NAPLEX Material Here are the 125 items that I could remember. Here’s how to study….go through the packet that says “this is what you should spend a lot of time studying.” Look up everything. It you don’t don’t look it up & are unsure, it WILL be on the test. I made a study guide out of it. I typed it up so that I could put all related information together. My test had about 20-30 calculations on it. They were so easy that they made Flynn’s packet look hard. My test was also filled with ID- my weakness. I had no herbal or CF questions. Along with Flynn’s review, I also did the Kaplan review. It was a waste. I did not need it. Could not have done it without Flynn!!!! I made a 141!!!!! 1. Whic Which h is is a PI? PI? I. Ritrovir II. Epivir III. Crixivan 2. Crixivan Crixivan shoul should d be taken taken on a empty empty stomach stomach 3. Ritro Ritrovir vir is is avail availabl able e as: I. IV II. Syrup III. Tablet 4. Which Which of the the followi following ng is availa available ble as as IV? I. Ritrovir Ritrovir can’t can’t rememb remember er the the others others because because this is the the only only one one availab available le as an IV 5. ISMO ISMO quest questio ionn- 7 am & 2 pm 6. What What is a hiata hiatall hern hernia? ia? 7. AvandiaAvandia- migh mightt take 12 weeks weeks to see see max effect effects s 8. Fanconi’s syndromesyndrome- affects the proximal proximal renal tubules 9. Drug that causes causes hyponaturem hyponaturemiaia- Lithium Lithium was a choice choice 10. Vaccine that need to be reconstituted- MMR 11. Vaccine to avoid with egg allergy- Measle sles 12. Diptheria/Tetanus- is is it it ok ok du during pr pregnancy 13. Viravax question 14. Whi Which che chemo drug do you you use an in-li -line fil filte terr fo for? 15. Metf Me tfo ormin sho should be sto stopped befo efore- ang angiogram 16. Acarbose: I. Take Take 30 30 min before before meals meals II. May cause cause gasIII. Don’t Don’t take if you skip meals 17. 17. Baby Baby with with diap diaper er rash rash.. It is red, red, infl inflam amed ed,, irri irrita tate ted, d, & has has vesi vesicl cles es.. What What organisms has caused? Stap aerous, candida, steptocoous were choices 18. 18. Next Next ques questi tio on was how how to trea treatt itit- tri triam amci cino nolo lone ne & nyst nystat atin in 19. 19. Refe Re fere renc nce e que quest stio ion n ask askin ing g whe where re woul would d you you loo look if if you you we were re tryi trying ng to maximize insulin therapy? Applied therapeutics, facts & comparisons were choices 20. Reference questi stion aski sking about vaccines 21. 21. Spon Sponor orox ox puls pulse e dos dosin ing g que quest stio ionn- 1 tab tab BID BID X 1 we wee ek, then then off for for 3 wee week ks X2 months 22. 22. Spon Sponor orox ox woul would d be be tre treat atin ing: g: onyc onycho homy myco cosi sis s & aspe asperg rgil illo losi sis s wer were e bot both h choices 23. Patie atien nt is is on on he hepari arin- AP APTT is is 58 58- ke keep hepari arin IV IV th the sa same 24. Imitrex works on ___ receptor 25. Zoloft: I. Do Don’t drink alcohol II. Ma May cause drowisness III. Wr Wrong 26. 26. Next Next ques questi tion on-- whic which h drug drug in the the pati patien entt prof profil ile e mig might ht be cont contri ribu buti ting ng to the the patient’s insomnia?- Zoloft was dosed QHS 27. Amp Ampicilli illin n co could be use used d to to tre trea at en entero erococcus cus fae faecali calis s •
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28. Baby receiving gentamicin for treatment of e. coli 29. How long will it patient on gentamicin to reach steady state with an 8 hour half life? Answer was in ranges- something like 32-40 hours 30. Increased dose of warfarin- how long would you wait to check INR? 31. Patient is taking Tums (Calcium carbonate) 2 tablets TID, how much elemental calcium is that providing? 1200 mg 32. What is an alterative for ethanol in treating methanol overdose? Fomepizole 33. Lead overdose- Succimer 34. Which drug can increase digoxin toxicity? I. Loop diuretic II. Quinidine III. Glyburide 35. What can exacerbate digoxin toxicity? Hypomagnesium (hypokalemia was not a choice, however hyperkalemia was) 36. PCN resistance is caused by: Alteration of penicillin binding proteins & beta lactamase production were both choices 37. Morphine SE- hypotension 38. MOA of finasteride (inhibits conversion of testosterone to dihydrotestosterone) Be careful- the reverse was on there too 39. Gavison- patient should be told to chew good & swallow 40. Milk of magnesium is a saline laxative 41. Calculate the ANC 42. Magnesium overdose- calcium 43. Aerobid generic- flunisolide 44. Budesonide counseling: which would you not tell the patient? Shake well, rinse mouth afterwards, may cause an oral yeast infection, may cause dry mouth or hoarsness, use every 12 hours 45. Which would you give to treat allergies & asthma? Singulair 46. Singulair could cause flu-like symptoms 47. Peak flow meter question 48. Spacer question 49. Arava MOA: inhibits dihydrooratate dehydrogenase 50. Methotrexate dose for child- Q week 51. Which drug must be used with an in-line filter? Paclitaxel 52. Patient with cancer; going to be receiving zofran & dexametasone; when & how should these be administered? Can be in same IV bag given 4 hours prior to chemo Can be in separte IV bags given 4 hours prior to chemo Can be in same IV bag 30 given 30 minutes prior to chemo 53. Which of the following drugs is blue? Ifosfamide Mitoxantrone i. Not sure if this is correct, can’t find the answer however per micromedex: patients may experience a blue-green color to their urine and sclera for 24 hr after administration 54. Which drug is not used to treat a patient with prostate cancer? Alkylating agents •
