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NAPLEX questions with 100% Correct Answers | Verified | Latest Update 2024 $13.99   Add to cart

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NAPLEX questions with 100% Correct Answers | Verified | Latest Update 2024

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NAPLEX questions with 100% Correct Answers | Verified | Latest Update 2024

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  • November 6, 2024
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NAPLEX questions with 100% Correct
Answers | Verified | Latest Update 2024


How does CHADSVASc score differ between Chest guideline and AHA/ACC

guideline? - ✔✔Chest guidelines says > 1 non-sex criteria should get anticoag




AHA/ACC guidelines says definite anticoag in patients w/

- > 2 non-sex criteria


- may consider in patients with > 1 non-sex criteria




Quinidine class? Side effects? - ✔✔- Class 1a


- Cinchonism, blurred vision, diarrhea, thrombocytopenia and hemolytic anemia

PO -> anti-arrhythmia


IV -> life-threatening malaria

,Disopyramide class? side effects? - ✔✔- Class 1 a


- Anti-cholinergic


- negative inotropic (don't give to patient w/ CHF)


PO




Procainamide class? side effects? - ✔✔Class 1a


- ANA+ (drug-induced lupus)


- Agranulocytosis

- Diarrhea


IV/IM




Lidocaine class? Side effect? - ✔✔Class 1b, only ventricular arrhythmias and

not Afib

CNS effects -> light headedness, seizures


IV

,Lidocaine is made in NS or D5W? - ✔✔D5W




Can you send someone home with Lidocaine? - ✔✔No. Use Mexiletine (PO).

Take with food or ant-acid (need alkaline environment)




Propafenone class? Side effect? - ✔✔Class 1C. Has beta blocking activity (used

for Afib and PSVT). Negative inotropic effect. Can increase digoxin and warfarin




Flecainide class? When can we use it? - ✔✔Class 1c. Ventricular and

supraventricular arrhythmias. Do NOT use if Structural Heart Disease

PO




Ibutilide class? Use? - ✔✔Class 3. Used as a chemical conversion for Afib/flutter


IV

, Amiodarone dosing PO - ✔✔LD: 800 - 1600 mg (QD/BID) x 1-3 weeks


MD: 200 - 600 mg QD




Amiodarone dosing IV - ✔✔150 mg over 10 mins; then infuse 1 mg/min x 6

hours (360 mg); then 0.5mg/min x 18 hours (540 mg)




Amiodarone side effects - ✔✔- Photosensitivity


- Pulmonary fibrosis (need CXR)


- Corneal micro deposits (need ophthalmic exam)


- hypo/hyperthyroidism

- smurf color -> blue color


- QT prolongation


- Monitor LFTs (100% cleared by liver)


- CNS


- Bradycardia/hypotension

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