Pharmaceutical Calculations for Technicians
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Course Introduction
Pharmaceutical Calculations for Technicians introduces students to the fundamental mathematical concepts and problem-solving skills necessary in pharmacy practice. The course covers essential topics such as units of measurement, dosage calculations, conversions between measurement systems, calculation of drug concentrations, compounding, and IV flow rates. Emphasis is placed on accuracy, the prevention of medication errors, and understanding the real-world application of mathematical calculations in both community and institutional pharmacy settings. Through practice problems and case studies, students develop the confidence and proficiency required for safe and effective pharmaceutical care.
Recommended Textbook
Mosby s Pharmacy Technician Principles and Practice 3rd Edition by Teresa Hopper BS CPhT
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Chapter 1: History of Medicine and Pharmacy
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Sample Questions
Q1) Paracelsus was known as the father of medicine.
A)True
B)False
Answer: False
Q2) Gerhard Domagk discovered sulfonamide,the first synthetic antibiotic.
A)True
B)False Answer: True
Q3) Which scientist described much of the human anatomy based on the dissection of animals?
A)Hippocrates
B)Aristotle
C)Galen
D)Paracelsus
Answer: B
Q4) The term apothecary means "pharmacist."
A)True
B)False Answer: True
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Chapter 2: Pharmacy Federal Laws and Regulations
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Sample Questions
Q1) Until 2000 the drug pseudoephedrine was sold OTC as a decongestant and was not limited in quantity for purchase by the consumer.
A)True
B)False
Answer: False
Q2) The Kefauver-Harris Drug Amendments passed in which year?
A)1962
B)1692
C)1926
D)1296
Answer: A
Q3) In which year was the FDA established?
A)1892
B)1862
C)1935
D)1359
Answer: B
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Page 4
Chapter 3: Pharmacy Ethics, competencies, associations, and Settings for Technicians
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Sample Questions
Q1) A pharmacy in a hospital or institutional setting is called an outpatient pharmacy.
A)True
B)False
Answer: False
Q2) Technicians must keep all privileged information about a customer confidential.
A)True
B)False
Answer: True
Q3) Certification is education beyond the basic technical education,usually required for license renewal.
A)True
B)False
Answer: False
Q4) Morals are the values that are used within a profession.
A)True
B)False
Answer: False
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Chapter 4: Conversions and Calculations Used by Pharmacy Technicians
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Sample Questions
Q1) A medication is supplied in a 400 mg scored tablet.A physician prescribes 200 mg every 6 hours for 14 days.How many tablets will be dispensed for the entire course of therapy? ____ tablets
A)28
B)56
C)12
D)42
Q2) A medication contains 5.25 g of a drug in power form.If 5 ml of sterile water is added to the drug,how many milligrams of the drug will be contained in 1 ml of solution (assuming that the powder does not add volume to the final solution)? ____ mg
A)2.6
B)26.25
C)1050
D)1.05
Q3) MCMXLIX = ____
A)1856
B)1959
C)19,049
D)1949
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Chapter 5: Dosage Forms, routes of Administration and
Drug Classifications, drug Abbreviations, and Medical
Terminology
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Q1) Much of the terminology in pharmacy and medicine comes from the ____ and ____ languages.
A)German and Russian
B)Latin and Russian
C)Latin and Greek
D)German and Greek
Q2) The various storage requirements of medications are unimportant for the technician to learn.
A)True
B)False
Q3) IVPB stands for intravenous parenteral vessel.
A)True
B)False
Q4) Sprays are composed of various bases,such as ____ or ____ in a pump-type dispenser.
A)Alcohol, water
B)Alcohol, sodium
C)Sodium, water
D)None of the above
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Chapter 6: Drug Information References
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Q1) The classification of a drug is not important.
