NAPLEX Practice Exam Questions And Answers

NAPLEX Practice Exam Questions And Answers Which of the following is true regarding niacin formulations? Answer A Niaspan is controlled-release niacin; it causes less flushing but more hepatotoxicity. B Niaspan is extended-release niacin; it causes less flushing and less hepatotoxicity. C Slo-Niacin is sustained-release niacin; it causes less hepatotoxicity but is the most expensive agent. D Slo-Niacin is interchangeable with other niacin formulations. E Niacin decreases both LDL and triglycerides and is one of the classes of drugs that does not cause hepatotoxicity. - ANS B TR is beginning amiodarone therapy for new-onset atrial fibrillation. Which of the following statements is correct? Past Medical History: Heart failure Myocardial infarctions X 2 Hypertension Glaucoma Benign prostatic hypertrophy Medications: Lisinopril 20 mg PO daily Carvedilol 25 mg PO BID Aspirin 81 mg PO daily Lasix 40 mg PO daily Digoxin 0.25 mg PO daily Xalatan 1 drop QHS Proscar 5 mg PO daily Answer A Amiodarone is a p-glycoprotein inhibitor; the dose of digoxin should be decreased by up to 50%. B Amiodarone is a p-glycoprotein inducer; the dose of digoxin should be decreased by 25%. C Amiodarone is a CYP 3A4 inhibitor; the dose of digoxin should be increased by up to 50%. D Amiodarone should not be used in patients with heart failure. E Amiodarone is contraindicated in patients receiving digoxin. - ANS A Medical Plaza Pharmacy frequently prepares Magic Mouthwash, a mucosal liquid for chemotherapy patients with mucositis. Based on the master formula record and prescription information below, what would be the appropriate beyond-use-date for this compounded product? Magic Mouthwash Mucosal Liquid Viscous lidocaine 2% 80 mL Mylanta 80 mL Diphenhydramine 12.5 mg/5 mL 80 mL Nystatin suspension 80 mL Prednisolone 15 mg/5 mL 80 mL Distilled water 80 mL Storage: store at room temperature. Instructions: Swish, gargle and spit 5 - 10 mL Q6H PRN. Do not swallow. Answer A 7 days B 14 days C 30 days D 45 days E 60 days - ANS C Question Which of the following statements is true about the progestin-only daily contraceptive pill? Answer A Most products contain medroxyprogesterone with estradiol. B The progestin-only pill should be avoided in women who are breastfeeding. C If a pill is missed and taken 3 or more hours later, a back-up contraceptive method is needed for 48 hours. D The first pack must be started on the Sunday after menstruation begins; there are 21 active pills and 7 inactive pills. E The progestin-only pill is more effective than estrogen/progesterone combinations. - ANS C Question A 43 year-old female patient with type 2 diabetes and normal renal function started taking Januvia 100 mg daily in the morning. Which of the following is correct regarding Januvia? (Select ALL that apply.) Answer A The generic name is saxagliptin. B It is a glucagon-like peptide (GLP-1) agonist. C It is an alpha-glucosidase inhibitor. D It is weight neutral. E It can cause pancreatitis. - ANS D,E Question