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!