NAPLEX EXAM (2025) QUESTIONS AND (DETAILED ANSWERS)
WITH COMPLETE SOLUTIONS
1st line therapy for vasospastic angina? - ✔✔CCBs
- verapamil
- diltiazem
- nifedipine ER (IR is FDA approved but not a good choice d/t
significant orthostasis)
Actonel/Atelvia name? dose? not recommended in? - ✔✔-
Risedronate
postmenopausal females
- ppx: 5 mg QD or 35 mg weekly or 150 mg qMonth
osteoprosis males: 35 mg weekly
glucocorticoid induced osteo: 5 mg daily
Paget's disease of bone: 30 mg QD x 2 months
CrCl < 30: avoid
,Acute coronary syndrome encompasses patients with? - ✔✔-
Unstable Angina
- Prinzmetal Angina
- Acute Myocardial infarction (STEMI & NSTEMI)
Acute management of chronic stable angina is completed by?
1st line options for management of chronic stable angina?
other options? - ✔✔- SL nitrates
- beta blockers
- CCBs & ranolazine (last line)
ADP receptor antagonists are separated into? -
✔✔Thienopyridines and non-thienopyridines
Thienopyridines:
- Cilostazol (Pletal)
- Clopidogrel (Plavix)
- Prasugrel (Effient)
- Ticagrelor (Brilinta)
,Non-thienopyridines:
- Cangrelor (Kengreal) IV
All beta-lactam suspensions are refrigerated except? -
✔✔Cefdinir
cefDiNiR - do not refrigerate
Amoxicillin is okay at room temp, but refrigeration is
recommended
All Humulin products are good out of the fridge for...? All
Novolin products are good out of the fridge for...? - ✔✔- 31
days
- 42 days
All rapid acting insulins appear? how long are they good for?
onset time? - ✔✔- Clear
- room temperature for 28 days
- 5-15 mins
, Alpha-2 receptor agonists side effects - ✔✔Anti-cholinergic
and sedation
Alteplase FDA approval for ischemic stroke is for what time
point? - ✔✔Within 3 hours as approved by FDA. AHA
(american heart association) has recommended for up to 4.5
hours.
Amiodarone DDIs - ✔✔- Digoxin
- Warfarin (reduce warfarin dose by 33-50%)
- Sofosbuvir (increase bradycardiac effect of amio)
- Harvoni (combo w/ sofosbuvir)
- fluoroquinolones, macrolides, azoles (qt prolongation)
Amiodarone dosing IV - ✔✔150 mg over 10 mins; then infuse
1 mg/min x 6 hours (360 mg); then 0.5mg/min x 18 hours (540
mg)
Amiodarone dosing PO - ✔✔LD: 800 - 1600 mg (QD/BID) x 1-3
weeks
MD: 200 - 600 mg QD
WITH COMPLETE SOLUTIONS
1st line therapy for vasospastic angina? - ✔✔CCBs
- verapamil
- diltiazem
- nifedipine ER (IR is FDA approved but not a good choice d/t
significant orthostasis)
Actonel/Atelvia name? dose? not recommended in? - ✔✔-
Risedronate
postmenopausal females
- ppx: 5 mg QD or 35 mg weekly or 150 mg qMonth
osteoprosis males: 35 mg weekly
glucocorticoid induced osteo: 5 mg daily
Paget's disease of bone: 30 mg QD x 2 months
CrCl < 30: avoid
,Acute coronary syndrome encompasses patients with? - ✔✔-
Unstable Angina
- Prinzmetal Angina
- Acute Myocardial infarction (STEMI & NSTEMI)
Acute management of chronic stable angina is completed by?
1st line options for management of chronic stable angina?
other options? - ✔✔- SL nitrates
- beta blockers
- CCBs & ranolazine (last line)
ADP receptor antagonists are separated into? -
✔✔Thienopyridines and non-thienopyridines
Thienopyridines:
- Cilostazol (Pletal)
- Clopidogrel (Plavix)
- Prasugrel (Effient)
- Ticagrelor (Brilinta)
,Non-thienopyridines:
- Cangrelor (Kengreal) IV
All beta-lactam suspensions are refrigerated except? -
✔✔Cefdinir
cefDiNiR - do not refrigerate
Amoxicillin is okay at room temp, but refrigeration is
recommended
All Humulin products are good out of the fridge for...? All
Novolin products are good out of the fridge for...? - ✔✔- 31
days
- 42 days
All rapid acting insulins appear? how long are they good for?
onset time? - ✔✔- Clear
- room temperature for 28 days
- 5-15 mins
, Alpha-2 receptor agonists side effects - ✔✔Anti-cholinergic
and sedation
Alteplase FDA approval for ischemic stroke is for what time
point? - ✔✔Within 3 hours as approved by FDA. AHA
(american heart association) has recommended for up to 4.5
hours.
Amiodarone DDIs - ✔✔- Digoxin
- Warfarin (reduce warfarin dose by 33-50%)
- Sofosbuvir (increase bradycardiac effect of amio)
- Harvoni (combo w/ sofosbuvir)
- fluoroquinolones, macrolides, azoles (qt prolongation)
Amiodarone dosing IV - ✔✔150 mg over 10 mins; then infuse
1 mg/min x 6 hours (360 mg); then 0.5mg/min x 18 hours (540
mg)
Amiodarone dosing PO - ✔✔LD: 800 - 1600 mg (QD/BID) x 1-3
weeks
MD: 200 - 600 mg QD
