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NAPLEX important Questions Test Bank {2023 Update} | 491 Questions with 100% Correct Answers | Verified|A GRADE $28.99   Add to cart

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NAPLEX important Questions Test Bank {2023 Update} | 491 Questions with 100% Correct Answers | Verified|A GRADE

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NAPLEX important Questions Test Bank {2023 Update} | 491 Questions with 100% Correct Answers | Verified|A GRADE

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  • May 30, 2023
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NAPLEX important Questions Test Bank
{2023 Update} | 491 Questions with 100%
Correct Answers | Verified|A GRADE

onsets for laxatives - -Fast :
1-osmotics oral: 30minutes to 96 hrs :
2-Osmotics rectal :15-30 minutes (Glycerin)
3-Emollient rectal : 2-15 minutes like docesate
4-Lubricant rectal : 2-15 minutes

Rest of the orals are above 6 hrs...

-H.pylori treatment - -All therapy are for up to 14 days.

First line QUAD: Pepto + flagyl + tetracycline + PPI (Tetrtra Flag PPPP)
then : clarith + flagyl + PPI

Triple: clarith + amox + PPI only use is clarith resitance <15% and no Macrolide before.

levo + amox + PPI

PI-BI-MET-TET

CAMP

CAP

-If you get an Amiodarone Case in the exam, please watch for the following: - -
>>>>>Look if patients in the case receive or suffer any of :
1-Digoxin and statin or warfarin (should reduce doses / Digo by 50% and statins limits)
2-Iodine sensitivity
3-No Heparin in same line.
4-pulmonary / liver ^LFTs / Thyroid
5-Sever sinus node disfunction unless patient has an artificial one)
6-Look for any drug that cause QT^ or reduce HR.

>>>>Look on the process of infusion:
1-Non PVC , Need filter / slow infusion to avoid bradycardia

,2-drug of choice in HF as antiarrythmic ( plus Dofelitide)
3-Always in hospital for loading

Last issue : BLUE SKIN

-Lab test for liver - -AST / ALT elevated / Albumin low / Tbili and Amonia

-What is CK lab test? - -Creatinine Kinase to assess muscle damage or inflamation.
Drugs could increase CK like Statin and fibrates, tenovir (Hep B and HIV)and
raltegravir and dolutegravir , daptomycin

-Drugs that effect Thyroxine? - -Amiodarone and interferon (Up and dawn) / Lithium
and (Oxy) carbamazepine decrease to mean hypothyrism

-Thyroxine lab reult test trap - -When TSH is elevated , it means HYPO and NOT
hyper.

-Drugs that raise Uric acid blood level - -Diuretics , Niacin, pyrazinamide (TB
treatment) and high dose Aspirin,

-Thyroxine lab result test trap - -When TSH is elevated , it means HYPO and NOT
hyper.

-Drugs that can cause SJS or Ten - -Penicillin Phenytoin piroxicam (3P for SJS & Ten)
Allopurinol, Sulfamethoxazole, Lamotrigine. carbamazepine

-Drugs that can induce Lupus - --Procainamide -anti arythmic
-Hydralazine - anti histamine
-INH - TB treatment
-Chlorpromazine -Anti pschotic
-Methyldopa
- Anti TNF agent
-quinidine (Malaria and arrhythmia)
- Terbinafine (Anti fungal)
-Minocycline (antibiotic)

Mneumonic SHIPP (Salazopirin, Hydralazin,INZ,Phytoin,Procainamide) Hydra and
Procain are highest.

-Drugs that can cause lactic acidosis - -NRTIs and Metformine
NRTIs are :

,Abacavir (brand name: Ziagen®)
Emtricitabine (FTC; brand name: Emtriva®)
Lamivudine (3TC; brand name: Epivir®)
Tenofovir alafenamide (TAF)
Tenofovir DF (TDF; brand name: Viread®)

-What is RPR and what is it used to test? - -Rapid Plasma Regain; Syphillis
to remenber it R for remember and P for pencillin

-PPD skin test - -tuberculin purified protein derivative
Pneimonic : Pneimonia is not TB

-Test Lab BNP-High NT-ProBNP-High ? - -Heart issue , most propably HF

-Low Hgb & Hct - -anemia / if reticulocyte is high then it is loss of blood.

-High AST/ALT - -Acute liver damage / if also GGT is high then it could be Alcoholic
hepatitis

-High ALK-T billi - GGT - -Cholestatis - billary

-High INR and low Albumin and platlets - -Liver chronic Damage

-PO4 increase in blood - -"Chronic" kidney disease also look for BUN/Scr and PTH
with low HGb and HCT

-What lab test we request for autoimmune diseases? - -ANA / ESR / CRP

-What lab test we order to monitor statins? - -CPK and SrCr. as it indicate
Rhabdomyolysis
Also LFTs

-Durgs causing low calcium? - -Loops, (Oxy) Carbamazepine , SSRIs

-Drugs that are contraindicated in HF? - -1-NSAIDs
2-Non pyridine CCBs specially verapamil
3- C.steroids
4-some anti arrythmia drug like Flecainide and dronedarone
5-TCA , Thiazolidinediones(e.g. rosiglitazone, pioglitazone),
6-Anti cancer :Anthracyclines (doxorubicin,daunorubicin), cyclophosphamide,
trastuzumab (Herceptin), tyrosine kinase inhibitors

, (e.g. sunitinib) may cause heart failure4
7-Closapine.
8-Decongestants for coughs and colds such as pseudoephedrine may
increase workload on the heart .

-Drugs cannot be infused using PVC-DEHP container - -LATIN
L:Lorazepam
A:Amiodarone
T:Tacrolimus
I: Insulin
N: Nitoglycerin

-Drugs infused only using Saline IV bags - -DEAP CIA
D: Daptomycin (cubicin)
E: Ertapenem ( Invanz)
A: Ampicillin/sulbactam ( Unasyn)
P: Phenytoin (Dilantin)

C: Caspofungin(cansidas)
I: INfliximab (Remicade)
A: Ampicillin

remember Deap is the sea which is salty...

-Drugs only infused in Dextrose - -AB of Suguar
A: Amphotericin B
B: Bactrim
S: Synercid

-The selfish Drugs (wants their IV alone!) - -Amphotericin B , Heparin, Zosyn,
Caspofungin...
Three anti biotics and one heparin.

-Drugs that hurt the kidney ? - -Vancomycin , Aminoglycosides, cyclosporine,
Tacrolimus, NSAIDs, Cisplatin, Amphotericin B, contast dye, colistimethate.

remember contast dye is MAO inhibitors

-Antibiotics for CRE pathogen? - -Polymyxin
Avycaz (cefazidime/avibactam)

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