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NAPLEX® Online Course Overview

Safe and Effective Care Environment

The course presents a highly detailed review of nursing actions covered in management of care and safety and infection control to help you better understand and recall important concepts.

Health Promotion and Maintenance

In-depth and focused curriculum of every subject area to master growth and development principles, early detection and prevention of health issues, and methods for optimal health.

Psychosocial & Physiological Integrity

Review highly important concepts to successfully anticipate, recognize, and analyze psychosocial responses and adequately tend to the everyday activities of patients.

Integrated Clinical Content

UMock updates NAPLEX® questions, answers, and explanations weekly for over 26,000 topics.

Mock-type Q&A

UMock content is written & continuously updated with the most current medical literature.

Question Development Process

Our rigorous content writing & editorial process provides you with the most trusted resource to prepare for exam day. Each question is expertly evaluated and reviewed by registered nurses who have scored in the 99th percentile.

Learn core NAPLEX® concepts for nursing

Get a comprehensive review of every exam category and subcategory to help you raise your performance. The content is designed to help you efficiently and effectively learn concepts and processes for nursing management, treatment, diagnosis, and intervention.

Study anytime, anywhere.

Essential course to pass the NAPLEX®
nursing exam

Retain highly detailed information more easily with clear explanations and comprehensive chapter-by-chapter reviews of every concept and process required for the test.

As an additional feature, every topic presented includes a relevant exam-like question from the Qbank.

The team behind UMock NAPLEX® with

perfect performance

Anushka, 528 MCAT Score

Yale University

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Anjali, 527 MCAT Score

Yale University

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Mike, 527 MCAT Score

Georgetown University

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Each subject was written by clinical nurse practitioners and faculty from top universities with performance well above the passing standard. Each topic is covered in detail with high-yield, engaging content to more effectively learn, understand, and retain concepts.

Perfect Score

She graduated magna cum laude from Yale University with a B.S. in Molecular, Cellular, and Developmental Biology. She is currently a first-year medical student. She received perfect scores on the MCAT (528/528) and SAT (2400/2400), and has extensive experience for the MCAT, SAT, and AP exams. At Yale, she conducted genetics research and was the recipient of multiple research fellowships. During high school, she was a two-time finalist (top 20) in the U.S. National Chemistry Olympiad and was one of 80 students worlwide selected to attend the prestigious Research Science Institute (RSI) at MIT.

Scores:

  • MCAT: 528 / 528
  • SAT: 2400 / 2400
  • AP Biology: 5 / 5
  • AP Chemistry: 5 / 5
  • AP Physics C: 5 / 5
  • AP Calculus: 5 / 5
  • AP English Language and Composition: 5 / 5
  • AP English Literature and Composition: 5 / 5

Near Perfect Score

She graduated magna cum laude from Yale University with a B.S. in Molecular, Cell, and Development in Biology and distinction in her major. Anjali Walia is a medical student. She was also elected to the prestigious Phi Beta Kappa honor society. She achieved a near-perfect score (527/528) on the MCAT. At Yale, she published pulmonary research and led numerous reproductive justice advocacy efforts. She was finalist (Top 20) of the U.S. Chemistry Olympiad and obtained a perfect score on the SAT (2400/2400).

Scores:

  • MCAT: 527/528
  • SAT: 2400/2400
  • AP Biology: 5
  • AP Chemistry: 5
  • AP Physics I: 5
  • AP Physics C: 5
  • AP Computer Science: 5
  • AP Calculus: 5
  • AP English Language and Composition: 5
  • AP English Literature and Composition: 5

Near Perfect Score

  • Education
  • Georgetown University, B.S.
  • Medical School:
  • Rutgers Robert Wood Johnson Medical School, M.D.
  • Residency Program:
  • Rutgers Robert Wood Johnson Medical School, M.D. Orthopedics Surgery
  • SAT Subject Test –
  • Biology (Molecular): 780 / 800
  • Mathematics Level 2: 780 / 800
  • Mathematics Level 1: 750 / 800
  • SAT with Essay: 2330 / 2400
  • Reading: 800 / 800
  • Writing: 770 / 800
  • Math: 760 / 800
  • MCAT: 527 / 528
  • Chem/Phys: 131 / 136
  • CARS: 131 / 136
  • Bio/Biochem: 130 / 136
  • Psych/Soc: 130 / 136
  • AP Biology: 5 / 5
  • AP Statistics: 5 / 5
  • AP Calculus BC: 5 / 5
  • USMLE Score:
  • Step 1 - 276
  • Step 2CK - 280
  • Step 3 - 275

NAPLEX® Complete Course Package

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Complete Online Course

UMock students do better with the complete, in-depth online course which combines an integrated Qbank, high yield case-based pre-made flashcards, exam-like assessments, and EKG interpretations to raise performance on the exam.

The complete package makes it easy to study for the exam in a simple and highly effective way.

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Management of Care 17% - 23%

 

Management of Care represents the majority of content found on the exam, accounting for 17-23% of test questions covering nursing care and protecting the patient as well as health care personnel. The course includes a comprehensive, yet concise review of high yield topics to help you successfully apply concepts and processes to prepare you for the largest content category of the exam.

  • Advance Directives
  • Advocacy
  • Assignment
  • Delegation and Supervision
  • Case Management
  • Client Rights
  • Establishing Priorities
  • Ethical Practice
  • Informed Consent
  • Information Technology
  • Performance Improvement
  • Referrals
  • Collaboration with Interdisciplinary Team
  • Concepts Of Management
  • Confidentiality and Information Security
  • Continuity Of Care
  • Legal Rights and Responsibilities

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Safety and Infection Control 12%

 

Safety and Infection Control makes up roughly 12% of the exam. The course covers the full range of high yield topics included in this category with a focus on protecting patients and healthcare personnel from environmental and health hazards. Topics covered help you understand how to apply concepts for the exam with high quality images, charts, and diagrams included.

  • Accident
  • Error and Injury Prevention
  • Emergency Response
  • Ergonomic Principles
  • Handling Hazardous
  • Infectious Materials
  • Home Safety
  • Incident Reporting and Irregular
  • Occurrence/Variance
  • Safe Use of Equipment
  • Security Plan
  • Standard Precautions
  • Transmission-Based Precautions
  • Surgical Asepsis
  • Use Of Safety Devices and Restraints

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Health Promotion and Maintenance Content Review 9%

 

Health Promotion and Maintenance represents approximately 9% of the exam and incorporates knowledge of growth and development, prevention and early detection of health problems, and strategies to achieve optimal health. The course helps you learn, understand, and apply concepts covering every topic from this section of the test. Each topic is clearly defined and explained throughout with high quality images, graphs and diagrams to help you score above the passing standard.

  • The Aging Process
  • Ante/Intra/Postpartum and Newborn Care
  • Developmental Stages and Transitions
  • Health Promotions and Disease Prevention
  • Health Screening
  • High Risk Behaviors
  • Lifestyle Choices
  • Self-Care
  • Techniques Of Physical Assessment

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Psychosocial Integrity Content Review9%

 

Approximately 9% of the exam will cover nursing topics and principles related to psychosocial integrity. The course contains a detailed and comprehensive high yield overview of nursing care practices that promote and support emotional, mental, and social well-being of patients experiencing stressful situations, as well as those with acute or chronic mental illnesses. Gain a deeper understanding of important information and learn how to apply concepts for every topic covered on the examination.

  • Abuse/Neglect
  • Behavioral Interventions
  • Dependencies and Substance Use Disorders
  • Coping Mechanisms
  • Crisis Intervention
  • Cultural Awareness and Influences on Health
  • End-Of-Life Care
  • Family Dynamics
  • Grief And Loss
  • Mental Health Concepts
  • Religious And Spiritual Influences on Health
  • Sensory And Perceptual Alterations
  • Stress Management
  • Support Systems
  • Therapeutic Communication and Environment

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Basic Care and Comfort Content Review 9%

 

Basic care and comfort is a less intensive content section of the exam (9%), but still a highly important category focused on providing comfort and nursing assistance in the performance of activities of daily life. The course contains detailed, yet concise high yield content that covers each topic found on the exam to help you understand how to apply concepts.

