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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

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

2. A 67-year-old patient is hospitalized for decompensated heart failure. The serum sodium concentration is 130 mEq/L on admission. Which of the following is the most appropriate approach to managing the patient's hyponatremia?

A) Restriction of both sodium and fluids
B) Conivaptan 20 mg intravenously over 24 hours
C) 0.9% NaCl 200 mL/h intravenously for 5 hours
D) 3% NaCl 50 mL/h intravenously for 5 hours

3. A patient asks for advice relative to an herbal supplement to treat heart failure. The patient is currently NYHA Class III (LVEF 25%) and is adherent to medications, which include digoxin
0.25 mg daily, furosemide 40 mg daily, lisinopril 10 mg daily, carvedilol 6.25 mg twice daily, potassium 20 mEq daily, and simvastatin 40 mg nightly.
The patient has BP of 120/78 mm Hg, HR of 60 bpm, 9 cm JVD, 2+ pitting edema, and has experienced a 2.3 kg weight gain in last 2 days. All laboratory values are within normal limits.
Based on the following information, what is the most appropriate suggestion for the patient?

A) Avoidance of dietary supplements
B) Omega-3-fatty acid
C) Coenzyme Q10
D) L-Carnitine

4. A 59-year-old patient with a diagnosis of deep vein thrombosis is anticoagulated with enoxaparin 1 mg/kg every 12 hours and warfarin 5 mg daily. On the third day of therapy, his INR
= 2.2. The patient is symptomatically improved. Which of the following is the most appropriate management of this patient?

A) Continue enoxaparin and warfarin.
B) Discontinue enoxaparin and continue warfarin.
C) Continue enoxaparin and hold Warfarin.
D) Discontinue enoxaparin and increase warfarin.

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) Azithromycin
D) No antimicrobial indicated at this time

Solutions: