NAPLEX Practice Questions with 100%
Correct Answers
Side Effects of Phenytoin?
Toxicity:
Nystagmus, ataxia, slurred speech, dizziness, somnolence, lethargy, confusion, blurred vision, diplopia
Chronic:
Gingival hyperplasia, hair growth, vitamin D and calcium deficiency, measles-like rash, rash,
hepatotoxicity, peripheral neuropathy, hyperglycemia
Insulin infusion rate for DKA?
0.1 units/kg/hour
Morphine Oral to IV conversion
3:1
(30mg PO = 10mg IV)
Insulin conversions. NPH to Glargine?
NPH ->Glargine
NPH once daily: convert unit-per-unit and give once daily.
NPH twice daily: reduce total daily dose by 20% and give once daily.
stages of hypertension
inamrinone
Drugs that may induce an acute attack of gout
Cyclosporine
Ethambutol
Ethanol
Niacin
Pyrazinamide
Salicylates
Which virus is responsible for common warts?
human papillomavirus
Drugs that increase serum lithium concentrations
ACEIs
ARBs
Beta-Blockers
Cisplatin
COX-2 Inhibitors
Cyclosporin A
Methyldopa
Metronidazole
NSAIDs
, Phenytoin
Tetracycline
Thiazide diuretics
Verapamil
Drugs that decrease serum lithium concentrations
Acetazolamide
Aminophylline
Caffeine
Mineralcorticoids
Nifedipine
Osmotic diuretics
Sodium bicarb
Theophylline
Drug of choice for treating tremor in Parkinson's Disease
Anticholinergics
- Trihexphenidyl (Artane)
- Benztropine (Cogentin)
Which condition is caused by a deficiency of Vitamin B12?
Macrocytic anemia
Which of the following is a possible side effect from the long-term use of heparin therapy?
Osteoporosis can occur with long-term use. Women who are pregnant and are using heparin long-
term are at risk for decreased bone density.
Next
These clinical scenarios are appropriate for monitoring LMWH therapy.
Significant renal impairment
Pregnant patient with PE
Pregnant patient with mechanical heart valves
Extremes of body weight
Aspirin MOA
Aspirin work by binding irreversibly to COX-1 and COX-2 resulting in a decrease of prostaglandin
synthesis and a decrease in thromboxane A2 synthesis. Thromboxane A2 is a potent vasoconstrictor
and induces platelet aggregation.
________________________ are first-line agents in treating chronic stable angina.
Beta blockers (without ISA) are first-line agents in treating chronic stable angina.
patient counseling for Nitrolingual Pumpspray:
Instruct patients to spray 5 times into the air to prime the pump the first time they use it, and prime it
again with 1 spray if they have not used it for 6 weeks.
Do NOT shake.
Press the button firmly with the forefinger to release the spray onto or under the tongue.
Correct Answers
Side Effects of Phenytoin?
Toxicity:
Nystagmus, ataxia, slurred speech, dizziness, somnolence, lethargy, confusion, blurred vision, diplopia
Chronic:
Gingival hyperplasia, hair growth, vitamin D and calcium deficiency, measles-like rash, rash,
hepatotoxicity, peripheral neuropathy, hyperglycemia
Insulin infusion rate for DKA?
0.1 units/kg/hour
Morphine Oral to IV conversion
3:1
(30mg PO = 10mg IV)
Insulin conversions. NPH to Glargine?
NPH ->Glargine
NPH once daily: convert unit-per-unit and give once daily.
NPH twice daily: reduce total daily dose by 20% and give once daily.
stages of hypertension
inamrinone
Drugs that may induce an acute attack of gout
Cyclosporine
Ethambutol
Ethanol
Niacin
Pyrazinamide
Salicylates
Which virus is responsible for common warts?
human papillomavirus
Drugs that increase serum lithium concentrations
ACEIs
ARBs
Beta-Blockers
Cisplatin
COX-2 Inhibitors
Cyclosporin A
Methyldopa
Metronidazole
NSAIDs
, Phenytoin
Tetracycline
Thiazide diuretics
Verapamil
Drugs that decrease serum lithium concentrations
Acetazolamide
Aminophylline
Caffeine
Mineralcorticoids
Nifedipine
Osmotic diuretics
Sodium bicarb
Theophylline
Drug of choice for treating tremor in Parkinson's Disease
Anticholinergics
- Trihexphenidyl (Artane)
- Benztropine (Cogentin)
Which condition is caused by a deficiency of Vitamin B12?
Macrocytic anemia
Which of the following is a possible side effect from the long-term use of heparin therapy?
Osteoporosis can occur with long-term use. Women who are pregnant and are using heparin long-
term are at risk for decreased bone density.
Next
These clinical scenarios are appropriate for monitoring LMWH therapy.
Significant renal impairment
Pregnant patient with PE
Pregnant patient with mechanical heart valves
Extremes of body weight
Aspirin MOA
Aspirin work by binding irreversibly to COX-1 and COX-2 resulting in a decrease of prostaglandin
synthesis and a decrease in thromboxane A2 synthesis. Thromboxane A2 is a potent vasoconstrictor
and induces platelet aggregation.
________________________ are first-line agents in treating chronic stable angina.
Beta blockers (without ISA) are first-line agents in treating chronic stable angina.
patient counseling for Nitrolingual Pumpspray:
Instruct patients to spray 5 times into the air to prime the pump the first time they use it, and prime it
again with 1 spray if they have not used it for 6 weeks.
Do NOT shake.
Press the button firmly with the forefinger to release the spray onto or under the tongue.
