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Therapeutic Treatment Planning Flashcards

7 cards from real NAPLEX QBANK practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with seizure disorder and hepatic impairment needs an antiepileptic with minimal hepatic metabolism. Which is most appropriate?

    Answer: Levetiracetam

    Levetiracetam is primarily renally eliminated and is preferred when hepatic metabolism must be minimized.

  2. A patient with newly diagnosed atrial fibrillation has a CHA2DS2-VASc score of 4. What is the appropriate anticoagulation plan if there are no contraindications?

    Answer: A direct oral anticoagulant

    A CHA2DS2-VASc score of 4 indicates high stroke risk warranting oral anticoagulation, with DOACs preferred over warfarin in nonvalvular AF.

  3. A patient with rheumatoid arthritis has inadequate control on methotrexate monotherapy. What is an appropriate next step?

    Answer: Add a TNF inhibitor or other biologic DMARD

    Inadequate response to methotrexate warrants adding a biologic such as a TNF inhibitor to achieve disease control.

  4. A patient with a confirmed penicillin anaphylaxis history needs treatment for streptococcal pharyngitis. Which is the safest choice?

    Answer: Azithromycin

    With a history of penicillin anaphylaxis, a macrolide such as azithromycin avoids cross-reactivity concerns.

  5. A patient on long-term high-dose inhaled corticosteroids reports recurrent oral thrush. What counseling point best addresses this?

    Answer: Rinse and spit with water after each inhalation

    Rinsing the mouth after inhaled corticosteroid use reduces local drug deposition and prevents oral candidiasis.

  6. A patient with chronic kidney disease stage 4 and anemia has iron-replete stores. What is the most appropriate therapy?

    Answer: An erythropoiesis-stimulating agent

    Anemia of CKD with adequate iron stores is treated with an erythropoiesis-stimulating agent to correct erythropoietin deficiency.

  7. A patient started on a statin develops unexplained muscle pain with a markedly elevated creatine kinase. What is the appropriate action?

    Answer: Discontinue the statin immediately

    Marked CK elevation with myalgia suggests statin-induced myopathy, requiring prompt discontinuation of the statin.