North American Pharmacist Licensure Examination Practice Test


The NAPLEX®- or North American Pharmacist Licensure Examination®- measures a candidates knowledge of the practice of pharmacy. It is just one component of the licensure process and is used by the boards of pharmacy as part of their assessment of a candidates competence to practice as a pharmacist.
Before you get started- obtain the NAPLEX/MPJE Application Bulletin. It contains everything you need to know about the exam- such as:
The two-step process Testing appointment instructions What youll see on the exam How to get your score report
If you dont already have an NABP e-Profile follow the instructions on
NABPs website to create one. Verify that your name in your e-Profile
matches exactly to your primary and secondary IDs that you will use to
be admitted to the testing center (see the Taking Your Exams section
for name matching requirements). To update your e-Profile- follow the
instructions on the NABP website.
If you are a student- you probably have an NABP e-Profile that was set up
for the PCOA. If you forgot your password- use the Forgot Password link
and reset it. If you no longer have access to the email address associated
with your account- contact NABP Customer Engagement for help.
NABP confirms eligibility to sit for the NAPLEX and MPJE for candidates seeking licensure in the above listed states. If
you are seeking licensure for any of these jurisdictions- including via score transfers- you will need to pay an additional
non-refundable processing fee of $85. This fee covers both the NAPLEX and MPJE and is valid for a one-year period
starting with the date of the initial application.
If you have not passed your exam within that one-year period- you will forfeit the processing fee and will be required to
submit a new processing fee if you wish to still take the exam(s).
If you are a new graduate seeking initial licensure in one of the above listed states- you must have an official transcript
sent directly from your pharmacy school to NABP before beginning the NAPLEX/MPJE application process. Candidates
applying for licensure in Oregon must also submit an official transcript to the Oregon State Board of Pharmacy.
There is a 45-day waiting period after a failed attempt to take the NAPLEX. Candidates may reapply but will not receive a
new ATT to schedule an exam until the board reconfirms eligibility and the wait period has been met. Some jurisdictions
require a longer waiting period. If you are testing for such a jurisdiction- the longer waiting period applies.
The waiting period policy also limits candidates to a maximum of 3 attempts per 12-month period. If you fail the NAPLEX
3 times in a 12-month period- you must wait at least 12 months from the first attempt to reapply.

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Question: 31
Which of the following is an anxiolytic?
A. Buspirone
B. Budenoside
C. Busulfan
D. Bumetanide
Answer: A
Buspirone is an anxiolytic. Budenoside is a corticosteroid used as an inhalant for
asthma therapy. Busulfan is an alkylating agents used in CML. Bumetanide is a
loop diuretic used to control edema of heart failure.
Question: 32
Which of the following drug classes are used to prevent and treat inflammatory
bowel disease (IBD)? I. Immunosuppressants II. Gamma amino butyric acid III.
Corticosteroids IV. Macrolides
A. I and III only
B. II and III only
C. III and IV only
D. All of the above
Answer: A
Immunosuppressants and corticosteroids are commonly used to treat and prevent
IBD.
Question: 33
A 56-year-old female patient has a diagnosis of GERD, mild hypertension,
hyperthyroidism, hypercholesterolemia, and Type II diabetes of 5 years duration.
Medications include metformin, glyburide, propylthiouracil, lansoprazole,
atorvastatin, and hydrochlorothiazide. recent labs report an A1c of 9.8%, TSH of
2.7, Hgb of 12.2 and total cholesterol of 130mg/dL. A physical exam reveals a
blood pressure of 128/76 and a resting heart rate of 98. The patient is complaining
of muscle cramps, fatigue, and thirst. Which of the following medications may
need adjustment?
A. Metformin and glyburide
B. Propylthiouracil
C. Atorvastatin
D. Metformin, glyburide, and atorvastatin
Answer: D
The patient is showing signs and symptoms of uncontrolled diabetes (A1c
increased thirst) and an adverse effect of statin use (muscle cramps, fatigue).
Thyroid tests are within normal limits. The hypoglycemics and statin dosages
should be adjusted.
Question: 34
Which of the following brand names is not correctly matched with its generic
name?
A. Sonata-Zaleplon
B. Accolate-Zafirlukast
C. Sanctura-Trospium
D. Levitra-Venlafaxine
Answer: D
The brand name of venlafaxine is Effexor. Levitra is the brand name of
vardenafil. The others are correctly matched.
Question: 35
Which of the following are possible adverse effects of ramipril (Altace)? I. Heart
failure and hyperkalemia II. Angioedema and bronchospasm III. Respiratory
depression and coma IV. Paradoxical acid reflux and esophagitis
A. I and II only
B. II and III only
C. I and III only
D. All of the above are possible adverse effects.
Answer: A
Ramipril is an Angiotensin Converting Enzyme (ACE) Inhibitor. Adverse effects
include heart failure, MI, hyperkalemia, angioedema, bronchospasm, anaphylaxis,
and agranulocytosis.
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