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Transcript of NAPLEX Review. Welcome!!! Who am I?? Alan J. Zillich, Pharm.D. Assistant Professor of Pharmacy...
![Page 1: NAPLEX Review. Welcome!!! Who am I?? Alan J. Zillich, Pharm.D. Assistant Professor of Pharmacy Practice –Purdue University College of Pharmacy NOT TOO.](https://reader035.fdocuments.net/reader035/viewer/2022081504/56649dff5503460f94ae86a2/html5/thumbnails/1.jpg)
NAPLEX Review
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Welcome!!!Welcome!!!
Who am I?? Alan J. Zillich, Pharm.D.
• Assistant Professor of Pharmacy Practice– Purdue University College of Pharmacy
• NOT TOO FAR REMOVED FROM THE EXAM
Who am I?? Alan J. Zillich, Pharm.D.
• Assistant Professor of Pharmacy Practice– Purdue University College of Pharmacy
• NOT TOO FAR REMOVED FROM THE EXAM
![Page 3: NAPLEX Review. Welcome!!! Who am I?? Alan J. Zillich, Pharm.D. Assistant Professor of Pharmacy Practice –Purdue University College of Pharmacy NOT TOO.](https://reader035.fdocuments.net/reader035/viewer/2022081504/56649dff5503460f94ae86a2/html5/thumbnails/3.jpg)
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Welcome!!! Welcome!!! What this course should be:
a review – We know you know this stuff • we can’t cover 6 years in 3 days
interactive – so you get the most out of it…ASK QUESTIONS
informative – so you remind yourself what you know (AND DON’T)
fun?... or as fun as a NAPLEX review can be?
What this course should be: a review – We know you know this stuff
• we can’t cover 6 years in 3 days
interactive – so you get the most out of it…ASK QUESTIONS
informative – so you remind yourself what you know (AND DON’T)
fun?... or as fun as a NAPLEX review can be?
![Page 4: NAPLEX Review. Welcome!!! Who am I?? Alan J. Zillich, Pharm.D. Assistant Professor of Pharmacy Practice –Purdue University College of Pharmacy NOT TOO.](https://reader035.fdocuments.net/reader035/viewer/2022081504/56649dff5503460f94ae86a2/html5/thumbnails/4.jpg)
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The Lecture Note Book The Lecture Note Book I will cover parts as will Dr. Overholser, but not all
of it Chapters to be covered by me:
1, 2, 8, 15, 16 (7 and 17 somewhat) Chapters to be covered by Dr. Overholser:
1,3, 4, 5, 6, 9, 10, 13
Page number on slide should correspond with book
Self-review the others. They are there as a resource!
I will cover parts as will Dr. Overholser, but not all of it
Chapters to be covered by me: 1, 2, 8, 15, 16 (7 and 17 somewhat)
Chapters to be covered by Dr. Overholser: 1,3, 4, 5, 6, 9, 10, 13
Page number on slide should correspond with book
Self-review the others. They are there as a resource!
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About the NAPLEX 1
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NAPLEX®NAPLEX®
North American Pharmacist Licensure Examination
National Association of Boards of Pharmacy (NABP®)
700 Busse Highway
Park Ridge, Illinois 60068
USA
847-698-6227
www.nabp.net
North American Pharmacist Licensure Examination
National Association of Boards of Pharmacy (NABP®)
700 Busse Highway
Park Ridge, Illinois 60068
USA
847-698-6227
www.nabp.net
Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Purpose of the examination
Developed by the National Association of Boards of Pharmacy (NABP®) for use by the boards as part of there assessment of competence to practice pharmacy.
Keep in mind this is minimum competency
Purpose of the examination
Developed by the National Association of Boards of Pharmacy (NABP®) for use by the boards as part of there assessment of competence to practice pharmacy.
Keep in mind this is minimum competency
PG 3 Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Competency StatementsCompetency Statements
NABPTM has prepared “Competency Statements” with three major areas of concentration:
Assure safe and effective pharmacotherapy and optimize therapeutic outcomes (54% of test).
Assure safe and accurate preparation and dispensing of medications (35% of test).
Provide health care information and promote public health (11% of test ).
NABPTM has prepared “Competency Statements” with three major areas of concentration:
Assure safe and effective pharmacotherapy and optimize therapeutic outcomes (54% of test).
Assure safe and accurate preparation and dispensing of medications (35% of test).
Provide health care information and promote public health (11% of test ).
