QuestionQuestion 1. The U.S. Food and Drug Administration (FDA) regulates:Prescribing of drugs by MDs and NPsThe official labeling for all prescriptions and over-the-counter drugsOff-label recommendations for prescribingPharmaceutical educational offeringsQuestion 2. The U.S. Drug Enforcement Administration (DEA):Registers the manufacturers of, and those who are prescribers of controlled substances.Regulates NP prescribing at the state levelSanctions providers who prescribe drugs off-labelProvides prescribers with a number they can use for insurance billingQuestion 3. Precautions that should be taken when prescribing controlled substances include:Faxing the prescription for a Schedule II drug directly to the pharmacyUsing tamper-proof papers for all prescriptions written for controlled drugsKeeping any presigned prescription pads in a locked drawer in the clinicUsing only numbers to indicate the amount of drug to be prescribedQuestion 4. Alterations in drug metabolism among Asians may lead to:Slower metabolism of antidepressants, requiring lower dosesFaster metabolism of neuroleptics, requiring higher dosesAltered metabolism of omeprazole, requiring higher dosesSlower metabolism of alcohol, requiring higher dosesQuestion 5. Incorporating IT into a patient encounter takes skill and tact. During the encounter, the provider can make the patient more comfortable with the IT the provider is using by:Turning the screen around so the patient can see material being recordedNot placing the computer screen between the provider and the patientBoth A and BNeither A nor BQuestion 6. Pharmacokinetics among Asians are universal to all the Asian ethnic groups.TrueFalseQuestion 7. The developmental variation in Phase I enzymes has what impact on pediatric prescribing?None; Phase I enzymes are stable throughout childhoodChildren should always be prescribed lower than adult doses per weight due to low enzyme activity until pubertyChildren should always be prescribed higher than adult doses per weight due to high enzyme activityPrescribing dosages will vary based on the developmental activity of each enzyme, at times requiring lower than adult doses and at other times requiring higher than adult doses based on the age of the childQuestion 8. Drugs that are absolutely contraindicated in lactating women include:Selective serotonin reuptake inhibitorsAntiepileptic drugs such as carbamazepineAntineoplastic drugs such as methotrexateAll of the aboveQuestion 9. What impact does developmental variation in renal function has on prescribing for infants and children?Lower doses of renally excreted drugs may be prescribed to infants younger than six monthsHigher doses of water-soluble drugs may need to be prescribed due to increased renal excretionRenal excretion rates have no impact on prescribingParents need to be instructed on whether drugs are renally excreted or notQuestion 10. Liza is breastfeeding her two-month-old son, and she has an infection that requires an antibiotic. What drug factors influence the effect of the drug on the infant?Maternal drug levelsHalf-lifeLipid solubilityAll of the above
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