NAPLEX Practice Questions

Smokers >25 cigarettes/day should start with 4 mg gum. 2 mg is for lighter smokers. There are 20 cigarettes in 1 pack.

Prophylaxis for OIs is not recommended until the CD4+ count drops below 200 for PCP and <50 for MAC.

A T-score below -2.5 is diagnostic for osteoporosis.

1 gal = 3785 mL --> 3785×0.20 = V2×0.40 --> V2 = 1892.5 mL

Oral hydromorphone to oral morphine conversion ratio ≈ 1:5.
4 mg Q6H = 16 mg hydromorphone/day
16 mg × 5 = 80 mg morphine/day

Paul is under 65 but has diabetes, which places him in a high-risk group for pneumococcal disease. Current ACIP guidelines recommend: Pneumococcal vaccination: Patients aged 19–64 with diabetes should receive either: PCV20 alone, or PCV15 followed by PPSV23 (at least 1 year apart, or 8 weeks in immunocompromised).
Annual influenza vaccination: He should receive an inactivated influenza vaccine like Fluvarin. FluMist is not recommended in high-risk patients (e.g., diabetes, chronic conditions). Shingles vaccine (Shingrix) is approved for immunocompetent adults ?50 years or ?19 if immunocompromised, so Peter does not yet qualify based on age alone.

Hydroxychloroquine may cause retinal toxicity. It should be taken with food and monitored with labs for blood dyscrasias. It is dosed once to twice daily for SLE and may cause DECREASE in platelets.

Oral contraceptives are a reasonable option for managing both pre-menstrual migraines and heavy menstrual bleeding, addressing both issues simultaneously.

Sonata (zaleplon) is a C IV controlled substance like other non-BZDs.

All are appropriate due to CNS effects, abuse potential, and safety risks.