NAPLEX Material

Here are the 125 items that I could remember. Heres 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 dont 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 Flynns packet look hard. My test was also filled with ID- my weakness. I had no herbal or CF questions. Along with Flynns 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. Which is a PI? I. Ritrovir II. Epivir III. Crixivan 2. Crixivan should be taken on a empty stomach 3. Ritrovir is available as: I. IV II. Syrup III. Tablet 4. Which of the following is available as IV? I. Ritrovir cant remember the others because this is the only one available as an IV 5. ISMO question- 7 am & 2 pm 6. What is a hiatal hernia? 7. Avandia- might take 12 weeks to see max effects 8. Fanconis syndrome- affects the proximal renal tubules 9. Drug that causes hyponaturemia- Lithium was a choice 10. Vaccine that need to be reconstituted- MMR 11. Vaccine to avoid with egg allergy- Measles 12. Diptheria/Tetanus- is it ok during pregnancy 13. Viravax question 14. Which chemo drug do you use an in-line filter for? 15. Metformin should be stopped before- angiogram 16. Acarbose: I. Take 30 min before meals II. May cause gasIII. Dont take if you skip meals 17. Baby with diaper rash. It is red, inflamed, irritated, & has vesicles. What organisms has caused? Stap aerous, candida, steptocoous were choices 18. Next question was how to treat it- triamcinolone & nystatin 19. Reference question asking where would you look if you were trying to maximize insulin therapy? Applied therapeutics, facts & comparisons were choices 20. Reference question asking about vaccines 21. Sponorox pulse dosing question- 1 tab BID X 1 week, then off for 3 weeks X2 months 22. Sponorox would be treating: onychomycosis & aspergillosis were both choices 23. Patient is on heparin- APTT is 58- keep heparin IV the same 24. Imitrex works on ___ receptor 25. Zoloft: I. Dont drink alcohol II. May cause drowisness III. Wrong 26. Next question- which drug in the patient profile might be contributing to the patients insomnia?- Zoloft was dosed QHS 27. Ampicillin could be used to treat enterococcus faecalis

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, cant 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

55. Which of the following agents can cause bone pain? Tamoxifen can (Neulasta & Neupogen were not choices) 56. What could be used for this patients 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 patients 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 patients 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? Fleets 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

91. SE of DHE: peripheral ischemia 92. Danazol (Danocrine) use- endometriosis 93. Soma is metabolized to- meprobamate 94. Somas generic name is- carisoprodol 95. Malathion- Ovide 96. Medendazole (Vermox)- treat all family members, may need to re-dose, disinfect (cant 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