A)True
B)False
Q2) Non-formulary
A)A list of drugs that are not normally stocked by the pharmacy
B)One of the longest published reference guides
C)A list of preferred drugs to be stocked by the pharmacy
D)Official label
E)The official prescribing information for a prescription drug; medication information sheet provided by the manufacturer that includes side effects, dosage forms, indications, and other important information
F)Name assigned to a medication or nonproprietary name of a drug
G)The shape of molecules and their location to one another in a given compound
H)Lists tablet and capsule identifications
I)Provides information on current dosages for pediatric patients
J)Categorization based on various characteristics
Q3) Each drug referenced in the PDR has a complete description of the drug.
A)True
B)False
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Chapter 7: Prescription Processing
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Sample Questions
Q1) Take care when cutting a ____ so that it will not be apparent to the patient.
A)Mixture
B)Label
C)Sticker
D)Tag
Q2) Automated dispensing system (ADS)
A)Slang word used to describe a medical prescription
B)A pharmacy in a hospital
C)List of drugs that are not normally stocked by the pharmacy
D)Electronically sent prescription from prescriber's computer or mobile device that is transmitted directly to the pharmacy
E)Means to write
F)Attached to a container with specific instructions or information pertaining to the medication
G)These pharmacies are not open to the public
H)Machine that holds a supply of various medications
I)Found as a symbol on the header of a prescription
J)Also known as an outpatient or retail pharmacy
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Chapter 8: Over The Counter Medications
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Q1) Antiinflammatory
A)Aspirin
B)Chemical that aids in the removal of mucous secretions from the respiratory system
C)Those medications that do not require a prescription but are monitored
D)Fiber used to treat constipation or to cause a feeling of fullness to decrease appetite
E)Drug that reduces swelling, redness, and pain and that promotes healing
F)Medications that do not require a prescription and may be purchased by customers at any retail outlet
G)A drug that relieves pain by reducing the perception of pain
H)A substance that slows or stops the growth of microorganisms on surfaces such as the skin
I)Route of administration
J)A drug that can decrease the coughing reflex
Q2) Decongestants may cause all but which of the following?
A)Insomnia
B)Headaches
C)Sleep apnea
D)High blood pressure
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Chapter 9: Complementary and Alternative Medicine
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Q1) Valerian should be taken with benzodiazepines.
A)True
B)False
Q2) Aloe vera is used on which of these conditions?
A)Coughing
B)Headaches
C)Various skin irritations
D)Diarrhea
Q3) Products derived from the genus Tanacetum are used to treat all but which of the following?
A)Fever
B)Arthritis
C)Muscle cramps
D)Asthma
Q4) Hawthorn also may interact with central nervous system depressants.
A)True
B)False
Q5) Herbs are rarely used in Chinese medicine.
A)True
B)False
11
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Chapter 10: Hospital Pharmacy
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Q1) Orders at the hospital only arrive between 8 AM and 5 PM.
A)True
B)False
Q2) Satellite pharmacy technician
A)Fills prescription orders as patients leave the hospital
B)Responsible for ordering all medications and supplies for the pharmacy
C)Responsible for preparing large-volume drips and parenteral nutrition
D)Similar to a small, isolated pharmacy
E)Prepares cytotoxic agents
Q3) In narcotics,accurate counts are important.
A)True
B)False
Q4) Computerized prescriber order entry is becoming more popular because:
A)It is more expensive
B)It is no longer necessary to decipher physicians' handwriting
C)It checks for interactions
D)Both B and C are correct
Q5) Hospitals can have more than one pharmacy.
A)True
B)False
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Chapter 11: Repackaging and Compounding
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Q1) Granules
A)The act of mixing, reconstituting, and packaging a drug
B)Base solution that is a mixture of alcohol and water
C)Markings on a measuring device
D)Part or portion of a medicine and/or ingredient that has the same volume or weight
E)A small particle
F)Bind together
G)Holds a single-dose tablet or capsule
H)Sealed with a foil card backboard
I)A hydrophilic base
J)An agent that contains small particles (1-1000 nm) that do not precipitate under the influence of gravity but remain distributed throughout either a suspension or an emulsion
Q2) Which of the following is not necessary personal protective equipment when compounding?
A)Gloves
B)Ear plugs
C)Hair cover
D)Mask
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Chapter 12: Aseptic Technique
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Sample Questions
Q1) As the size of the syringe increases so does the accuracy.
