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North American Pharmacist Licensure Examination

Last Update Nov 24, 2024
Total Questions : 154

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North American Pharmacist Licensure Examination Questions and Answers

Questions 1

What is the Osmolarity of NS with KCL 40 meq/L? (MW of KCl: 74.55 g/mol) (MW of NaCl: 58.44 g/mol)

Options:

A.

800 mOsm/L

B.

308 mOm/L

C.

1108 mOsm/L

D.

830 mOsm/L

E.

388 mOsm/L

Questions 2

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 20mg iv q12hr, Metoclopramide 10mg iv q6h, Metformin 500mg po bid, D51/2NS with 20K at 125mls/hour and Hydromorphone PCA at 0.2mg/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.

What is LN’s creatinine clearance using Cockcroft and Gault equation based on IBW?

Options:

A.

43 mls/min

B.

53 mls/min

C.

63 mls/min

D.

33 mls/min

E.

23 mls/min

Questions 3

Aluminum levels may rise to toxic levels in patients with renal failure if administered with which of these medicines?

Options:

A.

Sucralfate

B.

Bismuth subgallate

C.

Docusate sodium

D.

Lactulose

E.

Alginates