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“New” Emphasis Topics“New” Emphasis Topics
Herbals OTC questions Communication skills questions
Herbals OTC questions Communication skills questions
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Step 1
Contact the board of pharmacy in the state in which you want to be licensed. (PRIMARY STATE)
www.nabp.net
Step 2
Fill-out all forms and follow all directions
To score transfer or NOT to score transfer
Find money to pay for it!!♦ NAPLEX – $465 per examination
♦ MPJE – $185 per examination
Step 1
Contact the board of pharmacy in the state in which you want to be licensed. (PRIMARY STATE)
www.nabp.net
Step 2
Fill-out all forms and follow all directions
To score transfer or NOT to score transfer
Find money to pay for it!!♦ NAPLEX – $465 per examination
♦ MPJE – $185 per examination
Registering for the NAPLEX Registering for the NAPLEX
PG 4 Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Step 3
After receiving your Authorization to Test (ATT), contact
Pearson VUE • 1-888/709-2679
• www.pearsonvue.com/nabp Testing date
• Testing location
Step 3
After receiving your Authorization to Test (ATT), contact
Pearson VUE • 1-888/709-2679
• www.pearsonvue.com/nabp Testing date
• Testing location
Registering for the NAPLEX Registering for the NAPLEX
PG 4 Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Pearson VUE – Web AccountPearson VUE – Web Account
First-time test takers must create a Pearson Vue web account.
Please note that account creation may require up to 24 hours.
You will be notified by email when your account is activated.
When creating your account and scheduling your test, you will need your NABP ID number from the ATT letter.
The ATT includes the dates during which you are eligible to take the examination as well as the test authorization number and an expiration date
After you schedule your test, Pearson VUE will send a confirmation letter listing your test date, your testing time, the address and phone number of the test center, and directions to the test center.
First-time test takers must create a Pearson Vue web account.
Please note that account creation may require up to 24 hours.
You will be notified by email when your account is activated.
When creating your account and scheduling your test, you will need your NABP ID number from the ATT letter.
The ATT includes the dates during which you are eligible to take the examination as well as the test authorization number and an expiration date
After you schedule your test, Pearson VUE will send a confirmation letter listing your test date, your testing time, the address and phone number of the test center, and directions to the test center.
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CancellationCancellation
Must call Pearson VUE Testing Centers to cancel your testing appointment.
No later than noon eastern standard time of the second business day prior to your scheduled appointment. (Saturday is a business day for them)
If you don’t call you lose your money.
Must call Pearson VUE Testing Centers to cancel your testing appointment.
No later than noon eastern standard time of the second business day prior to your scheduled appointment. (Saturday is a business day for them)
If you don’t call you lose your money.
Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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On Examination Day
Your ATT (Authorization To Test) card will indicate supplies that you may bring with you. {Generally nothing}
Arrive 30 minutes prior to your exam time.
Be sure to bring your ATT card and two forms of personal identification both with signature, at least one of which should also have your picture. They cannot be expired and must be the same name as your ATT.
After signing in at the Center, you will be assigned your work area.
Requirement as of May 2005 – digital photo taken at test center
On Examination Day
Your ATT (Authorization To Test) card will indicate supplies that you may bring with you. {Generally nothing}
Arrive 30 minutes prior to your exam time.
Be sure to bring your ATT card and two forms of personal identification both with signature, at least one of which should also have your picture. They cannot be expired and must be the same name as your ATT.
After signing in at the Center, you will be assigned your work area.
Requirement as of May 2005 – digital photo taken at test center
Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Taking the Examination
Laminated Note Boards and pencils are provided.
A keyboard and a mouse-operated simple on-screen calculator is available.
Required (Optional) 10-minute break after 2 hours
Examination time: 4 h 15 min.
Extra time for a tutorial before and survey after
Majority will finish in 2.5 – 3 hours
Taking the Examination
Laminated Note Boards and pencils are provided.
A keyboard and a mouse-operated simple on-screen calculator is available.
Required (Optional) 10-minute break after 2 hours
Examination time: 4 h 15 min.
Extra time for a tutorial before and survey after
Majority will finish in 2.5 – 3 hours
Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Examination Format:Examination Format:
PG 4
•NAPLEX® test = 185 questions of which 150 count toward your examination score
• Computer-Adaptive Test (CAT)•Questions of various difficulty•Provided one-at-a-time•Successive measurement•Answers cannot be reviewed or changed
Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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Grading of the examination• Answer less than 162 and test is not scored
• Answer less than 185 a penalty will be applied
Results will be sent to your specified Board of Pharmacy
The passing score is set at 75 this is not a % value !
