NAPLEX QBANK Therapeutic Plan Assessment 2

Question 1

A 68-year-old with heart failure (EF 30%) and a serum potassium of 5.6 mEq/L is on lisinopril and spironolactone. Which intervention is most appropriate?

Accepted Answer

Hold the spironolactone and recheck potassium

Answer

Add amlodipine for additional benefit

Answer

Increase the lisinopril dose

Answer

Start a potassium supplement

Question 2

A patient on warfarin presents with an INR of 6.8 and no bleeding. What is the most appropriate action?

Accepted Answer

Hold warfarin and consider low-dose oral vitamin K

Answer

Administer IV vitamin K and FFP

Answer

Continue the current dose

Answer

Switch immediately to a DOAC

Question 3

Which lab parameter is most important to monitor when initiating allopurinol in a patient with gout and CKD?

Accepted Answer

Serum creatinine and CBC

Answer

Serum calcium

Answer

Thyroid function

Answer

Prolactin

Question 4

A type 2 diabetic with an A1c of 9.2% on metformin alone and a history of heart failure should add which agent for best cardiovascular benefit?

Accepted Answer

Empagliflozin

Answer

Pioglitazone

Answer

Glipizide

Answer

Sitagliptin

Question 5

A patient on simvastatin 40 mg is started on which medication that requires lowering the simvastatin dose due to interaction?

Accepted Answer

Amlodipine

Answer

Metoprolol

Answer

Furosemide

Answer

Aspirin

Question 6

An asthmatic patient using a rescue albuterol inhaler more than twice weekly indicates the need for which therapy adjustment?

Accepted Answer

Add an inhaled corticosteroid

Answer

Increase albuterol frequency

Answer

Add an oral decongestant

Answer

Discontinue all therapy

Question 7

Which therapeutic change is appropriate for a patient on amiodarone who develops elevated TSH and low free T4?

Accepted Answer

Add levothyroxine and continue monitoring

Answer

Stop monitoring thyroid function

Answer

Double the amiodarone dose

Answer

Start methimazole