Capstone Final Exam Naplex Practice/
Updated 2025 With 100% Correct
Answers
A - CORRECT ANSWER-What is a significant concern for patients with panic disorder
when starting an SSRI?
A
Anxiety
B
Bruxism
C
Gastrointestinal upset
D
Headache
E
Sexual dysfunction
B - CORRECT ANSWER-AB is a 60-year-old woman recently discharged from the
hospital following an exacerbation of her COPD. She was prescribed Advair, Spiriva,
and Daliresp. She also has albuterol for prn use. She complains of nausea and weight
loss when she is picking up her refills and wants to know if one of these medications
could be responsible. Which of the medications is most likely to cause these effects?
A
Advair (fluticasone/salmeterol)
B
Daliresp (roflumilast)
C
Spiriva (tiotropium)
D
Proair (albuterol)
C - CORRECT ANSWER-ZX is a 29-year-old man with no significant past medical
history who was in a serious motor vehicle collision 3 weeks ago, and has been in the
ICU sedated and on a ventilator since. Recently he has been spiking fevers up to
103.2oF, producing purulent sputum, and he has a WBC that has been trending
upward. A chest x-ray is performed and shows an RLL infiltrate. The team diagnoses
him with pneumonia, collects a deep sputum sample and blood cultures, and wishes to
begin therapy.
Chem 7 = normal CBC = elevated WBC and bands Tmax = 103.2°F
ZX is allergic to penicillin (type I/anaphylaxis). Based on this, what antibiotic regimen
would be most appropriate for him?
A
,Cefepime + tobramycin + vancomycin
B
Azithromycin + ceftriaxone
C
Levofloxacin + gentamicin + vancomycin
D
Gentamicin + vancomycin
C - CORRECT ANSWER-A patient in the intensive care unit develops AKI. You review
the medications the patient has been taking to evaluate for drug-induced AKI. Which of
the following agents would be most likely to cause AIN?
A
Labetalol
B
Diltiazem
C
Nafcillin
D
Propofol
B - CORRECT ANSWER-A 44-year-old man with comorbid diabetes, HTN, and
peripheral neuropathy was recently diagnosed with ESRD requiring hemodialysis on
Monday-Wednesday-Friday. You receive a pharmacy consult for medication therapy
management for this complicated patient. The patient states that he does not like taking
medications with meals and experienced two episodes of hypoglycemia in the last
month. He denies medication or food allergies and does not recall his recent
immunizations.
Height 5'11" Weight 90 kg
D - CORRECT ANSWER-LD is a 62-year-old patient with chronic pain from an
automobile accident several years ago. LD has chronic moderate to severe nociceptive
pain. Additional PMH includes diabetes and CKD. The patient does not like to take pills
or tablets. What is the BEST medication for LD's chronic pain?
A
Morphine
B
Oxycodone
C
Meperidine
D
Fentanyl
D - CORRECT ANSWER-QP is a 71-year-old patient diagnosed with severe diabetic
neuropathy. He is currently being treated with an alpha-blocker (terazosin) for an
enlarged prostate. Terazosin has significantly improved the symptoms of the enlarged
prostate, but the patient is having orthostatic hypotension episodes. Select the
medication that would be most appropriate for QP's diabetic neuropathy.
,A
Naproxen
B
Morphine
C
Nortriptyline
D
Gabapentin
D - CORRECT ANSWER-KK is a 65-year-old woman with a chief complaint of left arm,
shoulder, and axillary pain. She underwent a left subtotal mastectomy, radiation, and
chemotherapy for breast cancer. KK has currently no evidence of cancer, but complains
of two types of pain. The first in her chest is a dull achy pain; the second is a burning
and stinging pain down her left arm and nothing has worked well for this pain. She is
also complaining of severe constipation. Her current medications are bupropion 150 mg
bid, ibuprofen 600 mg one tablet tid, morphine sulfate extended release (ER) 30 mg bid,
atenolol 50 mg every morning, and tamoxifen 10 mg bid. All medications are taken by
mouth.
What is best therapeutic plan of this patient's analgesic regimen?
A
Analgesic regimen should be discontinued, because long-acting opiate is not
appropriate for this patient's pain.
B
Increase morphine ER to 30 mg po every 4 hours since it is not providing adequate
analgesia.
