NABP NAPLEX Exam - Topic 3 Question 88 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 88
Topic #: 3

A 72-year-old woman suffers from a major depressive episode. She has a history of coronary artery disease, atrial fibrillation on anticoagulation therapy, sick sinus syndrome, glaucoma, and chronic obstructive pulmonary disease.

Which of the following medications is most appropriate for the treatment of her depression?

AAmitriptyline

BNortriptyline

CDoxepin

DFluvoxamine

EEscitalopram

Show Suggested Answer

Suggested Answer: C

We have 1g of potassium permanganate in 25mL We have 300mL of solution

For every 25mL of that 300mL, we have 1g of KmnO4

300mL must have 12g of potassium permanganate (300ml/25mL)

by Winfred at Aug 02, 2024, 03:46 AM

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Marya

3 months ago

Doxepin might not be the best with her glaucoma.

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Mickie

3 months ago

Surprised they didn't mention therapy options too!

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Armanda

3 months ago

Amitriptyline could worsen her heart issues, right?

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Yuriko

4 months ago

Totally agree, it's safer for older patients!

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Mable

4 months ago

I think Escitalopram is a good choice for her.

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Rikki

4 months ago

I’m torn between nortriptyline and escitalopram. I know nortriptyline is less sedating, but I worry about her other conditions.

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Elizabeth

4 months ago

I practiced a similar question where we had to consider comorbidities. I feel like escitalopram could be a good option here.

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Claudio

4 months ago

I think fluvoxamine might be a safer choice since it’s an SSRI and has fewer side effects, but I’m not entirely sure.

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Darrel

5 months ago

I remember we discussed the risks of using tricyclic antidepressants in older patients, especially with her heart issues.

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Joesph

5 months ago

I'm feeling pretty confident about this one. I think escitalopram would be the safest and most appropriate option for her.

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Lauran

5 months ago

Nortriptyline seems like a good choice given her cardiac history. I'll make sure to review the dosing and monitoring requirements.

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Doug

5 months ago

Okay, let's see. I'm leaning towards one of the SSRIs like escitalopram, but I'll double-check the contraindications.

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Bulah

5 months ago

Hmm, I'm a bit unsure here. Need to really think through the pros and cons of each option.

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Tasia

5 months ago

This is a tricky one. Gotta consider all her comorbidities and the potential side effects of each medication.

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Veronika

5 months ago

I'm not entirely sure about the limited view of activities based on agent size. I'll need to double-check that part.

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Nichelle

5 months ago

Ah, the UDP 4500 traffic not reaching the router is an interesting one. I'll check the firewall and routing settings to see if that's the culprit.

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Rosalia

9 months ago

Doxepin, huh? I didn't know we were trying to put her to sleep for the next 72 years.

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King

9 months ago

I hear Amitriptyline comes with a free set of defibrillator paddles. Just in case.

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Dortha

9 months ago

Fluvoxamine? More like 'Flu-vox-amine' am I right? Anyway, Escitalopram looks like the best choice here.

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Berry

8 months ago

Escitalopram is definitely the best choice for her given her medical conditions.

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Jettie

8 months ago

I would go with Escitalopram too, it seems like the most appropriate option.

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Justine

9 months ago

I think Escitalopram would be safer considering her medical history.

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Ailene

9 months ago

I agree, Escitalopram is a good choice for her.

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Dusti

9 months ago

Doxepin? Really? That's like prescribing sleeping pills for someone with COPD. Not a good idea.

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Moon

10 months ago

I'm leaning towards Escitalopram. It has a better safety profile for patients with cardiovascular issues.

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Pamella

8 months ago

User 3: Escitalopram sounds like the best option for her given her medical history.

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Miriam

9 months ago

User 2: I think so too, it's safer for patients with heart problems.

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Larae

9 months ago

User 1: I agree, Escitalopram is a good choice for her.

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Aileen

10 months ago

Amitriptyline would be a risky choice given her medical history. Nortriptyline or Escitalopram seem like safer options.

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Milly

10 months ago

User 2

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Alfred

10 months ago

User 1

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Ora

10 months ago

I agree with Magda, Nortriptyline has less anticholinergic side effects which would be safer for her conditions.

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Magda

10 months ago

I disagree, I believe Nortriptyline would be more suitable considering her medical history.

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Ricarda

11 months ago

I think Escitalopram would be the best choice for her.

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