NABP NAPLEX Exam - Topic 4 Question 85 Discussion

Actual exam question for NABP's NAPLEX exam

Question #: 85
Topic #: 4

[All NAPLEX Questions]

Which of the following medication should be avoided if a patient is on lithium to avoid lithium toxicity?

ALisinopril

BFurosemide

CNaproxen

DAmiodarone

EWarfarin

Show Suggested Answer

Suggested Answer: A

The dihydropyridine drug -- nifedipine -- is the active ingredient found in the medicine Adalat. Nifedipine is used to treat angina, Reynaud's phenomenon and hypertension. It is also used as a tocolytic agent in premature labor.

by Emilio at Jun 29, 2024, 06:48 AM

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Billi

7 months ago

Lisinopril is safe with lithium, right?

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Stevie

8 months ago

Really? I’m surprised it’s furosemide, I always thought it was something else.

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Iluminada

8 months ago

Wait, I thought naproxen was the main concern?

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Leonora

8 months ago

Totally agree, avoid that combo!

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Tyra

8 months ago

Furosemide can increase lithium levels.

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Desiree

9 months ago

I’m leaning towards naproxen too, but I also recall something about lisinopril being a potential issue. It's confusing!

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Dierdre

9 months ago

I practiced a question similar to this, and I think it was about avoiding certain diuretics with lithium. Could it be furosemide?

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Reid

9 months ago

I’m not entirely sure, but I feel like furosemide could also be a concern since it affects fluid balance.

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Sonia

9 months ago

I think I remember that NSAIDs like naproxen can increase lithium levels, so maybe that's the one to avoid?

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Noel

9 months ago

Alright, time to put my pharmacology knowledge to the test. I believe the correct answer is B, furosemide, since it can increase lithium levels and lead to toxicity.

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Thurman

9 months ago

Ugh, medication interactions are the worst. I'm just going to have to guess on this one and hope for the best.

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Luis

9 months ago

Okay, I've got this. I remember that loop diuretics like furosemide can reduce lithium clearance, so that's the one I'll go with.

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Haydee

9 months ago

Hmm, I'm a bit unsure on this one. I know lithium interacts with a lot of different medications, so I'll have to review my notes to figure out which one of these is the right answer.

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Maddie

9 months ago

This is a tricky one, but I think I remember learning that certain diuretics can increase lithium levels and lead to toxicity. I'll have to think carefully about the options.

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Winifred

9 months ago

I'm not entirely sure, but I remember something about using WHERE clauses for intersections. Is that what options C and D are doing?

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Lawrence

9 months ago

This is a tricky one. I'll need to carefully weigh the pros and cons of each option.

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Martina

9 months ago

Okay, I've got this. The answer is clearly option B - create a VPC endpoint and use an S3 bucket policy to restrict access to that endpoint. That's the cleanest way to meet the requirements.

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Carisa

10 months ago

I've got this! In the OAuth2 workflow, the resource owner (the user) is the one who grants access to the protected resource. The other entities play different roles, but the resource owner is the key decision-maker here.

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