C
Increase morphine ER to 60 mg po tid since it is not optimally controlling patient's pain.
D
Add pain medication to focus on neuropathic symptoms.
B - CORRECT ANSWER-SQ is a patient from a motor vehicle collision. She suffered a
broken leg during the accident and was given opioids for pain management. SQ's pain
has gone completely away but now has developed respiratory depression. Select the
BEST medication to give SQ for her current symptoms.
A
Flumazenil
B
Naloxone
C
Acetylcysteine
D
Albuterol
E
Ipratropium
, A - CORRECT ANSWER-A patient presents with acute mild to moderate dull and achy
pain from doing too much hard work. The patient is otherwise healthy and currently
takes no medication. What is the best medication to treat the patient's pain?
A
Naproxen
B
Carbamazepine
C
Oxycodone
D
Capsaicin
D - CORRECT ANSWER-Flashcards
All Review Questions
Top 300 Prescription Drug Challenge
Top 300 Drugs Flashcards
Top 100 Nonprescription Drug Cards
Top 200 Injectable Flashcards
Top 100 Nonprescription Drug Challenge
Pill in the Blank
Play Showdown!
McGraw-Hill's NAPLEX® Review Guide, 3e >
Quiz Results
Your Score: 84 %
You answered 11 of 13 questions correctly.
Question 1: Incorrect
LD is a 62-year-old patient with chronic pain from an automobile accident several years
ago. LD has chronic moderate to severe nociceptive pain. Additional PMH includes
diabetes and CKD. The patient does not like to take pills or tablets. What is the BEST
medication for LD's chronic pain?
A
Morphine
B
Oxycodone
C
Meperidine
D
Fentanyl
The correct answer is D. You answered C.
Explanation:
Answer d is correct.Fentanyl is available as a transdermal system (patch). It is also
available as injection, lozenge, powder, and tablet. Good option for a patient with CKD.
Answers a, b, and c are incorrect. Opioids are available in multiple formulations
including oral, solutions, ER, rectal and parenteral formulations, but these agents are
not available in a patch formulation. CKD makes morphine and meperidine less than
ideal options.
Updated 2025 With 100% Correct
Answers
A - CORRECT ANSWER-What is a significant concern for patients with panic disorder
when starting an SSRI?
A
Anxiety
B
Bruxism
C
Gastrointestinal upset
D
Headache
E
Sexual dysfunction
B - CORRECT ANSWER-AB is a 60-year-old woman recently discharged from the
hospital following an exacerbation of her COPD. She was prescribed Advair, Spiriva,
and Daliresp. She also has albuterol for prn use. She complains of nausea and weight
loss when she is picking up her refills and wants to know if one of these medications
could be responsible. Which of the medications is most likely to cause these effects?
A
Advair (fluticasone/salmeterol)
B
Daliresp (roflumilast)
C
Spiriva (tiotropium)
D
Proair (albuterol)
C - CORRECT ANSWER-ZX is a 29-year-old man with no significant past medical
history who was in a serious motor vehicle collision 3 weeks ago, and has been in the
ICU sedated and on a ventilator since. Recently he has been spiking fevers up to
103.2oF, producing purulent sputum, and he has a WBC that has been trending
upward. A chest x-ray is performed and shows an RLL infiltrate. The team diagnoses
him with pneumonia, collects a deep sputum sample and blood cultures, and wishes to
begin therapy.
Chem 7 = normal CBC = elevated WBC and bands Tmax = 103.2°F
ZX is allergic to penicillin (type I/anaphylaxis). Based on this, what antibiotic regimen
would be most appropriate for him?
A
,Cefepime + tobramycin + vancomycin
B
Azithromycin + ceftriaxone
C
Levofloxacin + gentamicin + vancomycin
D
Gentamicin + vancomycin
C - CORRECT ANSWER-A patient in the intensive care unit develops AKI. You review
the medications the patient has been taking to evaluate for drug-induced AKI. Which of
the following agents would be most likely to cause AIN?
