Naplex things to remember /good scores is guaranteed
(new version 2024-2025)
Liver Lab Values - CORRECT ANSWERS -Acute liver toxicity, including from drugs = ↑
AST/ALT
Chronic liver disease (cirrhosis) = ↑ AST/ALT, Alk Phos, total bilirubin, LDH, PT/INR ↓
albumin
Alcoholic liver disease = ↑ AST > ALT (AST will be about double ALT), ↑ gamma
glutamyl transpeptidase (GGT)
Hepatic encephalopathy = ↑ Ammonia
Jaundice = ↑ total bilirubin
Hepatic encephalopathy tx - CORRECT ANSWERS -Limit ammonia intake from food
(animal protien)
Lactulose = 1st line for both acute and chronic prevention therapy
Rifaxamin = 2nd line
Hep B Lab Values - CORRECT ANSWERS -HBsAg + = infected by Hep B in blood &
can spread
HBsAb + = has antibodies from Hep B vaccine
HBcAb + = has antibodies from past or current infection
Asthma severity based on SABA use - CORRECT ANSWERS -INTERMITTENT: < 2
days/ week
PERSISTANT MILD: > 2 days/week but NOT daily
,OR > 1x/day
PERSISTANT MODERATE: daily
PERSISTANT SEVERE: Several times a day
HOW TO USE INHALERS - CORRECT ANSWERS -RESPIMAT products (MDI): TOP -
turn, open, press
Tiotropium - spiriva handihaler (DPI) = press once, bring to mouth horizonallty. inhale
TWICE
Aclidinium (Tudorza Pressair) - turns from red to green when ready. then green to red
after dose complete
smoking cessation 5 A's - CORRECT ANSWERS -ASK about tobacco use
ADVISE to quit
ASSESS willingness to make a quit attempt
ASSIST in quit attempt
ARRANGE follow up
,Oxcarbazepine (and eslicarbazepine)
Rifampin
Carbamazepine (also auto-inducer)
St. Johns wort
Digoxin Levels - CORRECT ANSWERS -0.8-2 (Afib)
0.5-0.9 (HF)
Toxicity:
Initial s/sx: N/V, loss of appetite, bradycardia
Severe s/sx: blurred/double vision, greenish-yellow halos
FDA Orange Book - CORRECT ANSWERS -List approved drugs that can be
interchanged with generics based on therapeutic equivalence
CDC Pink Book - CORRECT ANSWERS -Info on epidemiology and vaccine
preventable diseases
Pink SHEET - CORRECT ANSWERS -News reports on regulatory, legislative, legal and
business developments
FDA Purple Book - CORRECT ANSWERS -List of biological drug products, including
biosimilars
RED BOOK (Pharmacy) - CORRECT ANSWERS -drug pricing
Red Book (pedes) - CORRECT ANSWERS -Summaries of pediatric infectious
diseases, abx treatment and vaccines
CDC Yellow Book - CORRECT ANSWERS -Info on the health risk of international
travel, required vaccines and prophylaxis meds
FDA Green Book - CORRECT ANSWERS -Info on approved animal drug products
Drugs that require PCV containers - CORRECT ANSWERS -**Leach Absorbs To Take
In Nutrients**
Lorazepam
Amiodarone
Tacrolimus
Taxanes
Insulin
Nitroglycerin
Drugs with FILTER requirements - CORRECT ANSWERS -my ***GAL, PLAT*** needs
a filter
Golimumab (simponi)
Amiodarone
PROTECT FROM LIGHT - CORRECT ANSWERS -**Protect Every Necessary Med
from Daylight**
Phytonadione (Vit K, Mephyton)
Epoprogestenol
Nitroprusside
Micafungin
Doxycycline
DEXTROSE ONLY - CORRECT ANSWERS -***BOAS like dextrose***
Bactrim
Oxaliplatin
Amphotericin B
Synercid (Quinupristin/Dalfopristin)
DO NOT REFRIDERATE - CORRECT ANSWERS -**Dear Sweet Pharmacist, Freezing
Makes Me Edgy**
Dexamedetomidine (Precedex)
Sulfa/Trimeth (Bactrim)
Phenytoin
Furosemide
Metronidazole
Moxifloxacin
Enoxaparin
Common LIVE vaccines - CORRECT ANSWERS -**COZY IV RM***
Cholera (PO) (Vaxchora)
Oral Typhoid (PO) (Vivotif)
Zoster (Zostavax)
Yellow Fever
Intranasal Influenza (Flu-Mist)
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