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 :
-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)
-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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