NABP Exam NAPLEX Topic 4 Question 83 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 83
Topic #: 4

LN is 84 YOM who is in hospital for a back surgery. His height is 5 feet and 4 inches, weight 85 kg and NKD

AHis past medical history includes hypertension, diabetes mellitus, major depression, hypothyroidism and chronic back pain.
Post-op day 1, LN's medication includes Dexamethasone 8 mg iv q6h with taper dosing, Ondansetron 4 mg iv q6h prn for N/V, Levothyroxine 0.075 mg po daily, Lisinopril 10 mg po daily, Citalopram 20 mg po daily, Docusate sodium / Senna 1 tab po twice a day, Bisacodyl 10 mg suppository daily prn for constipation, Famotidine 20 mg iv q12hr, Metoclopramide 10 mg iv q6h, Metformin 500 mg po bid, D51/2NS with 20 K at 125 mls/hour and Hydromorphone PCA at 0.2 mg/hour of basal rate, demand dose 0.1 mg. lock-out every 6 min, one hour limit 2.2 mg/hour. Pertinent morning labs includes serum creatinine 1.4 mg/dl, Mg 1.5 mg/dl, K
5.0 mmol/L, Na 135 mmol/L.
Which of the following medication may cause tardive dyskinesia when given at a higher dose and for a long duration?

ALisinopril

BDexamethasone

CFamotidine

DMetoclopramide

EHydromorphone

Show Suggested Answer

Suggested Answer: C

Serum chloride levels should ideally fall between 96-106 mEq/L. For this reason, the patient's chloride level has come back as normal.

by Teddy at May 29, 2024, 08:55 AM

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Coral

26 days ago

Wait, is this a trick question? I'm gonna go with the wild card, D. Metoclopramide. No one expects the anti-nausea meds to be the ones spiking the blood sugar!

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1 months ago

Oh, man, this is a tough one. I'm gonna go with C. Famotidine. It can't be Lisinopril, right? That's an antihypertensive, not a blood sugar raiser.

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Alva

4 days ago

I'm not sure about that. I'm leaning towards E. Hydromorphone. Pain medications can sometimes affect blood glucose.

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Jill

15 days ago

I think it might be B. Dexamethasone. Steroids can definitely raise blood sugar levels.

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3 months ago

I think the answer is B) Dexamethasone.

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