Calculated by determining your ability level on the exam then comparing it to the predetermined minimum acceptable ability level established for the NAPLEX.
Grading of the examination• Answer less than 162 and test is not scored
• Answer less than 185 a penalty will be applied
Results will be sent to your specified Board of Pharmacy
The passing score is set at 75 this is not a % value !
Calculated by determining your ability level on the exam then comparing it to the predetermined minimum acceptable ability level established for the NAPLEX.
PG 4 Ref. NAPLEX/MPJE® Registration BulletinRef. NAPLEX/MPJE® Registration Bulletin
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SUCCESSFULLY TAKING THE COMPUTER-ADAPTIVE TEST
Take a positive attitude.
Budget your examination time wisely.
There are almost no “trick” questions on the exam.
Drug products introduced in the past 6 months will not be on the exam. Drugs that have been available for 6-12 months may be on the exam, but only as experimental questions
Calculations will be assigned the most weight.
Answer a previous question incorrectly, forget about it and just continue.
Remember…. minimum competency.
SUCCESSFULLY TAKING THE COMPUTER-ADAPTIVE TEST
Take a positive attitude.
Budget your examination time wisely.
There are almost no “trick” questions on the exam.
Drug products introduced in the past 6 months will not be on the exam. Drugs that have been available for 6-12 months may be on the exam, but only as experimental questions
Calculations will be assigned the most weight.
Answer a previous question incorrectly, forget about it and just continue.
Remember…. minimum competency.
PG 14
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Study and Test-Taking StrategiesStudy and Test-Taking Strategies
Concentrate your efforts on important areas (THINK TOP 200---Chapter 8) http://www.studystack.com/ ---click on medicine
Practice under actual exam conditions Read each question carefully (cover the answers) Don’t cheat (peek) Think about why the wrong answers are there Reflect on your mistakes Practice Exams (Pre-NABPLEX, KAPLAN, Other
books)
Concentrate your efforts on important areas (THINK TOP 200---Chapter 8) http://www.studystack.com/ ---click on medicine
Practice under actual exam conditions Read each question carefully (cover the answers) Don’t cheat (peek) Think about why the wrong answers are there Reflect on your mistakes Practice Exams (Pre-NABPLEX, KAPLAN, Other
books)
p. 8-15
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NAPLEX 2007 QbankNAPLEX 2007 Qbank
Customizable database of over 1,000 questions
Create mini-exams by Discipline and/or Patient Cluster
Full analysis, explanations and history
Great addition to your review!
$99 for 1 month of access
Customizable database of over 1,000 questions
Create mini-exams by Discipline and/or Patient Cluster
Full analysis, explanations and history
Great addition to your review!
$99 for 1 month of access
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Create Quizzes in Test Mode or Tutorial Mode
Specify whether you only want to
see questions you haven’t yet
used.
Specify whether you want to see stand-alone or patient cluster questions (or
both)
Check off which discipline(s) or patient clusters
you’d like to appear on your
quiz
Calculate the number of available
questions that meet your
chosen criteria
Specify your desire # of
questions and create your test!
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Study and Test-Taking StrategiesStudy and Test-Taking Strategies
Practice Guessing YOU MUST ANSWER EVERY QUESTION Understand the question (75/25) Effectively narrow Upper then Lower Admit if you are clueless Think moderately Divide and conquer (group)
Practice Guessing YOU MUST ANSWER EVERY QUESTION Understand the question (75/25) Effectively narrow Upper then Lower Admit if you are clueless Think moderately Divide and conquer (group)
p. 8-15
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Eliminate the answers you know are incorrect
Guessing between 5 answers is 20%
Guessing between 2 answers is 50%.
Eliminate the answers you know are incorrect
Guessing between 5 answers is 20%
Guessing between 2 answers is 50%.
PG 16
Strategies for Answering Multiple-Choice QuestionsStrategies for Answering Multiple-Choice Questions
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ExampleA common side effect of Motrin® is:
A. Gastritis
B. Myositis
C. Myalgia
D. Gastrocele
E. Hematoma
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ExampleA common side effect of Motrin® is:
A. Gastritis (inflammation of Stomach)
B. Myositis (Inflammation of voluntary muscle)
C. Myalgia (Pain in muscle)
D. Gastrocele (Stomach hernia)
E. Hematoma (Collection of Blood in an organ)
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Standard question format:
Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs.
