NAPLEX Practice Exam Correct 100%

Which of the following medications used in the treatment of Alzheimer's disease inhibits glutamate from binding to NMDA receptors? - Answer Memantine Truvada is a combination product containing which of the following nucleoside reverse transcriptase inhibitors? - Answer Tenofovir + emtricitabine An order is received for 1.5 liters of D5W, to be infused over 24 hours. If the IV administration set is calibrated to deliver 20 gtts/mL, how many drops per minute will there be? (Answer must be numeric; round the final answer to the nearest whole number.) - Answer 21 gtts/min A patient is being treated with fluoxetine for depression but is experiencing sexual dysfunction. Which of the following medications may be considered as an alternative treatment option? - Answer Bupropion Which of the following occurs when there is an increase in serum calcium - Answer Calcitonin is released by the thyroid gland Which of the following glucocorticoids most closely resembles endogenous cortisol? - Answer Hydrocortisone The tested level of lead in drinking water was measured to be 7.8 ppm. How many milligrams of lead are present in 15 gallons of water? (Answer must be numeric; round the final answer to the nearest whole number.) - Answer 443 mg Which of the following NSAIDs is available in a topical formulation - Answer Diclofenac Which of the following is an oil-in-water emulsion ointment base? - Answer Cetaphil Which of the following medications should be withheld 48 hours prior to any procedure requiring the use of parenteral iodinated contrast dye? - Answer Metformin Which of the following NSAIDs irreversibly inhibits platelet cyclooxygenase? - Answer Aspirin Which of the following medications can increase the levels of penicillins when used concurrently? - Answer Allopurinol This question relates to the following patient case. - Patient Name: Pauline Simpson - Height: 5'4" - Weight: 142 lb - Age: 58 - Sex: Female - Race: Caucasian - Allergies: NKDA - Diagnosis: Hypertension, osteoarthritis, asthma - Vital Signs: BP 137/89 mm Hg (sitting; repeat 138/86), HR 74 (regular), RR 17 per min, T 38°C - Medications: Advair Diskus 250/50 1 puff bid, ProAir HFA 90 mcg 1-2 puffs q4-6h prn wheezing or shortness of breath, lisinopril 20 mg 1 po tab qd, tramadol 50 mg 1 tab po q6h prn pain, glucosamine 500 mg 1 tab po tid Mrs. Simpson states that she has a developed a dry cough that has been persistent over the past month and is wondering if any of her medications could be the cause. Which of her medications is associated with a dry, persistent cough? - Answer Lisinopril Which of the following neuromuscular blocking agents can be used in patients with renal or hepatic dysfunction? - Answer Cisatracurium This question relates to the following patient profile. - Patient Name: Jeanette Miller - Height: 5'7" - Weight: 163 lb - Age: 54 - Sex: Female - Race: Caucasian - Allergies: Penicillin - Diagnosis: Hypertension, hyperlipidemia, gout - Vital Signs: BP 138/86 mm Hg, HR 76 (regular), RR 15 per min, T 37°C - Medications: Hydrochlorothiazide 50 mg 1 tab po qd, lisinopril 20 mg 1 tab po qd, allopurinol 300 mg 1 tab po qd, indomethacin 50 mg 1 cap po tid prn gout flares - Labs: Na 139 mEq/L, K 4.7 mEq/L, BUN 22 mg/dL, SCr 1.1 mg/dL, TC 248 mg/dL, TG 147 mg/dL, HDL 26 mg/dL Mrs. Miller is prescribed Lipitor 40 mg daily. When should a fasting lipid profile be performed to assess the effectiveness of therapy? - Answer In 6 weeks The continental (dry gum) method of preparing an emulsion uses oil, purified water, and dry gum emulsifier in the ratio of ______________. - Answer 4:2:1 Which of the following histamine2-receptor antagonists is a potent inhibitor of the CYP450 enzyme system? - Answer Cimetidine Which of the following medications contains desiccated thyroid USP? - Answer Nature thyroid Calculate how many grams of hydrochlorothiazide are required for the following prescription. Rx: Losartan Hydrochlorothiazide aa qs 50 mg Dispense 30 charts Sig: i chart po qd ud - Answer 0.75 Antiarrhythmic medications in