Naplex Important Questions with Correct Answers (A+ Paper)

Onsets for laxatives Correct Answer Fast : 1-osmotics oral: 30minutes to 96 hrs : 2-Osmotics rectal :15-30 minutes (Glycerin) 3-Emollient rectal : 2-15 minutes like docesate 4-Lubricant rectal : 2-15 minutes Rest of the orals are above 6 hrs... H.pylori treatment Correct Answer All therapy are for up to 14 days. First line QUAD: Pepto + flagyl + tetracycline + PPI (Tetrtra Flag PPPP) Then : clarith + flagyl + PPI Triple: clarith + amox + PPI only use is clarith resitance <15% and no Macrolide before. Levo + amox + PPI PI-BI-MET-TET CAMP CAP If you get an Amiodarone Case in the exam, please watch for the following: Correct Answer >>>>>Look if patients in the case receive or suffer any of : 1-Digoxin and statin or warfarin (should reduce doses / Digo by 50% and statins limits) 2-Iodine sensitivity 3-No Heparin in same line. 4-pulmonary / liver ^lfts / Thyroid 5-Sever sinus node disfunction unless patient has an artificial one) 6-Look for any drug that cause QT^ or reduce HR. >>>>Look on the process of infusion: 1-Non PVC , Need filter / slow infusion to avoid bradycardia 2-drug of choice in HF as antiarrythmic ( plus Dofelitide) 3-Always in hospital for loading Last issue : BLUE SKIN Lab test for liver Correct Answer AST / ALT elevated / Albumin low / Tbili and Amonia What is CK lab test? Correct Answer Creatinine Kinase to assess muscle damage or inflamation. Drugs could increase CK like Statin and fibrates, tenovir (Hep B and HIV)and raltegravir and dolutegravir , daptomycin Drugs that effect Thyroxine? Correct Answer Amiodarone and interferon (Up and dawn) / Lithium and (Oxy) carbamazepine decrease to mean hypothyrism Thyroxine lab reult test trap Correct Answer When TSH is elevated , it means HYPO and NOT hyper. Drugs that raise Uric acid blood level Correct Answer Diuretics , Niacin, pyrazinamide (TB treatment) and high dose Aspirin, Thyroxine lab result test trap Correct Answer When TSH is elevated , it means HYPO and NOT hyper. Drugs that can cause SJS or Ten Correct Answer Penicillin Phenytoin piroxicam (3P for SJS & Ten) Allopurinol, Sulfamethoxazole, Lamotrigine. Carbamazepine Drugs that can induce Lupus Correct Answer -Procainamide -anti arythmic -Hydralazine - anti histamine -INH - TB treatment -Chlorpromazine -Anti pschotic -Methyldopa - Anti TNF agent -quinidine (Malaria and arrhythmia) - Terbinafine (Anti fungal) -Minocycline (antibiotic) Mneumonic SHIPP (Salazopirin, Hydralazin,INZ,Phytoin,Procainamide) Hydra and Procain are highest. Drugs that can cause lactic acidosis Correct Answer nrtis and Metformine Nrtis are : Abacavir (brand name: Ziagen®) Emtricitabine (FTC; brand name: Emtriva®) Lamivudine (3TC; brand name: Epivir®) Tenofovir alafenamide (TAF) Tenofovir DF (TDF; brand name: Viread®) What is RPR and what is it used to test? Correct Answer Rapid Plasma Regain; Syphillis To remenber it R for remember and P for pencillin PPD skin test Correct Answer tuberculin purified protein derivative Pneimonic : Pneimonia is not TB