A)True
B)False
Q2) The volume of hyperalimentation typically ranges from 2 L to:
A)3 L
B)4 L
C)5 L
D)2.5 L
Q3) Where should you start when cleaning the laminar airflow workbench/biological safety cabinet?
A)Top left-hand side
B)Top right-hand side
C)Bottom left-hand side
D)Bottom right-hand side
Q4) What percent of isopropyl alcohol should be used when cleaning the laminar airflow workbench/biological safety cabinet?
A)100
B)90
C)80
D)70
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Chapter 13: Pharmacy Stock and Billing
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Sample Questions
Q1) Medication is sent back to the warehouse or manufacturer for which of the following reasons?
A)Drug recall
B)Expired stock
C)Damaged stock
D)All of the above
Q2) Pharmacy technicians are not allowed to assist in the third-party billing process.
A)True
B)False
Q3) A significant change was made in ____ with the passage of the Medicare Modernization Act (MMA).
A)2000
B)2003
C)2006
D)2009
Q4) Brand name drugs generally have between 17 and 20 years before patents expire.
A)True
B)False
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Chapter 14: Medication Safety and Error Prevention
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Sample Questions
Q1) The most common IV medication(s)involved in overdosing is (are):
A)Insulin
B)Heparin
C)KCl
D)All of the above
Q2) Only pharmacists can load ADS machines with medications.
A)True
B)False
Q3) Founded by the USP,this is an independent council of more than 25 organizations gathered to address interdisciplinary causes of medication errors and strategies for prevention
A)PTCB
B)ISMP
C)NCC MERP
D)ASHP
E)IHI
F)USP
G)PTEC
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Chapter 15: Endocrine System
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Q1) Addison's disease
A)A condition that causes an increase in the level of adrenocorticotropic hormone
B)A condition that results in a decrease in corticoid levels
C)A condition in which a long-acting thyroid stimulator protein is constantly produced
D)A condition associated with a decrease in bone density
E)A condition in which a person's tissues are attacked by his or her own immune system
F)A condition associated with a decrease in overall thyroid function
G)A condition that results in softening and weakening of bones
H)A condition in which the thyroid is enlarged because of a lack of iodine
I)A condition in which development of the brain and body is inhibited
J)A condition associated with low concentrations of calcium in the blood
Q2) Acromegaly is a childhood disease caused by a deficiency of growth hormone.
A)True
B)False
Q3) Graves' disease is marked by enlargement of the neck region.
A)True
B)False
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Chapter 16: Nervous System
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Sample Questions
Q1) The weight of an adult's brain is 1.4 lb.
A)True
B)False
Q2) Which of the following is not a state in the transmission of a chemical message?
A)Repolarized
B)Depolarized
C)Prepolarized
D)Polarized
Q3) The direction of neuronal impulse from the body toward the central nervous system is referred to as autonomic.
A)True
B)False
Q4) Temporal lobe
A)Perception of vision
B)Respiration
C)Voluntary movement
D)Problem solving
E)Behavior
F)Understanding language
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Chapter 17: Psychopharmacology
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Q1) OCD and OCPD are interchangeable terms.
A)True
B)False
Q2) A disorganized schizophrenic is very articulate but has a disorganized house.
A)True
B)False
Q3) Patients with posttraumatic stress disorder have experienced:
A)A terrifying event
B)Trouble being in social situations
C)Panic attacks over most problems
D)None of the above
Q4) Pamelor
A)Antianxiety
B)Antipsychotics
C)Hypnotics
D)Antidepressant
E)ADD/ADHD medications
Q5) The most important part of evaluating emotional health is evaluating dreams.
A)True
B)False
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Chapter 18: Respiratory System
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Q1) Influenza can be fatal to:
A)The elderly
B)The very young
C)Those with weakened immune systems
D)All the above
Q2) Temporary loss of speech is called laryngitis.
A)True
B)False
Q3) Sudafed
A)Decongestants
B)Antihistamines
C)Bronchodilators
D)Antitussives
E)Corticosteroids
F)Expectorant
Q4) Which of the following is not a mechanism that causes a sneeze?