  • Assistive Devices
  • Elimination
  • Mobility and Immobility
  • Non-pharmacological Comfort Interventions
  • Nutrition and Oral Hydration
  • Rest and Sleep
  • Personal Hygiene

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Pharmacological and Parenteral Therapies Content Review

 

Pharmacology and parenteral therapies are another big and important section of the exam, representing 12-18% of test items focused on the administration of medications. The course highlights core concepts and key principles from each topic that help you understand how to apply concepts, and includes high quality images, diagrams, and tables to successfully prepare for this category.

  • Adverse Effects
  • Side Effects
  • Interactions
  • Contraindications
  • Blood and Blood Products
  • Central Venous Access Devices
  • Clinical Math and Dosage Calculations
  • Expected Actions and Outcomes
  • Medication Administration
  • Parenteral and Intravenous Therapies
  • Pharmacological Pain Management
  • Total Parenteral Nutrition

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Reduction of Risk PotentialContent Review 12%

 

Reduction of risk potential makes up about 12% of the exam content. The course provides high-yield concepts on reducing the likelihood of developing complications related to existing conditions, treatments, or procedures, giving you an in-depth understanding of the application of difficult concepts in clinical scenarios on the exam. Each topic is covered in detail with clear concepts and high-quality visuals, providing you with essential information to quickly master this exam category.

  • Changes and Abnormalities in Vital Signs
  • Diagnostic Testing
  • Lab Values
  • Potential for Alterations in Body Systems
  • Potential for Complications of Diagnostic Tests
  • Treatments And Procedures
  • Potential for Complications from Surgical Procedures and Health Alterations
  • System-Specific Assessments
  • Therapeutic Procedures

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Physiological Adaptation Content Review14%

 

The category of physiological adaptation represents approximately 14% of exam content. The course covers this section with a high yield focus on managing and providing care for patients with chronic, acute or life threatening physical health conditions. The course chapters include core concepts and in-depth explanations for each topic to help you understand how to apply key information, concepts, and processes to effectively prepare for every test item.

  • Fluid and Electrolyte Imbalances
  • Hemodynamics
  • Illness Management and Medical Emergencies
  • Pathophysiology
  • Unexpected Response to Therapies
  • Alterations in Body Systems

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Respiratory System Content Review9% - 13%

 

The UMock USMLE® Step 1 prep course provides a condensed, high-yield review of concepts to help you fully understand normal and abnormal pulmonary processes, and how to apply knowledge to clinical scenarios relating to pathologies that affect the lungs, pulmonary function tests, ventilation/perfusion mismatch, and cell types and their function based on their location in the respiratory tract.

The course includes volume calculations as well as high quality graphs and diagrams to help you learn exactly what is tested from each topic, and how to apply it to respiratory medicine.

  • Cancers of the Lungs
  • Pulmonary Vascular Disease
  • Restrictive Pulmonary Disease
  • Miscellaneous Disorders of the Lungs
  • Tumors of the Upper Respiratory Tract
  • Chronic Obstructive Pulmonary Disease
  • Disorders of the Upper Respiratory Tract

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Gastrointestinal Tract Content Review5% - 9%

 

The gastrointestinal system represents roughly 5-9% of test items. The UMock USMLE® Step 1 prep course gives you a comprehensive and concise review of high-yield material to help you memorize, understand, and apply information to clinical scenarios pertaining to concepts of digestion and how one factor is affected by another, malabsorption syndromes, as well as the histopathology type of each location, and where the pharmacotherapies take action.

The course features high quality diagnostic images and microscopic views covering normal and abnormal processes of diseases to help you accurately interpret and apply concepts in gastroenterology for the exam.

  • Diseases of the Colon
  • Diseases of the Appendix
  • Diseases of the Stomach
  • Diseases of the Esophagus
  • Diseases of the Mouth and Jaw
  • Diseases of the Small Intestine
  • Diseases of the Salivary Glandsw

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Renal and Urinary System Content Review9% - 13%

 

The renal and urinary system make up questions heavily weighted on physiology-focused concepts. The UMock USMLE® Step 1 prep course provides a high-yield review of essential concepts in a clear and concise format to help you understand and apply the connection between renal tubule physiology and the diuretics that work on the tubule, as well as applying concepts in nephritic and nephrotic syndromes to clinical scenarios.

The course includes high quality radiological images and microscopic views highlighting normal and abnormal processes specific to renal and urinary diseases to give you a distinguished understanding of the application of concepts in clinical scenarios.

  • Hemodynamic
  • Urolithiasis
  • Hemodynamic
  • Renal Failure
  • Nephrocalcinosis
  • Glomerular Diseases
  • Cystic Diseases of Kidney
  • Hemodynamic Dysfunction
  • Urinary Tract Obstruction
  • Diffuse Cortical Necrosis
  • Nonrenal Causes of Azotemia
  • Infection of the Urinary Tract and Kidney
  • Congenital Anomalies of the Urinary Tract
  • Tumors of the Kidney, Urinary Tract, & Bladder
  • Tubular and Interstitial Disorders of the Kidney

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Male Reproductive System Content Review9% - 13%

 

In the reproductive system, the UMock USMLE® Step 1 prep course covers the male and female reproductive system as well as pregnancy, childbirth, and the puerperium. The course provides high-yield topics concentrated on clear and concise explanations to help you understand and apply concepts to clinical scenarios associated with the hormonal pathways of the male and female reproductive systems.

The course integrates concepts with high quality microscopic views and diagnostic images to help you improve recall of normal and abnormal processes in disease and apply it to clinical scenarios like you’ll see on the exam.

  • Diseases of the Penis
  • Diseases of the Testes
  • Diseases of the Prostate

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Female Reproductive System Content Review9% - 13%

 

In the reproductive system, the UMock USMLE® Step 1 prep course covers the male and female reproductive system as well as pregnancy, childbirth, and the puerperium. The course provides high-yield topics concentrated on clear and concise explanations to help you understand and apply concepts to clinical scenarios associated with the hormonal pathways of the male and female reproductive systems.

The course integrates concepts with high quality microscopic views and diagnostic images to help you improve recall of normal and abnormal processes in disease and apply it to clinical scenarios like you’ll see on the exam.

  • Ovaries
  • Breast
  • Vulva & Vagina
  • Uterine Cervix
  • Uterine Corpus
  • Fallopian Tubes
  • Disorders of Pregnancy

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Endocrine System Content Review9% - 13%

 

The UMock USMLE® Step 1 prep course combines concise high yield topics with detailed diagrams covering normal and abnormal processes of endocrine-specific pathologies and physiologies. The course helps you gain a clear understanding of how to apply concepts to clinical scenarios for keeping hormone levels in balance, diagnostic testing, treatment, and management.

The course includes descriptive illustrations, microscopic views, images, and graphs highlighting heavily test exam content to help you gain a full understanding of applying concepts for normal and abnormal processes of the endocrine system.

  • Endocrine Pancreas
  • Endocrine of Pituitary
  • Endocrine of Thyroid Gland
  • Endocrine of Adrenal Glands
  • Endocrine of Parathyroid Glands
  • Multiple Endocrine neoplasia (MEN) Syndrome

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Dermatology Content Review6% - 10%

 

In Dermatology, the UMock USMLE® Step 1 prep course gives you concise, high yield topics to help you understand how to apply basic concepts to clinical scenarios in comparing similar pathologies based on the morphology and distribution of conditions.

Every topic is covered for both normal and abnormal body-system processes with high quality microscopic views and gross images to help you visually understand the application of medicine specific to diseases in skin and subcutaneous tissue.

  • Pruritus
  • Urticaria
  • Common Rashes
  • Infestations
  • Bites & Stings
  • Hair Disorders
  • Common Neoplasms
  • Acneiform Eruptions
  • Common Skin Infections
  • Cuts, Scrapes, & Burns
  • Foot and Leg Ulcers
  • Nail Disorders
  • Disorders of Mucous Membranes
  • Autoimmune Blistering Diseases
  • Therapeutic Principles in Dermatology
  • Dermatologic Urgencies and Emergencies
  • Cutaneous Manifestations of Internal Disease
  • Dermatologic Problems of Special Populations

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Nervous System Content Review4% to 7%

 

Exam items covering the nervous system represent about 4-7% of test questions. The UMock Step 1 Prep Course clearly explains gross anatomy and neuroanatomy and normal and abnormal processes from this area, including

