Gould’s Pathophysiology for the Health Professions, 5th Edition by Karin C. VanMeter – Test Bank
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Sample
Test
Chapter 03: Introduction to Basic Pharmacology and Other Common
Therapies
Test Bank
MULTIPLE CHOICE
1. Which
of the following are considered to be the toxic effects of a drug?
|
a. |
Additional, mild, unwanted
effects |
|
b. |
Unusual, unexpected mild
effects |
|
c. |
Serious, possibly
life-threatening effects |
|
d. |
Reduction of the allergic
response |
ANS: C
REF: 41
2. What
is the unique, simple, and official name assigned to a specific drug for
worldwide use?
|
a. |
Trade name |
|
b. |
Chemical name |
|
c. |
Proprietary name |
|
d. |
Generic name |
ANS:
D
REF: 46
3. Which
is the route of administration by which the largest proportion of the drug dose
is likely lost before reaching the site of action?
|
a. |
Oral |
|
b. |
Intramuscular |
|
c. |
Sublingual |
|
d. |
Intravenous |
ANS:
A
REF: 44
4. Ingesting
a drug with a large meal may be likely to:
|
a. |
immediately increase the
blood level of the drug. |
|
b. |
prevent gastric irritation. |
|
c. |
ensure that the total dose
is absorbed into the blood. |
|
d. |
cause more rapid excretion
of the drug. |
ANS: B
REF: 42
5. What
is the reaction called when two drugs interact to produce a result much greater
than the sum of individual effects?
|
a. |
Antagonism |
|
b. |
Beneficial |
|
c. |
Synergism |
|
d. |
Potentiation |
ANS: C
REF: 42
6. At
which site are most drugs metabolized and prepared for excretion?
|
a. |
Liver |
|
b. |
Kidneys |
|
c. |
Circulating blood |
|
d. |
Lymphoid tissue |
ANS:
A
REF: 45
7. In
traditional Asian medicine, acupoints are usually located:
|
a. |
over pain or other sensory
receptors. |
|
b. |
where blood vessels branch. |
|
c. |
over joints. |
|
d. |
on designated meridians. |
ANS:
D
REF: 49
8. Traditional
drug or surgical therapy is incorporated with nontraditional methods by:
|
a. |
chiropractors. |
|
b. |
naturopaths. |
|
c. |
homeopaths. |
|
d. |
osteopaths. |
ANS:
D
REF: 48
9. Contraindications
printed on the label of a drug identify:
|
a. |
those circumstances under
which the drug should probably not be used. |
|
b. |
those typical side effects
associated with this drug. |
|
c. |
the dosage limits
associated with the use of the drug. |
|
d. |
the maximum shelf life of
the medication. |
ANS:
A
REF: 41
10. After
they are metabolized, most drugs are excreted through the:
|
a. |
lungs. |
|
b. |
pancreas. |
|
c. |
kidneys. |
|
d. |
large intestine. |
ANS:
C
REF: 42
11. A
drug that binds with selected specific cell receptors may:
12. stimulate
activity in those cells.
13. inhibit
activity in those cells.
14. change
specificity and attach to other cells.
15. be
disabled by macrophages.
|
a. |
1, 2 |
|
b. |
2, 3 |
|
c. |
3, 4 |
|
d. |
1, 3, 4 |
ANS:
A
REF: 45-46
12. A
placebo may be described as a tablet or capsule:
|
a. |
that does not contain an
active drug. |
|
b. |
that contains a small
amount of active drug for use in clinical trials. |
|
c. |
that contains a different
drug to be used for its psychological effect. |
|
d. |
that contains high amounts
of a drug to determine the maximum dose allowed. |
ANS:
A
REF: 47
13. The
form of therapy that involves assessment of physical function and works to
restore any problems and prevent any further dysfunction using methods such as appropriate
exercises and ultrasound is referred to as:
|
a. |
registered massage therapy. |
|
b. |
naturopathy. |
|
c. |
physiotherapy. |
|
d. |
reflexology. |
ANS:
C
REF: 47
14. A
medical history should include all:
15. legally
prescribed drugs.
16. vitamin
or mineral supplements.
17. any
medication not requiring a prescription (over-the-counter items).
18. herbal
treatments.
|
a. |
1 only |
|
b. |
1, 3 |
|
c. |
1, 2, 4 |
|
d. |
1, 2, 3, 4 |
ANS:
D
REF: 47
15. Antagonistic
drugs may be used to:
|
a. |
increase the effectiveness
of selected drugs. |
|
b. |
prolong the action of a
drug. |
|
c. |
act as an antidote when
necessary. |
|
d. |
speed up the excretion of a
drug. |
ANS:
C
REF: 42
16. The
full course of a prescribed antimicrobial drug should be completed so as to
prevent:
|
a. |
undesirable side effects. |
|
b. |
development of resistant
microbes. |
|
c. |
an allergic response. |
|
d. |
proper metabolism and
excretion of drug. |
ANS:
B
REF: 42
Chapter 04: Pain
Test Bank
MULTIPLE CHOICE
1. The
impulses related to acute pain are usually transmitted by:
|
a. |
nociceptors. |
|
b. |
myelinated A delta fibers. |
|
c. |
unmyelinated C fibers. |
|
d. |
any sensory fiber with a
low pain threshold. |
ANS: B
REF: 55
2. In
which structure do pain impulses ascend the spinal cord?
