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2024 CAPSTONE NAPLEX FINAL EXAM WITH CORRECT ANSWERS
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2024 CAPSTONE NAPLEX FINAL EXAM WITH CORRECT ANSWERS
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2024 CAPSTONE NAPLEX FINALEXAM WITH CORRECT ANSWERS
LD is a 62-year-old patient with chronic pain from an automobile accident
several years ago. LD has chronic moderate to severe nociceptive pain.
Additional PMH includes diabetes and CKD. The patient does not like to take
pills or tablets. What is the BEST medication for LD's chronic pain?
A
Morphine
B
Oxycodone
C
Meperidine
D
Fentanyl - CORRECT-ANSWERSD
Which of the following regimens would be the most appropriate prophylaxis
option for contrast-induced nephropathy in a high-risk patient?
A
Acetadote 150 mg/kg IV for 6 hours preprocedure
B
Sodium chloride 0.9% IV infusion 6 hours before and 8 hours after
C
Theophylline 200 mg po every 12 hours, two doses before, two doses after
D
Dopamine 0.5 mcg/kg/min IV infusion 6 hours before and 6 hours after -
CORRECT-ANSWERSB
DL is a 35-year-old man recently diagnosed with type 2 diabetes,
hypertension, hyperlipidemia, and sexual dysfunction induced by diabetic
neuropathy. Which of the following two-drug regimens is most appropriate to
initiate in DL for antihypertensive therapy?
A
Amlodipine + lisinopril
B
Short-acting nifedipine + trandolapril
C
Doxazosin + HCTZ
D
Pindolol + losartan
E
,HCTZ + lisinopril - CORRECT-ANSWERSA
NK is a 62-year-old man presenting to urgent care today with dysuria,
increased urinating frequency, and flank pain. His past medical history
includes hyperlipidemia and migraines. He is allergic to penicillin and sulfa
drugs. The patient has a high fever and severe nausea and vomiting (N&V).
NK is admitted to the hospital. Blood and urine cultures are collected. He is
started on ceftriaxone 1 g IV daily. On day 3, blood cultures are negative,
and the urine culture is positive for E. coli. The isolate is resistant to
amoxicillin. On day 4, NK is ready for discharge. What is the most
appropriate outpatient therapy for NK?
A
Ciprofloxacin 500 mg po bid for 3 days
B
Ciprofloxacin 500 mg po bid for 14 days
C
Ciprofloxacin 500 mg po bid for 28 days
D
Nitrofurantoin 100 mg po bid for 28 days - CORRECT-ANSWERSC
JB is started on fluticasone 220 mcg MDI 2 puffs bid, albuterol MDI 2 puff q4-
6 hour prn cough, montelukast 10 mg 1 tablet at bedtime and lortadine 10
mg daily. Patient returns 1 month later with dysphonia and was recently
treated for thrush.
Which medication is most likely to cause the patients current side effects?
A
Fluticasone
B
Loratadine
C
Montelukast
D
Albuterol - CORRECT-ANSWERSA
Which of the following statements best describes the BUN to SCr ratio?
A
In situations of dehydration, the BUN:SCr ratio will be <10:1.
B
In situations of dehydration, the BUN:SCr ratio will be >15:1.
C
In situations of volume overload, the BUN:SCr ratio will be <10:1.
D
In situations of volume overload, the BUN:SCr ratio will be >15:1. -
CORRECT-ANSWERSB
,Select the patient population or condition that often leads to fast titration of
AEDs.
A
Switching AEDs
B
Discontinuing AEDs
C
Children
D
Women of child-bearing potential - CORRECT-ANSWERSC
Hyperkalemia may result from AKI and can lead to which one of the following
life-threatening complications?
A
Seizures
B
Arrhythmias
C
Hypertension
D
Acidosis - CORRECT-ANSWERSB
A patient is admitted to the hospital with seizures that result in a sudden
interruption of activities and a blank stare. What type of seizure disorder is
this?
A
Absence seizures
B
Tonic-clonic
C
Myoclonic
D
Atonic - CORRECT-ANSWERSA
Laura is a patient with MDD currently taking phenelzine. She has been
experiencing painful sinus pressure, headaches, and congestion. She
approaches your pharmacy and asks if she can take a decongestant for the
congestion. You inform her that she cannot take the decongestant with her
antidepressant medication due to the risk of what side effect?
A
Serotonin syndrome
B
Hypertensive crisis
C
Sexual dysfunction
D
, Orthostatic hypotension - CORRECT-ANSWERSB
HIV is most likely to cause which of the following?
A
Neutrophilia
B
Eosinophilia
C
Monocytosis
D
Lymphocytosis
E
Lymphopenia - CORRECT-ANSWERSE
Select the cell that is part of cell-mediated immunity.
A
B lymphocyte
B
Neutrophil
C
Macrophage
D
T lymphocyte
E
Complement - CORRECT-ANSWERSD
ER is a 72-year-old male who presents to clinic. He is currently on lisinopril
40 mg daily, HCTZ 25 mg daily, and Amlodipine 10 mg daily. His blood
pressure in clinic supports his elevated home readings, providing an average
BP of 162/89 mm Hg. He is open to going adding therapy in addition to
altering his diet with reduced sodium intake (however, in discussion his diet
seemed appropriate). You have agreed to start spironolactone 25 mg daily.
What side effects do you educate the patient about regarding the addition of
spirlonlactone?
A
Retrograde ejaculation
B
Rebound hypertension if immediate discontinuation occurs
C
Hypokalemia
D
Gynecomastia - CORRECT-ANSWERSD
ER is a patient in septic shock currently receiving vasopressor therapy and
broad spectrum anti-infective therapy. ER has continued signs of
hypoperfusion (although he has achieved adequate intravascular volume and
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