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NAPLEX - North American Pharmacist Licensure Examination

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154

Total Questions
NABP NAPLEX Questions Answers

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NAPLEX Questions and Answers

Question # 1

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKDA.

His past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain. Post-op day 1, LN’s medication includes Dexamethasone 8mg iv q6h with taper dosing, Ondansetron 4mg iv q6h prn for N/V, Levothyroxine 0.075mg po daily, Lisinopril 10mg po daily, Citalopram 20mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS

with 20K at 125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1mg. lock-out every 6min, one hour limit 2.2mg/hour. Pertinent morning labs includes serum creatinine 1.4mg/dl, Mg 1.5mg/ dl, K 5.0mmol/L, Na 135mmol/L. Day 3 post-operation LN’s pain was much better and only used 3 mg of hydromorphone in the 24hrs.

Physician wants to change to oral morphine. What would be your best recommendation?

A.

Morphine SR 10mg po daily and morphine 5mg po q6h prn for breakthrough pain

B.

Morphine 60mg ER po daily and morphine 15mg po q6h prn breakthrough pain

C.

Morphine 30mg ER po q6hr and morphine 5mg q6h prn for breakthrough pain

D.

Morphine 15mg ER po q12hr and morphine 15mg po q6h prn for breakthrough pain

E.

Morphine 15mg ER po q12hr and morphine 5mg po q6h prn breakthrough pain

Question # 2

Select the class of Anti-diabetic medication that works in the specified organ to prevent hyperglycemia. Select all that applies. Kidney (G)

A.

Sulfonylureas

B.

Alpha- Glucosidase Inhibitors

C.

DPP4 Inhibitors

D.

Glucagon-like peptide-1 receptor agonists

E.

Thiazolidinediones

F.

Biguanide

G.

SGLT2 inhibitors

Question # 3

In a study where Rivaroxaban was compared to enoxaparin to find total VTE following HIP replacement surgery, there were 17 total VTE out of 1513 patients in the Rivaraoaban group and 57 total VTE out of 1473 patient in the enoxaparin group. What is the relative risk reduction of using Rivaroxaban over Enoxaparin?

A.

39%

B.

71%

C.

29%

D.

14%

E.

42%

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