  • Embryonic development
  • Fetal maturation
  • Perinatal changes
  • Neural tube derivatives
  • Cerebral ventricles
  • Neural crest derivatives
  • Organ structure & function
  • Cell & tissue structure & function
  • Repair
  • Regeneration
  • Changes associated with life stages
  • Infectious
  • Immunologic
  • Inflammatory disorders
  • Neoplasms
  • Cerebrovascular disease
  • Disorders related to spinal cord
  • Spine
  • Spinal nerve roots
  • Cranial & peripheral nerve disorders
  • Neurologic pain syndromes
  • Degenerative disorders
  • Global cerebral dysfunction
  • Neuromuscular
  • Metabolic disorders
  • Paroxysmal disorders
  • Sleep disorders
  • Traumatic & mechanical disorders
  • Increased intracranial pressure
  • Congenital disorders
  • Disorders of the eye & eyelid
  • Disorders of the ear
  • Movement disorders

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Rheumatology and Musculoskeletal Content Review6% - 10%

 

The UMock USMLE® Step 1 prep course provides the most valuable exam information with a complete and concise review of high-yield topics to help you quickly understand and apply knowledge to clinical scenarios covering the diagnosis of joint pathologies, and anatomical paths of distal branches and the muscles that they innervate.

The course features detailed tables and high quality radiologic and gross images to help you conceptualize the application of medicine for normal and abnormal body system processes and pathologies in rheumatology and the musculoskeletal system.

  • Diseases of Skeletal Muscle
  • Diseases of Bone
  • Diseases of Joints
  • Soft-Tissue Tumors

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Behavioral Science Content Review8% to 13%

 

Behavioral science accounts for roughly 8-13% of exam questions. The UMock USMLE® Step 1 prep course helps you clarify difficult concepts in the mind-body relationship, and understand how to apply DSM-IV and DSM-5 diagnostic criteria in the manifestations of psychological disorders to various clinical scenarios with a high-yield, concise review of concepts covering every topic for normal and abnormal processes.

The course includes descriptive diagrams, tables, and images to provide a concentrated review of material to help you fully understand the application of behavioral science to clinical medicine.

  • Sexuality
  • Learning Theory
  • Beginning of Life
  • Anxiety Disorders
  • Aggression & Abuse
  • Psychosomatic Medicine
  • Somatic Symptom Disorders
  • Obsessive-Compulsive Disorders
  • Trauma & Stressor-Related Disorders
  • Substance-related Disorders
  • Sleep & Sleep-wake Disorders
  • Psychological Therapies
  • Family, Culture, & Illness
  • Psychiatrics Disorders in Children
  • Aging, Death, & Bereavement
  • School Age, Adolescence, & Adulthood
  • Psychoanalytic Theory & Defense Mechanisms
  • Depressive Disorders & Bipolar Disorders
  • Schizophrenia Spectrum & other Psychotic Disorders
  • Clinical Assessment of Patients with Behavioral Symptoms
  • Biological Assessment of Patients with Psychiatric Symptoms
  • Neurocognitive, Personality, Dissociative & Eating Disorders

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Embryology Content Review11% - 15%

 

In Embryology, the UMock USMLE® Step 1 prep course presents high-yield content in a concise format that helps you understand and quickly recall concepts in human development and congenital malformations, and apply the connection between embryological knowledge and clinical medicine. The course further clarifies key facts and concepts to help you maximize comprehension and visual understanding in applying concepts with high quality diagnostic, radiographic, and clinical images.

  • Skeletal System
  • Muscular System
  • Upper Limb
  • Lower Limb
  • Body Cavities
  • Pregnancy
  • Teratology
  • Head & Neck
  • Prefertilization Events
  • Human Development - Week 1
  • Human Development - Week 2
  • Embryonic Period
  • Cardiovascular System
  • Placenta & Amniotic Fluid
  • Embryology of the Ear
  • Embryology of the Eye
  • Embryology of the Nervous
  • Embryology of the Digestive
  • Embryology of the Respiratory
  • Urinary System
  • Female Reproductive System
  • Male Reproductive System
  • Integumentary System

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Women’s Health and Pregnancy Content Review3% to 5%

 

The musculoskeletal system accounts for roughly 3-5% of the exam. Learn everything covered on this section of the exam for normal and abnormal process with the UMock Step 1 Prep Course:

