NAPLEX IMPORTANT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NAPLEX IMPORTANT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
onsetsLforLlaxativesL-LANSWERLFastL:

1-osmoticsLoral:L30minutesLtoL96LhrsL:L

2-OsmoticsLrectalL:15-30LminutesL(Glycerin)

3-EmollientLrectalL:L2-15LminutesLlikeLdocesate

4-LubricantLrectalL:L2-15Lminutes



RestLofLtheLoralsLareLaboveL6Lhrs...



H.pyloriLtreatmentL-LANSWERLAllLtherapyLareLforLupLtoL14Ldays.



FirstLlineLQUAD:LPeptoL+LflagylL+LtetracyclineL+LPPIL(TetrtraLFlagLPPPP)

thenL:LclarithL+LflagylL+LPPI



Triple:LclarithL+LamoxL+LPPILonlyLuseLisLclarithLresitanceL<15%LandLnoLMacrolideLbefore.



levoL+LamoxL+LPPI



PI-BI-MET-TET



CAMP



CAP



IfLyouLgetLanLAmiodaroneLCaseLinLtheLexam,LpleaseLwatchLforLtheLfollowing:L-
LANSWERL>>>>>LookLifLpatientsLinLtheLcaseLreceiveLorLsufferLanyLofL:



1-DigoxinLandLstatinLorLwarfarinL(shouldLreduceLdosesL/LDigoLbyL50%LandLstatinsLlimits)

2-IodineLsensitivity

,3-NoLHeparinLinLsameLline.

4-pulmonaryL/LliverL^LFTsL/LThyroid

5-SeverLsinusLnodeLdisfunctionLunlessLpatientLhasLanLartificialLone)

6-LookLforLanyLdrugLthatLcauseLQT^LorLreduceLHR.



>>>>LookLonLtheLprocessLofLinfusion:

1-NonLPVCL,LNeedLfilterL/LslowLinfusionLtoLavoidLbradycardia

2-drugLofLchoiceLinLHFLasLantiarrythmicL(LplusLDofelitide)

3-AlwaysLinLhospitalLforLloading



LastLissueL:LBLUELSKIN



LabLtestLforLliverL-LANSWERLASTL/LALTLelevatedL/LAlbuminLlowL/LTbiliLandLAmonia



WhatLisLCKLlabLtest?L-
LANSWERLCreatinineLKinaseLtoLassessLmuscleLdamageLorLinflamation.LDrugsLcouldLincreaseLCKLlikeLStatinLan

dLfibrates,LtenovirL(HepLBLandLHIV)andLraltegravirLandLdolutegravirL,Ldaptomycin



DrugsLthatLeffectLThyroxine?L-
LANSWERLAmiodaroneLandLinterferonL(UpLandLdawn)L/LLithiumLandL(Oxy)LcarbamazepineLdecreaseLtoLmea

nLhypothyrism



ThyroxineLlabLreultLtestLtrapL-LANSWERLWhenLTSHLisLelevatedL,LitLmeansLHYPOLandLNOTLhyper.



DrugsLthatLraiseLUricLacidLbloodLlevelL-
LANSWERLDiureticsL,LNiacin,LpyrazinamideL(TBLtreatment)LandLhighLdoseLAspirin,




ThyroxineLlabLresultLtestLtrapL-LANSWERLWhenLTSHLisLelevatedL,LitLmeansLHYPOLandLNOTLhyper.

,DrugsLthatLcanLcauseLSJSLorLTenL-
LANSWERLPenicillinLPhenytoinLpiroxicamL(3PLforLSJSL&LTen)LAllopurinol,LSulfamethoxazole,LLamotrigine.Lcar

bamazepine



DrugsLthatLcanLinduceLLupusL-LANSWERL-ProcainamideL-antiLarythmic

-HydralazineL-LantiLhistamine

-INHL-LTBLtreatment

-ChlorpromazineL-AntiLpschotic

-Methyldopa

-LAntiLTNFLagentL

-quinidineL(MalariaLandLarrhythmia)

-LTerbinafineL(AntiLfungal)

-MinocyclineL(antibiotic)



MneumonicLSHIPPL(Salazopirin,LHydralazin,INZ,Phytoin,Procainamide)LHydraLandLProcainLareLhighest.



DrugsLthatLcanLcauseLlacticLacidosisL-LANSWERLNRTIsLandLMetformine

NRTIsLareL:

AbacavirL(brandLname:LZiagen®)

EmtricitabineL(FTC;LbrandLname:LEmtriva®)

LamivudineL(3TC;LbrandLname:LEpivir®)

TenofovirLalafenamideL(TAF)

TenofovirLDFL(TDF;LbrandLname:LViread®)



WhatLisLRPRLandLwhatLisLitLusedLtoLtest?L-LANSWERLRapidLPlasmaLRegain;LSyphillis

toLremenberLitLRLforLrememberLandLPLforLpencillin



PPDLskinLtestL-LANSWERLtuberculinLpurifiedLproteinLderivative

PneimonicL:LPneimoniaLisLnotLTB

, TestLLabLBNP-HighLNT-ProBNP-HighL?L-LANSWERLHeartLissueL,LmostLpropablyLHF



LowLHgbL&LHctL-LANSWERLanemiaL/LifLreticulocyteLisLhighLthenLitLisLlossLofLblood.



HighLAST/ALTL-LANSWERLAcuteLliverLdamageL/LifLalsoLGGTLisLhighLthenLitLcouldLbeLAlcoholicLhepatitis



HighLALK-TLbilliL-LGGTL-LANSWERLCholestatisL-Lbillary



HighLINRLandLlowLAlbuminLandLplatletsL-LANSWERLLiverLchronicLDamage



PO4LincreaseLinLbloodL-
LANSWERL"Chronic"LkidneyLdiseaseLalsoLlookLforLBUN/ScrLandLPTHLwithLlowLHGbLandLHCT




WhatLlabLtestLweLrequestLforLautoimmuneLdiseases?L-LANSWERLANAL/LESRL/LCRP



WhatLlabLtestLweLorderLtoLmonitorLstatins?L-LANSWERLCPKLandLSrCr.LasLitLindicateLRhabdomyolysis

AlsoLLFTs



DurgsLcausingLlowLcalcium?L-LANSWERLLoops,L(Oxy)LCarbamazepineL,LSSRIs



DrugsLthatLareLcontraindicatedLinLHF?L-LANSWERL1-NSAIDs

2-NonLpyridineLCCBsLspeciallyLverapamil

3-LC.steroids

4-someLantiLarrythmiaLdrugLlikeLFlecainideLandLdronedarone

5-TCAL,LThiazolidinediones(e.g.Lrosiglitazone,Lpioglitazone),L

6-AntiLcancerL:AnthracyclinesL(doxorubicin,daunorubicin),Lcyclophosphamide,

trastuzumabL(Herceptin),LtyrosineLkinaseLinhibitors

(e.g.Lsunitinib)LmayLcauseLheartLfailure4