EQUIVALENCE AND BODY SYSTEMS Flashcards

1
Q

Select all that apply
In order to be pharmaceutically equivalent, drug products must have the same:

a) active ingredients
b) inactive ingredients
c) dosage form and strength
d) mechanism of release
e) route of administration

A

a) active ingredients
c) dosage form and strength
e) route of administration

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2
Q

Drug products that contain the same drug moiety, but may have different forms or strengths are:

a) Pharmaceutical equivalents
b) Pharmaceutical alternatives
c) Therapeutic equivalents
d) Bioavailability

A

b) Pharmaceutical alternatives

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3
Q

__________ is the measure of the rate and extent to which the active ingredient is absorbed from a dosage form and becomes available at the desired site of action.

A

Bioavailability

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4
Q

__________ describes pharmaceutical equivalent or pharmaceutical alternative products that display comparable bioavailability when studied under similar experimental conditions.

A

Bioequivalence

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5
Q

In order for two drugs to be therapeutic equivalents, they first must be:

a) pharmaceutical alternatives and be bioavailable
b) pharmaceutical alternatives and be bioequivalent
c) pharmaceutical equivalents and be bioequivalent

A

c) pharmaceutical equivalents and be bioequivalent

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6
Q

True or False

Two drugs can only be therapeutic equivalents if their inactive ingredients are identical.

A

False

active ingredients are identical

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7
Q

To be classified as therapeutic equivalents by the FDA, drugs products must meet which of the following criteria:

a) they are bioequivalent and adequately labeled
b) they are pharmaceutical equivalents
c) they are bioavailable
d) they are approved as safe and effective
e) they are in compliance with Current Good Mfc. Practice regulations
f) they are pharmaceutical alternatives

A

a) they are bioequivalent and adequately labeled
b) they are pharmaceutical equivalents
d) they are approved as safe and effective
e) they are in compliance with Current Good Mfc. Practice regulation

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8
Q

What is the difference between pharmaceutical equivalents and therapeutic equivalents?

A

Therapeutic equivalents must also be bioequivalent.

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9
Q

For an applicant drug to be considered bioequivalent to a standard drug, it must be within what percentage range compared to the standard drug bioavailability?

a) -20%/+20%
b) -15%/+25%
c) -20%/+20%
d) -20%/+25%

A

d) -20%/+25%

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10
Q

What is the actual name of the “orange book”?

A

Approved Drug Products with Therapeutic Equivalence Evaluations

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11
Q

What is another name for the Approved Drug Products with Therapeutic Equivalence Evaluations resource book?

A

Orange book

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12
Q

Define the acronym DESI.

A

Drug Efficacy Study Implementation

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13
Q

What does the letter “A” indicate for drugs in the orange book?

A

Drug is a therapeutic equivalent product.

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14
Q

What does the letter “B” indicate for drugs in the orange book?

A

Drugs that are not considered to be equivalent.

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15
Q

Orange Book Ratings.
Drugs which are not considered to have the potential for equivalence problems.

a) AA
b) AB
c) AP
d) AT

A

a) AA

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16
Q

Orange Book Ratings.
Drugs which have shown, through testing that they are equivalent.

a) AA
b) AB
c) AN
d) AO

A

b) AB

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17
Q

Orange Book Ratings.
Equivalent solutions and powders for intended aerosolization.

a) AO
b) BP
c) AN
d) AA

A

c) AN

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18
Q

Orange Book Ratings.
Equivalent injectable oil solutions whose active ingredients and vehicle are identical.

a) AT
b) AP
c) BN
d) AO

A

d) AO

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19
Q

Orange Book Ratings.
Drugs which are not considered to have the potential for equivalence problems.

a) AP
b) AN
c) AT
d) AB

A

c) AT

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20
Q

Orange Book Ratings.
Equivalent topical products.

a) AT
b) AP
c) AA
d) AN

A

b) AP

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21
Q

Orange Book Ratings.
Indicates further testing is needed on a product already assigned to A or B.

a) B*
b) BX
c) BE
d) BT

A

a) B*

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22
Q

Orange Book Ratings.
Drugs shown to be non-equivalent in bioequivalence studies.

a) BT
b) BS
c) BP
d) BD

A

d) BD

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23
Q

Orange Book Ratings.
Non-equivalent drug due to presumed differences in delayed release dosage form.

a) BD
b) BE
c) BT
d) B*

A

b) BE

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24
Q

Orange Book Ratings.
Non-equivalence due to a presumed difference in extended release dosage forms.

