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最新的 Board of Pharmacy Specialties BPS-Pharmacotherapy 免費考試真題:

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

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

2. A patient taking warfarin is seen in the clinic today and prescribed a 2-Week course of fluconazole for a fungal infection. Before the patient receives the first dose of fluconazole, the pharmacotherapy specialist should ensure that:

A) The warfarin dose is empirically increased during fluconazole therapy.
B) The fluconazole dose is administered at least 2 hours after the Warfarin dose.
C) An INR is obtained initially and monitored during fluconazole therapy.
D) The fluconazole prescription is changed to ketoconazole.

3. Which statement best describes current recommendations on postnatal corticosteroids in neonatal Broncho pulmonary dysplasia?

A) Late and long-term hydrocortisone therapy may be warranted.
B) High-dose dexamethasone is routinely and strongly recommended.
C) Early, low-dose, short-course hydrocortisone therapy may be beneficial.
D) Combination of dexamethasone and hydrocortisone long-term therapies is advised.

4. A 53-year-old patient with an 8-year history of diabetes is currently taking glipizide 10 mg twice daily before breakfast and supper. The patient weighs 85 kg and reports a 4.5 kg weight gain in the last year. Laboratory results are:
Creatinine: 1.2 mg/dL
A1C: 8.5%
What is the most appropriate recommendation at this time for improved diabetes control?

A) Change glipizide to insulin.
B) Continue with glipizide and add metformin.
C) Change glipizide to metformin.
D) Increase glipizide to 20 mg twice daily.

5. A 53-year-old patient is admitted to the hospital with diarrhea. He has been experiencing five unformed stools daily for 2 days. The patient had a previous admission 6 weeks ago for C.
difficile diarrhea, which was treated successfully with oral metronidazole. Stool tests are again positive for C. difficile toxin A.
On presentation, his vital signs are: BP 128/86 mm Hg, HR 75 bpm, RR 14 bpm, and T37.8°C.
WBC count shows 12,300 cells/ul (80% neutrophils-segs, 10% neutrophils-bands), serum creatinine 1.2 mg/dL, and albumin 3.4 g/dL. The patient has no evidence of colitis, toxic megacolon, or perforation on imaging studies of the abdomen.
What is the most appropriate treatment recommendation for this patient?

A) Vancomycin 125mg orally four times daily
B) Metronidazole 500mg orally three times daily
C) Rifaximin 550mg orally three times daily
D) Vancomycin 125 mg orally four times daily plus metronidazole 500 mg three times daily intravenously

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