Naplex Brand/Generic Drugs 2024 EXAM Questions AND Correct
Answers
A 26-year old male presents with polyuria and polyphagia and
extreme fatigue over the last few months. His primary care physician
tests his Hemoglobin A1C which is 8.7% and diagnoses him with Type
II diabetes mellitus. Along with diet and exercise education, his
physician places him on metformin therapy.
Which of the following is a black box warning associated with
metformin?
A) Lactic acidosis
B) Acute kidney injury
C) Agranulocytosis
D) Subarachnoid hemorrhage - ✔✔A
A 26-year old male presents with polyuria and polyphagia and
extreme fatigue over the last few months. His primary care physician
tests his Hemoglobin A1C which is 8.7% and diagnoses him with Type
II diabetes mellitus. Along with diet and exercise education, his
physician places him on metformin therapy.
Which of the following is a black box warning associated with
metformin?
A) Subarachnoid hemorrhage
,B) Lactic acidosis
C) Acute kidney injury
D) Agranulocytosis - ✔✔B
A 3-year-old child and her 65-year-old grandmother were riding in a
car that was involved in a three-vehicle accident at 3 am. They have
only minor injuries, but one of the other vehicles was carrying I131 for
use as an imaging agent. The I131 container was not properly stored
or sealed and it entered the side window of the vehicle with the child
and grandmother. Many of the compounded I131 capsules were
ruptured and dispersed throughout the car. They are 20 minutes post
accident and no one is answering the phone at the nuclear pharmacy,
there is no paperwork with the I131 product, and the delivery driver is
unconscious. Which is the best advice for the grandmother and child?
A) Treat both with potassium iodide
B) Treat the grandmother with potassium iodide and leave the child
untreated.
C) Treat the child with potassium iodide and leave the grandmother
untreated.
D) Treat both with Prussian blue
E) Treat neither - ✔✔C
A 31-year-old woman with a history of gastrointestinal bleed presents
to your pharmacotherapy clinic. She informs you that she wants to
start having children. Past medical history includes degenerative joint
,disease and allergic rhinitis. Medications include Motrin 400 mg every
8 hours, Claritin 10 mg daily, and Cytotec 200 &mgr;g bid. She
questions if these medications are okay for her to continue. Which of
the following are the appropriate counseling points regarding her
medications?
A) Stop taking Cytotec. It is ok to continue ibuprofen.
B) Stop taking Motrin. It is ok to continue Cytotec.
C) Continue taking both medications. Call your physician as soon as
you can.
D) Stop taking the medications. Let us call your physician together
now to discuss your situation. - ✔✔D
A 33-year-old man with no medical history is admitted after being
"found down" at a party, after drinking a lot of alcohol over a 30-
minute time period. Upon arrival to the ER, he was neurologically
unresponsive and had the following laboratory values: pH 7.15, Pa O 2
55, Pa CO 2 60 mm Hg, HCO 3 25 mEq/L, Na 132 mEq/L, Cl 95 mEq/L,
and albumin 4.2 g/dL. The urine drug screen is positive for
benzodiazepines.
What is the primary acid-base disturbance?
A) Increased anion gap metabolic acidosis
B) Normal anion gap metabolic acidosis
C) Metabolic alkalosis
, D) Respiratory acidosis - ✔✔D
A 58-year-old woman is in the intensive care unit, intubated after a
recent abdominal surgery. While in the operating room, she received
more than 10 L of fluid and blood products, but has been aggressively
diuresed since that time. In the past 3 days she has generated 8 L of
urine output, her BUN and Cr have increased to 40 mg/dL and 1.5
mg/dL, respectively, and her blood pressure has decreased to 100/60
mm Hg. This morning, her ABG shows the following: pH 7.55, Pa CO 2
48 mm Hg, and HCO 3 38 mEq/L.
Has the patient been appropriately compensated for the primary
disorder?
A) Yes, the PaCO2 is elevated, indicating appropriate compensation.
B) Yes, the HCO3 is elevated, indicating appropriate compensation.
C) No, the HCO3 is elevated, indicating the patient has not yet been
compensated.
D) No, the PaCO2 is low, indicating the patient has not yet been
compensated. - ✔✔A
A 62-year-old man who has quit smoking 10 years ago comes to clinic
asking, "Should I undergo screening for lung cancer?" His past medical
history is significant for hypertension and COPD. His social history is
significant for a 30-pack year history of smoking and drinks a beer or
two a day. What should you advise?
