1|Pa ge
NAPLEX EXAM Newest 2025/2026 Complete Questions And
Correct Detailed Answers (Verified Answers) |Brand New
Version!
How is nitroglycerin stored? - ANSWERS--- Non-PVC containers.
- glass
How often are clonidine patches replaced? -AN SWERS--Once a week
Dose of clonidine patches? - ANSWERS--0.1 mg/24h. Notice that the
dose is in respect to 24 hours while patches are replaced once a
week. Finding weekly dose would require you to multiply daily dose
by 7
Sodium nitroprusside should be used? - ANSWERS--immediately, but
you have 24 hours in which you can use it. Short time frame due to
risk of buildup of cyanide
Sodium nitroprusside is added to D5W or NS? - ANSWERS--D5W only
,2|Pa ge
How to transfer sodium nitroprusside? - ANSWERS--Wrap in foil to
reduce break down of material from light into toxic cyanide material
Cyanide toxicity is associated with which agent? How do you treat it?
- ANSWERS--Sodium nitroprusside. Treat with sodium nitrate 3% and
then sodium thiosulfate
Digoxin levels for A.Fib - ANSWERS--0.8 - 2.0
Digoxin levels for CHF - ANSWERS--0.5 - 0.8
Prior to initiating digoxin, check - ANSWERS--- Electrolytes (risk of
hypokalemia and hypomag and hypercalcimia contributing to dig
toxicity)
- renal status (80% excreted renally)
When do you check digoxin levels after initiation? - ANSWERS--Check
in 5-7 days after maintenance dose due to long half-life. Can take 1-3
weeks in patients with poor kidney fxns
Digoxin drug interactions - ANSWERS--VAQ
- Verapamil (increase dig by 30-50%)
- Amiodarone (increase dig by 50%) + dronaderone
- Quinidine (increase dig by 50-70%)
,3|Pa ge
Corticosteroids and digoxin - ANSWERS--Corticosteroids can
decrease potassium levels
Amphotericin B and digoxin - ANSWERS--Amph B can decrease
potassium levels
licorice and digoxin - ANSWERS--Licorice is an aldosterone agonist
(decreases potassium levels)
Alpha-2 receptor agonists side effects - ANSWERS--Anti-cholinergic
and sedation
What are the direct cholinergic agonists? - ANSWERS--Pilocarpine
and bethanechol
What are the cholinesterase inhibitors medications? - ANSWERS--
Physostigmine, neostigmine, and endorphonium
Which beta blockers have alpha and beta inhibition activity? -
ANSWERS--carvedilol and labetalol
How often do we replace a scopolamine patch? - ANSWERS--3 days
Norepinephrine works on which receptors? - ANSWERS--Primarily
alpha-1 receptors
, 4|Pa ge
Dopamine works on which receptors? - ANSWERS--Dopaminergic
(renal dilation) 1-2 mcg/min
beta-1 (2-10 mcg/min)
alpha-1 (10-20 mcg/min)
Dobutamine works on which receptors? - ANSWERS--Beta-1 and
beta-2
For patients with AFib, when can we consider cardioversion? -
ANSWERS--If Afib has been around for < 48 hours
OR
If Afib > 48 hours and echo shows no clot formed.
Initiate IV anticoags and cardiovert. Then give PO anticoag for 4
weeks.
For patients with AFib, when do we not consider cardioversion? -
ANSWERS--If Afib has been around for > 48 hours and echo shows a
clot. Give anticoag to patient for 4-12 weeks first -> cardiovert ->
continue anticoag for 4 weeks afterwards
How does CHADSVASc score differ between Chest guideline and
AHA/ACC guideline? - ANSWERS--Chest guidelines says > 1 non-sex
criteria should get anticoag
AHA/ACC guidelines says definite anticoag in patients w/
NAPLEX EXAM Newest 2025/2026 Complete Questions And
Correct Detailed Answers (Verified Answers) |Brand New
Version!
How is nitroglycerin stored? - ANSWERS--- Non-PVC containers.
- glass
How often are clonidine patches replaced? -AN SWERS--Once a week
Dose of clonidine patches? - ANSWERS--0.1 mg/24h. Notice that the
dose is in respect to 24 hours while patches are replaced once a
week. Finding weekly dose would require you to multiply daily dose
by 7
Sodium nitroprusside should be used? - ANSWERS--immediately, but
you have 24 hours in which you can use it. Short time frame due to
risk of buildup of cyanide
Sodium nitroprusside is added to D5W or NS? - ANSWERS--D5W only
,2|Pa ge
How to transfer sodium nitroprusside? - ANSWERS--Wrap in foil to
reduce break down of material from light into toxic cyanide material
Cyanide toxicity is associated with which agent? How do you treat it?
- ANSWERS--Sodium nitroprusside. Treat with sodium nitrate 3% and
then sodium thiosulfate
Digoxin levels for A.Fib - ANSWERS--0.8 - 2.0
Digoxin levels for CHF - ANSWERS--0.5 - 0.8
Prior to initiating digoxin, check - ANSWERS--- Electrolytes (risk of
hypokalemia and hypomag and hypercalcimia contributing to dig
toxicity)
- renal status (80% excreted renally)
When do you check digoxin levels after initiation? - ANSWERS--Check
in 5-7 days after maintenance dose due to long half-life. Can take 1-3
weeks in patients with poor kidney fxns
Digoxin drug interactions - ANSWERS--VAQ
- Verapamil (increase dig by 30-50%)
- Amiodarone (increase dig by 50%) + dronaderone
- Quinidine (increase dig by 50-70%)
,3|Pa ge
Corticosteroids and digoxin - ANSWERS--Corticosteroids can
decrease potassium levels
Amphotericin B and digoxin - ANSWERS--Amph B can decrease
potassium levels
licorice and digoxin - ANSWERS--Licorice is an aldosterone agonist
(decreases potassium levels)
Alpha-2 receptor agonists side effects - ANSWERS--Anti-cholinergic
and sedation
What are the direct cholinergic agonists? - ANSWERS--Pilocarpine
and bethanechol
What are the cholinesterase inhibitors medications? - ANSWERS--
Physostigmine, neostigmine, and endorphonium
Which beta blockers have alpha and beta inhibition activity? -
ANSWERS--carvedilol and labetalol
How often do we replace a scopolamine patch? - ANSWERS--3 days
Norepinephrine works on which receptors? - ANSWERS--Primarily
alpha-1 receptors
, 4|Pa ge
Dopamine works on which receptors? - ANSWERS--Dopaminergic
(renal dilation) 1-2 mcg/min
beta-1 (2-10 mcg/min)
alpha-1 (10-20 mcg/min)
Dobutamine works on which receptors? - ANSWERS--Beta-1 and
beta-2
For patients with AFib, when can we consider cardioversion? -
ANSWERS--If Afib has been around for < 48 hours
OR
If Afib > 48 hours and echo shows no clot formed.
Initiate IV anticoags and cardiovert. Then give PO anticoag for 4
weeks.
For patients with AFib, when do we not consider cardioversion? -
ANSWERS--If Afib has been around for > 48 hours and echo shows a
clot. Give anticoag to patient for 4-12 weeks first -> cardiovert ->
continue anticoag for 4 weeks afterwards
How does CHADSVASc score differ between Chest guideline and
AHA/ACC guideline? - ANSWERS--Chest guidelines says > 1 non-sex
criteria should get anticoag
AHA/ACC guidelines says definite anticoag in patients w/