A)Ciliary action
B)Bronchial tube spasm
C)Peristaltic motion of the bronchioles
D)Cough reflex
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Chapter 19: Visual and Auditory Systems
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Q1) Various conditions can affect the quality of hearing,including:
A)Earwax accumulation
B)Genetic defects
C)Infections
D)All of the above
Q2) The conjunctiva is a thin,transparent layer that is composed of a mucous membrane that covers the anterior eye,the eyelids,and the sclera.
A)True
B)False
Q3) The ear is composed of three major sections: the external ear,the middle ear,and the:
A)Cochlea
B)Vestibule
C)Inner ear
D)None of the above
Q4) Where is the lacrimal gland located?
A)Inside the cornea
B)Inside the orbit
C)Adjacent to the conjunctiva
D)None of the above
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Chapter 20: Integumentary System
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Q1) The most effective non-drug treatment for acne is excessive cleaning.
A)True
B)False
Q2) Amevive
A)Antibacterial
B)Antifungal
C)Antivirals
D)Biologics
Q3) A person with herpes will be:
A)Cured with Zovirax
B)Susceptible to flare-ups when the immune system is weakened
C)On bed rest for the rest of their life
D)None of the above
Q4) Your skin is the only part of your body that needs protection from the sun's rays.
A)True
B)False
Q5) Sunburns can begin to peel immediately.
A)True
B)False
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Chapter 21: Gastrointestinal System
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Q1) Antivert
A)Nausea and vomiting
B)Constipation
C)Antiflatulent
D)Laxative
Q2) Colace
A)Nausea and vomiting
B)Constipation
C)Antiflatulent
D)Laxative
Q3) The gastrointestinal system is active:
A)During waking hours
B)Immediately upon mastication
C)24 hours a day
D)None of the above
Q4) Constipation and diarrhea are some of the most frequent symptoms concerning the intestinal tract.
A)True
B)False
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Chapter 22: Urinary System
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Q1) During acidification the kidneys eliminate excess nitrogen ions.
A)True
B)False
Q2) Renal fascia
A)Kidney stones
B)The loss of control over excretion of urine of feces
C)The loss of bladder control at night
D)The membranous tissue that surrounds and supports the kidneys.
E)Urination
Q3) Loss of kidney function can be caused by all of the following except:
A)Toxins
B)Drinking too much water
C)Genetic diseases
D)Accidents
Q4) Which of the following is not a proper treatment for a urinary tract infection?
A)Septra to help kill the bacterial infection
B)Fluconazole to kill the fungal infection
C)Tetracycline to decrease the infection caused by Chlamydia
D)Zyloprim to clear up the gonorrheal infection
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Chapter 23: Cardiovascular System
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Q1) Which of the following is not an antihyperlipidemic medication?
A)Diuretic
B)Bile acid sequestrants
C)Fibrate
D)Statins
Q2) A person suffering from bradycardia would have an abnormally high heart rate.
A)True
B)False
Q3) The most widespread genetically associated disorder is familial hypocholesterolemia.
A)True
B)False
Q4) Congestive heart failure is when the heart is unable to meet the demands of the body.
A)True
B)False
Q5) The electrical charges that create the catalyst for the heart to pump are referred to as the cardiac conduction system.
A)True
B)False
Page 25
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Chapter 24: Reproductive System
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Q1) Testosterone products are on the schedule III list of controlled medications.
A)True
B)False
Q2) Erectile dysfunction is caused by:
A)Lack of blood flow to the penis
B)Lack of desire
C)Lack of sperm
D)Abundance of estrogen
Q3) The reproductive system is an independent system.
A)True
B)False
Q4) Hormone therapy is the most commonly prescribed treatment for prostate cancer.
A)True
B)False
Q5) Progestasert
A)Erectile dysfunction
B)Infertility medications
C)Long-acting contraceptives
D)STD medications
E)Endometriosis
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Chapter 25: Antiinfectives
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Q1) Extended-spectrum beta-lactamases
A)Antibiotic
B)Symbiotic
C)Parasite
D)PRSP
E)Normal flora
F)Bacteria
G)Inhibit
H)Pneumonia
I)ESBLs
J)VRE
Q2) What is the trade name of the drug AZT?
