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Old 2009 September 25th, 12:09 PM   #1 (permalink)
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Feeling stressed NAPLEX date rapidly approaching.

I'm feeling a bit stressed right now. Has anyone taken the NAPLEX recently, who would not mind sharing their experience?
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Old 2009 September 28th, 08:18 PM   #2 (permalink)
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I took the NAPLEX this past July. I spent 2 1/2 months studying, and still did not feel 100% ready to take it, but took it anyway. I figured I could spend another 6 months studying and still feel the same way...There's just so much to review! But I studied as much as I could and it was time to get it out of the way.
I was frustrated while taking the exam, because I felt like all of my studying was in vain...I did not expect to see random questions or drugs I'd never heard of. So, let me tell you this...Focus on the material you can prepare for, especially calculations and large disease states-Infectious Diseases, Cardiovascular, Diabetes, etc. Don't feel guilty if you can't answer what you don't recognize...do your best on the test material you have prepared for.
I have never heard of anyone feeling confident after leaving the exam, and I was very unhappy after taking it. I was so restless until 2 weeks later when I got my results. I passed with a 96.
My advice to you and all others--Do the best you can, with the time you have, and remember that the NAPLEX is a difficult exam to take, but not that difficult to pass. Good luck!
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Old 2009 September 28th, 09:01 PM   #3 (permalink)
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This is exactly what i need to hear. How did you prepare and did you do any practice tests before?
I feel so defeated and i haven't even taken the test yet. I have just 2 weeks left and i feel like there is so much i need to cover and not enough time. And you're so right about not knowing anyone who felt confident after leaving the test. I only know of one person that thought the test was easy and they did VERY well.
I've been studying for months and I feel i don't know anything. You're proof that even though i feel this way I can still come out with a great score. Congrats to you on such a great score!
Thanks for such WONDERFUL advice!
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Old 2009 September 30th, 01:33 AM   #4 (permalink)
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I started out using APHA & notes from a review course I took, but it just took so long to get through them both (APhA is just so detailed). About midway through my studying, I ended up using Prontopass. The majority of my exam had patient profiles, so I think the Appleton & Lange book would have prepared me better than questions in APHA book.
I would only suggest taking the Pre-Naplex if you want to get a feel for a computer-based exam (especially if you have to use the on-screen calculator...luckily my test center provided hand-held calculators). I considered taking it, but kept delaying it because I didn't even feel ready enough to take that, since my exam was a week away and I was still studying. So I never ended up taking Pre-Naplex and I honestly don't think it would have made a huge difference either way.
If your exam is quickly approaching, review calculations, brand/generic/category, and major disease states that you may be shaky on (which will make you more confident if you actually get those on your exam).
I'm sure you know more than you think!
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Old 2009 September 30th, 01:41 AM   #5 (permalink)
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NAPLEX Quick Review from A&L
Here are some quick facts to prepare for NAPLEX

Miscellaneous Review Lists
The following lists are intended to provide a brief review. They are by no means comprehensive and should not be used to make medical recommendations.

Transdermal Systems Should Be Changed Accordingly
Clonidine patch every 7 days
Estradiol patch once-twice weekly (depending on brand of product)
Fentanyl patch every 3 days
Lidocaine patch every day (remove for 12 hours each night)
Nicotine patch every day
Nitroglycerin patch every day
Oxybutynin patch twice weekly
Scopolamine patch every 3 days

Common Vitamins and the Condition That Results From Their Deficiency
Ascorbic acid (vitamin C)-Scurvy
Cyanocobalamin (vitamin B12)- Pernicious anemia
Folic acid- Megaloblastic anemia
Niacin (nicotinic acid)- Pellegra
Thiamine (vitamin B1)- Beriberi, Wernicke-Korsakoff syndrome
Vitamin D- Rickets

Viruses and Antiviral Agents That Inhibit Them

Cytomegalovirus:Cidofovir (Vistide)
Ganciclovir (Cytovene)
Foscarnet (Foscavir)
Fomivirsen (Vitravene)

Hepatitis B: Adefovir dipivoxil
Interferon alfa-2b (Intron A)
Lamivudine (Epivir HBV)

Hepatitis C: Interferon alfa-2b/ribavirin
Pegylated interferon

Herpes simplex virus: Acyclovir (Zovirax)
Famciclovir (Famvir)
Valacyclovir (Valtrex)


Influenza A virus : Amantadine (Symmetrel)
Rimantadine (Flumadine)


Influenza A and B virus: Oseltamivir (Tamiflu)
Zanamivir (Relenza)


Respiratory syncytial virus: Ribavirin (Rebetron)


Varicella-zoster virus: Acyclovir (Zovirax)
Famciclovir (Famvir)
Valacyclovir (Valtrex)

Common Medications and Their Antidotes

Acetaminophen- Acetylcysteine
Benzodiazepine-:Flumazenil
Digoxin- Digoxin immune fab
Dopamine- Phentolamine
Heparin- Protamine
Iron- Deferoxamine
Methotrexate- Leucovorin
Morphine (opiates)- Naloxone
Nitrogen mustard- Sodium thiosulfate
Organophosphates -Pralidoxime/2-PAM
Warfarin -Phytonadione/vitamin K

Common Laboratory Tests and What They Indicate

ANA titer- Rheumatic diseases
aPTT- Used to monitor heparin therapy
Coombs- Antibody screening for blood donor/recipient
compatibility
D-xylose- GI function
Guaiac- Occult blood in the stool
INR- Used to monitor warfarin therapy
Prostate specific antigen- Prostate cancer
Prothrombin time- Used to monitor warfarin therapy
Reinsch- Screen for heavy metals
Schillings- Vitamin B12 absorption (pernicious anemia)
Sweat test- Cystic fibrosis
Tropronins- Cardiac marker



Drugs That Have Commonly Been Associated With Hepatic Failure
Acetaminophen Ketoconazole
Alcohol L-asparaginase
Allopurinol Methotrexate
Carbamazepine Niacin
Cytarabine Oral contraceptives
Erythromycin (estolate salt) Parenteral nutrition
Flucytosine Rifampin
Gancyclovir Sulfonylureas
Isoniazid Valproate

Drugs Commonly Associated With Decreased Renal Function
Aminoglycosides Foscarnet
Amphotericin B Gold salts
Cisplatin NSAIDS
Contrast media Pentamidine
Cyclosporine

Drugs Associated With Folic Acid Deficiency Anemia

Barbiturates Primidone
Methotrexate Pyrimethamine
Oral contraceptives Sulfasalazine
Phenytoin Trimethoprim

Drugs Associated With Lupus Erythematosus-like Reaction
Ethosuximide Phenothiazines
Hydralazine Phenytoin
Isoniazid Procainamide
Methyldopa Quinidine
Nitrofurantoin Sulfonamides
Penicillamine Tetracyclines

Drugs That Have Been Associated With Pancreatitis
Alcohol Metronidazole
L-asparaginase Parenteral nutrition
Azathioprine Pentamidine
Cimetidine Ranitidine
Dideoxyinosine (DDI) Sulfonamides
Estrogens Tetracycline
Furosemide Thiazides
Glucocorticoids Valproate
Mercaptopurine

Drugs That Have Been Associated With Photosensitivity ReactionsAmiodarone Naproxen
Amitriptyline Oral contraceptives
Doxepine Oral hypoglycemics
Fluoxetine Phenothiazines
Furosemide Piroxicam
Griseofulvin Sulfonamides
Isotretinoin Tetracycline
Ketoprofen Thiazides
Nalidixic acid

Drug-induced Parkinson's Disease May Be Caused by

Butyrophenones (especially haldol)
Heavy metal poisoning
Phenothiazines (especially thorazine)
Reserpine

Drugs That Have Been Associated With HyperglycemiaAmiodarone Nicotinic acid
L-asparaginase Oral contraceptives
Epinephrine Pentamidine
Estrogens Phenytoin
Glucocorticoids Thyroid hormones
Lithium

Drugs to Avoid in Pregnancy

Atorvastatin Methotrexate
Benzodiazepines Misoprostol
Ergotamine Pravastatin
Finasteride Raloxifene
Fluorouracil Simvastatin
Fluoroquinolones Tetracyclines
Fluvastatin Thalidomide
Hormonal agents Vitamin A (Palmitate)
Isotretinoin Warfarin
Lovastatin

Drugs That Should Not Be Taken With Food
Ampicillin Labetalol
Astemizole Lansoprazole
Cefaclor Levodopa
Didanosine Lithium
Digoxin Metoprolol
Diltiazem Nimodipine
Etidronate Penicillamine
Furosemide Propranolol
Indinavir Rifampin
Isoniazid Zafirlukast


Medications That Should Not Be Administered With Antacids
Digoxin Ketoconazole
Fluoroquinolones Quinidine
Iron preparations Tetracycline
Isoniazid Warfarin

Common Emulsifying Agents Used in Pharmaceuticals Include
Acacia Pectin
Agar Sodium lauryl sulfate
Gelatin Tragacanth
Methylcellulose

Common Preservatives Used in Pharmaceuticals IncludeBenzalkonium chloride Phenylmercuric acetate
Benzyl alcohol Potasium sorbate
Boric acid Propylparaben
Chlorobutanol Sodium bisulfite
Disodium edetate Sodium borate
Methylparaben Thimersol
Phenol

Common Suspending Agents Used in Pharmaceuticals Include

Alginic acid
Carrageenin
Sodium Carboxymethylcellulose


Common Pharmaceutical Substances and Their USP Names

Burow's solution àAluminum acetate solution (an astringent)
Dakin's solution àSodium hypochlorite solution (diluted bleach)
Lime wateràCalcium hydroxide solution
Sweet oil àOlive oil

Drugs That Are Highly Protein Bound

Barbiturates Sulfur/sulfonamides
Clofibrate Tolbutamide
Salicylates Warfarin

Agents That Inhibit CYP-450
Allopurinol Isoniazid
Anabolic agents Metronidazole
Chloramphenicol Monoamine oxidase inhibitors
Cimetidine Oral antidiabetic agents
Disulfiram Warfarin

Agents That Induce the P-450 Microsomal Enzyme System

Alcohol Nicotine
Chloral hydrate Phenobarbital
Chlordiazepoxide Phenytoin
Cortisone Prednisone
Imipramine Testosterone

OTC Cough and Cold Products Commonly ContainAnalgesic Acetaminophen
Antihistamine Brompheniramine
Chlorpheniramine
Clemastine
Diphenhydramine
Pyrilamine
Triprolidine
Cough suppressant Codeine
Dextromethorphan
Decongestant Phenylephrine
Phenylpropanolamine
Pseudoephedrine
Expectorant Ammonium chloride
Guaifenesin
Sodium citrate

Pharmaceutical References and What They Contain
AHFS Drug Information -Displays the structure of each
(American Hospital of the drugs referenced
Formulary Service)
Merck Manual -List of diseases and how to treat
Merck Index -Encyclopedia of chemicals, drugs,
and biologicals
Red Book -Prices, lists of sugar-free, alcohol-free products
pregnancy categories, photosensitivity
information, etc.
Remington's-Compounding information
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Old 2009 September 30th, 03:02 AM   #6 (permalink)
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Do not worry too much. The build up to the exam is very stressful, but once you get in there you will find you know alot more than you think you do. I cannot stress the importance of calculations. You cannot pass the exam without a good grasp of them. Do calculations everyday in preparation for the exam. I read through APhA once and did many, many, many multiple choice questions and brand name generic name recognition daily. I passed with a score of 130 on my first try after 6 weeks preparation 5 hours per day.
You can pass too!

I have books to sell if any one is interested.

Apha 5th edition $30
Rexam reference guide $5
Comprehensive Pharmacy review practice exams $8
Rexam pharmaceutical calculations $5
A&L review of pharmacy 6th ed $5
Rexam flash cards otc and herbal $5
Rexam 30 minute review posters $5

email me if you want any of them. Thanks
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Old 2009 September 30th, 05:24 AM   #7 (permalink)
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Wow! This is great! THANK YOU so VERY much for such detailed advice and the notes! Also, Congrats on getting such a high score! I pray that I get through this with flying colors. Thank you!
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Old 2009 September 30th, 05:36 AM   #8 (permalink)
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THANK YOU to the both of you!
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Old 2009 October 5th, 04:42 AM   #9 (permalink)
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It is stressful before the exam. I did not use pronto pass cards for NAPLEX but I made my own cards for most important chapters. Using APHA tables as main reference plus some Kaplan Q banks information, I wrote down the drug generic/brand name, added very important dosage forms (cephalosporins, asthma drugs, morphine,….), and dosage (such as the most common dosage of statins, metformin, methetraxate, lisinopril, glyburide, plavix, coreg, imitrex, fosamaxetc...), maximum dosage of certain anticancer drugs…), take with food or without food (especially for HIV drugs). I reviewed them almost every day for the last week.

It is hard for me to remember the all top 200 to 300 brand names as I am a foreign graduate like most of you. I listened to the Prontopass brand name CD when I had spare time, when I was cooking, or taking break from studying. It really helps.


Good luck for your coming exam.

Last edited by shulin : 2009 October 5th at 04:45 PM.
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Old 2009 October 13th, 02:40 PM   #10 (permalink)
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I have paid you for the posters on 10/02/2009. It has been 11 days and I have not received them. It does not usually take that long to send a package. What's going on? Your profile was set up to not receive private messages!!!



Quote:
Originally Posted by determinedsoul View Post
Do not worry too much. The build up to the exam is very stressful, but once you get in there you will find you know alot more than you think you do. I cannot stress the importance of calculations. You cannot pass the exam without a good grasp of them. Do calculations everyday in preparation for the exam. I read through APhA once and did many, many, many multiple choice questions and brand name generic name recognition daily. I passed with a score of 130 on my first try after 6 weeks preparation 5 hours per day.
You can pass too!

I have books to sell if any one is interested.

Apha 5th edition $30
Rexam reference guide $5
Comprehensive Pharmacy review practice exams $8
Rexam pharmaceutical calculations $5
A&L review of pharmacy 6th ed $5
Rexam flash cards otc and herbal $5
Rexam 30 minute review posters $5

email me if you want any of them. Thanks
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