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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

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) Pulseless electrical activity
C) Asystole
D) Ventricular fibrillation

2. A clinical trial is being designed to evaluate the efficacy of an intermediate-acting niacin preparation in a population with regard to amelioration of coronary artery disease risk.
Bioethical considerations would restrict recruitment of subjects with poorly controlled diabetes mellitus, recent gastroduodenal ulcer disease, or hyperuricemia. Which principle would consider these patients to be ineligible for enrollment?

A) Beneficence
B) Justice
C) Autonomy
D) Equipoise

3. A 25-year-old man who weighs 80 kg is brought to the emergency department following a motor vehicle collision. He has severe facial contusions and a presumed closed head injury. His Glasgow Coma Scale score is 8. An emergency CT scan shows no evidence of intracranial bleeding. What should recommendations for therapy include?

A) Dexamethasone 10 mg intravenously q6h for one week
B) