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2024 NAPLEX IMPORTANT EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NAPLEX IMPORTANT EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NAPLEX IMPORTANT EXAMQUESTIONS WITH CORRECT
ANSWERS
name 5 osmotic laxative - CORRECT-ANSWERSMilk of Mg, PEG, Lactulose,
Sorbitol, Glycerin.
Counseling for colonoscopy - CORRECT-ANSWERS1-Clear juices
2-No Red, blue or purple colors
3-No solid or semi solid
4-Ok broth chicken or beef (clear)
5-Ok juices Craneburry , greengrapes, apples, lemonade
6-coffee tea / but no cream, milk
7- No milk
8-no orange, grape fruit or tomato
9-clear gellatin (but within color condition)\
What are generics and brands for PAMORAs? - CORRECT-ANSWERS1-Relistor
(Methylnatroxone)
2-Monvantik(naloxegol)
3-Symproic(Naldemidine)
4-Entereg (Alvimopan) hospital prior to operation. (Enter Hos and reg your
stool)
You saw a steroid in case remember - CORRECT-ANSWERS1-No live vaccines
2-contra if fungal infections
Short term sides : appetite^ / fluid retention/emotional / insomia/ GI upset /
BP^ / BG^
Long term sides : Bones / BP / BG / wound healing / cushing syndrom
Taper slowly...
Imuran, Azasan - CORRECT-ANSWERSAzathioprine
Ulcerative colitis/Crohns/RA
risk of malignancy
,TPMT genetic deficiency high risk of myelosuppression
May cause leukopenia / Thrombocytopenia
imodium mmmmm... is it safe? - CORRECT-ANSWERSIT is Loperamide!!!!
1-No <2 years
2-QT^ TDP
3-No go with infectious Diarhhea
4-No self-treatment more than 2 days...
With PDE5 inhibitors is it only to avoid Nitrates? What else? - CORRECT-
ANSWERS1-Also avoid riociguat (Guanylate cyclase )used for PHT
2-Hearing loss
3-Vision loss
4-Lowering BP specialy with low HR and fluid depletion
5-Priapism
6-Dizziness, flushing, Headache,dyspepsia, Epistaxis, blurred vision
For sure you will see an Alpha blocker on the test exam and in real world,
what medical condition and other drugs should you look and watch for in the
case? - CORRECT-ANSWERSMedical condition :
1-3A4 inhibitor are contra with Silo and Alfu (that is why they are less used)
2-contras Liver and renal issues with Silo(both) and Alfu(liver)
3-Othostatic hypo !!!
(Taper !!! care with PDE5 & Hypertension drugs) / give at bed time
4-may cause flopy iris syndrom in cataract
5-Priapism, Angina, Abnormal ejaculation and fatigue
6-Alfuzosin cause QT^\
7-Silodosin cause retrograde efacuation
On drugs list look for:
1-PDE5
2-Hypertension drugss
3-3A4 inhibitors
4-Qt^ for Alfuzosin
over active bladder drug classes - CORRECT-ANSWERSAnticholinergic & B3
agonist & Botox
try 1 Anticholinergic
if fail try second or dose change
if failed try B3 agonist
if failed try Botox
If you see an anti cholinergic on an over active blader case look for: -
CORRECT-ANSWERS1-Age and dementia it worsen the dementia and drugs
are opposite to each other.
,2-Anticholinergic side effect and additive effect with other drugs
3-Use lower dose with 3A4 inhibitors (Tol,soli,dar,Fose)
4-constipation (got worse)
Glucoma treatment drug groups - CORRECT-ANSWERSDecrease production :
Betablocker, Carbonic Anhydrase inhibitors, A2 agonist
Increase outflow:
Prostaglandin Analogue, Chollinergic , A2 agonist
One thing to remember about prostaglanding Analogue Eye drop - CORRECT-
ANSWERSDarkening of Iris and eyelash
eyelash growth (Latisse)
Drugs that cause eye problems - CORRECT-ANSWERS1-Alpha blocker
2-Amiodaron
3-Ethambutol
4-Voriconazole
5-Digoxen
6-PDE5
7-chloroquine
8-Hydroxychloroquine
9-Linezolid
10-isotretinoin
11-Tamoxifen
If you see oral ISOtretinoin - CORRECT-ANSWERS1-Check the HCG lab test
2-Dispense only for 1 month and after 7 days and through IPLEDGE
3-two forms of birth control
4-Cholest^ / BG^ /decreased night vision
5-psychiatric issues.
Drugs that can cause alopecia? - CORRECT-ANSWERSLithium
Interferon
Chemotherapy
Valproate
Heparin & warfarin
Spironolactone
Procainamide
Levonorgestrel
HYdroxychloroquine
in a case a patient suffering from Tinea Pedis, Tinea cruris, tinea corporis, or
candida, what you would recommend? - CORRECT-ANSWERSTopical
antifungal for 2-4 weeks / 1-2 inches beyond affected area.
Creams work best while solution work better for hairy areas
, Lamisil AT cream or spray
Lotrimin Ultra (Butenafine)
Lotrimin AF (clotrimazole)
Baza (Miconazol with Petrolatum) for geriatrics
if we have itching with the fungal infection we can recommend Lotrisone
A lady came in pharmacy with an Exzema, what can we recommend? -
CORRECT-ANSWERSin the following sequence:
1-Topical Steroids ( Anti histamin if itching and anti bacteria if infected) +
keep skin hydrated
another option is PDE4 inhibitors (Eucrisa)
2-Topical immunosuppressant like Protopic (tacrolimus) or Elidel(Elidel)
3-Oral immunosuppressants if above did not work (like cyclosporine, MTX,
Anti TNF)
A patient walk in pharmacy with a toenail & finger nail fungal infection what
do you recommend? - CORRECT-ANSWERS1- Better to confirm the infection
(Onychomycosis( with KOH 20% smear as treatment will take loooong time
2-We can use Topical for mild cases or when systematic is not tolerated or
when in combination with oral ( Topical like Ciclopirox/Penlac not alone but
only in combination, Tavaborole/Kerydin , Efinaconazole-Jublia) for 48
weeks!!! QHS must remain 8hrs before waching
3-Oral is most effective (Lamisil for both toe 12week and 6week finger or
Itraconazol sparonox.
A mother and daughter walked into the pharmacy , the daughter has itching
at hear head hair, what do you recommend for lices? - CORRECT-ANSWERS1-
First choice Permethrin , safe and used >2 months
2-Also Benzyl alcohol >6 months
3-Malathion (Ovide) inflamable
4-Lindane (Kwell) not any more due to neurotoxicity
5-Only in severe cases / resistant Ivermectin (Sklice ) cream and also it has
an oral formula (diffiuclt to tolerate)
a mother and child came in pharmacy, the child has a minor cut in hand
what recommendation regarding tetanus Vaccine? - CORRECT-ANSWERS1-if
series is taken , should be no more >10 year last shoot.
2-if series is taken and wound is durty , should be no more than 5 yrs
name the most famous three topical antibiotic ointments? - CORRECT-
ANSWERSNeosporin : Neomycin+Bacitracin+Polymixin OTC
Polysporin:
Bacitracin+Polymixin OTC
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