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55. Which of the following agents can cause bone pain? Tamoxifen can (Neulasta & Neupogen were not choices) 56. What could be used for this patient’s cancer related N/V? Aloxi 57. Patient with DM, what would you use to treat their HTN? ACEI 58. DOC for supraventricular tachycardia- adenosine 59. DOC for ventricular fibrillation- amiodarone 60. Several questions on enoxaparin (calculate patient’s dose) 61. When would you DC the enoxaparin in a patient on warfarin- 4-5 days after warfarin therapy began 62. How would you administer the heparin? Heparin lock 63. A foley catheter is- a urethral catheter 64. DynaCirc is a- CCB 65. Nitroprusside: I. Should be administered in a container protecting it from light II. Should be administered in a glass container III.Should be administered with a 0.22 micron filter 66. What can be used to protect a patient’s kidneys who is going to undergo a procedure that involves using IV dye? Acetylcysteine 67. Generic of Forteo 68. Amaryl max dose- 8 mg/day 69. Which drug is least likely to cause hypoglycemia even when fasting? Glycet 70. Which drug is a biguanide? Metformin 71. Which can be used for diabetic neuropathy? I. Gabapentin II. Amitriptylline III. Capsacin 72. DKA question 73. Hydroxyzine & Demerol- need to contact MD 74. Lorazepam needs to be refrigerated 75. Loop diuretics- inhibit Na & H2O reabsorption One choice said work at the descending loop of Henle (not ascending) 76. Prilosec counseling question: can open up & sprinkle on applesause 77. Kayexelate is not available for IV 78. Hydroxypropyl methylcellulose purpose for being added to eyedrops 79. Treatment of PDA without surgery? IV indomethacin 80. Why might the patient have increased phosphate level? Fleet’s Phosphosoda 81. Patient has EKG changes & hyperkalemia, what would you use to treat first? Calcium gluconate 82. Patient on Zetia 10 mg & Zocor 10 mg- if the patient still is experiencing hyperlipidemia would could you do? Increase Zocor dose Add (or change?) to Lipitor Add a Fibrate 83. Patient on Cipro- do not administer with antacids or other drugs containing calcium or iron 84. What otic product contains Neomycin? Cortisporin 85. Treatment of H. flu 86. Patient wants to prevent flu with- Flumadine 87. Erythromycin lactobionate is available as an IV preparation 88. Treatment of recurrent otitis media- zithromax 89. Rifampin is DOC for elimination of meningococci for asymptomatic carriers 90. Bictra is being used for the treatment of metabolic acidosis • • •
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91. SE of DHE: peripheral ischemia 92. Danazol (Danocrine) use- endometriosis 93. Soma is metabolized to- meprobamate 94. Soma’s generic name is- carisoprodol 95. Malathion- Ovide 96. Medendazole (Vermox)- treat all family members, may need to re-dose, disinfect (can’t remember exactly how it was worded: linens, clothes) 97. Which of the following does methotrexate NOT cause? Thrombocytosis 98. PhosLo: used for treatment of hyperphosphatemia 99. Milk of magnesia should be avoid in patient with renal failure 100.Rx for guaifenesin- can fill it with Robitussin 101.Mucinex MOA: increasing respiratory fluid volumes & decreasing mucus viscosity 102.Luride is being used to: prevent dental caries 103.What would you include in an emergency insect sting kit? I. Epinephrine II. Topical benadryl III. APAP 104.Hypocalemia due to: decreased PTH levels 105.Question about Evista 106.TED stockings: what would you measure? I. Circumference of calf II. Leg Length III. Foot length I went to TED stocking website: would measure circumference of calf, leg length, & ankle circumference- nothing about foot length 107.Would treat excoriation with- Karaya 108.Morphine IV to po conversion (no chart given) 109.Dilaudid (had to know generic) to methadone conversion (easy given chart) 110.Subutrex (buprenorphine) question 111.Ketorolac should not be used for more than: 5 days 112.Beractant can be used to treat respiratory distress syndrome 113.Question on relative risk 114.Asked twice to find the mode 115.Ionization question 116.Biaxin, Zithromax, & Bactrim suspensions should all be stored: at room temperature 117.To induce labor, Oxytocin is available only IV, PGE-2 is available as a topical preparation 118. Mother has gestational diabetes, what is likely to occur when the baby is born. Mother also has epilepsy & is taking tegretol. I. high birth weight II. Baby may have congenital abnormalities III. Baby is likely to have diabetes Answer: I & II Tegretol is a class D drug 119.Which of the following are OTC hemorrhoid treatments? I. TUCKs pads II. Nupercainal ointment III. Rowasa Answer: I & II 120.Which of the following NSAIDs has an ophthalmic preparation? Diclofenac 121.A patient received a Z-pak on day ___, when will they be finished? Add 5 days to date given 122.Which of the following could be used to treat poison ivy? I. Calamine II. Hydrocortisone III. Aluminum acetate 123.EZ detector is used to test what? Heme guaic 124.What do you need to monitor for a patient on warfarin?
I. APTT II. PT III. INR Answer: II & III 125.Name of test so that patient can test blood sugar via urine
