Foundatio
ns - Part I
(NAPLEX
Book)
Comprehe
nsive
Questions
with
Verified
Answers
Graded A+
1. Common Enzyme
Inhibitors G:
,P:
A:
C:
M:
A:
N:: Grapefruit Juice
Protease
Inhibitors Azole
Antifungals
Cyclosporine, Cobicistat,
Cimetidine Macrolide
Antibiotics
Amiodarone, Dronedarone
Non-DHP CCB's (Diltiazem, Verapamil)
2. Common Enzyme
Inducers P:
S:
P:
O:
R:
C:
S::
Phenytoin
Smoking
Phenobarbit
al
Oxcarbazepin
e Rifampin
,Carbamazepine
St. John's Wort
3. Which of the following self-administered, injectable medications
do NOT require refrigeration?
A. Lovenox
B. golimumab
C. Tymlos
D. Enbrel: Correct Answer: A. Lovenox
Lovenox (Enoxaparin) is the only drug present that does not require refrigeration. Golimumab (Simponi),
Abaloparatide (Tymlos), Etanercept (Enbrel) all require refrigeration.
4. Injectable Medications that DO NOT Require
Refrigeration (1)
(2)
(3)
(4)
(5): Enoxaparin (Lovenox)
Fondaparinux (Arixtra)
Methotrexate (Otrexup, others)
Sumatriptan (Imitrex, Zembrace, SymTouch)
Phenytoin (Dilantin)
5. Ear Drop Counseling
- Adults: Pull the ear and back
- Children < 3 yrs: Pull the ear and back: up
down
6. Vesicants
Drugs that are vesicants include: (9): Vasopressors (Dopamine,
Norepinephrine) Anthracyclines (Doxorubicin)
Vinca Alkaloids (Vincristine, Vinblastine)
, Digoxin
Foscarnet
Nafcillin
Mannitol
Mitomycin
Promethazine
7. Drugs with Leaching/Adsorption/Absorption Issues with PVC
Containers Leach Absorbs To Take In Nutrients: Lorazepam
Amiodarone
Tacrolimus
Taxanes (e.g. Paclitaxel)
Insulin
Nitroglycerin
8. Drugs that can only be placed in Saline (No
Dextrose) A DIAbetic Can't Eat Pie: Ampicillin
Daptomycin (Cubicin)
Infliximab (Remicade)
Ampicillin/Sulbactam
(Unasyn) Caspofungin
(Cancidas) Ertapenem
(Invanz)
Phenytoin (Dilantin)
9. Drugs that can only be placed in Dextrose (No
Saline) Outrageous Bakers Avoid Salt: Oxaliptin
Bactrim
Amphotericin B
Synercid
10. An order reaches the hospital pharmacy for Lactated Ringers
and Phosphate in the same IV bag. The pharmacist on duty quickly
tells the prescribing doctor that there is a major contraindication
with the written order and the error is corrected. What is the issue that