NAPLEX

NAPLEX practice questions, page 4 of 6, with answer review and explanations.

Question 16

Which of the following NSAIDs is an Enolic acid derivative?

  1. Ibuprofen
  2. Piroxicam
  3. Naproxen
  4. Oxaprozin
  5. Fenoprofen

Question 17

A 67-year-old female presents to your clinic complaining of fatigue, diarrhea, headaches and a loss of appetite. Upon examination you find that she is having some cognitive difficulty. Laboratory results reveal: MCV: 109fL; Hgb: 9g/dL; MMA and homocystine are both elevated. Shilling test is positive. What is the next best step in the management of this patient?

  1. Lifelong folic acid supplementation
  2. Lifelong Vitamin B12 supplementation
  3. Iron supplementation for 4-6 months
  4. Obtain a Coomb's test
  5. Give corticosteroids and iron supplementation

Question 18

Your patient, a 25-year-old G1P0 female at 26 weeks gestation presents due to an abnormal glucose tolerance test. One week prior, she was given 50 g of oral glucose and demonstrate a venous plasma glucose level of 156 mg/dL one hour later. Which of the following is the most appropriate next step of management?

  1. Repeat the 50 g oral glucose challenge
  2. Administer an oral, 3-hour 100 g glucose dose
  3. Advise the patient to follow an American Diabetic Association diet plan
  4. Begin insulin treatment
  5. Order a fetal ultrasound examination

Question 19

A 23-year-old female presents to your clinic complaining of intermittent throbbing headaches that usually last for several hours and are made worse by the presence of light. She endorses occasional nausea without vomiting during the most severe episodes. Physical examination is unrevealing, and she has no significant past medical history. Which of the following treatments is considered an abortive therapy for this patient's underlying condition?

  1. Sumatriptan
  2. Gabapentin
  3. Amitriptyline
  4. Propranolol
  5. Diltiazam

Question 20

An 11-year-old male presents with his mother to your clinic with 5 days of frequent diarrhea, occasionally with streaks of blood mixed in. Stool cultures are pending, but preliminary stool samples demonstrate fecal WBC and RBC. Assuming the patient is stable enough for outpatient management, what would be the optimal treatment assuming the underlying pathogen is Shigella?

  1. Oral Erythromycin
  2. Oral Metronidazole
  3. Oral Vancomycin
  4. An oral quinolone
  5. Oral TMP-SMX