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Naplex Review Exam Questions With Highest Ratings Latest Update 2024/2025

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CMEA requires purchasers of scheduled listed chemical products to present a photo ID. Which of the following items is not an acceptable form of identification? - CORRECT ANSWER-An employer-based security ID A 76-year-old male with a past medical history of hypertension, myocardial infarction one...

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Naplex Review Exam Questions With
Highest Ratings Latest Update
2024/2025

CMEA requires purchasers of scheduled listed chemical products to present a photo ID.
Which of the following items is not an acceptable form of identification? - CORRECT
ANSWER-An employer-based security ID



A 76-year-old male with a past medical history of hypertension, myocardial infarction
one year ago, and normal left ventricular ejection fraction is receiving lisinopril and
chlorthalidone daily. He now presents to the emergency room with a 2-week history of
palpitations, dizziness, leg swelling, and weight gain. The ECG reveals atrial fibrillation
with a ventricular rate of 140 bpm. - CORRECT ANSWER-The patient should receive
dabigatran for at least 3 weeks before cardioversion and 4 weeks afterward.



Your class III prescription balance has a minimum weighable quantity of 80 mg. What is
the sensitivity of this balance? - CORRECT ANSWER-4 mg



The most common presenting symptoms of acute leukemia are: - CORRECT
ANSWER-Fatigue and bruising



What is the treatment of choice for C. T.'s PCP? - CORRECT ANSWER-TMP-SMX DS
2 tabs po q8h for 21 days, then 1 tab po daily



Which of the following is the only FDA-approved drug used to treat bulimia nervosa? -
CORRECT ANSWER-Fluoxetine



K. P. is a 34-year-old white male with a history of depression. He has had adequate
trials of both escitalopram and sertraline but complained of drowsiness and sexual side
effects with both of these. Which antidepressant would be a better choice to minimize
these side effects? - CORRECT ANSWER-Bupropion

,When one is initiating warfarin therapy for acute venous thromboembolism, heparin or
low-molecular-weight heparin therapy should be given concomitantly for what length of
time? - CORRECT ANSWER-At least 5 days



How many grams per liter are needed to prepare 2N (normality) of H2SO4? -
CORRECT ANSWER-98 g



Which hormone imbalance and hormonal effect is incorrect? - CORRECT ANSWER-
Progestin excess → hypermenorrhea, dysmenorrhea



Ampicillin is added to empiric meningitis regimens because of which pathogen? -
CORRECT ANSWER-L. monocytogenes



Which oral triptan has the longest duration of action? - CORRECT ANSWER-Frova



The primary advantage of cisatracurium over pancuronium and vecuronium is that -
CORRECT ANSWER-elimination is not organ dependent.



Which of the following is the most appropriate venous thromboembolism prophylaxis in
a patient with an acute spinal cord injury? - CORRECT ANSWER-Enoxaparin with or
without intermittent pneumatic compression devices



Which of the following is a treatment option for PN-induced hyperglycemia? -
CORRECT ANSWER-Addition of regular human insulin to PN



Suppose a pharmacist weighs out 325 mg of a substance on her class A prescription
balance. When she subsequently checked this weight on a more sensitive analytical
balance, she found it to be only 312 mg.



What was the percentage error in the original weighing? - CORRECT ANSWER-4%



Which one of the following immunosuppressants is associated with an increased risk of
rhabdomyolysis when adminstered with simvastatin ? - CORRECT ANSWER-
Cyclosporine

,According to federal law, pharmacies have two options for filing prescription records.
Which of the following prescriptions would be filed separately from the others, in both
systems? - CORRECT ANSWER-Morphine Sulfate



S. E. presents to the emergency department with a 2-day history of extreme nausea,
vomiting, and abdominal pain. Labs reveal elevations in amylase and lipase, and a
diagnosis of pancreatitis is made. His medications include nevirapine, tenofovir,
didanosine, and amitriptyline. Which of his medications could have caused his
pancreatitis? - CORRECT ANSWER-Didanosine



L. R. is a 52-year-old male with a history of chronic back pain resulting from a work-
related injury 3 years ago. His medications include pregabalin 75 mg bid, morphine SR
20 mg bid, morphine IR 5 mg tid prn breakthrough pain (he reports using all three doses
of morphine IR daily). His pain is not well controlled and is affecting his personal
relationships. His physician asks you to calculate an equianalgesic dose for a different
long-acting opioid. Which of the following doses of long-acting opioids is the most
appropriate for this patient? Do not use a cross-tolerance reduction in dosing. Use the
following conversion table to answer the question: - CORRECT ANSWER-Oxycodone
CR 20 mg twice daily



Your pharmacy discovers a significant loss of Lortab (acetaminophen and
hydrocodone). The pharmacy must notify the DEA - CORRECT ANSWER-within 1
business day of the discovery.



Which of the following is an adverse effect of carvedilol? - CORRECT ANSWER-
Bradycardia



Which of the following medications is an oral option for the treatment of MRSA cellulitis?
- CORRECT ANSWER-Zyvox 600 mg bid



C. K. is on tenofovir/emtricitabine, darunavir, and ritonavir for her HIV. She has been
diagnosed with allergic rhinitis. You are asked to recommend a nasal corticosteroid.
Which of the following would be a good choice? - CORRECT ANSWER-
Beclomethasone

, JD is a 56 y/o female who has been on estrogen-progestin therapy for 6 months without
recurrence of menopausal symptoms. She recently began taking another medication
and has experienced a recurrence of symptoms. Which one of the following medications
could most likely be attributed to the decreased pharmacologic effect of her estrogen
therapy? - CORRECT ANSWER-St. John's Wort



Which of the following sedative agents is least likely to cause respiratory depression? -
CORRECT ANSWER-Dexmedetomidine



W. L. is a 56-year-old man who has been on a dose of prednisone 30 mg for the past 20
days. His doctor is starting to titrate him off the medication and is wondering when
would be an appropriate time to give him his tetanus booster shot. You tell him that he
should wait ________ month(s) before receiving any vaccinations - CORRECT
ANSWER-W. L. can have his tetanus booster now without waiting.



Which of the following is the mechanism of action of rivaroxaban? - CORRECT
ANSWER-Inhibit factor Xa



The bioavailability and efficacy of which of the following antifungal agent is reduced by
proton pump inhibitors? - CORRECT ANSWER-Itraconazole capsules



Which of the following β-blockers has ISA activity? - CORRECT ANSWER-Sectral



You work for a chain of pharmacies that can access a real time, online database. How
many times may you transfer a prescription for a schedule III pain medication within the
chain? - CORRECT ANSWER-You may transfer a prescription for a controlled
substance up to the maximum refills permitted by law and by the prescriber's
authorization.



How many milliliters of a syrup containing 85% (w/v) sucrose should be mixed with 150
mL of a syrup containing 60% (w/v) sucrose to make a syrup containing 80% (w/v)
sucrose? - CORRECT ANSWER-600 mL



"The rate and extent to which the active ingredient or therapeutic ingredient is absorbed
from a drug and becomes available at the site of drug action" is the federal FDCA
definition of which of the following? - CORRECT ANSWER-Bioavailability

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