A)Retrovir
B)Viramune
C)Sustiva
D)Invirase
Q3) Normal flora is an agent that destroys bacteria.
A)True
B)False
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Chapter 26: Antiinflammatories and Antihistamines
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Q1) Patients will quantify pain by:
A)Taking a urine analysis
B)Comparing their pain to various smiley faces
C)Rating it on a numeric scale
D)None of the above
Q2) Oophoritis
A)Meninges
B)Small intestines
C)Joints
D)Tendons
E)Nose
F)Liver
G)Stomach
H)Ovary
I)Lungs
J)Colon
Q3) The adrenal cortex produces corticosteroids.
A)True
B)False
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Chapter 27: Vitamins and Minerals
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Q1) Daily reference values on packages are only required to have mineral values.
A)True
B)False
Q2) Stimulates the immune system
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q3) MedWatch is a department of the FBI used for reporting problems.
A)True
B)False
Q4) Protects the skin against cancer
A)Vitamin A
B)Vitamin D
C)Vitamin E
Q5) Vitamin C is an antioxidant.
A)True
B)False
Q6) Vitamins are good for patient health because it is not possible to overdose.
A)True
B)False
Page 29
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Chapter 28: Vaccines
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Q1) Avian influenza
A)Inactivated viral vaccines
B)Vaccines against bacterial illness
C)Systemic immunosuppressive agents
D)Biological response modifiers
Q2) Swine flu
A)Inactivated viral vaccines
B)Vaccines against bacterial illness
C)Systemic immunosuppressive agents
D)Biological response modifiers
Q3) Typhoid
A)Inactivated viral vaccines
B)Vaccines against bacterial illness
C)Systemic immunosuppressive agents
D)Biological response modifiers
Q4) Which of the following statements does not describe the spleen?
A)It contains macrophages.
B)It is located in the upper chest.
C)It is the largest lymphatic organ.
D)It filters blood cells at the end of their life cycle.
Page 30
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Chapter 29: Oncology Agents
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Q1) Metastasis
A)An unexpected change in the molecular structure within the DNA, causing a permanent change in cells
B)An invasive and destructive pattern of rapid, abnormal cell growth; often fatal
C)An agent used to prevent the development, proliferation, or growth of neoplastic cells; a medication used in treatment of abnormal cells
D)A single dose of drug
E)A tumor or growth that is not life-threatening
F)A substance or chemical that can increase the risk of developing cancer
G)The treatment of a disease with toxic chemical substances to slow the disease process or to kill cells
H)A procedure in which a piece of tissue is removed from a patient for examination and diagnosis; the tissue is a sample of the whole
I)The movement or spread of cancerous cells through the body to organs in distant areas
J)A term used to describe a malignant disorder of lymphoid tissue
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Chapter 30: Microbiology
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Q1) A vector is an entity by which infections are transferred,but the entity of transference does not have the disease and does not need to be a living organism.
A)True
B)False
Q2) Which of the following is not a component of an animal cell?
A)Golgi complex
B)Ribosomes
C)Cytoplasm
D)Chloroplasts
Q3) Which one of the following kingdoms does not consist of eukaryotic organisms?
A)Monera
B)Animalia
C)Fungi
D)Protista
Q4) Charles Darwin is considered the Father of Evolution.
A)True
B)False
Q5) Virology is the study of viruses.
A)True
B)False
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Chapter 31: Chemistry
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Q1) A shortage of iodine can lead to osteoporosis.
A)True
B)False
Q2) The transfer of electrons between two atoms
A)Micro
B)Mole
C)Amino acids
D)Catabolism
E)Ion
F)Covalent bond
G)Metabolism
H)Ionic bond
Q3) A deficiency of ____ can be the source of diarrhea,nausea,and abdominal cramps.
A)Calcium
B)Magnesium
C)Iodine
D)Iron
Q4) The chemical formula for acetate is NaHCO .
A)True
B)False
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