class I of the Vaughan-Williams classification system have which of the following mechanisms of action? - Answer Blockade of sodium channels Anticholinergic side effects occur more commonly with which of the following antihistamines? - Answer Diphenhydramine All of the following are examples of long-term asthma control medications? - Answer Salmeterol Budesonide Montelukast Patients should be counseled to wear protective clothing in cold climates, wear gloves when touching cold objects, and avoid drinking cold liquids for the first week after treatment with which of the following chemotherapy agents? - Answer Oxaliplatin This question relates to the following patient case. - Patient Name: Pauline Simpson - Height: 5'4" - Weight: 142 lb - Age: 58 - Sex: Female - Race: Caucasian - Allergies: NKDA - Diagnosis: Hypertension, osteoarthritis, asthma - Vital Signs: BP 137/89 mm Hg (sitting; repeat 138/86), HR 74 (regular), RR 17 per min, T 38°C - Medications: Advair Diskus 250/50 1 puff bid, ProAir HFA 90 mcg 1-2 puffs q4-6h prn wheezing or shortness of breath, lisinopril 20 mg 1 po tab qd, tramadol 50 mg 1 tab po q6h prn pain, glucosamine 500 mg 1 tab po tid Mrs. Simpson's blood pressure is re-checked 6 weeks later and is found to be 148/87 mm Hg. Her physician is considering adding a second medication. Which of the following medications should be avoided in Mrs. Simpson? - Answer Propanolol Which of the following tests should be performed prior to the start of therapy with infliximab? - Answer TB test Which of the following medications require rapid inhalation during administration? - Answer Asmanex Twisthaler This question relates to the following patient case. - Patient Name: Pauline Simpson - Height: 5'4" - Weight: 142 lb - Age: 58 - Sex: Female - Race: Caucasian - Allergies: NKDA - Diagnosis: Hypertension, osteoarthritis, asthma - Vital Signs: BP 137/89 mm Hg (sitting; repeat 138/86), HR 74 (regular), RR 17 per min, T 38°C - Medications: Advair Diskus 250/50 1 puff bid, ProAir HFA 90 mcg 1-2 puffs q4-6h prn wheezing or shortness of breath, lisinopril 20 mg 1 po tab qd, tramadol 50 mg 1 tab po q6h prn pain, glucosamine 500 mg 1 tab po tid How would Mrs. Simpson's blood pressure be classified according to ACC/AHA guidelines? - Answer Stage 1 All of the following forms of testosterone are administered daily? - Answer Androderm Androgel Testim J.B. is a 19-year-old male who presents to your clinic for an increase in his asthma symptoms. His current medications are ProAir HFA 90 mcg 1 or 2 inhalations q4-6h prn and Flovent HFA 110 mcg 2 inhalations bid. He usually uses his rescue inhaler about 1 to 2 times per week, but for the past 2 weeks he has had to use it 4 to 5 times per week. He states that his peak flow readings are usually between 320-340 L/min, but they have been below 80% of his personal best for the past month, and this morning it was 270 L/min (personal best 380 L/min). He is concerned about his rescue inhaler use and decreased peak flow readings. To reduce the future incidence of oral candidiasis from his Advair HFA, J.B. should be reminded of which of the following administration techniques? - Answer Rinsing his mouth with water after administration Which of the following opioids is for chronic pain management only and cannot be used acutely? - Answer Fentanyl Which of the following electrolytes is the most abundant extracellular cation in the body? - Answer Sodium - Patient Name: Jeanette Miller - Height: 5'7" - Weight: 163 lb - Age: 54 - Sex: Female - Race: Caucasian - Allergies: Penicillin - Diagnosis: Hypertension, hyperlipidemia, gout - Vital Signs: BP 138/86 mm Hg, HR 76 (regular), RR 15 per min, T 37°C - Medications: Hydrochlorothiazide 50 mg 1 tab po qd, lisinopril 20 mg 1 tab po qd, allopurinol 300 mg 1 tab po qd, indomethacin 50 mg 1 cap po tid prn gout flares - Labs: Na 139 mEq/L, K 4.7 mEq/L, BUN 22 mg/dL, SCr 1.1 mg/dL, TC 248 mg/dL, TG 147 mg/dL, HDL 26 mg/dL Which of the following tests should be performed in Mrs. Miller at baseline prior to starting treatment with Lipitor? - Answer LFTs