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NAPLEX Review Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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Naplex ReviewCMEA requires purchasers of scheduled listed chemical products to present a photo ID. Which
of the following items is not an acceptable form of identification? - ANS An employer-based
security ID
A 76-year-old male with a past medical history of hypertension, myocardial infarction one year
ago, and normal left ventricular ejection fraction is receiving lisinopril and chlorthalidone daily.
He now presents to the emergency room with a 2-week history of palpitations, dizziness, leg
swelling, and weight gain. The ECG reveals atrial fibrillation with a ventricular rate of 140 bpm. -
ANS The patient should receive dabigatran for at least 3 weeks before cardioversion and 4
weeks afterward.
Your class III prescription balance has a minimum weighable quantity of 80 mg. What is the
sensitivity of this balance? - ANS 4 mg
The most common presenting symptoms of acute leukemia are: - ANS Fatigue and bruising
What is the treatment of choice for C. T.'s PCP? - ANS TMP-SMX DS 2 tabs po q8h for 21
days, then 1 tab po daily
Which of the following is the only FDA-approved drug used to treat bulimia nervosa? - ANS
Fluoxetine
K. P. is a 34-year-old white male with a history of depression. He has had adequate trials of both
escitalopram and sertraline but complained of drowsiness and sexual side effects with both of
these. Which antidepressant would be a better choice to minimize these side effects? - ANS
Bupropion
When one is initiating warfarin therapy for acute venous thromboembolism, heparin or
low-molecular-weight heparin therapy should be given concomitantly for what length of time? -
ANS At least 5 days
How many grams per liter are needed to prepare 2N (normality) of H2SO4? - ANS 98 g
Which hormone imbalance and hormonal effect is incorrect? - ANS Progestin excess →
hypermenorrhea, dysmenorrhea
Ampicillin is added to empiric meningitis regimens because of which pathogen? - ANS L.
monocytogenes
,Which oral triptan has the longest duration of action? - ANS Frova
The primary advantage of cisatracurium over pancuronium and vecuronium is that - ANS
elimination is not organ dependent.
Which of the following is the most appropriate venous thromboembolism prophylaxis in a patient
with an acute spinal cord injury? - ANS Enoxaparin with or without intermittent pneumatic
compression devices
Which of the following is a treatment option for PN-induced hyperglycemia? - ANS Addition of
regular human insulin to PN
Suppose a pharmacist weighs out 325 mg of a substance on her class A prescription balance.
When she subsequently checked this weight on a more sensitive analytical balance, she found
it to be only 312 mg.
What was the percentage error in the original weighing? - ANS 4%
Which one of the following immunosuppressants is associated with an increased risk of
rhabdomyolysis when administered with simvastatin ? - ANS Cyclosporine
According to federal law, pharmacies have two options for filing prescription records. Which of
the following prescriptions would be filed separately from the others, in both systems? - ANS
Morphine Sulfate
S. E. presents to the emergency department with a 2-day history of extreme nausea, vomiting,
and abdominal pain. Labs reveal elevations in amylase and lipase, and a diagnosis of
pancreatitis is made. His medications include nevirapine, tenofovir, didanosine, and
amitriptyline. Which of his medications could have caused his pancreatitis? - ANS Didanosine
L. R. is a 52-year-old male with a history of chronic back pain resulting from a work-related
injury 3 years ago. His medications include pregabalin 75 mg bid, morphine SR 20 mg bid,
morphine IR 5 mg tid prn breakthrough pain (he reports using all three doses of morphine IR
daily). His pain is not well controlled and is affecting his personal relationships. His physician
asks you to calculate an equianalgesic dose for a different long-acting opioid. Which of the
following doses of long-acting opioids is the most appropriate for this patient? Do not use a
cross-tolerance reduction in dosing. Use the following conversion table to answer the question: -
ANS Oxycodone CR 20 mg twice daily
Your pharmacy discovers a significant loss of Lortab (acetaminophen and hydrocodone). The
pharmacy must notify the DEA - ANS within 1 business day of the discovery.
Which of the following is an adverse effect of carvedilol? - ANS Bradycardia
, Which of the following medications is an oral option for the treatment of MRSA cellulitis? - ANS
Zyvox 600 mg bid
C. K. is on tenofovir/emtricitabine, darunavir, and ritonavir for her HIV. She has been diagnosed
with allergic rhinitis. You are asked to recommend a nasal corticosteroid. Which of the following
would be a good choice? - ANS Beclomethasone
JD is a 56 y/o female who has been on estrogen-progestin therapy for 6 months without
recurrence of menopausal symptoms. She recently began taking another medication and has
experienced a recurrence of symptoms. Which one of the following medications would most
likely be attributed to the decreased pharmacologic effect of her estrogen therapy? - ANS St.
John's Wort
Which of the following sedative agents is least likely to cause respiratory depression? - ANS
Dexmedetomidine
W. L. is a 56-year-old man who has been on a dose of prednisone 30 mg for the past 20 days.
His doctor is starting to titrate him off the medication and is wondering when would be an
appropriate time to give him his tetanus booster shot. You tell him that he should wait ________
month(s) before receiving any vaccinations - ANS W. L. can have his tetanus booster now
without waiting.
Which of the following is the mechanism of action of rivaroxaban? - ANS Inhibit factor Xa
The bioavailability and efficacy of which of the following antifungal agents is reduced by proton
pump inhibitors? - ANS Itraconazole capsules
Which of the following β-blockers has ISA activity? - ANS Sectral
You work for a chain of pharmacies that can access a real time, online database. How many
times may you transfer a prescription for a schedule III pain medication within the chain? - ANS
You may transfer a prescription for a controlled substance up to the maximum refills permitted
by law and by the prescriber's authorization.
How many milliliters of a syrup containing 85% (w/v) sucrose should be mixed with 150 mL of a
syrup containing 60% (w/v) sucrose to make a syrup containing 80% (w/v) sucrose? - ANS 600
mL
"The rate and extent to which the active ingredient or therapeutic ingredient is absorbed from a
drug and becomes available at the site of drug action" is the federal FDCA definition of which of
the following? - ANS Bioavailability
The most likely cause of his arm weakness and difficulty speaking is - ANS an ischemic stroke.
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