NAPLEX QBANK Practice Test 2

Question 1

A patient on warfarin needs an antibiotic. Which choice carries the HIGHEST risk of increasing INR?

Accepted Answer

Trimethoprim-sulfamethoxazole

Answer

Cephalexin

Answer

Azithromycin

Answer

Nitrofurantoin

Question 2

Which counseling point is essential for a patient starting alendronate?

Accepted Answer

Take with at least 6 oz water and remain upright 30 minutes

Answer

Take at bedtime with food

Answer

Crush and mix in juice

Answer

Take with calcium for better absorption

Question 3

A patient with hyperkalemia (K 6.2) and ECG changes should first receive which agent to stabilize the myocardium?

Accepted Answer

Calcium gluconate

Answer

Sodium polystyrene sulfonate

Answer

Insulin and dextrose

Answer

Albuterol

Question 4

Which statin requires the most caution when combined with gemfibrozil due to rhabdomyolysis risk?

Accepted Answer

Simvastatin

Answer

Atorvastatin

Answer

Rosuvastatin

Answer

Pravastatin

Question 5

What is the antidote for acetaminophen overdose?

Accepted Answer

N-acetylcysteine

Answer

Flumazenil

Answer

Naloxone

Answer

Fomepizole

Question 6

Which medication should be held before iodinated contrast in a patient with renal impairment due to lactic acidosis risk?

Accepted Answer

Metformin

Answer

Glipizide

Answer

Sitagliptin

Answer

Pioglitazone

Question 7

A patient develops a dry cough on lisinopril. The best alternative within RAAS blockade is:

Accepted Answer

Losartan

Answer

Amlodipine

Answer

Hydrochlorothiazide

Answer

Metoprolol