|
a. |
Reticular formation |
|
b. |
Corticospinal tract |
|
c. |
Spinothalamic tract |
|
d. |
Relevant dermatome |
ANS:
C
REF: 55
3. According
to the gate-control theory, passage of pain impulses may be naturally blocked:
|
a. |
at the synapse by entry of
other sensory impulses. |
|
b. |
by the stress response. |
|
c. |
by administration of
morphine directly into the spinal cord. |
|
d. |
by referring the pain to other
parts of the body. |
ANS:
A
REF: 55
4. What
is the term used to describe the degree of pain that is endured before an
individual takes action?
|
a. |
Pain threshold |
|
b. |
Referred pain |
|
c. |
Phantom pain |
|
d. |
Pain tolerance |
ANS:
D
REF: 55
5. What
is the definition of endorphins?
|
a. |
Neurotransmitters at the
nociceptors |
|
b. |
Transmitters for sensory
impulses |
|
c. |
Opiate-like blocking agents
in the central nervous system |
|
d. |
Pain-causing chemical mediators |
ANS:
C
REF: 57
6. Pain
perceived in the left arm during the course of a heart attack is an example of:
|
a. |
referred pain. |
|
b. |
phantom pain. |
|
c. |
chronic pain. |
|
d. |
subjective pain response. |
ANS: A
REF: 57
7. A
headache that is related to changes in cerebral blood flow is classified as
a/an ________ headache.
|
a. |
tension |
|
b. |
sinus |
|
c. |
migraine |
|
d. |
intracranial |
ANS:
C
REF: 60
8. What
is a common analgesic administered to control a moderate level of pain?
|
a. |
Meperidine |
|
b. |
Acetaminophen |
|
c. |
Codeine |
|
d. |
Ibuprofen |
ANS:
C
REF: 62
9. Which
of the following applies to spinal anesthesia?
|
a. |
It causes analgesia with
loss of consciousness. |
|
b. |
The drug is injected into
cerebrospinal fluid (CSF) or the epidural space of the spinal cord. |
|
c. |
The drug stimulates release
of endorphins in the spinal cord. |
|
d. |
The transmission of pain
impulses is blocked in a small area of the body. |
ANS:
B
REF: 62
10. Which
of the following is a characteristic of acute pain but not of chronic pain?
|
a. |
Depression and debilitation |
|
b. |
A perception of increased
generalized pain and discomfort |
|
c. |
Fatigue and lower pain tolerance |
|
d. |
Severe but short term |
ANS:
D
REF: 55-57
11. What
is the role of nociceptors? They are:
|
a. |
pain receptors that are
stimulated by thermal, chemical, or physical means. |
|
b. |
spinal nerves that conduct
impulses from specific areas of the skin. |
|
c. |
responsible for the state
of arousal with pain. |
|
d. |
useful in localizing pain
to a specific area of the body. |
ANS:
A
REF: 54
12. Intractable
pain is best defined as:
|
a. |
pain that is perceived as
occurring in an amputated limb. |
|
b. |
severe pain that cannot be
controlled by medication. |
|
c. |
pain perceived as coming
from a source other than the actual source. |
|
d. |
pain coming from a specific
dermatome. |
ANS: B
REF: 62
13. Which
of the following statements is TRUE?
|
a. |
The brain is more aware of
pain impulses when the reticular activating system is depressed. |
|
b. |
Acute pain does not cause a
reflex response at the spinal cord synapses. |
|
c. |
Young infants typically
respond to pain with tachycardia and increased blood pressure. |
|
d. |
Chronic pain is easier to
tolerate without negative effects. |
ANS:
C
REF: 57
14. Ibuprofen
is classified as an NSAID and is particularly useful in treating:
|
a. |
severe pain. |
|
b. |
pain caused by
inflammation. |
|
c. |
intracranial pain. |
|
d. |
pain in young infants. |
ANS:
B
REF: 61
15. Which
of the following analgesics acts to reduce pain at the peripheral site?
|
a. |
Acetaminophen |
|
b. |
Morphine |
|
c. |
Codeine |
|
d. |
Intravenous general
anesthesia |
ANS:
A
REF: 61
16. Cancer-related
pain has been broken down into three basic categories: pain caused by the
advance of the disease and resultant damage to the body, pain that is the
result of a coexisting disease unrelated to the cancer, and:
|
a. |
phantom pain as a result of
amputation. |
|
b. |
pain associated with the
treatment of the disease. |
|
c. |
pain caused by emotional
stress and metabolic changes. |
|
d. |
pain associated with damage
to the peripheral nerves. |
ANS:
B
REF: 61
17. Pain
that is caused by trauma or disease involving the peripheral nerves is referred
to as:
|
a. |
neuropathic pain. |
|
b. |
central pain. |
|
c. |
neurogenic pain. |
|
d. |
referred pain. |
ANS:
A
REF: 61
18. Pain
resulting from a profound, sudden loss of blood flow to an organ or tissues in
a specific area of the body is referred to as:
|
a. |
chronic pain. |
|
b. |
central pain. |
|
c. |
cardiovascular pain. |
|
d. |
ischemic pain. |
ANS:
D
REF: 61
19. Which
of the following is a characteristic of chronic pain?
|
a. |
It usually initiates a
physiological stress response. |
|
b. |
It always involves a strong
emotional response such as high anxiety. |
|
c. |
It is more difficult to
diagnose and treat than is acute pain. |
|
d. |
It involves tissue damage
to a specific organ. |
ANS:
C
REF: 59 | 60
20. A
headache that results from pressure on the meninges surrounding the brain is
referred to as a/an:
|
a. |
intracranial headache. |
|
b. |
intrameningeal headache. |
|
c. |
migraine headache. |
|
d. |
cerebral headache. |
ANS:
A
REF: 60
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