BPS Pharmacotherapy (Part1 and Part2) - BPS-Pharmacotherapy FREE EXAM DUMPS QUESTIONS & ANSWERS]

Question 1

A drug use evaluation (DUE) of an institution's ACLS medication administration records yields the following data:
* Rate of amiodarone use in patients with asystole = 30%
* Rate of amiodarone use in patients with ventricular fibrillation = 90%
* Rate of epinephrine use in patients with pulseless electrical activity (PEA) = 98%
* Rate of vasopressin use in patients with pulseless ventricular tachycardia = 50% Which of the following treatments should be targeted for intervention?

A. Pulseless ventricular tachycardia B. Asystole C. Pulseless electrical activity D. Ventricular fibrillation

Discussion 0

Correct Answer: B Vote an answer

Question 2

A pharmacotherapy specialist in a managed-care organization is about to review a new drug for the treatment of osteoporosis. The P&T committee will use the results in deciding whether to add the new drug to the formulary. Which of the following information would be most helpful?

A. With the new drug, the number of patients needed to treat for the prevention of one fracture is 25. B. The new drug will cost $15600 more than the current formulary drug to prevent one fracture. C. The new drug is associated with a 32% reduction in the fracture rate. D. The annual cost of the new drug for the organization's population of patients with osteoporosis would be $2.7 million

Discussion 0

Correct Answer: C Vote an answer

Question 3

A patient presents to the emergency department with a generalized rash. When questioned about recent changes in medication therapy, the patient reports starting glyburide 2 week ago.
Which of the following may be used to assess the causality between glyburide use and the patient's rash?

A. CAGE Questionnaire B. Modified Morisky Scale C. Brief Medication Questionnaire D. Naranjo Algorithm

Discussion 0

Correct Answer: C Vote an answer

Question 4

A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?

A. Folic acid B. Ferritin C. Serum vitamin B12 D. Erythrocyte sedimentation rate

Discussion 0

Correct Answer: C Vote an answer

Question 5

Administration of a marketed drug to a patient for an off-label indication without approval from a local IRB is permissible in which of the following situations?

A. The drug is administered under a protocol sponsored by an NIH grant. B. The drug is administered on the request of the patient or the patient's representative. C. The patient's physician considers that the risk/benefit ratio favors the use of the drug. D. The patient's physician has filed a Notice of Claimed Investigational Exemption for a New Drug with the FDA.

Discussion 0

Correct Answer: C Vote an answer

Question 6

A MEDLINE search fails to retrieve a clinical trial known by the searcher to have been published in a recently established open-access medical journal. This failure has most likely occurred because of which of the following?

A. The searcher limited the search to "humans" and "English language." B. MEDLINE does not index open-access journals. C. The time that the journal has been available does not meet criteria for indexing. D. MEDLINE selectively indexes articles of the highest scientific merit.

Discussion 0

Correct Answer: C Vote an answer

Question 7

Which of the following components of a grant proposal defines the study hypothesis?

A. Significance B. Research design C. Background D. Specific aims

Discussion 0

Correct Answer: D Vote an answer

Question 8

In a clinical trial, when would "intention to treat" analysis be most appropriate?

A. High drop-out rate B. Small sample size C. Crossover design D. Phase || trial

Discussion 0

Correct Answer: B Vote an answer

Question 9

A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?

A. Calcipotriene B. Methotrexate C. Anthralin D. Halobetasol

Discussion 0

Correct Answer: B Vote an answer

Question 10

The results of a drug-use evaluation study by the P & T Committee reveal that 15 prescribers are using an antibiotic inappropriately. Which of the following is the most effective strategy for improving the drug therapy?

A. Sending the prescriber's a letter with the results of the study and educational material B. Meeting individually with the prescribers to review the results of the study and review educational material C. Meeting in a seminar with the prescribers to review the results of the study D. Including the results of the study and educational material in a newsletter distributed to the medical staff

Discussion 0

Correct Answer: C Vote an answer

Question 11

A patient presents a first-time prescription for exenatide subcutaneously twice daily. Which of the following information should the pharmacotherapy specialist present during patient counseling?

A. Dose size should be adjusted according to the size of each meal. B. The most common side effect is nausea, which usually decreases over time. C. The drug should be taken within 60 minutes after eating the morning and evening meals. D. The drug should be discarded 60 days after first use, even if some remains in the pen.

Discussion 0

Correct Answer: C Vote an answer

Question 12

A 35-year-old patient presents with symptoms consistent with acute pharyngitis. The patient reports no other illnesses, no known drug allergies, and a medical history significant for generalized anxiety disorder. The appropriate therapy should be determined by testing for which of the following?

A. Streptococcus pneumoniae B. Haemophilus influenzae C. Staphylococcus aureus D. Group A Streptococcus

Discussion 0

Correct Answer: D Vote an answer

Question 13

Which is the most effective method to improve the safety of the use of phytonadione in an institution with a 24-hour pharmacy?

A. Removal of phytonadione from all patient care areas of the facility coupled with strict usage guidelines B. Computer order sets that default to using a standardized number of vials or amps of phytonadione per dose C. Establishment of emergency preparedness kits containing phytonadione to be stored in the patient care areas where warfarin is used D. Yearly in-service education and medical staff presentation about phytonadione use

Discussion 0

Correct Answer: A Vote an answer

Question 14

A 47-year-old patient with type 2 diabetes mellitus and no known coronary heart disease has the following fasting lipid profile. HDL cholesterol = 40 mg/dL, LDL cholesterol = 164 mg/dL, and triglycerides = 150 mg/dL. The patient has an ASCVD 10-year risk score of 6%. According to the ACC/AHA, which of the following is the most appropriate intervention for this patient's LDL?

A. LDL lowering only warranted if the LDL was > 190 mg/dL B. Reduce LDL by >50% (high intensity statin) C. No indication to lower LDL D. Reduce LDL by 30-50% (moderate intensity statin)

Discussion 0

Correct Answer: B Vote an answer

Question 15

A 50-year-old woman experienced acute renal failure after receiving contrast dye for an imaging study. Her estimated creatinine clearance is now 20 mL/min. Her medications include:
* Piperacillin/tazobactam 4.5g intravenously every 8 hours
* Azithromycin 500 mg intravenously daily
* Famotidine 40 mg orally twice daily
* Enoxaparin 40 mg subcutaneously daily
* Metoprolol succinate 100 mg orally daily
Which drugs require dose reduction due to acute renal failure?

A. Piperacillin/tazobactam, famotidine, and enoxaparin B. All of her current medications C. Piperacillin/tazobactam, famotidine, and metoprolol succinate D. Piperacillin/tazobactam, azithromycin, and enoxaparin

Discussion 0

Correct Answer: A Vote an answer