Jul 18, 2010 15:14
So I took NAPLEX on Thursday... it was good and bad.
I did NOT get what I wished for. I had hoped for anything but Cancer, AIDS and Infectious disease... and of course I got a ton of those questions.
I died a little inside when I got question #1: Which of the following two chemotherapy agents are both vesicants? Fortunately, though, I believe I got it right: Doxorubicin and Vincristine. :D
I'm really pissed at myself because I had no idea what the drug "Sarafem" was, and I had 2 questions on it. Apparently it's just another name for Prozac! I had never heard that before. I am pretty sure I didn't get either question about it right. There was a question on what Sarafem is specifically indicated for which I know I got wrong, and another question that I can't remember.
Also, I got a lot of random questions involving Pancreatitis. WTF?! I maybe had a half a lecture on it in school like 3 years ago, and I ended up getting a case with more than 5 very specific questions on the patient lab values in pancreatitis, drugs that cause pancreatitis, disease & pathology, affect on bile acids, and a drug/disease interaction. Eew. I think I survived it hopefully only mildly scathed.
Overall on the test though, I think I did pretty well. I am proud of myself for getting a couple right that I wasn't sure about when I looked them up after the test.
I got randomly asked the initial starting dose for Lantus an Insulin-naive Type 2 Diabetic patient.
a) 5 u qd
b) 10 u qd
c) 5 u bid
d) 10 u bid
e) Tx not appropriate
Tricky, but since I knew Lantus is a long acting insulin I was pretty sure it would have to be qd dosing but I wasn't sure of the units. I contemplated thinking that maybe therapy wasn't appropriate but I thought I had remembered some type 2 dm patients using it before. So I ended up guessing on 10 u qd. Score.
There were others, but I am sure glad I did a pretty fantastic job of guessing where I needed to. Thankfully though, I didn't have to do a ton of guessing because I'm pretty sure I knew my shit.
Here are some words of wisdom for the day:
1. In case of a Xanax overdose, think Flumazenil (e.g. the antidote).
2. Drinking alcohol is very bad if you are taking a Sulfonylurea (e.g. Glyburide, Glipizide, Glimepiride)
3. Invirase (Saquinavir), a protease inhibitor used for AIDs should be stored in the refrigerator and once dispensed is good for 90 days at room temperature.
:D
In other news, Happy birthday Erin!