1. Which of the following choices best describe what health care institutions and physicians should do to benefit the quality of pharmaceutical care they provide?

Prescribe drugs to patients on a cookbook basis.

B. Monitor and if necessary restrict the practice of therapeutic substitution of drugs within the same drug classes.

C. Permanently restrict the practice of substitution of drugs within the same class.

D. Realize the danger associated with substitution of drugs, within the same class, that have not been tested.

E. Both A and C.

F. Both B and D.

G. Both A and D.
2.Pharmaceutical companies do not need to include patients from every racial and ethnic background when conducting drug metabolism and clinical trials for drugs that they are developing because sample size and randomness are more important.

True False
3. Race or ethnicity is a factor that changes the probability that an individual person will respond differently to a given drug. :

True False 
4. Physicians should not be overly concerned with atypical drug responses or unexpected side effects when they treat patients from varied racial and ethnic backgrounds.

True False
5. Polymorphisms are naturally occurring variants in the structures of genes and the products they encode. Polymorphisms may influence a drugs action by altering its pharmacokinetics (absorption, distribution, metabolism, excretion) or pharmacodynamic (effect on the body) properties.

True False

6. Physicians should be aware that variations in patient’s drug response are based upon which of the following genetic factors?


A. Age

B. Gender

C. Disease

D. A and B above but not C

E. A,B, and C above

F. None of the above

7. Physicians should be aware that variations in patient’s drug response are based upon which of the following cultural factors?

A. attitudes,

B. beliefs

C. family influence

D. A and C above, but not B

E. A,B, and C above

F. none of the above

8.Physicians should be aware that variations in patient’s drug response are based upon which of the following environmental factors?

A. climate and parasites,

B. pollutants and smoking,

C. alcohol and recreational drug use

D. B and C but not A

E. A,B, and C above

F. none of the above


9.Physicians should understand that important consequences resulting from the Human Genome Project and the genomic revolution include which of the following?

A. direct analysis of genes themselves by determination of their nucleotide sequences

B. the effect of the entire genome on drug behavior can now be determined rather than the effect of the individual genes,

C. the Human Genome project has affected other scientific areas of study but not the area of medicine yet.

D. A and B above but not C

E. None of the above

10. Which of the following statements about individualized medicine are true?

A.
In the future, genetic fingerprinting will be able to determine precisely the presence of polymorphisms in genes known to be involved in drug interactions.

B.
In the future drug treatment will be individually tailored rather than race-based.

C.
research in the past few decades has uncovered significant differences among racial and ethnic groups in the metabolism, clinical effectiveness, and side effect profiles of therapeutically important drugs.

D.
All of the above

E. None of the above

 
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