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NAPLEX EXAM STUDY REVISION PRACTICE QUESTIONS AND ANSWERS COMPLETE RATED A.
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NAPLEX EXAM STUDY REVISION PRACTICE QUESTIONS AND ANSWERS COMPLETE RATED A.
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NAPLEX EXAM STUDY REVISION PRACTICEQUESTIONS AND ANSWERS COMPLETE RATED
A.
Which of following medications for chemotherapy induced nausea and
vomiting will help with appetite stimulation?
a. Droperidol (Inapsine)
b. Dronabinol (Marinol)
c. Prochlorperazine (Compazine)
d. Chlorpromazine (Thorazine)
Correct Answer -b. Dronabinol (Marinol)
__________is a medication typically scheduled before a patient's
chemotherapy administration to prevent chemotherapy induced nausea
and vomiting.
a. Paxil (paroxetine)
b. Aloxi (palonosetron)
c. Ultram (tramadol)
d. Zarxio (Neupogen/ filgastrim)
Correct Answer -Aloxi (palonosetron)
What is the mechanism of action of Emend (aprepitant)?
a. Inhibits the substance neurokinin 1 receptor
b. Stimulates the substance neurokinin 1 receptor
c. Inhibits serotonin receptors peripherally in the GI tract and centrally
in the medulla
,d. Stimulates serotonin receptors peripherally in the GI tract and centrally
in the medulla
Correct Answer -a. Inhibits the substance neurokinin 1 receptor
5HT3 antagonists work by blocking 5-HT3 receptors peripherally on
vagal nerve terminals and centrally in the chemoreceptor trigger zone
Which of the following is the most common dose - limiting toxicity
associated with chemotherapy?
a. Depression
b. Hair Loss
c. Neuropathic Pain
d. Bone Marrow Suppression
Correct Answer -d. Bone Marrow Suppression
LF is a 37 year-old receiving chemotherapy for cervical cancer. She comes
in today with the following labs:
Temp 100.1°F
BP 147/72 mmHg
RR 16 breaths/minute
WBC - 2.0 x103 cells/mm3
Segmented bands - 14.8%
Band Neutrophils - 5%
Basophile 13%
Eosinophils 4%
Monocytes 19%
,Platelets 250,000 cells/mm3
What is LF's ANC?
a. 100/mm3
b. 296/mm3
c. 396/mm3
d. 196/mm3
Correct Answer -(WBC) x total neutrophils (segmented neutrophils% +
segmented bands%) x 10 = ANC.
normal is >1000
c. 396/mm3
At what ANC level should a patient on chemotherapy have their
treatment withheld due to an increased risk of febrile neutropenia?
a. 1000/ mm3
b. 500/mm3
c. 250/mm3
d. 100/mm
Correct Answer -b. 500/mm3
What medication should be used for bone pain related to colony -
stimulating factors?
a. Acetaminophen
b. Oxycodone
, c. Loratadine
d. Diphenhydramine
Correct Answer -Loratadine due to histamine release
Which medication is used as a single injection to reduce the incidence of
neutropenia in patients receiving anticancer therapy?
a. Epoetin
b. Neulasta (pegfilgastrim)
c. Neupogen (filgastrim)
d. Emend (aprepitant)
Correct Answer -b. Neulasta (pegfilgastrim)
pegylated version allows for longer half life = single injection
Which of the following medications would be indicated to treat a
patient's neuropathic pain secondary to cancer?
a. Topical lidocaine
b. Baclofen
c. Ibuprofen
d. Topical diclofenac
Correct Answer -a. Topical lidocaine
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