NAPLEX on 10/6

Hi guys 🥵🫠 I took my NAPLEX on 10/6 and wanted to share what my content was. I feel like I had similar to what people mentioned on 9/22 to 10/4 here previously. I am thankful to everybody here🫶🏻 who shared their experiences in this stressful exam; it's helped me a lot. I am praying to pass🤲🏻😭😭. I have long cases, and I have short questions not heavy in math. The time was so challenging for me. I only finished 220 questions. Some questions were written in a weird way that made me read them twice to understand the question, and some weird questions you cannot figure out what they are asking about, but this is like 2 to three questions. You may see on the exam. Here is the list of what I remember 🫠🫠

Foundations Part 1@2 Do Qbank in UWorld, you will see similar questions. I do not have a lot of DD interaction. I have more management questions than ethics, but the ethics definition with examples from ChatGPT, you will be good

Calculations less than 20 questions, they put them at the end of the exam after you get tiered

• I had so many flow rates, a couple alligations, a couple Q1C1
• calculate the total kcal for premixed lipids, AA, and dextrose. I think i had about 5 questions on calculating calories from a PN
• No nitrogen from protein question
• I had the weird kangaroo pump question, know what is used for and why to use it
• Know which drug can be given via feeding tube and choices were brand names No mmol or mEq directly but needed to know conversions
• I had how many mL equal x amount of tablets for sulfa
• ANC questions and BSA chemo and they need dose/day, questions to calculate dose (on formula sheet)
• I had one corrected calcium question but formula is on reference sheet Half life after 75% of the drug gone in 8hr !!? Vd, Ke calculation, conversion of prednisone to hydrocortisone, Furosemide to Bumex

Biostatistics

• For biostats understand the interpretations for RR, RRR, and know how to calculate ARR, NNT/NNH.
• I had one question on null hypothesis definition and one on the type 1 error in the scenario
• What helps increase the significance of a study (larger sample size)
• No sensitivity or specificity or forest plots
• No Pharmacoeconomics
• I had 2 on which stat to use given these testing groups (paired t-test and chi-square) and I have one about ANOVA, Chi-square, etc, what type of study is it , know the difference between them (cohort study, meta analysis, etc)

Compounding: ISO requirements for USP797, excipients

• know your compounding agents (wetting, suspensions etc), I had one question on what to use to make gel less greasy and quicker drying
• Which syringe to use for insulin units they give you a number to choose from if the patient is a small to medium body Endocrine: know when to increase/decrease thyroid medications based off labs, diabetes monitoring, annual eye exam, MOA of diabetes meds, hypoglycemia crisis when BG =34

Immunizations: HEAVY ~15-20 questions. KNOW everything, Vaccines contraindicated in pregnancy, vaccines to get in pregnancy, vaccines for healthcare personnel, gauge size & needle size, oral vaccines, vaccines that have to be separated from blood products. I have a question about a patient who is immunocompromised. In addition to the childhood vaccinations, what should he also get? So you should know what childhood vaccination lists are and what you add to this list.

• I had so many questions on specific populations (older, immunocompromised, child, healthcare worker, asplenia), * Rotavirus being PO and not indicated for adults, basically everything in this chapter

Infectious Diseases Meningitis symptoms, MASSA, MARS coverage drugs, morphology, bugs to drugs, Tx

• HIV (KNOW BRAND AND GENERIC)I had a question HIV home test use (not finger stick - oral swab) Vaginal infections if a woman has yellow/green discharge, what should you do: treat or refer to a doctor GI: If the patient has taken PPI for two weeks but still have pain. The level of the pain is rated from five to seven on the scale. What you should do: Treatment or referral to the doctor. Know when you treat what option and when you refer to PC contraception type okay to use in breastfeeding, natural products, gout non-pharm

Endocrine: know when to increase/decrease thyroid medications based off labs, diabetes monitoring, MOA of diabetes meds, hypoglycemia crisis when BG 34 , conversion from Lantus to Toujeo

Cardrio NYHA heart failure classes based on symptoms, calculate CHA2DS2-VASc Scoring 4 pillars of HF, know when/how to change from one anticoagulant to another, I have changed from Heparin to enoxaparin when to it started

Asthma/COPD: brand/generic of inhalers to choose a therapeutic interchange, know what to do in each step of the asthma peak flow monitoring system, peak flow meter (green, yellow, red), I have yellow

⁠IPPE/ APPE student roles, pharmacist roles working interdisciplinary with other professions • ⁠Ethics and management

Lithium interactions**: ↑ levels with NSAIDs, ACE/ARBs, thiazides, spironolactone,

Drugs ↑ uric acid**: Aspirin (low dose), Cyclosporine, Diuretics, Niacin, Pyrazinamide

Opioid overdose: Which drugs are used to treat Non-pharm Gout at home management and diet know natural products nausea, BPH, know natural products for each disease, there is a table in the video of the UWorld lecture
I have a question about when to use a drug emergency authorization. I picked on the natural disasters!! This is what I remember: my brain fried🫠🥵 I hope that will help, and Good Luck 🫰🏻👍🏻