a) BS
b) BT
c) BX
d) BC

A

d) BC

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25
Orange Book Ratings. Aerosol-Nebulizer drugs that are presumed to be non-equivalent. a) BC b) BS c) BN d) BE
c) BN
26
Orange Book Ratings. Active ingredients which the FDA has determined have potential equivalency problems. a) BP b) AP c) BX d) BS
a) BP
27
Orange Book Ratings. Suppositories or enemas which are presumed to be non-equivalent. a) AR b) BR c) BD d) BE
b) BR
28
Orange Book Ratings. Drugs which do not have a valid standard for comparison. a) BE b) BS c) B* d) BN
b) BS
29
Orange Book Ratings. Topical products which are presumed to be non-equivalent. a) BC b) BR c) AT d) BT
d) BT
30
Orange Book Ratings. Drugs products for which the available data is insufficient to determine equivalence a) BS b) BR c) BX d) BE
c) BX
31
Injuries that damage the integrity of the skin barrier.
Skin abrasions/lacerations
32
Damage caused by contact with heat or sun exposure.
Burns
33
Abnormal growth of cells in the skin structure.
Skin cancer
34
Chronic disease that forms scaly red patches on skin.
Psoriasis
35
Chronic itchy rash.
Eczema
36
Infection caused by bacteria, virus, or fungal means.
Infection
37
Major structures of the skin.
Epidermis, dermis, and subcutaneous layer.
38
Clean-up crew of the blood.
White blood cells
39
Carries oxygen throughout body using hemoglobin.
Red blood cells
40
Portion of the blood important in the clotting process when a blood vessel is injured.
Platelets
41
Soup that blood cells float around in.
Plasma
42
Two chambers at the top of the heart are known as:
Left and right Atrium
43
Function of left and right atrium include:
Collect blood returning to heart and forward it to lower chambers.
44
Which chambers have thicker muscle walls and are more powerful?
Lower chambers
45
Two chambers at the bottom of the heart are known as:
Left and right Ventricles
46
Takes blood returned from body tissues through the right atrium and pushes it out to the lungs to get its oxygen supply replenished.
Right ventricle
47
Takes blood returned from lungs through left atrium and pushes out blood to feed body tissues.
Left ventricle
48
Conductor on the heart that initiates heart beat by sending electrical impulses across heart muscle.
Sino-atrial node (SA)
49
Electrical insulating layer of tissue that acts as a bridge separating the upper/lower chambers of the heart.
Atrial-ventricle node (AV)
50
Which half of the heart receives and distributes non-oxygenated blood?
Right half
51
Which half of the heart handles only oxygenated blood?
Left half
52
Tubes of transport for blood.
Blood vessels
53
Oxygenated blood is carried in vessels known as:
Arteries
54
Non-oxygenated blood is carried in vessels known as:
Veins
55
When blood is traveling away from the heart, it is being carried in a(n):
Artery
56
When blood is returning to the heart, it is being carried in a(n):
Vein
57
When un-oxygenated blood travels away from the heart to the lungs is through the:
Pulmonary Vein
58
When oxygenated blood leaves the lungs and returns to the heart, it's through the:
Pulmonary Artery
59
Major Structures of the Cardiovascular System
Blood, blood vessels, heart.
60
An abnormally low RBC count causing decreased ability of the blood to carry oxygen.
Anemia
61
Higher or lower than normal pressures in the circulatory system.
Blood Pressure Disorders
62
Inability of the heart to effectively pump blood to the tissues.
Heart Failure
63
Electrical disturbance in the conduction of the heart muscle.
Heart Arrhythmias
64
Disturbance of the blood flow to the heart muscle itself causing chest pain or heart muscle damage.
Myocardial Infarction/Angina
65
Super-highway that nerves travel to and from the brain.
Central nervous system (CNS)
66
Structure containing nerve fibers.
Peripheral nervous system (PNS)
67
A specialized cell that transmits an electrical impulse along its length.
Nerve fiber
68
Major Structures of the Nervous System
Brain, spinal cord, peripheral nerves.
69
Damaged caused by trauma.
Injury/accident
70
Uncontrolled electrical activity in the brain.
Seizure
71
Movement disorder thought to be caused by a lack of chemical transmitter in the brain.
Parkinson's disease
72
Defect in cognitive function of the brain thought to be due to chemical imbalances within the brain.
Psychiatric
73
Progressive brain disorder that destroys the person's memory and ability to learn, communicate, and make daily judgments.
Alzheimer's disease
74
Condition that occurs when a blood vessel that supplies an area within the brain either clots or bursts and that area of the brain is damaged by lack of blood circulation.
Stroke
75
Disease in which the protective covering of nerve fibers is destroyed interfering with, or making impossible, nerve impulse transmission.
Multiple Sclerosis
76
Organ system that provides the body with a mechanism for bringing in oxygen into the body and removing waste gases.
