NABP Exam NAPLEX Topic 4 Question 72 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 72
Topic #: 4

A 7-year-old boy has been suffering from influenza and had been given a drug by his father to decrease his high fever. A few hours later, his father brought him to the emergency room in a comatose state with a papulovesicular rash all over the body, moderate hepatomegaly, and asterixis. Laboratory studies reveal elevated levels of blood ammonia, AST, ALT, and PT. CT scan findings are suggestive for generalized cerebral edema.

The drug the father gave his son is most likely which of the following drugs?

AAspirin

BAcetaminophen

CIndomethacin

DMefenamic acid

EDiclofenac

Show Suggested Answer

Suggested Answer: D

Pregabalin is the active ingredient of the medicine Lyrica; a drug used to treat epilepsy, neuropathic pain, fibromyalgia and generalized anxiety disorder (GAD).

by Glenn at Dec 08, 2023, 12:46 PM

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Fernanda

2 months ago

Oof, this one's a real head-scratcher. Maybe the dad was feeling a little 'mefenamic' and grabbed the wrong meds. D, just for the pun-tastic possibilities.

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Mary

5 days ago

A: Definitely. I wonder if he realized his error too late.

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Brinda

16 days ago

B: Yeah, it's really sad. I think the dad made a mistake with the medication.

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Long

18 days ago

A: That's a tough situation. I hope the boy will be okay.

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Brittney

2 months ago

Ah, the old 'Which potentially toxic drug did the parent accidentally give the kid?' trick question. I'm going to have to go with my gut on this one - B, acetaminophen. Dad's probably feeling pretty guilty right about now.

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Octavio

2 months ago

Hold up, what if the dad was just really confused and gave the kid some random NSAID like indomethacin or diclofenac? Tricky question, but I'll go with C or E just to be safe.

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Lashonda

19 days ago

Yeah, let's go with option E) Diclofenac just to be on the safe side.

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Justine

1 months ago

I agree, option E) Diclofenac seems like a possible culprit.

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Margot

1 months ago

I think it's safer to go with option E) Diclofenac.

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Thaddeus

2 months ago

No way, it's gotta be acetaminophen! That's the go-to fever reducer for kids, and the side effects match up perfectly. B is the answer, for sure.

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Jeannine

2 months ago

Hmm, this sounds like a classic case of aspirin toxicity. The symptoms are spot on - coma, rash, liver issues, and cerebral edema. I'm going with A, aspirin.

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