, Contributors i
Comprehensive
Pharmacy Review
for NAPLEX
Practice Exams, Cases,
and Test Prep
Eighth Edition
Mutnick_00_FM.indd i 07/16/12 2:46 PM Mutnick_00_FM.indd ii 07/16/12 2:46 PM
, Contributors iii
Comprehensive
Acquisitions Editor: Sirkka Howes
Product Manager: Michael Marino
Marketing Manager: Joy Fisher Williams
Design Coordinator: Teresa Mallon
Production Services: Absolute Service, Inc.
Pharmacy Review Eighth Edition
Copyright © 2013, 2010, 2007, 2004, 2001 by Lippincott Williams & Wilkins, a Wolters Kluwer business.
for NAPLEX
351 West Camden Street Two Commerce Square
Baltimore, MD 21201 2001 Market Street
Philadelphia, PA 19103
Printed in China
Practice Exams, Cases, All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any
form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information
and Test Prep storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied
in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact
Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via e-mail at
, or via website at lww.com (products and services).
Eighth Edition 9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
EDITORS
Comprehensive pharmacy review for NAPLEX : practice exams, case studies and test prep / editors, Alan H. Mutnick ...
Alan H. Mutnick, PharmD, FASHP, RPh [et al.]. — 8th ed.
Corporate Director, Clinical Services p. ; cm.
Catholic Health Partners Rev. ed. of: Comprehensive pharmacy review practice exams / editors, Alan H. Mutnick ... [et al.]. 7th ed. c2010.
Cincinnati, Ohio Companion to Comprehensive pharmacy review for NAPLEX / editors, Leon Shargel ... [et al.]. 8th ed. c2013.
ISBN 978-1-4511-1987-9 (pbk.)
Paul F. Souney, MS, RPh I. Mutnick, Alan H. II. Comprehensive pharmacy review practice exams. III. Comprehensive pharmacy review for
Vice President NAPLEX.
Medical Affairs and Pharmacotherapy Management [DNLM: 1. Pharmacy—Examination Questions. QV 18.2]
Medical Outcomes Management, Inc.
Sharon, Massachusetts 615.1076—dc23
2012023402
Larry N. Swanson, PharmD, FASHP, RPh
Professor and Chairman DISCLAIMER
Department of Pharmacy Practice Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices.
Campbell University College of Pharmacy and Health Sciences However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from appli-
Buies Creek, North Carolina cation of the information in this book and make no warranty, expressed or implied, with respect to the currency, complete-
ness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the
Leon Shargel, PhD, RPh professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered
President absolute and universal recommendations.
Applied Biopharmaceutics The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in
Raleigh, North Carolina this text are in accordance with the current recommendations and practice at the time of publication. However, in view of
Affiliate Associate Professor
ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and
Department of Pharmaceutics drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and
School of Pharmacy for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently
Virginia Commonwealth University employed drug.
Richmond, Virginia Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance
for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status
of each drug or device planned for use in their clinical practice.
To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to
(301) 223-2320. International customers should call (301) 223-2300.
Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer
service representatives are available from 8:30 a.m. to 6:00 p.m., EST.
Mutnick_00_FM.indd iii 07/16/12 2:46 PM Mutnick_00_FM.indd iv 07/16/12 2:46 PM
, Contents
Preface vii 4. OTC AND RELATED
Contributors ix QUESTIONS 170
Taking a Test xi
Introduction to the NAPLEX xiv
NAPLEX Blueprint xv 5. PRACTICE CALCULATIONS 177
Appendix A: Common Prescription Drugs 201
1. TEST 1
Appendix B: Prescription Dispensing Information
Patient Profiles and Questions 1 and Metrology 210
Answers and Explanations 41 Appendix C: Reference Charts for Patient
Counseling 215
Appendix D: National and State Boards of Pharmacy
2. TEST 2 Contact Information 275
Appendix E: Budgeting for Drug Information
Patient Profiles and Questions 59 Resources 281
Answers and Explanations 99 Appendix F: Common Systems of Measurement and
Intersystem Conversion 283
Appendix G: Glossary of Pharmaceutical Dosage
3. CASES 113 Forms and Drug Delivery Systems 293
v
Mutnick_00_FM.indd v 07/16/12 2:46 PM Mutnick_00_FM.indd vi 07/16/12 2:46 PM
Comprehensive
Pharmacy Review
for NAPLEX
Practice Exams, Cases,
and Test Prep
Eighth Edition
Mutnick_00_FM.indd i 07/16/12 2:46 PM Mutnick_00_FM.indd ii 07/16/12 2:46 PM
, Contributors iii
Comprehensive
Acquisitions Editor: Sirkka Howes
Product Manager: Michael Marino
Marketing Manager: Joy Fisher Williams
Design Coordinator: Teresa Mallon
Production Services: Absolute Service, Inc.
