Capstone Final Exam Naplex Practice With Complete/correct solution
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Module
Capstone Naplex
Institution
Capstone Naplex
D - ANSWER-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...
Capstone Final Exam Naplex Practice With
Complete/correct solution
D - ANSWER-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
D - ANSWER-QP is a 71-year-old patient diagnosed with severe diabetic neuropathy.
He is currently being treated with an alpha-blocker (terazosin) for an enlarged prostate.
Terazosin has significantly improved the symptoms of the enlarged prostate, but the
patient is having orthostatic hypotension episodes. Select the medication that would be
most appropriate for QP's diabetic neuropathy.
A
Naproxen
B
Morphine
C
Nortriptyline
D
Gabapentin
D - ANSWER-KK is a 65-year-old woman with a chief complaint of left arm, shoulder,
and axillary pain. She underwent a left subtotal mastectomy, radiation, and
chemotherapy for breast cancer. KK has currently no evidence of cancer, but complains
of two types of pain. The first in her chest is a dull achy pain; the second is a burning
and stinging pain down her left arm and nothing has worked well for this pain. She is
also complaining of severe constipation. Her current medications are bupropion 150 mg
bid, ibuprofen 600 mg one tablet tid, morphine sulfate extended release (ER) 30 mg bid,
atenolol 50 mg every morning, and tamoxifen 10 mg bid. All medications are taken by
mouth.
What is best therapeutic plan of this patient's analgesic regimen?
A
,Analgesic regimen should be discontinued, because long-acting opiate is not
appropriate for this patient's pain.
B
Increase morphine ER to 30 mg po every 4 hours since it is not providing adequate
analgesia.
C
Increase morphine ER to 60 mg po tid since it is not optimally controlling patient's pain.
D
Add pain medication to focus on neuropathic symptoms.
B - ANSWER-SQ is a patient from a motor vehicle collision. She suffered a broken leg
during the accident and was given opioids for pain management. SQ's pain has gone
completely away but now has developed respiratory depression. Select the BEST
medication to give SQ for her current symptoms.
A
Flumazenil
B
Naloxone
C
Acetylcysteine
D
Albuterol
E
Ipratropium
A - ANSWER-A patient presents with acute mild to moderate dull and achy pain from
doing too much hard work. The patient is otherwise healthy and currently takes no
medication. What is the best medication to treat the patient's pain?
A
Naproxen
B
Carbamazepine
C
Oxycodone
D
Capsaicin
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Quiz Results
Your Score: 84 %
You answered 11 of 13 questions correctly.
Question 1: Incorrect
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
The correct answer is D. You answered C.
Explanation:
Answer d is correct.Fentanyl is available as a transdermal system (patch). It is also
available as injection, lozenge, powder, and tablet. Good option for a patient with CKD.
Answers a, b, and c are incorrect. Opioids are available in multiple formulations
including oral, solutions, ER, rectal and parenteral formulations, but these agents are
not available in a patch formulation. CKD makes morphine and meperidine less than
ideal options.
81% of users answered correctly.
Source: McGraw-Hill's NAPLEX® Review Guide, 3e
Question 2: Correct
QP is a 71-year-old patient diagnosed with severe diabetic neuropathy. He is currently
being treated with an alpha-blocker (terazosin) for an enlarged prostate. Terazosin has
significantly improved the symptoms of the enlarged prostate, but the patient is having
orthostatic hypotension episodes. Select the medication that would be most appropriate
for QP's diabetic neuropathy.
A
Naproxen
B
Morphine
C
Nortriptyline
D
Gabapentin
The correct answer is D. You answered D.
Explanation:
Answer d is correct.Gabapentin is effective in the treatment of ne
, D - ANSWER-IT is a 74-year-old man with severe chronic nociceptive pain. He has
been previously treated with scheduled acetaminophen, but is prescribed morphine
today. The patient will be receiving morphine chronically. Select the medication that IT
should receive in addition to the acetaminophen and morphine.
A
Ibuprofen
B
Gabapentin
C
Capsaicin
D
Bisacodyl
B - ANSWER-A patient is involved in a severe car accident and is going to require
several surgeries to fix multiple broken bones. The patient is expected to have severe
acute pain. Select the dosing method that should be employed for this patient.
A
Intermittent
B
Scheduled dosing
C
Directly observed therapy
D
As needed
B - ANSWER-MS is a 32-year-old patient that presents to the doctor with new onset
nociceptive back pain from playing backyard football. At times the pain feels like back
spasms. MS has tried heat and ibuprofen with no success. Recommend a nonopioid for
MS's back pain.
A
Mexiletine
B
Cyclobenzaprine
C
Tapentadol
D
Hydrocodone
B - ANSWER-KL is a 69-year-old patient with a burning, stinging, and knife-like pain.
KL's diagnoses include hypertension, diabetes mellitus II, multiple myeloma with recent
chemotherapy, and depression. Which of the following is the most appropriate for the
treatment of KL's pain?
A
Valproate
B
Pregabalin
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