NAPLEX QBANK Therapeutic Treatment Planning 3

Question 1

A patient with major depressive disorder and significant insomnia and poor appetite would benefit most from which antidepressant?

Accepted Answer

Mirtazapine

Answer

Mirtazapine promotes sleep and increases appetite, making it well suited for depressed patients with insomnia and weight loss.

Question 2

A patient with COPD has 3 exacerbations in the past year despite a LABA/LAMA combination. What is the best step in the treatment plan?

Accepted Answer

Add an inhaled corticosteroid

Answer

Frequent exacerbations on dual bronchodilator therapy support escalation to triple therapy by adding an inhaled corticosteroid.

Question 3

Which empiric antibiotic regimen is most appropriate for an otherwise healthy adult outpatient with community-acquired pneumonia and no comorbidities or recent antibiotics?

Accepted Answer

Amoxicillin or doxycycline

Answer

Healthy outpatients with CAP and no comorbidities can be treated with amoxicillin or doxycycline monotherapy.

Question 4

A patient with gout has 3 attacks per year and a serum urate of 9 mg/dL. After acute treatment, what is the appropriate long-term plan?

Accepted Answer

Start allopurinol with a urate target below 6 mg/dL

Answer

Recurrent gout with elevated urate warrants urate-lowering therapy such as allopurinol titrated to a target below 6 mg/dL.

Question 5

A patient with stable angina remains symptomatic on maximally tolerated metoprolol. Which addition is most appropriate?

Accepted Answer

A dihydropyridine calcium channel blocker

Answer

Adding a dihydropyridine calcium channel blocker to a beta-blocker provides additional antianginal control in stable angina.

NAPLEX QBANK Practice Test

NAPLEX QBANK Practice Test

NAPLEX QBANK Therapeutic Treatment Planning 3