A
Labetalol
B
Diltiazem
C
Nafcillin
D
Propofol
B - CORRECT ANSWER-A 44-year-old man with comorbid diabetes, HTN, and
peripheral neuropathy was recently diagnosed with ESRD requiring hemodialysis on
Monday-Wednesday-Friday. You receive a pharmacy consult for medication therapy
management for this complicated patient. The patient states that he does not like taking
medications with meals and experienced two episodes of hypoglycemia in the last
month. He denies medication or food allergies and does not recall his recent
immunizations.
Height 5'11" Weight 90 kg
D - CORRECT ANSWER-LD is a 62-year-old patient with chronic pain from an
automobile accident several years ago. LD has chronic moderate to severe nociceptive
pain. Additional PMH includes diabetes and CKD. The patient does not like to take pills
or tablets. What is the BEST medication for LD's chronic pain?
A
Morphine
B
Oxycodone
C
Meperidine
D
Fentanyl
D - CORRECT ANSWER-QP is a 71-year-old patient diagnosed with severe diabetic
neuropathy. He is currently being treated with an alpha-blocker (terazosin) for an
enlarged prostate. Terazosin has significantly improved the symptoms of the enlarged
prostate, but the patient is having orthostatic hypotension episodes. Select the
medication that would be most appropriate for QP's diabetic neuropathy.
,A
Naproxen
B
Morphine
C
Nortriptyline
D
Gabapentin
D - CORRECT ANSWER-KK is a 65-year-old woman with a chief complaint of left arm,
shoulder, and axillary pain. She underwent a left subtotal mastectomy, radiation, and
chemotherapy for breast cancer. KK has currently no evidence of cancer, but complains
of two types of pain. The first in her chest is a dull achy pain; the second is a burning
and stinging pain down her left arm and nothing has worked well for this pain. She is
also complaining of severe constipation. Her current medications are bupropion 150 mg
bid, ibuprofen 600 mg one tablet tid, morphine sulfate extended release (ER) 30 mg bid,
atenolol 50 mg every morning, and tamoxifen 10 mg bid. All medications are taken by
mouth.
What is best therapeutic plan of this patient's analgesic regimen?
A
Analgesic regimen should be discontinued, because long-acting opiate is not
appropriate for this patient's pain.
B
Increase morphine ER to 30 mg po every 4 hours since it is not providing adequate
analgesia.
C
Increase morphine ER to 60 mg po tid since it is not optimally controlling patient's pain.
D
Add pain medication to focus on neuropathic symptoms.
B - CORRECT ANSWER-SQ is a patient from a motor vehicle collision. She suffered a
broken leg during the accident and was given opioids for pain management. SQ's pain
has gone completely away but now has developed respiratory depression. Select the
BEST medication to give SQ for her current symptoms.
A
Flumazenil
B
Naloxone
C
Acetylcysteine
D
Albuterol
E
Ipratropium
, A - CORRECT ANSWER-A patient presents with acute mild to moderate dull and achy
pain from doing too much hard work. The patient is otherwise healthy and currently
takes no medication. What is the best medication to treat the patient's pain?
A
Naproxen
B
Carbamazepine
C
Oxycodone
D
Capsaicin
D - CORRECT ANSWER-Flashcards
All Review Questions
Top 300 Prescription Drug Challenge
Top 300 Drugs Flashcards
Top 100 Nonprescription Drug Cards
Top 200 Injectable Flashcards
Top 100 Nonprescription Drug Challenge
Pill in the Blank
Play Showdown!
McGraw-Hill's NAPLEX® Review Guide, 3e >
Quiz Results
Your Score: 84 %
You answered 11 of 13 questions correctly.
Question 1: Incorrect
LD is a 62-year-old patient with chronic pain from an automobile accident several years
ago. LD has chronic moderate to severe nociceptive pain. Additional PMH includes
diabetes and CKD. The patient does not like to take pills or tablets. What is the BEST
medication for LD's chronic pain?
A
Morphine
B
Oxycodone
C
Meperidine
D
Fentanyl
The correct answer is D. You answered C.
Explanation:
Answer d is correct.Fentanyl is available as a transdermal system (patch). It is also
available as injection, lozenge, powder, and tablet. Good option for a patient with CKD.
Answers a, b, and c are incorrect. Opioids are available in multiple formulations
including oral, solutions, ER, rectal and parenteral formulations, but these agents are
not available in a patch formulation. CKD makes morphine and meperidine less than
ideal options.