II. decreasing LDLs.
III. decreasing triglycerides.
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
Standard question format:
Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs.
II. decreasing LDLs.
III. decreasing triglycerides.
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and IIIPG 17
Combined-response questions or “K” questionsCombined-response questions or “K” questions
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Series of T/F questions togetherSeries of T/F questions together
PG 17
Strategies for Answering K-type questionsStrategies for Answering K-type questions
Answer Choices
A B C D E
Statement I T T T
Statement II T T T
Statement III T T T
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Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs. T / F
II. decreasing LDLs. T / F
III. decreasing triglycerides. T / F
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs. T / F
II. decreasing LDLs. T / F
III. decreasing triglycerides. T / F
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
PG 17
Combined-response questions or “K” questionsCombined-response questions or “K” questions
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Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs. T / F
II. decreasing LDLs. T / F
III. decreasing triglycerides. T / F
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
Ideally, Lovastatin affects blood lipids by:
I. increasing HDLs. T / F
II. decreasing LDLs. T / F
III. decreasing triglycerides. T / F
The standard response format:(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
PG 17
Combined-response questions or “K” questionsCombined-response questions or “K” questions
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NAPLEX® consists of many patient profiles.
Expect the patient to present several conditions.
Each profile will generate 10-12 questions.
Will be stand alone questions mixed in
Don’t analyze the entire patient profile unless absolutely necessary
Focus on “top 200”
Read over the NAPLEX Blueprint http://www.nabp.net/ftpfiles/NABP01/updatednaplexblueprint.pdf
NAPLEX® consists of many patient profiles.
Expect the patient to present several conditions.
Each profile will generate 10-12 questions.
Will be stand alone questions mixed in
Don’t analyze the entire patient profile unless absolutely necessary
Focus on “top 200”
Read over the NAPLEX Blueprint http://www.nabp.net/ftpfiles/NABP01/updatednaplexblueprint.pdfPG 25
REVIEW STRATEGIES FOR THE NAPLEX®
REVIEW STRATEGIES FOR THE NAPLEX®
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A working knowledge of the interchange is important. Do not learn the companies.
A working knowledge of the interchange is important. Do not learn the companies.
PG 25
Review Drug Names:Generic Versus Trade or Brand Names
Review Drug Names:Generic Versus Trade or Brand Names
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Example A prescription for zafirlukast will be filled by using:
(A) Accolate.
(B) Diovan.
(C) Effexor.
(D) Remeron.
(E) Singulair.
Example A prescription for zafirlukast will be filled by using:
(A) Accolate.
(B) Diovan.
(C) Effexor.
(D) Remeron.
(E) Singulair.
PG 25
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36
Example A prescription for zafirlukast will be filled by using:
(A) Accolate. (Zifirlukast: Leukotriene receptor antagonist)
(B) Diovan. (Valsartan: Specific Angiotensin II antagonist)
(C) Effexor. (Venlafaxine HCl: Antidepressant)
(D) Remeron. (Mirtazapine: Major Depressive Disorder)
(E) Singulair. (Montelukast: Leukotriene receptor antagonist)
Example A prescription for zafirlukast will be filled by using:
(A) Accolate. (Zifirlukast: Leukotriene receptor antagonist)
(B) Diovan. (Valsartan: Specific Angiotensin II antagonist)
(C) Effexor. (Venlafaxine HCl: Antidepressant)
(D) Remeron. (Mirtazapine: Major Depressive Disorder)
(E) Singulair. (Montelukast: Leukotriene receptor antagonist)
PG 25
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37
Review characteristics of individual products.
All of the following products contain HCTZ plus another active ingredient EXCEPT:
(A) Dyazide.(B) Vaseretic.(C) Prinivil.(D) Zestoretic.(E) Ziac.
Review characteristics of individual products.
All of the following products contain HCTZ plus another active ingredient EXCEPT:
(A) Dyazide.(B) Vaseretic.(C) Prinivil.(D) Zestoretic.(E) Ziac.
PG 27
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38
Review characteristics of individual products.
All of the following products contain HCTZ plus another active ingredient EXCEPT:
(A) Dyazide. (Triamterene + HCTZ)
(B) Vaseretic. (Enalapril + HCTZ)
(C) Prinivil. (Lisinopril)
(D) Zestoretic. (Lisinopril + HCTZ)
(E) Ziac. (Bisoprolol Fumarate + HCTZ)
Review characteristics of individual products.