Answers
A 26-year old male presents with polyuria and polyphagia and
extreme fatigue over the last few months. His primary care physician
tests his Hemoglobin A1C which is 8.7% and diagnoses him with Type
II diabetes mellitus. Along with diet and exercise education, his
physician places him on metformin therapy.
Which of the following is a black box warning associated with
metformin?
A) Lactic acidosis
B) Acute kidney injury
C) Agranulocytosis
D) Subarachnoid hemorrhage - ✔✔A
A 26-year old male presents with polyuria and polyphagia and
extreme fatigue over the last few months. His primary care physician
tests his Hemoglobin A1C which is 8.7% and diagnoses him with Type
II diabetes mellitus. Along with diet and exercise education, his
physician places him on metformin therapy.
Which of the following is a black box warning associated with
metformin?
A) Subarachnoid hemorrhage
,B) Lactic acidosis
C) Acute kidney injury
D) Agranulocytosis - ✔✔B
A 3-year-old child and her 65-year-old grandmother were riding in a
car that was involved in a three-vehicle accident at 3 am. They have
only minor injuries, but one of the other vehicles was carrying I131 for
use as an imaging agent. The I131 container was not properly stored
or sealed and it entered the side window of the vehicle with the child
and grandmother. Many of the compounded I131 capsules were
ruptured and dispersed throughout the car. They are 20 minutes post
accident and no one is answering the phone at the nuclear pharmacy,
there is no paperwork with the I131 product, and the delivery driver is
unconscious. Which is the best advice for the grandmother and child?
A) Treat both with potassium iodide
B) Treat the grandmother with potassium iodide and leave the child
untreated.
C) Treat the child with potassium iodide and leave the grandmother
untreated.
D) Treat both with Prussian blue
E) Treat neither - ✔✔C
A 31-year-old woman with a history of gastrointestinal bleed presents
to your pharmacotherapy clinic. She informs you that she wants to
start having children. Past medical history includes degenerative joint
,disease and allergic rhinitis. Medications include Motrin 400 mg every
8 hours, Claritin 10 mg daily, and Cytotec 200 &mgr;g bid. She
questions if these medications are okay for her to continue. Which of
the following are the appropriate counseling points regarding her
medications?
A) Stop taking Cytotec. It is ok to continue ibuprofen.
B) Stop taking Motrin. It is ok to continue Cytotec.
C) Continue taking both medications. Call your physician as soon as
you can.
D) Stop taking the medications. Let us call your physician together
now to discuss your situation. - ✔✔D
A 33-year-old man with no medical history is admitted after being
"found down" at a party, after drinking a lot of alcohol over a 30-
minute time period. Upon arrival to the ER, he was neurologically
unresponsive and had the following laboratory values: pH 7.15, Pa O 2
55, Pa CO 2 60 mm Hg, HCO 3 25 mEq/L, Na 132 mEq/L, Cl 95 mEq/L,
and albumin 4.2 g/dL. The urine drug screen is positive for
benzodiazepines.
What is the primary acid-base disturbance?
A) Increased anion gap metabolic acidosis
B) Normal anion gap metabolic acidosis
C) Metabolic alkalosis
, D) Respiratory acidosis - ✔✔D
A 58-year-old woman is in the intensive care unit, intubated after a
recent abdominal surgery. While in the operating room, she received
more than 10 L of fluid and blood products, but has been aggressively
diuresed since that time. In the past 3 days she has generated 8 L of
urine output, her BUN and Cr have increased to 40 mg/dL and 1.5
mg/dL, respectively, and her blood pressure has decreased to 100/60
mm Hg. This morning, her ABG shows the following: pH 7.55, Pa CO 2
48 mm Hg, and HCO 3 38 mEq/L.
Has the patient been appropriately compensated for the primary
disorder?
A) Yes, the PaCO2 is elevated, indicating appropriate compensation.
B) Yes, the HCO3 is elevated, indicating appropriate compensation.
C) No, the HCO3 is elevated, indicating the patient has not yet been
compensated.
D) No, the PaCO2 is low, indicating the patient has not yet been
compensated. - ✔✔A
A 62-year-old man who has quit smoking 10 years ago comes to clinic
asking, "Should I undergo screening for lung cancer?" His past medical
history is significant for hypertension and COPD. His social history is
significant for a 30-pack year history of smoking and drinks a beer or
two a day. What should you advise?
