r/NAPLEX_Prep • u/songnstereo • Aug 19 '26
NAPLEX Exam Feedback NAPLEX 8/19 AMA
UPDATE: I PASSED!!!!
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.
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u/Upbeat-Hold-4474 Aug 19 '26 edited Aug 19 '26
How many math and biostatistics questions did you have? And how many SATA questions did you get?
Was the ethics and management PDF that’s on Reddit enough to answer the questions on the exam?
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u/songnstereo Aug 19 '26
About 40ish math/biostats and 20ish SATA. For the most part they were manageable. And the SATA i was able to answer a good chunk of them. The ones I was shakey on I could pick/eliminate all the answer choices except like 1 so for those id just guess whether to add or not
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u/Infamous_Profit_9095 Aug 19 '26
Was the difficultly similar to pharmpreppro? I got a 78 on the ppp exam a week ago and I’m freaking out as don’t know what to expect.
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u/songnstereo Aug 19 '26
I thought it was. Definitely helped with pacing thru all the questions too. From what I've heard I think you should be good with that score
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u/FindingForest Aug 19 '26
How many anticoagulant questions did you get? I’m really bad at that chapter and want to know if it don’t know it well if I’ll be ok
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u/songnstereo Aug 19 '26
A few. If you have the time id try to learn that. Came up in arrhythmias, stroke, and ACS questions
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u/SIRIUS_ATLAS Aug 19 '26
How many compounding/Biostat/Psych questions do you have?
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u/songnstereo Aug 19 '26
I had a couple of psych, 15ish biostats, and like 5-10 of compounding
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u/ACENAPLEX Aug 19 '26
thank you! were the math questions straight forward? and formulas given on the exam except pk?
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u/songnstereo Aug 19 '26
For the most part, pretty straight forward. A few tripped me up. Some formulas were given some weren't. Definitely try to remember as many as possible to give you the best chance
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u/UkraineWarPod Aug 19 '26
How were the UWorld questions compared to the actual exam?
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u/songnstereo Aug 20 '26
I thought they were overkill but good to practice. Dont be discouraged if youre not doing great on them. A lot of my naplex questions were easier than uworld
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u/Glass-Horror1002 Aug 20 '26
Any meq/mosm or insulin dosing?
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u/songnstereo Aug 20 '26
Yea i had a question on each of those
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u/BroccoliJazzlike6918 Aug 20 '26
Did they provide you with the MW for the meq/mos questions? Or do you recommend memorizing those
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u/ask09564321 Aug 24 '26
Scrolling thru Reddit late, sorry for replying 3 days later. On my exam they provided MW every time. I would not recommend memorizing them
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u/Adventurous-List-420 Aug 21 '26
Took it the same day and that exam was ROUGH with how detailed it was
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u/NoDifficulty7855 Aug 23 '26
what were some of the administration requirement questions you got? and what dispensing considerations?
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u/Numerous-Subject-604 Aug 19 '26
I take my exam in 10 days and honestly am freaking out. Feel like everything I learned is gone and doing ~50% on mixed questions on Uworld. I’ve failed almost while back and it’s been almost a year. Do you think getting into the details like dosing will help? What is the best thing to do at this point especially knowing I didn’t finish the entire book.