OVERVIEW OF RISK EVALUATION AND MITIGATION SYSTEMS (REMS)

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Questions

Question 1

In what year did the Food and Drug Administration Amendments Act give the FDA the authority to subject drugs to new risk identification and communication strategies like REMS?

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Question 2

What does the acronym REMS stand for?

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Question 3

According to the text, what is the primary reason the FDA would require a REMS program for a drug?

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Question 4

What were the risk management programs acknowledged by the FDA in 2005 called?

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Question 5

What was a major limitation of the Risk Minimization Action Plans (RiskMAPS) that existed before the 2007 law?

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Question 6

Which of the following is NOT listed as a basic component of a REMS program?

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Question 7

Under what circumstances are 'Elements to Ensure Safe Use' (ETASU) required as part of a REMS?

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Question 8

Which of the following is explicitly listed as one of the 'Elements to Ensure Safe Use' in a REMS program?

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Question 9

At what two points in a drug's lifecycle can the FDA require a REMS?

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Question 10

What is required for a REMS associated with New Drug Applications or Biologics License Applications?

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Question 11

Which of these older risk management plans was used by the FDA before the creation of REMS?

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Question 12

If a REMS program requires that only specially certified pharmacies can dispense a particular drug, this falls under which category of REMS components?

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Question 13

The Food and Drug Administration Amendments Act of 2007 gave the FDA new authority to implement risk strategies during which specific period of a drug's lifecycle?

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Question 14

What is the scope of drugs for which a REMS can be required?

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Question 15

If a REMS requires a drug to be dispensed only in hospitals, what type of REMS component is this?

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Question 16

What does the text indicate about the trigger for the FDA requiring a REMS during the postmarketing period?

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Question 17

Which of the following describes the role of a 'Communication Plan' within a REMS program?

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Question 18

Which of the following scenarios would be an example of patient monitoring as an Element to Ensure Safe Use (ETASU)?

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Question 19

What was the identified flaw in the FDA's authority regarding RiskMAPS before the 2007 legislation?

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Question 20

All of the following are listed as 'Elements to Ensure Safe Use' (ETASU) EXCEPT:

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Question 21

Which statement best summarizes the evolution from RiskMAPS to REMS?

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Question 22

The text mentions that a REMS tag has been added to the monographs of drugs associated with these programs. What is the purpose of this tag?

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Question 23

A drug's REMS requires the prescriber to be certified and the patient to be enrolled in a registry. These requirements are examples of what?

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Question 24

What is the key difference between a Medication Guide and an Element to Ensure Safe Use (ETASU)?

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Question 25

In what year did the FDA acknowledge the pre-REMS programs as Risk Minimization Action Plans (RiskMAPS)?

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Question 26

Which entity is given the authority to require and enforce REMS?

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Question 27

What type of risk is a REMS program designed to mitigate?

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Question 28

Which of the following would NOT be considered a basic component of a REMS, but rather an 'Element to Ensure Safe Use'?

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Question 29

The authority for the FDA to create REMS came from what legislation?

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Question 30

If a patient must show documentation of a negative pregnancy test before a pharmacy can dispense a drug, this is an example of which REMS element?

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Question 31

What is the function of a patient registry as an Element to Ensure Safe Use (ETASU)?

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Question 32

Which of these is NOT one of the six specific 'Elements to Ensure Safe Use' (ETASU) listed in the text?

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Question 33

The development of REMS was necessary to address what specific issue with the older RiskMAPS?

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Question 34

When are 'Elements to Ensure Safe Use' (ETASU) deemed necessary for a drug?

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Question 35

A key component of REMS for new drug applications is a timetable for what activity?

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Question 36

Which of the following is NOT a risk management plan mentioned as being used by the FDA prior to 2005?

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Question 37

The central principle guiding the FDA's decision to require a REMS is to ensure that a drug's benefits outweigh its what?

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Question 38

If a drug manufacturer wants to ensure safe use, which element of a REMS would involve having specially trained healthcare providers prescribe the medication?

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Question 39

What is the primary function of a REMS tag in this specific drug guide?

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Question 40

How is a drug with an approved REMS program highlighted in the drug monographs described in the text?

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Question 41

When can the FDA require that pharmacies or practitioners be specifically trained or certified to dispense a drug?

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Question 42

What is the primary difference between how the FDA handled postmarketing commitments under RiskMAPS versus REMS?

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Question 43

Which of the following is NOT a purpose of a REMS program?

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Question 44

A drug's REMS requires patients to be enrolled in a registry. This requirement is considered what?

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Question 45

What is the threshold for the FDA to require a REMS?

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Question 46

What does a timetable for submission of assessment, as part of a REMS, ensure?

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Question 47

The authority granted to the FDA in 2007 allows them to require new risk strategies for what?

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Question 48

According to the chapter, why might an 'Element to Ensure Safe Use' (ETASU) require a drug to be dispensed only in hospitals?

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Question 49

The core weakness of RiskMAPS was the inability to do what after a drug was approved?

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Question 50

The text lists six types of 'Elements to Ensure Safe Use' (ETASU). Which of the following is one of them?

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