NAPLEX Practice Questions with 100% Correct Answers

NAPLEX Practice Questions with 100% Correct Answers Side Effects of Phenytoin? Toxicity: Nystagmus, ataxia, slurred speech, dizziness, somnolence, lethargy, confusion, blurred vision, diplopia Chronic: Gingival hyperplasia, hair growth, vitamin D and calcium deficiency, measles-like rash, rash, hepatotoxicity, peripheral neuropathy, hyperglycemia Insulin infusion rate for DKA? 0.1 units/kg/hour Morphine Oral to IV conversion 3:1 (30mg PO = 10mg IV) Insulin conversions. NPH to Glargine? NPH -Glargine NPH once daily: convert unit-per-unit and give once daily. NPH twice daily: reduce total daily dose by 20% and give once daily. stages of hypertension inamrinone Drugs that may induce an acute attack of gout Cyclosporine Ethambutol Ethanol Niacin Pyrazinamide Salicylates Which virus is responsible for common warts? human papillomavirus Drugs that increase serum lithium concentrations ACEIs ARBs Beta-Blockers Cisplatin COX-2 Inhibitors Cyclosporin A Methyldopa Metronidazole NSAIDs Phenytoin Tetracycline Thiazide diuretics Verapamil Drugs that decrease serum lithium concentrations Acetazolamide Aminophylline Caffeine Mineralcorticoids Nifedipine Osmotic diuretics Sodium bicarb Theophylline Drug of choice for treating tremor in Parkinson's Disease Anticholinergics - Trihexphenidyl (Artane) - Benztropine (Cogentin) Which condition is caused by a deficiency of Vitamin B12? Macrocytic anemia Which of the following is a possible side effect from the long-term use of heparin therapy? Osteoporosis can occur with long-term use. Women who are pregnant and are using heparin long-term are at risk for decreased bone density. Next These clinical scenarios are appropriate for monitoring LMWH therapy. Significant renal impairment Pregnant patient with PE Pregnant patient with mechanical heart valves Extremes of body weight Aspirin MOA Aspirin work by binding irreversibly to COX-1 and COX-2 resulting in a decrease of prostaglandin synthesis and a decrease in thromboxane A2 synthesis. Thromboxane A2 is a potent vasoconstrictor and induces platelet aggregation. ________________________ are first-line agents in treating chronic stable angina. Beta blockers (without ISA) are first-line agents in treating chronic stable angina. patient counseling for Nitrolingual Pumpspray: Instruct patients to spray 5 times into the air to prime the pump the first time they use it, and prime it again with 1 spray if they have not used it for 6 weeks. Do NOT shake. Press the button firmly with the forefinger to release the spray onto or under the tongue. Do not inhale the spray and try not to swallow too quickly afterwards. rare but serious adverse reaction that can be due to clopidogrel Thrombotic thrombocytopenic purpura (TTP) Non-dihydropyridine calcium channel blockers should not be used in combination with beta-blockers due to ___________________________________ Non-dihydropyridine calcium channel blockers should not be used in combination with beta-blockers due to the risk for excessive bradycardia preferred agents for treating (Prinzmetal's) variant angina Calcium channel blockers Why is cimetidine used less than other H2-antagonists? Cimetidine can cause tender, swollen breast tissue. Impotence is another side effe