Respiratory system
77
Gaseous exchange takes place in an organ known as the:
Lungs
78
Arrange in order the way in which oxygen travels upon entering and exiting the body. a) Each bronchus splits into smaller bronchial tubes that enter each lung b) The alveoli (surrounded by circulatory capillaries) absorb oxygen from the lung and give off carbon dioxide c) Trachea splits into two bronchi, one of which heads to both left and right lungs d) Each bronchial tube splits into smaller passageways ending in the alveoli e) Carbon dioxide is exhaled back out through the mouth f) Enters through nose and mouth and down through trachea
f) Enters through nose and mouth and down through trachea c) Trachea splits into two bronchi, one of which heads to both left and right lungs a) Each bronchus splits into smaller bronchial tubes that enter each lung d) Each bronchial tube splits into smaller passageways ending in the alveoli b) The alveoli (surrounded by circulatory capillaries) absorb oxygen from the lung and give off carbon dioxide e) Carbon dioxide is exhaled back out through the mouth
79
Arrange in order how oxygen travels through the body. a) Bronchus -> Bronchial Tubes -> Each Lung b) Mouth/Nose -> Trachea c) Carbon Dioxide Exhaled -> Mouth/Nose d) Alveoli -> Absorb Oxygen -> Give Off Carbon Dioxide e) Bronchial Tubes -> Alveoli f) Trachea -> 2 Bronchi -> (1) Bronchi -> Each Lung
b) Mouth/Nose -> Trachea f) Trachea -> 2 Bronchi -> (1) Bronchi -> Each Lung a) Bronchus -> Bronchial Tubes -> Each Lung e) Bronchial Tubes -> Alveoli d) Alveoli -> Absorb Oxygen -> Emit Carbon Dioxide c) Carbon Dioxide Exhaled -> Mouth/Nose
80
Chronic Obstructive Pulmonary Disease
COPD
81
Difficulty in breathing caused by airway constriction, blockage, increased mucous production.
Asthma
82
Bacterial or viral infection of the lung tissues.
Infection
83
Particles of inhaled solids that cannot be expelled by the lungs. (Coal dust or asbestos)
Pneumoconiosis
84
Organ system that removes waste products from the blood stream.
Excretory System
85
Solutes that crystallize in the collecting ducts
Urinary Stones
86
Caused by bacterial or viral agents.
Infection
87
Main filtration organ of the excretory system.
Kidney
88
Each kidney has their own:
Renal artery and vein
89
Arrange in order how blood travels through the kidneys. a) Water/Solutes from Blood -> Bowman's Capsule b) Tubules -> Collecting Duct -> Ureter -> Bladder c) Capillary System -> Wraps Around Nephron d) Renal Artery -> Kidney e) Kidney -> Capillary Stage f) Bowman's Capsule -> Twisting Tubules of Nephron
d) Renal Artery -> Kidney e) Kidney -> Capillary Stage c) Capillary System -> Wraps Around Nephron a) Water/Solutes -> Bowman's Capsule f) Bowman's Capsule -> Twisting Tubules b) Tubules -> Collecting Duct -> Ureter -> Bladder
90
Filtering structure of kidney.
Nephron
91
Cup shaped structure on the end of each Nephron.
Bowman's Capsule
92
Collective intertwining blood vessels formed from ball of capillaries in Bowman's Capsule.
Glomerulus
93
Nerves that bring sensory information from the periphery into the CNS or carry nerve impulses to the skeletal muscles.
Somatic
94
Nerves that carry impulses that regulate smooth muscles of the internal organs and glands.
Autonomic
95
Nervous system consisting of the brain and spinal cord.
CNS
96
Nervous system consisting of nerves that lead from the spinal cord and proceed outwardly into body.
PNS
97
The digesting material is moved either too fast or too slow through the GI tract.
Hyper/Hypo Motility
98
Swallowed material is discharged back up the esophagus.
Vomitting
99
Water or loose stools that can be caused by a variety of reasons.
Diarrhea
100
Too much stomach acid is being produced.
Excess Stomach Acid
101
Stomach contents and acid are released back into the esophagus.
Gastric Reflux
102
Areas of stomach tissue that are damaged and no longer have their protected lining intact.
Stomach Ulcers
103
Enzymes needed for the breakdown of food are absent or insufficient.
Enzyme Deficiencies
104
Organ system designed for the intake of food, water, and nutrients, the conversion of them to fuel for the body, and the expulsion of left over waste production.
Gastro-Intestinal System
105
Arrange in order how food travels through the body. a) Large Intestines -> Anus b) Small Intestines -> Large Intestines c) Mouth -> Esophagus d) Stomach -> Small Intestines e) Esophagus-> Stomach
c) Mouth -> Esophagus e) Esophagus-> Stomach d) Stomach -> Small Intestines b) Small Intestines -> Large Intestines a) Large Intestines -> Anus
106
Where the bulk of nutrient absorption occurs in the body.
Small Intestine
107
Five foot section of GI Tract dedicated mainly to the reabsorption of water and compaction of remaining material.
Large Intestine
108
________ __________ serve as a mixing action to aid the process of breaking down food.
Stomach contractions