  • Tendon
  • Repair
  • Joints
  • Usage
  • Muscles
  • Cartilage
  • Arthritis
  • Infectious
  • Regeneration
  • Blood supply
  • Gross anatomy
  • Neoplasms
  • Embryonic development
  • Organ structure & function
  • Changes associated with life stages
  • Cell & tissue structure & function
  • Ligaments & fascia
  • Traumatic & mechanical disorders
  • Mechanism of the action of drugs
  • Fetal maturation & perinatal changes
  • Inflammatory & immunologic disorders
  • Adverse effects on the musculoskeletal system
  • Degenerative & metabolic disorders of bone

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Histology Content Review8% to 13%

 

Histology makes up about 8-13% of questions on the exam. The UMock USMLE® Step 1 prep course offers a high-yield review condensed concepts format to help you better understand the relationship between cell structure and function to biological tissues, and effectively apply concepts to clinical scenarios on the exam. The course includes high quality micrographs, illustrations, and tables to further enhance your ability to quickly recall concepts and how they apply in clinical practice.

  • Cell Histology
  • Extracellular Matrix
  • Epithelia & Glands
  • Connective Tissue
  • Blood & Hemopoiesis
  • Histology Cartilage & Bone
  • Histology Muscle
  • Nervous Tissue
  • Circulatory System
  • Histology of Lymphoid
  • Histology of Endocrine
  • Histology of Skin
  • Histology of Respiratory
  • Histology of Digestive
  • Urinary Glands
  • Female Reproductive
  • Male Reproductive
  • Special Senses
  • Cavity and Alimentary Tract

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Anatomy Content Review11% to 15%

 

In Anatomy, the UMock USMLE® Step 1 prep course presents the most important high-yield facts you need to memorize for the exam, and helps you understand and apply clinical correlations of the structure and organization of the body to clinical scenarios such as fractures, trauma, and injuries. The course is illustrated with high quality descriptive images of anatomic relationships to further enhance your ability to apply knowledge to concepts.

  • Perineum
  • Vertebral Column
  • Spinal Cord & Spinal Nerves
  • Autonomic Nervous System
  • Lymphatic System
  • Chest Wall
  • Anatomy of the Heart
  • Abdominal Wall
  • Kidney, Ureter, Bladder, & Urethra
  • Suprarenal Glands
  • Abdominal Vasculature
  • Abdominal Viscera
  • Anatomy of the Pelvis
  • Spleen
  • Female Reproductive
  • Male Reproductive
  • Anatomy of the Upper Limb
  • Anatomy of the Lower Limb
  • Anatomy of the Head
  • Anatomy of the Neck
  • Anatomy of the Eye
  • Anatomy of the Ear
  • Pleura, Tracheobronchial Tree, & Lungs
  • Sigmoid Colon, Rectum, & Anal Canal

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Neuroanatomy Content Review9% to 13%

 

In Neuroanatomy, the UMock USMLE® Step 1 prep course provides high-yield concepts in a clear and concise presentation to help you thoroughly understand and apply concepts in clinical scenarios covering different pathways and tracts, patterns, distribution territories, and the results of lesions.

In Neurology, the UMock USMLE® Step 1 prep course offers a clear and concise approach to helping you understand and apply concepts to clinical scenarios with high yield concepts covering the relationship between nerves and neurotransmission, and neurologic disease

The course features high quality illustrations, detailed tables, and radiologic images for both normal and abnormal processes to help you better understand how to apply concepts for diagnosis, treatment and management of neurologic diseases.

  • Cerebellum
  • Neurohistology
  • Cranial nerves
  • Auditory System
  • Vestibular System
  • Cerebral Cortex
  • Visual System
  • Gross Anatomy of the Brain
  • Tracts of the Trigeminal system
  • Meninges & Cerebrospinal Fluid
  • Development of the Nervous System
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Biostatistics and Epidemiology Content Review4% to 6%

 

Biostatistics and Epidemiology covers roughly 4-6% of exam questions. The UMock USMLE® Step 1 prep course clarifies difficult concepts with a concise review of high-yield concepts. The course eliminates excessive detail to help you memorize and understand how to efficiently identify and extract the most important information, and apply your knowledge to concepts and formulas. The course includes high quality graphs and tables that clearly illustrate the most important and heavily tested concepts you need to know how to apply for the exam, including:

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Ligand-Receptor Interactions

 
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Intro to pharmacokinetics Content Review

 
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Drug interactions Content Review

 
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AllergiesContent Review

 
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Drug Allergies Content Review

 
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Transplants Content Review

 
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The Respiratory System Content Review

 
  • Overview
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Hypertension Content Review

 
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Myocardial Infarction Content Review

 
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Heart FailureContent Review

 
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ShockContent Review

 
  • Overview
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Intro to Infectious DiseasesContent Review

 
  • Intro to Infectious Diseases
    • Overview

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Intro to Infectious DiseasesContent Review

 
  • Identification of Bacteria
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NAPLEX® Mock Online Course Review Exam Strategies Above the Passing Standard

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A patient comes into your pharmacy asking about long-term treatment options for frequent heartburn, and inquiries about Alka-Seltzer, because it is a product he has heard about multiple times from friends and family. You inquire more about his PMH and he informs you of his recent diagnosis of heart-failure and the dietary and lifestyle changes he has been making.

What counseling points can be made for an antacid like Alka-Seltzer for this specific patient?

Explanation

  • Antacids such as Alka-Seltzer are not long-term treatment options for heartburn or PUD. They are short-term options that can provide immediate and symptomatic relief.
  • Because you have heart failure, one of the dietary changes you have probably implemented is decreasing sodium intake. The product you have selected contains a large amount of sodium, and should be avoided for your case.
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Comments

Hector is a 60-year-old male with a history of stroke and GERD. He is currently taking clopidogrel for this purpose. Last week, the doctor determined that Hector needed a maintenance therapy for GERD due to his presence of symptoms after 8 weeks. As a result, the doctor wrote a prescription for omeprazole 40 mg.

As the pharmacist, should you fill this prescription? Why or why not?

Explanation

No. Don’t fill this prescription. Omeprazole is a PPI and PPIs are known to reduce the efficacy of clopidogrel. If that were to happen, Hector’s risk of having another stroke increases significantly, which could either cause him to be hospitalized again, or even kill him.

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Anya is a 24-year-old female who comes to your pharmacy and buys over the counter famotidine for the first time. She asks you, the pharmacist, for some counseling on this medication as she’s never taken it before.

What are three counseling points you’d give her?

Explanation

  • Famotidine may cause vitamin B12 deficiency if taken for a very long time
  • Watch out for common GI effects when taking famotidine, including constipation and nausea.
  • There is a chance that famotidine will cause unpleasant CNS side effects, such as headaches and agitation.
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Comments

Suppose Ash is a 20-year-old male who has symptoms GERD and takes the following medications:

  • Naproxen for fever
  • Escitalopram for major depressive disorder
  • Vyvanse for ADHD
  • Melatonin for sleep aid

Which of the above medications should Ash discontinue?

Explanation

Ash should discontinue his naproxen. Naproxen can worsen symptoms of GERD so it should be discontinued in favor of another antipyretic, like acetaminophen. The other three medications aren’t necessarily key triggers for GERD symptoms.

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BL is a 60-year-old female with severe GERD. She has been very poorly adherent to her medications to the point where her doctors considered her treatment regimen to be a failure.

What complications can arise due to this poorly managed GERD?

Explanation

Complications of GERD include Barrett’s esophagus, esophageal cancer, and strictures in the esophagus, all of which are serious.

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Is 472 a competitive NAPLEX® score?

A score of 472 means you performed in the 0% percentile.

Management of Care

0/ 100

Safety and Infection Control

0/ 100

Health Promotion and Maintenance

0/ 100

Psychosocial Integrity

0/ 100

Basic Care and Comfort

0/ 100

Pharmacological and Parenteral Therapies

0/ 100

Reduction of Risk Potential

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Physiological Adaptation

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Targeted score: with , , , , , , ,

Management of Care

Score : Below average

Safety and Infection Control

Score : Below average

Health Promotion and Maintenance

Score : Below average

Psychosocial Integrity

Score : Below average

Basic Care and Comfort

Score : Below average

Pharmacological and Parenteral Therapies

Score : Below average

Reduction of Risk Potential

Score : Below average

Physiological Adaptation

Score : Below average

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