Pharmacy Review Eighth Edition
Copyright © 2013, 2010, 2007, 2004, 2001 by Lippincott Williams & Wilkins, a Wolters Kluwer business.
for NAPLEX
351 West Camden Street Two Commerce Square
Baltimore, MD 21201 2001 Market Street
Philadelphia, PA 19103
Printed in China
Practice Exams, Cases, All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any
form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information
and Test Prep storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied
in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact
Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via e-mail at
, or via website at lww.com (products and services).
Eighth Edition 9 8 7 6 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
EDITORS
Comprehensive pharmacy review for NAPLEX : practice exams, case studies and test prep / editors, Alan H. Mutnick ...
Alan H. Mutnick, PharmD, FASHP, RPh [et al.]. — 8th ed.
Corporate Director, Clinical Services p. ; cm.
Catholic Health Partners Rev. ed. of: Comprehensive pharmacy review practice exams / editors, Alan H. Mutnick ... [et al.]. 7th ed. c2010.
Cincinnati, Ohio Companion to Comprehensive pharmacy review for NAPLEX / editors, Leon Shargel ... [et al.]. 8th ed. c2013.
ISBN 978-1-4511-1987-9 (pbk.)
Paul F. Souney, MS, RPh I. Mutnick, Alan H. II. Comprehensive pharmacy review practice exams. III. Comprehensive pharmacy review for
Vice President NAPLEX.
Medical Affairs and Pharmacotherapy Management [DNLM: 1. Pharmacy—Examination Questions. QV 18.2]
Medical Outcomes Management, Inc.
Sharon, Massachusetts 615.1076—dc23
2012023402
Larry N. Swanson, PharmD, FASHP, RPh
Professor and Chairman DISCLAIMER
Department of Pharmacy Practice Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices.
Campbell University College of Pharmacy and Health Sciences However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from appli-
Buies Creek, North Carolina cation of the information in this book and make no warranty, expressed or implied, with respect to the currency, complete-
ness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the
Leon Shargel, PhD, RPh professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered
President absolute and universal recommendations.
Applied Biopharmaceutics The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in
Raleigh, North Carolina this text are in accordance with the current recommendations and practice at the time of publication. However, in view of
Affiliate Associate Professor
ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and
Department of Pharmaceutics drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and
School of Pharmacy for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently
Virginia Commonwealth University employed drug.
Richmond, Virginia Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance
for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status
of each drug or device planned for use in their clinical practice.
To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to
(301) 223-2320. International customers should call (301) 223-2300.
Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer
service representatives are available from 8:30 a.m. to 6:00 p.m., EST.
Mutnick_00_FM.indd iii 07/16/12 2:46 PM Mutnick_00_FM.indd iv 07/16/12 2:46 PM
, Contents
Preface vii 4. OTC AND RELATED
Contributors ix QUESTIONS 170
Taking a Test xi
Introduction to the NAPLEX xiv
NAPLEX Blueprint xv 5. PRACTICE CALCULATIONS 177
Appendix A: Common Prescription Drugs 201
1. TEST 1
Appendix B: Prescription Dispensing Information
Patient Profiles and Questions 1 and Metrology 210
Answers and Explanations 41 Appendix C: Reference Charts for Patient
Counseling 215
Appendix D: National and State Boards of Pharmacy
2. TEST 2 Contact Information 275
Appendix E: Budgeting for Drug Information
Patient Profiles and Questions 59 Resources 281
Answers and Explanations 99 Appendix F: Common Systems of Measurement and
Intersystem Conversion 283
Appendix G: Glossary of Pharmaceutical Dosage
3. CASES 113 Forms and Drug Delivery Systems 293
v
Mutnick_00_FM.indd v 07/16/12 2:46 PM Mutnick_00_FM.indd vi 07/16/12 2:46 PM