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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 47-year-old patient with end-stage renal disease undergoing hemodialysis has an HCT of 23% and exhibits anginal symptoms. Upon further Workup, no evidence of occult bleeding is found.
In addition to antianginal therapy, which of the following is the most appropriate initial treatment for this patient's anemia?

A) Oral iron
B) Two units of PRBCs
C) Subcutaneous erythropoietin
D) Iron dextran

2. A patient is admitted to the hospital after a motor vehicle collision. The patient takes methadone
40 mg once daily for management of an opiate addiction. The remainder of the patient's medical history is unremarkable. The medical resident caring for the patient wants to order methadone but Expresses concern related to the Substance Abuse and Mental Health Services Administration (SAMHSA) regulations.
What is the appropriate action?

A) Order methadone 40 mg once daily if the patient shows signs of withdrawal.
B) Order methadone 40 mg once daily during inpatient treatment.
C) Order morphine at equivalent dose as an alternative management.
D) Order methadone 40 mg once daily if the medical resident is a registered opioid treatment program (OTP) practitioner.

3. A pharmacotherapy specialist wishes to investigate the impact of thiazolidinedione therapy on Weight gain. The specialist will determine average body weight immediately before participants begin therapy with pioglitazone and again after they complete 12 weeks of treatment. Which of the following statistical methods is most appropriate for analyzing these data?

A) Unpaired t test
B) Paired t test
C) Chi-square test
D) Fisher's exact test

4. A patient is being discharged on dabigatran, and the pharmacotherapy specialist is counseling the patient's caregiver about the medication. What is the best information to give the caregiver concerning the storage of dabigatran?

A) Discard the dabigatran bottle within 60 days of opening.
B) Place dabigatran in a weekly pill planner to aid compliance.
C) Refrigerate an opened bottle of dabigatran to increase shelf life.
D) Keep dabigatran in the original container until ready for use.

5. A 28 year old patient presents to a physician and reports persistent nasal discharge and facial tenderness for the past 15 days. The patient has no known drug allergies. Which recommendation would be best for treating this acute sinusitis?

A) Amoxicillin/clavulanate acid
B) Sulfamethoxazole/trimethoprim
C) No antimicrobial indicated at this time
D) Azithromycin

Solutions: