PHM 522 Kahoots

1. 2. 3. 4. 5. 6. 7. 8. PHM 522 – all KAHOOTS PHM-522: 3/22 Kahoot Who was the goddess of Public Health? a. Asclepius b. Hygenious c. Aphrodite d. Hyigeia Which of the following below are considered social determinants of health? a. Health care b. Education c. Economic stability d. All of th...

1. 2. 3. 4. 5. 6. 7. 8. PHM 522 – all KAHOOTS PHM-522: 3/22 Kahoot Who was the goddess of Public Health? a. Asclepius b. Hygenious c. Aphrodite d. Hyigeia Which of the following below are considered social determinants of health? a. Health care b. Education c. Economic stability d. All of the above How many people in the USA die each year from medication non-adherence? a. 125,000 b. 65,000 c. 300,000 d. 225,000 What model discussed in class can help with speaking to patients where there may be cultural barriers? a. BATHE b. Motivational interviewing c. LEARN d. None of the above Identify which of the 4Ps: patient must give up smoking to liver healthier? a. Place b. Promotion c. Product d. Price You’re looking into the resources the comm. Has as you plan your public health initiative-what step in MAPiT is this ? (idk what comm. Is lol) a. Implement b. Plan c. Mobilize d. Assess What is health? a. Physical and social well-being. b. Science of preventing disease c. Without disease d. Physical, mental, and social well-being. The 3 roles of government in public sector are…. a. Assurance, policy implementation and survey analysis b. Assessment, law making and evaluation. c. Assessment, policy development and quality assurance d. None of the above 9. Public health focuses on all except a. Preventing epidemics b. Clinical medical diagnosis c. Protect against environmental hazards d. Promote healthy behaviors 10. _____ drives behaviors which drives results a. Thinking b. Public health c. Culture d. Society 11. What are the 3 core areas of public health ? a. Perception, prevention, and publicity b. Protection, promotion, and prevention c. Adherence, promotion, and prevention d. Protection, prevention, and publicity 12. What is the leading cause of death in America? a. Diabetes b. Heart disease c. Cancer d. Medical error 13. Which is a growing concern and kills about 125,000/year ? a. Medication non-adherence b. Cancer c. Mental illness d. Obesity 14. Which is the largest growing community that we don’t have enough bilingual RPhs to counsel? a. Chinese b. Russian c. Hispanic d. Indian 15. For the 3 core areas of public health to occur we need….. a. Capacity b. Advocacy c. Governance and information d. All of the above 16. Life expectancy 30 years from 1900-1999, how many were due to public health efforts? a. 25 b. 20 c. 30 d. 15 Kahoot#2: 3/29/2022 1. Which disease is known as Erysipelas? a. St. Anthony’s Fire b. Spanish Flu c. Phossy Jaw d. Bubonic Plague 2. True/False The Spanish Flu Began in Spain 3. The Bryant and May Factory were important in public health history because of which of the following a. It led to protections for workers with white phosphorus b. It led to the FDA passing the Food Drug and Cosmetic ACT c. It led to protections for workers with Radium d. All of the above 4. Poisoning with white phosphorus led to which of the following a. Cancer b. Radium toxicity c. Phossy jaw d. All of the above 5. Which of the following drugs today could lead to ergot poisoning? a. Methergine b. Cafergot c. Cabergoline (Dostinex) d. All of the above 6. True/false we still have cases of the plague today 7. Which of the following historically killed the most people worldwide ? a. WWI b. The black Death c. COVID-19 pandemic d. The Spanish Flu 1918 8. What was the reservoir of the plague? a. Bacteria b. Infected rats c. Infected bats d. Infected humans 9. What is the reservoir of the covid-19 virus ? a. Infected humans b. Bats or pangolin c. Bioterrorism d. A virus 10. Which of the following was not a type of plague ? a. Meningococcal b. Bubonic c. Pneumonic d. Septicemic 11. If someone were to get Ergot poisoning what would be occurring to the pain affected? a. Purple color skin b. Lunacy and madness c. Gangrene d. All of the above Kahoot #3 1. Which of the following is not a street name for opioids? a. Apache b. China Girl c. Hillbilly Heroin d. Special K 2. Every __________ minutes someone in the US overdoses a. 7 b. 8 c. 10 d. 15 3. What is the code for death occurring from a Heroin Overdose? a. Code 66 b. Code x c. Code red d. Code T 40.1 4. Which of the following is true about LSD ? a. Has a very low dependence rate b. Is the main cause of overdose in the west coast c. Is responsible for causing wooden chest syndrome d. None are correct 5. What is the name of the book that gives lists of all scheduling of control substances as well as regulated chemicals? a. FDA purple book b. DEA purple book c. DEA orange book d. FDA orange book 6. Which of the following is not an opioid ? a. Methylphenidate b. Methadone c. Codeine d. Fentanyl orsoozzzzzz 7. What is the number for poison center hot line _______________ looozzzizzzortoooazz azz 8. One out of every _______people will become addicted to opioids if given rxns for them 4 9. What schedule is Ketamine/ a. C1 b. C2 c. C3 d. C4 10. What does the term MME stand for ?_____________ MorphineMg Eq 11. Betty is given oxycodone 20 BID for chronic lower back pain. How many MMEs is she taking daily ? MMEequivalentis i s a. 60 mg so Bio 40 b. 20 mg c. 40 mg 40 1 s d. 80 mg 12. Which of the following is not another name for heroin? a. Molly b. Diacetyl-morphine c. Dragon d. Brown Sugar 13. A pharmacist can identify a patient with opioid abuse by all of the following except: a. Patients pupils are constricted b. Patient has bluish lips c. Patient has labored breathing d. Patient has bluish fingernails 14.Popteation __________ Healthis defined as health outcomes of a group of individuals, including the distribution of such outcomes within the group 15. Which of the following is true regarding Diabetic Kidney Disease a. Nonwhite Hispanics have the highest rates b. Treated early on in diabetic care from nephrologist c. 9 out of 10 patients don’t know they have it d. Standards of care in hospitals identify the patients early on 16. The FDA is requiring new applications for opioid productions to have which of the following? a. Mandated studies on teens & children use b. ADF c. Stronger pain properties d. Less addiction properties 17. Morphine Milligram Equivalents (MMEs) tell of a possible outcome of use. That outcome states which of the following? a. Fentanyl has an MME of 1000 b. MME from 1 to 9 per day are very low risk c. MMEs from 100 and above are 11x more prone to overdose d. All are correct 18. When heroin is cut with diphenhydramine & APAP this is known as a. Pink Heroin b. Elephant Tranquilizer c. Grey Death d. Cheese Heroin 19. Which type of patient behavior is a clue for pharmacist to identify patients with addiction disorders? a. A check of PMP shows MD shopiing b. Rx being picked up by a family member c. PT filling refills late and is noncompliant d. All of the following are good clues Last Kahoot 1. To Err is Human was a report that stated which of the following a. To build a safer health care system b. How to report medical errors c. Provided common errors that were made in order not to have them repeated d. All of the above 2. The Most common type of Medical Errors in Hospitals is: a. Patient falls in hospital b. Operative & post op complications c. Wrong site surgery d. Medication error 3. In hospital setting we use NCC MERP index to a. Define the type of error that has occurred b. Categorize types of patient falls & injuries c. To determine readmissions after treatment d. All of the above 4. True or False Med Errors Happen every 8 minutes 5. Vaccine Adverse Effects Must be reported by the provider to a. Medwatch b. ISMP c. VAERS d. All of the above 6. When FDA receives AERS reports, it enters them into the Adverse Events Reporting System (AERS). All events are coded using a. ARD protcal b. MedDRA c. NECC MERP index d. The Orange Book 7. Would you recommend Kaopectate for an 8 year old child with diarrhea and flu like symptoms? a. Yes the one with bismuth subsalicylate b. Yes the one with kaolin and pectin c. Yes the one with attapulgite d. No I would not recommend 8. Which of the following would be a drug duplication with meclizine ? a. Drammamine 2 b. Antivert c. Bonine d. All of the above 9. The FDA deems rx drug requires a medguide if it meets at least 1 of 3 criteria, which of the following is not a criteria a. Patient labeling that improves adherence to sig crucial to drug’s effectiveness b. Patient labeling that would help prevent serious adverse events c. Special labeling instruction for storage & disposing of product d. Patient labeling of serious drug risks that could affect patient decision to use rx mm 1: The cultural A. HRSA.gov B. CCG.gov C. FDA.gov D. CDC.gov competency guide can be found on which website? 2: Which are some of the basic tasks in creating a public service announcement or initiative? (select all that apply) A. Finding a celebrity to support B. Choosing a target audience C. SMART plan- setting objectives D. Choosing message and means of delivery including mix of media and messages 3: When strategizing a public health initiative using the "4 P's" as learned in class and demonstrated in recitation, which one is affected by gender differences? A. Product B. Price C. Place D. Protection 4: What does "SNS" stand for A. Supplemental National Strategy B. Strategic National Stockpile C. Stocking National Supplies D. Strategic Narcotic Strategy within the public health forum? 5: MedWatch serves 2 main purposes. Select the 2 correct main purposes below. A. Allows medical professionals and the public to report medication errors and medical product injuries. B. Allows government to monitor effectiveness and professionalism of health care providers. C. Provides clinical information about prescription and over the counter drugs, biologics, medical, and radiation-emitting devices, and special nutritional products. D. Provides the government information to hold Pharma companies liable. 6: When a pharmacist reports an adverse effect to MedWatch, where does the information go next? A. CDC B. FDA C. AMA D. WHO 7: _________is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects and other drug related problems A. MedWatch B. Pharmacotherapy C. Pharmacovigilance D. Pharmacoepidemiology 8: Which steps below are a part of the pharmacovigilance process? (Select all that apply) A. Collecting information B. Prescribing homeopathic medicine C. Documenting and analyzing D. Taking remedial actions (clinical behaviors) !!!!!? 9: What are some of the signs A. Unresponsiveness B. Gurgling C. Jaundice (Yellowing of skin) D. Slowed or stopped breathing of an opioid overdose? (select all that apply) 10: What are some of the common risk factors with Opioid overdose? (select all that apply) A. Changes in tolerance B. Marijuana user C. Mixing drugs D. Previous non-fatal overdose 11: Which is the mission of the Public Health Service Commissioned A. To lead people on their path to better health B. To protect people and keep them safe from terrorism C. To protect, promote and advance the health and safety of our Nation D. To promote healthy behaviors in our Nation corp.? 12: As a pharmacist, which Federal Government organizations can you join to participate in a public health disaster response(ie, Super Storm Sandy)? (select all that apply) A. Disaster Medical Assistance Team (DMAT) B. The Commissioned Corps of the US Public Health Service (USPHS) C. The American Red Cross D. The Blue Cross 13: In an international disaster response, who leads and coordinates the overall overseas response efforts in the U.S. Federal Government? A. The President of the United States B. The US Agency for International Development (USAID)/Office of Foreign Disaster Assistance (OFDA) C. The US Ambassador of the affected country D. The Secretary of the State Department 14: Who coordinates all of the deployed Federal Government Emergency Support Functions (ESF) 8: Public Health and Medical Services assets in the field , in a domestic response? A. The President of the United States B. The Secretary of the Health and Human Services C. The Federal Emergency Management Agency (FEMA) D. The Incident Response Coordination Team (IRCT) 15: In the Incident Command System, which role or roles is/are part of the Command Staff? A. Liaison Officer B. Operations Section Chief C. Logistics Section Chief D. Operations Logistics Chief 16: Which statement is true regarding the National Response Framework (NRF)? (select all that apply) A. It is a Federal government law that includes how the US Federal government ought to respond in various disasters and emergencies B. It describes best practices for managing an incident C. It is intended to be utilized by the whole community D. The NRF is always in effect 17: Which 2 boroughs in NYC A. Staten Island and the Bronx B. Queens and Manhattan C. Staten Island and Brooklyn D. Queens and the Bronx 18: Which of A. Heroin B. Fentanyl C. Crack D. Oxycodone have the highest rates of overdose deaths? the following is the most potent/powerful opioid? 19: Naloxone is dangerous to use if the person did not overdose on opioids. You should ask what happened prior to treating. A. True B. False 20: A growing concern in pharmacy practice is the inability of pharmacists to effectively communicate with their patients due to cultural and language barriers. Which fast growing population is of most concern in the U.S.? A. Indian B. Hispanic C. Asian D. Italian 21: Low A. True English proficiency can be an issue in service delivery. B. False 22: The 5 social determinants of health are..... A. neighborhood, social context, government, wealth and higher education B. neighborhood, healthcare,social context, economic stability and education C. neighborhood, healthcare, social context, access and education D. neighborhood, government, healthcare, education and social context 23: In which setting A. Urban area B. Farm area C. Indigent area D. Wealthy area may obesity be a greater concern? 24: Public health efforts require collaboration from many departments, facilities and people due to ..... A. the government's control B. the size and scale of the nation C. the effects of social determinants D. the fact that there are not enough specialists in 1 group to help. 25: What is the acronym used by Healthy people 2020 to strategize and implement a public health initiative? A. STOPit B. MOPit C. MAPiT D. HPS 26: Which of the following are true about tertiary prevention? A. Tertiary prevention saves more money in healthcare spending B. Current pharmacy practice focuses at the tertiary prevention level C. An intervention implemented after a disease is established D. Prevents sequelae (stop bad things from getting worse) 27: Hygieia, A. Apheus B. Aristotle C. Asclepius D. Hephaestus Select all that apply the ancient Greek goddess of health, was the daughter of 28: Based on class discussion, which of the following is the leading cause of death in the United States as defined by the number of deaths per year? A. Diabetes B. Suicide C. Stroke D. Heart disease 29: The practice of medicine differs from the practice of public health as the practice of public health focuses on the individualized treatment of disease and the recovery of health. A. True B. False 30: Historically, what role has government played A. Quality assurance B. Approving health professional license requirements C. Regulate pharmacist continuing education requirements 31: The in public health? science of public health includes which of the following? (select all that apply) A. the prevention of disease B. Prolonging life and promoting health C. individualized medical treatment 32:The World Health Organization A. The absence of disease or infirmity B. physical well being only C. mental or psychological well being only D. physical, mental and social well-being 33: Which defines health as of the folllowing would be a medication safety initiative? (select all that apply) A. The use of (FMEA) Failure Mode Effect Analysis B. Creation of Hospital Medication Safety Committee C. Hospital Formulary D. Payroll Control for staffing 34: Which of the following factors are associated with increased risk of a healthcare error? ( select all that apply) A. The environment prone to distractions B. Communication barriers with patients C. Economically impoverished communities D. High volume or unpredictable patient flow 35: Which of the following are A. Insulin B. Opioids C. Proton pump inhibitors D. Look alike and sound alike drugs high risk medications? ( select all that apply) 36: What is a key factor in preventing medication errors? A. Focus on blaming those who made the mistakes. B. Use past errors to prevent future errors. C. Try to create incentives for at risk behaviors. D. Take punitive action on the pharmacist who made the error. 37: How many deaths are estimated by the ISMP due to medication errors each year? A. 95,000 /year B. 125,000/year C. 5,000,000/year D. 15,000/year 38 The Institution of Medicine published a research report regarding "Building a Safe Health System". What was the research report called? A. "Mistakes Happen" B. "To Err is Human" C. "The ISMP Report" D. "The Adverse Drug Reaction" 39: Which A. Flu-laval B. Fluzone C. Flumist D. LV Flu of the following is a live vaccine? 40: The ISMP has had the most reports on this vaccination error. Identify the error from the vaccines below. A. DTap vs Tdap B. Zostavax vs Varivax C. Wrong Prevnar given D. Hepatitis A vs Hepatitis B 41: With A. True B. False e-prescibing in NYS, transcription errors have been drastically decreased. 42: Most medication errors have been eliminated due to the implementation of eprescribing in NY. A. True B. False 43: Which is the best approach in avoiding medication errors? A. Tell patient to avoid mail order prescriptions B. Counseling the patient and using teach back method C. Terminate any Pharmacist that makes a medication error D. Play soothing music in the Pharmacy to decrease stress which allows pharmacist to focus more 44: Which of the following will happen when a patient reports a dispensing error to theboard of pharmacy? ( select all that apply) A. Board of Pharmacy has the inspector of OPD ( Office of Professional Discipline) visit your pharmacy B. Inspector will question you on how the error occurred C. Board of Pharmacy will take steps to protect the pharmacist D. Inspector asks Pharmacist what action has been taken with addressing the error so it does not repeat 45: Which of the following is a proper step in handling a medication error that a patient comes to you with? A. Apologize then give them an excuse B. Always contact doctor to make sure he was aware of the error C. Always check the original and first refill of the hard copy D. Advise patient to come back when the supervisor is there and bring their bottle with the medication error. 46: ISMP is the abbreviation for.... A. Institute of Safety Involviong Medicines in Pharmacy B. Institute for Safe Medication Practices C. Institute of Safety Examining all Medical Practices D. Institute for Safe Medical Policies 47: Good medication error management includes which A. Including the trailing zero on medication orders B. The use of Tall man lettering C. The use of abbreviations D. Allowing techs who are certified to take Presciption phone orders 48: MgSO4 A. True B. False of the following below? is the chemical nomenclature for Morphine Sulfate. 49: A medication error is only an error if it leaves the Pharmacy and is given to the patient. A. True B. False 50: Which of the following would be considered a public health emergency even if only a single case reported? A. Small pox B. Measles C. Botulism D. Bacteremia 51: Which is the worst form of Anthrax contamination where mortality is 95% without treament? A. Pulmonary form (inhaled) B. Cutaneous form C. Intestinal or GI form D. Opthalmic form 52 Which of the following are the treatments for an Anthrax contaminated person ? (select all that apply) A. Ampicillin B. Amoxicillin C. Ciprofloxacin D. Doxycycline 53: In 2001, the FDA administered a public health warning regarding the Anthrax letter attacks in the United States. The 3 letters that were tainted with Anthrax particles were sent to which of the following recipients? (select all that apply) A. Mayor Rudolph Guiliani B. Senator Tom Daschle C. Tom Brokaw D. Rev. Al Sharpton 54: Which of the following does the CDC classify as a Category B bioterrorism agent?(select all that apply) A. Clostridium perfringens B. Salmonella C. Schistosomiasis D. Pin worms 55In regards to bioterrorism and the role of the pharmacist, which of the following are part of the 6 points that pharmacists address? (select all that apply) A. Preparedness B. Reimbursement C. Surveillance D. Mitigation 56: Regarding the sequence of death, cessation of cardiac function occurs with which of the following? (select all that apply) A. Loss of consciousness in 15 seconds B. Paralysis of respiratory center within 2-3 minutes C. Cessation of cerebral function within 5 minutes D. Hypoxia caused tachycardia 57: The components of good post marketing MedWatch reports would include which of the following? (select all that apply) A. Drug regulatory history B. Description of the adverse event C. Relevant therapeutic measures and labaratory data D. Animal History studies 58: The reason Thalidomide did not reach the U.S. market was due to a reviewer from the FDA. What was his name? A. Frances Mcdougal B. Frances Kennedy C. Frances Kelsey D. Frances Mcdermott 59: What are ergot alkaloids used for today? (select A. treatment of patients with dementia B. treatment of gangrene victims C. treatment for bleeding from abortions D. treatment for migraines all that apply ) 60: St. Anthony's Fire was . A. a disease caused by mice droppings on food B. a fungus growing on fruit products C. true cases of ergot poisioning D. bread that had been contaminated with salmonella 61: Which of the following is true regarding Elixer Massengill ? (select all that apply) A. It was another name for Sulfanilamide. B. It caused the deaths of over 100 children in the US. C. It was a product that was adulterated. D. It was a women's personal feminine hygiene product. 62: What did Upton's Sinclair's book "The A. The Food Drug &Cosmetic Act of 1938 B. The establishment of the FDA C. The Removal of Sulfanilamide from the market D. The Pure food &Drug Act of 1906 Jungle" lead to ? 63: Which of the following are true in regards to radium exposure from the 1920s to 1950s ? (select all that apply) A. It is still an active isotope as the T1/2 of radium is 1600 years. B. It led to the end of the Snake oil salesmans. C. It can lead to Phossy jaw in women. D. It involved watch dial painters . 64: "The Radium Girls" involved women A. massive x-rays B. cosmetics that were tainted with radium C. painting watch dials D. exposure to bioterroism acts with radium who were exposed to radium by . 65: "The Matchgirls Strike" of 1888 was famous in that A. it involved phosphorous poisoning of women B. it had to do with the London fire that killed 200 women C. it involved the exposure of radium to women D. it involved contaminated Diphtheria vaccine that killed 10 women . 66: The first U.S. goverment A. the Pure Food &Drug Act B. the Biologics Control Act C. the Food Drug &Cosmetic Act D. the Sherley Amendment 67: What is the intentional action to protect the public from drug issues was. or unintentional failure to place the required information on the label called? A. Mislabeling B. Adulteration C. Fraud D. Misbranding 68: takes the lives of 125,000 Americans annually and cost nearly 300 billion a year in additional health care services. A. Poor medication adherence B. Poor diabetes management C. Poor mental illness treatment D. Cardiac disease 69:Within the A. Prevention B. Protection C. Promotion D. Planning 3 core areas of Public Health, which does OSHA operate in ? 70: Which of the following is necessary for the 3 core areas of public health to take place ?( select all that apply) A. Governance B. Capacity C. Advocacy D. Information 71: Which group identified a set of 10 leading health indicators to focus on in public health? A. CDC B. EPA C. CMS D. HP2020 72: Social Marketing consists A. promoter B. medium C. social media platform D. celebrity spokesperson 73: Which of a sender, an audience , a message and a of the following is an example of secondary prevention? A. Immunization B. Health promotion C. Screening D. Medication therapy management 74: Most pharmacy practice has traditionally operated at which level of prevention ? A. Primary B. Secondary C. Tertiary D. None 75:What should you do prior to administering Narcan to a person who has overdosed on opioids? A. Call 911 B. Call a family member or friend of the person C. Find someone to help you administer Narcan D. Have Epinephrine incase Narcan doesnt work 76: Which drug A. Oxycontin B. Crack C. Fentanyl D. Heroin Is not an Opioid ? 77: What is the "Holy Trinity" of Opioid A. An opioid, a benzodiazepine &carisprodol B. An MD, A pharmacist &the users drug dealer C. Oxycodone, Morphine, &Heroin D. An Opiod, Narcan &Epinephrine addiction ? 78: What is Corresponding Responsibility ? A. The patient is responsible for taking medications as prescribed B. This holds the prescriber at fault if there is an error in wht ath MD prescribed C. Additional factors that become present leading to errors after the product is dispensed D. This holds the pharmacist liable if they fill a questionable RX 79: Which of the following are red flags a pharmacist must evaluate when filling an opioid prescription? (Select all that apply) A. Individual has insurance but wishes to pay cash B. Late refilling of control Rxs C. All Rxs are from the same doctor D. Early refill request on control substances 80: As a pharmacist, which steps can you take when filling an opioid prescription ? (select all that apply) A. Check PMM for all new Rxs &refills B. Review dosing for appropriateness C. Tell a patient you're out of stock D. Verify prescription with MD if possible.