Ultimate 2025 CPJE Practice Exam — Realistic
Questions & Expert Answers (Newly Updated!)
Rotigotine
Neupro patch: do not heat/ use during MRI
HLA b1502
Test in Asians. Rash for carbamazepine (tegretol), phenytoin (Dilantin), fos phenytoin (cerebyx)
Trastuzumab
Herceptin, her/Neu- ado-trastuzunab (kadcyla), lapatinib (tykerb) pertuzumab (perjeta)
Hla- b 5701
Don't give abacavir (ziagen), epzicom, trizivir
Not cross reactive a/ opioid allergy
Fentanyl, meperidine (Demerol), methadone (dolophine), tramadol (ultram), tapentadol (nucynta)
Inducers
Ps porcs (phenytoin, smoking, phenobarbital, oxcarbazepine, rifampin, carbamazepine, St. John's wort)
Inhibitors
Gpacman (grapefruit, pi's, azoles, cimetidine/cyclosporine, macrolides- erytho/clarithro, amiodarone,
non dihydro (dilt, verapamil)
If on amiodarone, decrease these drugs by 30-50%
Digoxin, warfarin, quinidine, procainanide, statins
Statins with high risk of inhibition
Las (lova, atorva, simva)
Entecavir
Baraclude. Empty stomach for hep B that fail lamivudime and adefovir- se: peripheral edema,
nephrotoxic
Ribavirin
,Copegus. W/ food bid for hep c, hepatotoxic, hemolytic anemia, preg x, psych disorders, ci: renal disfxn
Glipizide
Glucotrol 30 min before break & dinner
Glimeprimide
Amaryl 1-2 mg qd w/ 1st meal
Glyburide
Diabeta, + metformin = glucovance, do not use w/ renal failure 2.5-5mg qd
Rosiglitazone
Avandia 4-8mg qd (tzd, exacerbate hf, liver damage, increases hdl, decreases tg/total cholesterol)
similar: pioglitazone (actos)
Repaglinide
Prandin 0.5-2mg TID 15-30 min before a meal, hypoglycemia- do not take with su's
Nateglinide
Starlix injection- 15-30 min before meals
Acarbose
Precose- w/ 1st bite of meal and water
Miglitol
Glyset w/ 1st bite of meal and water
Linagliptan
Tradjenta- 5 mg qd in morning with or without food, no renal adjustment
Saxagliptin
OnglyZa 2.5-5mg qd
Canaglifozin
Invokana 100mg qd before first meal of day for DM. Se: female genital mycotic infxn, increased
urination, hyperkalemia, can increase dig levels, ci: renal dx
Exenatide
Byetta 30-60 min before am & pm meals,medguide, pancreatitis, thyroid c-cell carcinoma xr= bydureon
Liraglutide
Victoza QD thyroid c-cell carcinoma, more weight loss, less pancreatitis
, Pramlintide
Symlin - injection, skip if no meals, weight loss
Insulin aspart
Novolog rapid
Insulin glulisine
Apidra rapid
Insulin lispro
Humalog rapid
Detemir
Levemir long acting
Insulin glargine
Lantus long acting
Ibandronate
Boniva 150 monthly
Zolendrenic acid
Reclast iv - pretreat w/nsaids
Teriparatide
Forteo SC daily: osteosarcoma, kidney stones, orthostatic hypotension, hypocalcemia- must take ca
starting 2 weeks before time- fridge after each dose, sit while giving
Lotensin
Benazepril
Indapamide
Lozol 1.25-5mg- thiazide diuretic
Aerobid
Budesonide inhaler
Invirase
Saquinavir tabs (fortivase=soft gels)- BID with food & norvir, pi= lipodystrophy, hepatotox
Budesonide
Plumicort inhaler/ rhinocort
Questions & Expert Answers (Newly Updated!)
Rotigotine
Neupro patch: do not heat/ use during MRI
HLA b1502
Test in Asians. Rash for carbamazepine (tegretol), phenytoin (Dilantin), fos phenytoin (cerebyx)
Trastuzumab
Herceptin, her/Neu- ado-trastuzunab (kadcyla), lapatinib (tykerb) pertuzumab (perjeta)
Hla- b 5701
Don't give abacavir (ziagen), epzicom, trizivir
Not cross reactive a/ opioid allergy
Fentanyl, meperidine (Demerol), methadone (dolophine), tramadol (ultram), tapentadol (nucynta)
Inducers
Ps porcs (phenytoin, smoking, phenobarbital, oxcarbazepine, rifampin, carbamazepine, St. John's wort)
Inhibitors
Gpacman (grapefruit, pi's, azoles, cimetidine/cyclosporine, macrolides- erytho/clarithro, amiodarone,
non dihydro (dilt, verapamil)
If on amiodarone, decrease these drugs by 30-50%
Digoxin, warfarin, quinidine, procainanide, statins
Statins with high risk of inhibition
Las (lova, atorva, simva)
Entecavir
Baraclude. Empty stomach for hep B that fail lamivudime and adefovir- se: peripheral edema,
nephrotoxic
Ribavirin
,Copegus. W/ food bid for hep c, hepatotoxic, hemolytic anemia, preg x, psych disorders, ci: renal disfxn
Glipizide
Glucotrol 30 min before break & dinner
Glimeprimide
Amaryl 1-2 mg qd w/ 1st meal
Glyburide
Diabeta, + metformin = glucovance, do not use w/ renal failure 2.5-5mg qd
Rosiglitazone
Avandia 4-8mg qd (tzd, exacerbate hf, liver damage, increases hdl, decreases tg/total cholesterol)
similar: pioglitazone (actos)
Repaglinide
Prandin 0.5-2mg TID 15-30 min before a meal, hypoglycemia- do not take with su's
Nateglinide
Starlix injection- 15-30 min before meals
Acarbose
Precose- w/ 1st bite of meal and water
Miglitol
Glyset w/ 1st bite of meal and water
Linagliptan
Tradjenta- 5 mg qd in morning with or without food, no renal adjustment
Saxagliptin
OnglyZa 2.5-5mg qd
Canaglifozin
Invokana 100mg qd before first meal of day for DM. Se: female genital mycotic infxn, increased
urination, hyperkalemia, can increase dig levels, ci: renal dx
Exenatide
Byetta 30-60 min before am & pm meals,medguide, pancreatitis, thyroid c-cell carcinoma xr= bydureon
Liraglutide
Victoza QD thyroid c-cell carcinoma, more weight loss, less pancreatitis
, Pramlintide
Symlin - injection, skip if no meals, weight loss
Insulin aspart
Novolog rapid
Insulin glulisine
Apidra rapid
Insulin lispro
Humalog rapid
Detemir
Levemir long acting
Insulin glargine
Lantus long acting
Ibandronate
Boniva 150 monthly
Zolendrenic acid
Reclast iv - pretreat w/nsaids
Teriparatide
Forteo SC daily: osteosarcoma, kidney stones, orthostatic hypotension, hypocalcemia- must take ca
starting 2 weeks before time- fridge after each dose, sit while giving
Lotensin
Benazepril
Indapamide
Lozol 1.25-5mg- thiazide diuretic
Aerobid
Budesonide inhaler
Invirase
Saquinavir tabs (fortivase=soft gels)- BID with food & norvir, pi= lipodystrophy, hepatotox
Budesonide
Plumicort inhaler/ rhinocort