All of the following products contain HCTZ plus another active ingredient EXCEPT:
(A) Dyazide. (Triamterene + HCTZ)
(B) Vaseretic. (Enalapril + HCTZ)
(C) Prinivil. (Lisinopril)
(D) Zestoretic. (Lisinopril + HCTZ)
(E) Ziac. (Bisoprolol Fumarate + HCTZ)
PG 27
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39
Review Dosage forms Dosage forms available for haloperidol include:
I. oral tablets.
II. injection.
III. oral liquid. (A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
Review Dosage forms Dosage forms available for haloperidol include:
I. oral tablets.
II. injection.
III. oral liquid. (A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
PG 27
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40
Review Dosage forms Dosage forms available for haloperidol include:
I. oral tablets.
II. injection.
III. oral liquid. (A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
Review Dosage forms Dosage forms available for haloperidol include:
I. oral tablets.
II. injection.
III. oral liquid. (A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
PG 27
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41
PG 28
Review Pharmacologic classification and unique characteristics
Which drug product in Mr. Carlson’s profile is intended for the prevention or treatment of glaucoma?
(A) Atropine
(B) Latanoprost
(C) Ipratropium
(D) Gentamicin
(E) Triamcinolone
Review Pharmacologic classification and unique characteristics
Which drug product in Mr. Carlson’s profile is intended for the prevention or treatment of glaucoma?
(A) Atropine
(B) Latanoprost
(C) Ipratropium
(D) Gentamicin
(E) Triamcinolone
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42
PG 28
Review Pharmacologic classification and unique characteristics
Which drug product in Mr Carlson’s profile is
intended for the prevention or treatment of glaucoma?(A) Atropine (cycloplegic refraction: Ciliary muscles)
(B) Latanoprost (Antiglaucoma), prostaglandin agonist
(C) Ipratropium (Bronchodilator, Anticholingergic)
(D) Gentamicin (Aminoglycoside Antibiotic) (E) Triamcinolone (Corticosteroid)
Review Pharmacologic classification and unique characteristics
Which drug product in Mr Carlson’s profile is
intended for the prevention or treatment of glaucoma?(A) Atropine (cycloplegic refraction: Ciliary muscles)
(B) Latanoprost (Antiglaucoma), prostaglandin agonist
(C) Ipratropium (Bronchodilator, Anticholingergic)
(D) Gentamicin (Aminoglycoside Antibiotic) (E) Triamcinolone (Corticosteroid)
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43
PG 29
Review dosing or dosing regimens
The daily dose usually prescribed for tamsulosin (Flomax) is:
(A) 0.4 mg.(B) 1 mg.(C) 2 mg.(D) 4 mg.(E) 10 mg.
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44
PG 29
Review dosing or dosing regimens
The daily dose usually prescribed for tamsulosin (Flomax) is:
(A) 0.4 mg.(B) 1 mg.(C) 2 mg.(D) 4 mg.(E) 10 mg.
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45PG 29
Review major clinical laboratory tests used to
diagnose disease or evaluate progress or patient outcomes.
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46PG 29
ExampleWhich of the following lab tests should be ordered to aid in the confirmation of a MI?
(A) CPK, Troponin, AST
(B) ALT and alkaline phosphatase
(C) serum creatinine and bilirubin levels
(D) serum K and blood glucose levels
(E) serum Na, K, Cl, and bicarbonate levels
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47PG 29
ExampleWhich of the following lab tests should be ordered to aid in the confirmation of a MI?
(A) CPK, Troponin, AST
(B) ALT and alkaline phosphatase
(C) serum creatinine and bilirubin levels
(D) serum K and blood glucose levels
(E) serum Na, K, Cl, and bicarbonate levels
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48PG 30
Review the type of information found in the reference books usually used in pharmacies.
Drug information suitable for a patient handout is readily available in:
(A) Remington The Science and Practice of Pharmacy.(B) USP/NF.(C) USP DI Volume I.(D) USP DI Volume II.(E) USP DI Volume III.
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49PG 30
Review the type of information found in the reference books usually used in pharmacies.
Drug information suitable for a patient handout is readily available in:
(A) Remington The Science and Practice of Pharmacy.(B) USP/NF.(C) USP DI Volume I.(D) USP DI Volume II.(E) USP DI Volume III.
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50PG 31
Review all aspects of pharmaceutical calculations.
