NAPLEX 8/19 AMA
Exam was all over the place. There were definitely plenty of clinical questions, but I was surprised by how often the exam tested medication specific details rather than pure therapeutics. I saw questions involving osteoporosis, heart failure, thyroid disorders, anticoagulation, HIV, and asthma/COPD, but there were also a lot of questions on medication safety, dispensing considerations, monitoring parameters. I had things on adverse effects, pharmacokinetics, and selecting the most appropriate dosage form or formulation for a patient.
Know your brand/generics because I got several questions involving insulin products, GLP-1 agonists, anticoagulants, inhalers, and anticonvulsants. Also know counseling points, administration requirements, monitoring parameters, boxed warnings, contraindications, dose adjustments, and major drug interactions. Don't ignore supplements and OTC products either.
Overall, don't completely ignore the smaller details and less common medications. I spent a lot of time focusing on the major disease states and calculations, but many of the questions seemed designed to test whether you think like a practicing pharmacist and can recognize important medication information, counseling issues, safety concerns, and monitoring requirements.
I don’t feel like I failed but I definitely guessed on like 40 questions easily. For reference I studied almost 3 months using uworld, the qbank. I also scored 70 and 79 on the pharmpreppro practice exams a few weeks apart. Definitely take the time to do practice questions over and over and over again. Definitely do a practice exam as it’ll help with pacing and give you an idea where you stand before you walk in.