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NAPLEX Exam Dumps - NABP NAPLEX Certification Questions and Answers

Question # 14

Which H2-receptor blocker may cause gynecomastia in men due to its antiandrogenic effects?

Options:

A.

Ranitidine

B.

Nizatidine

C.

Cimetidine

D.

Famotidine

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Question # 15

Octreotide 50mcg/hr is ordered for a patient with esophageal varices, nurses prepared by mixing 1ml of concentration 0.5mg/ml of octreotide in 50mls NS. What rate should the bag be infused?

Options:

A.

50ml/hr

B.

5ml/hr

C.

5ml/min

D.

0.5ml/min

E.

7ml/hr

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Question # 16

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. The bioavailability of levothyroxine is roughly 50%.

The physician requests you for a dose recommendation to convert her home dose of 75mcg po daily to intravenous.

What would be the appropriate intravenous dose?

Options:

A.

37.5mcg

B.

75mcg

C.

75mg

D.

150mcg

E.

37.5mg

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Question # 17

A physician orders 300gms of albumin post paracentesis, how many milliliters of 25% albumin do you need to give 300gms?

Options:

A.

300ml

B.

25ml

C.

100ml

D.

1200ml

E.

1000ml

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Question # 18

A CD4 count of 180 cells per cubic meter may be evaluated as which of these?

Options:

A.

Very low

B.

Low

C.

High

D.

Severely high

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Question # 19

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

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Question # 20

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

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Question # 21

In the US Nurses’ Health Study (NHS) cohort study, where they looked at association of regular aspirin use (≥two 325 mg tablets/week) and colorectal cancer in 82,911 women found (RR, 0.77; 95% CI, 0.67–0.88) over 20 years of follow-up.

In an another analysis of the NHS, regular aspirin use, investigator also found (hazard ratio [HR]=0.72, 95% CI 0.56–0.92), what does this say about the mortality from colorectal cancer? How can this data best be interpreted?

Options:

A.

Those who takes aspirin ≥2 times/week have 23% lower risk of colorectal cancer

B.

Those who takes aspirin ≥2 times/week have 0.77% lower risk of colorectal cancer

C.

Those who takes aspirin ≥2 times/week have 28% lower risk of colorectal cancer

D.

Those who takes aspirin ≥2 times/week have 23% reduction in death from colorectal cancer

E.

None of the above is correct

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Question # 22

A 22-year-old woman adopted a cat. Shortly thereafter, she developed itchy eyes and persistent rhinorrhea. She was clearly allergic to the pet, but desperately wanted to keep it. She tried taking diphenhydramine, but it had intolerable side effects.

Which of the following is a common effect of this type of medication?

Options:

A.

Decreased intraocular pressure

B.

Bradycardia

C.

Xerostomia

D.

Diarrhea

E.

Excessive sweating

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Question # 23

Which of the following illnesses is an example of a type III hypersensitivity reaction?

Options:

A.

Lupus

B.

Graves disease

C.

Hashiomoto’s thyroiditis

D.

Allergic rhinitis

E.

Myasthenia gravis

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Exam Code: NAPLEX
Exam Name: North American Pharmacist Licensure Examination
Last Update: Feb 23, 2025
Questions: 154
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