Most questions will involve quick calculations, units, conversions, simple dosing, etc., adjustments of strengths, milliequivalent calculations, determination of osmolarity.
Complicated questions concerning pH, drug ionization; pH and pKA of a drug may only constitute one or two questions.
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51PG 31
Review the following concepts of enteral and
parenteral nutrition. How formulas are chosen or developed
Methods for administration
Nutritional calorie counts
Compounding and stability problems
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52PG 32
Review basic techniques for the compounding of prescriptions
and medication orders including parenteral admixtures.
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53PG 34
Review the principles of the pharmacokinetics of drugs and drug
therapy.A drug that follows nonlinear pharmacokinetics is likely to:
(A) follow first-order kinetics(B) follow zero-order kinetics(C) follow second-order kinetics (D) graph as a straight line on semilog paper(E) exhibit erratic absorption and excretion
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54PG 34
Review the principles of the pharmacokinetics of drugs and drug
therapy.A drug that follows nonlinear pharmacokinetics is likely to:
(A) follow first-order kinetics(B) follow zero-order kinetics(C) follow second-order kinetics (D) graph as a straight line on semilog paper(E) exhibit erratic absorption and excretion
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55PG 35
Review the dispensing protocols that pharmacists follow when performing a
prospective review of a new prescription with that patient’s drug profile or drug
history.Auxiliary labels
Appropriate use
Side effects
Allergies
Pregnant or likely to become pregnant
Auxiliary equipment
Does the patient understand
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56PG 37
Review the general classes of the OTC drugs.
Active ingredient
Dosing and appropriate use
Therapeutic activity
Potential drug interactions with prescription drugs
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57PG 39
Format of NAPLEX® Profile Questions
Institutional/nursing home profilePatient history(age,weight, primary diagnosis, secondary diagnosis, previous conditions, allergies
Current patient information (lab/diagnostic tests
Medication orders
Additional orders (dietary, social)
Physician orders
Community practice profileThis profile is less extensive than above profiles but contains prescription refills
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60PG 39
General Comments for Answering Questions
Ignore the profile until you have read and attempted to answer the question presented.
Ignore standard orders (e.g., Colace)
Reason for new “real drugs”
New drug has the same or opposite effect of other drugs previously listed?
New drug prescribed to counteract the side effects of an older drug?
Contraindicated?
Allergies?
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61PG 40
Example of a community medication profile
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62PG 40
ExampleMs. Doolittle should be counseled concerning her compliance with which of the following drugs?
I. Calan
II. Glucophage
III. Calcium gluconate
(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
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63PG 40
ExampleMs. Doolittle should be counseled concerning her compliance with which of the following drugs?
I. Calan
II. Glucophage
III. Calcium gluconate
(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
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64
Example
The pharmacist should question the prescriber concerning the dose of which one of the drugs in Ms. Doolittle’s profile?
A. Caclium gluconateB. GlucophageC. CalanD. HydroDiurilE. Actos
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65
Example
The pharmacist should question the prescriber concerning the dose of which one of the drugs in Ms. Doolittle’s profile?
A. Caclium gluconateB. GlucophageC. CalanD. HydroDiurilE. Actos
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66PG 44
Example of institution/nursing home medication profile
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67PG 45
ExampleA lab test that may clarify Mr. Newman’s diabetes state will measure:
(A) HCG.
(B) Hct.
(C) A1c.
(D) PSA.
(E) BSA.
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68PG 45
ExampleA lab test that may clarify Mr. Newman’s diabetic state will measure:
(A) HCG.
(B) Hct.
(C) A1c.
(D) PSA.
(E) BSA.
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69PG 46
Admitting orders
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70PG 46
ExampleBased on the admission orders and present medications, the patient is suffering from:
I. a severe, acute infection.
II. cardiovascular disease.
III. edema.
(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
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71PG 46
ExampleBased on the admission orders and present medications, the patient is suffering from:
I. a severe, acute infection.
II. cardiovascular disease.
III. edema.
(A) I only
(B) III only
(C) I and II only
(D) II and III only
(E) I, II, and III
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72
ExampleThe order “protime stat and daily” is a lab test used to monitor therapy with:
(A) aspirin
(B) Lasix
(C) Glucophage
(D) Lanoxin
(E) warfarin
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73
ExampleThe order “protime stat and daily” is a lab test used to monitor therapy with:
(A) aspirin
(B) Lasix
(C) Glucophage
(D) Lanoxin
(E) warfarin