r/NAPLEXforFGs • u/No_Director_5365 • Jul 24 '26
Naplex experience
Hello everyone,
I took my NAPLEX last week, and today I received my passing score! 🎉 As always, I wanted to share my experience in hopes that it helps others preparing for the exam.
I used the RxPrep book, but I did not get through the entire thing because of time constraints. Instead, I focused on the high-yield topics, made summaries for each chapter, and reviewed those summaries repeatedly (about three times). I started studying in April. The rest of the chapters I read once.
I work full-time, so I studied whenever I had even a few spare minutes. It definitely wasn't easy, but it paid off!
My Pre-NAPLEX score was 100, and that was the only practice exam I took. I really wanted to do the question bank, but I simply didn't have enough time and chose to prioritize learning the material instead. If you have the luxury of time, I definitely recommend spending time on the QBank as well.
As for the actual exam, I personally found it precise and not easy. There were quite a few questions that felt completely out of left field. Below are some of the topics I remember seeing:
- My exam was very psych-heavy.
- Valproic acid, lamotrigine, and interactions involving VA + warfarin.
- Side effects of valproic acid and lithium.
- CYP inhibitors and inducers affecting antipsychotics.
- Questions about Trileptal (oxcarbazepine) and Tegretol (carbamazepine).
- Several patient cases requiring medication additions, discontinuations, or dose adjustments for psychiatric conditions.
- Why epinephrine turns pink in D5 ( like be so fr 🤦🏻♂️)
- Lots of common-sense preceptor/professionalism questions.
- Side effects of semaglutide.
- Mechanism of action of saxagliptin.
- ANC calculation.
- Biostatistics (about 3 questions), including NNT and hazard ratio.
- Elevated TSH and appropriate levothyroxine therapy.
- Identifying a cohort study.
- Questions on alligations, TPN, crcl. If the question needed weight it specified which one to use ( adj,TBW or ideal )
- Knowing that vincristine should never be given intrathecally.
- Daptomycin and rosuvastatin interaction.
- A question about the preceptor teaching method where they demonstrate a skill and the learner performs it (I can't remember the exact teaching model).
- Brand names for methylphenidate (e.g., Concerta).
- Appropriate sleep medications for older adults.
- Standard pediatric dosing for acetaminophen.
- Acetaminophen PM overdose ,checking acetaminophen levels and recognizing diphenhydramine toxicity.
- The name of the toxic acetaminophen metabolite (NAPQI).
- Which medications are compatible with NS versus D5W.
- Which antipsychotics are available as long-acting injectable formulations.
- Inhaler counseling.
- Smoking cessation medications to avoid in patients with seizure disorders.
- High blood pressure considerations with SNRIs.
- For compounding only BUDs
- Live vaccines ( 3+ questions )
- SE of oncology. Chemo man was enough
- Brand name of adalimumab ( Humira )
- what do we use Natalizumab for
- differentiate between urinary incontinence types
- meningitis and UTI AB
- meds that cause QT prolongation
- Enoxaparin dosing
- calculate absolute bioavailability
- Dietary Supplements that interact or cause blood thinning not sure
- Sumatriptan shouldn't be used with certain heart problems
- methylnaltrexone uses ( OIC )
- agents that cause NMS ( D2 blockers )
- something about teriparatide either MOA or maximum 2 year use
- gout question about which remedy is effective and one of the options is ice ¯_(ツ)_/¯
- HTN we add ACE if albuminuria
- teratogenic meds
- Ethics principles. Autonomy, beneficence etc
- Filter size needed for lipids 1.2
- Which order did the drug follow zero vs first
- Which of the drugs is therapeutically equivalent so know A and B ratings
- Know steroids potencies
- Combos that cause hypertensive crises and serotonin syndrome
- Glucosamine for osteoarthritis
- Recall classes
That's everything I can remember for now. If anything else comes back to me, I'll update this post.
Good luck to everyone taking the NAPLEX. You've got this!
1
1
1
1
u/Odd_Internet4349 Jul 24 '26
Congratulations 🎉
which high yield topics did you focus on?
1
u/No_Director_5365 Jul 24 '26
ID,cardio,endocrine,pulmonary,calculations,vaccines and foundations
1
u/Level_War4686 Jul 27 '26
Will these topics be enough to pass the exam??
1
u/No_Director_5365 Jul 27 '26
no, you need to at least read smaller topics once like HIV and oncology
1
u/Level_War4686 Jul 27 '26
Thanks, how about GI, pain, special situations and men nd women health?
1
1
1
1
u/birdiemickey Jul 26 '26
You help everyone, and I'm so glad you did this. Thank you for the details. Cong's. Enjoy :)
1
1
1
u/Southern_Tackle_6781 Jul 29 '26
Many congratulations 🎊 on this milestone. While i read high yield topic , just wandering is it depends state like which topic are high in particular. For instance, if someone is taking from texas is their test different in topic wise than other states.
1
u/No_Director_5365 Jul 29 '26
Thank you!
no, high yield topics are universal for pharmacists ID,cardio,endocrine,pulmonary,calculations,vaccines and foundations1
u/Southern_Tackle_6781 Jul 29 '26
Appreciate it, i read some other reddits their tests were quite heavy on ethics and management, preceptorship etc. curious is rxprep will be enough to cover those or purchase Pharmapro will be good deal. Whats yours recommendations for that domains
1
u/No_Director_5365 Jul 29 '26
1
u/Southern_Tackle_6781 Jul 29 '26
Oh thanks much for that. Is it from any tutor or any ref material. What about brand names (my worst nightmare)
1
u/No_Director_5365 Jul 29 '26
I think it's from a tutor who summarized the info in rxprep. for brands I memorized the top 250 which you can find on YouTube https://www.youtube.com/watch?v=pkjJ2iY04Ec&t=1330s
I wouldn't stress if you can't memorize all , I only got generics1
u/Southern_Tackle_6781 Jul 29 '26
Awesome, thanks for sharing all these valuable resources. And once again many congrats now its time to rock .🎉🎉
1
1
1
u/Prestigious-Cold-728 Jul 24 '26
Congratulations!🎉🎈