Category: Uncategorized

Posted on by

Test

test

Posted on by

NAPLEX Practice Exam A

Add to cart

Username or Email Address

Password

Remember Me

Category: Uncategorized

Posted on by

We want to help you succeed!

Our goal is to support your learning journey and help you excel in your studies.

Explore our 🆓 free study resources page for helpful 🧠 mnemonics and references to enhance your studies.
For a comprehensive review, consider 📚 RxHandbook – your pharmacotherapy guide to over 50+ disease states, equipped with useful mnemonics, charts and more. ⭐️High-yield test questions are highlighted to aid in test preparation.
Thank you for choosing us to be part of your educational journey! 🚀

Category: Uncategorized

Posted on by

1. A patient is receiving hydromorphone 4 mg orally every 6 hours for severe chronic pain. The provider wants to switch the patient to oral morphine without dose reduction for insurance coverage reasons. What is the appropriate total daily oral morphine equivalent dose?

A. 24 mg oral morphine per day

B. 48 mg oral morphine per day

C. 64 mg oral morphine per day

D. 80 mg oral morphine per day

E. 120 mg oral morphine per day

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

2 / 10

2. A patient has a prolonged QT interval. Which antiarrhythmic poses the least additional QT risk?

A. Quinidine

B. Procainamide

C. Dofetilide

D. Diltiazem

E. Amiodarone

Diltiazem (a non-dihydropyridine CCB) does not significantly prolong QT, while most antiarrhythmics, especially Class IA (eg, quinidine, procainamide) and III (eg, dofetilide, sotalol, amiodarone), do.

3 / 10

3. Which chemotherapy drugs have restricted lifetime dosing due to cumulative toxicity risks?

A. Idarubicin

B. Epirubicin

C. Daunorubicin

D. Doxorubicin

E. All of the above

Anthracyclines like doxorubicin, daunorubicin, idarubicin, and epirubicin have lifetime dose limits due to risk of cardiotoxicity.

4 / 10

4. A 40-year-old male with atrial fibrillation has been on long-term warfarin 2 mg daily, well controlled. He recently started amiodarone and sertraline with no changes to warfarin dosing. He was admitted to the emergency room with bleeding gums and black tarry stool. The INR at the emergency room was 8 with hemoglobin 8.3 g/dL. What is the correct course of action:

A. Hold warfarin and give 1–2.5 mg vitamin K orally.

B. Omit next 1–2 doses and monitor INR.

C. Hold warfarin and give 2 mg vitamin K SC.

D. Hold warfarin and give vitamin K 10 mg slow IV infusion.

E. Hold warfarin and give vitamin K 10 mg IM.

When INR is between 4-10 with bleeding, hold warfarin, consider vitamin K 1-2.5mg PO. If serious or life-threatening bleeding, irregardless of INR, hold warfarin, give vitamin K 10mg IV over 30 min and give 4F-PCC or FFP.

5 / 10

5. A woman with ESRD due to lupus is taking the following medicaitons: erythropoeitin, CellCept, Prograf, carvedilol, prednisone, and Norco. She begins to develop elevated fasting glucose. Which drug(s) most likely contributed to her increased blood sugar?

A. Prednisone, erythropoietin, Norco

B. Prednisone, erythropoietin, CellCept

C. Prednisone, CellCept, Prograf

D. Prednisone, CellCept, hydrocodone

E. Prednisone, CellCept, carvedilol

Corticosteroids like prednisone are well-known to cause hyperglycemia. Mycophenolate may also contribute, although less commonly.

6 / 10

6. What controlled category is Sonata?

A. C I

B. C II

C. C III

D. C IV

E. C V

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

7 / 10

7. Which medications are used in the initial 2-month phase for tuberculosis?

A. Rifampin, Isoniazid, Linezolid, Ethambutol

B. Isoniazid, Ethambutol, Levofloxacin, Pyrazinamide

C. Rifampin, Isoniazid, Pyrazinamide, Ethambutol

D. Rifampin, Amikacin, Pyrazinamide, Moxifloxacin

E. Isoniazid, Rifampin, Bedaquiline, Ethionamide

The initial treatment for wild-type TB includes four first-line drugs known as the RIPE regimen: Rifampin, Isoniazid, Pyrazinamide, and Ethambutol. These drugs are used together in the intensive phase to reduce bacterial load and prevent resistance.

8 / 10

8. A patient is receiving 400 mL of 10% Intralipid weekly. How many kcal from lipids are provided daily?

A. 62.9 kcal

B. 550 kcal

C. 78.6 kcal

D. 74.8 kcal

E. 550.8 kcal

10% Intralipid = 1.1 kcal/mL --> 400×1.1 = 440 kcal/week --> 440/7 ~ 62.9 kcal/day

9 / 10

9. If 200 capsules contain 600 mg of an active ingredient, how much is in 84 capsules?

A. 252 mg

B. 323 mg