NAPLEX Quiz
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PHARMACY MANAGEMENT AND LEADERSHIP
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A 45-year-old female (70 kg) presents with severe muscle pain and weakness for 3 days. Medical history includes hyperlipidemia and GERD; allergies: none. Current medications: simvastatin 40 mg PO nightly (stable for 1 year), omeprazole 20 mg PO daily, and clarithromycin 500 mg PO BID (started 5 days ago for sinusitis). Labs: CK 5,200 U/L (high; normal <200), SCr 1.8 mg/dL (baseline 0.9), AST 120 U/L (high), ALT 98 U/L (high); no recent hospitalizations. What is the most likely cause of this patient's symptoms?
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