacies typically employ more pharmacists and technicians than the typical community pharmacy

A

True

83
Q

T/F: Patients on Medicare and Medicaid can use Co-Pay cards to help defray some of their costs assoicated with specialty medications

A

False

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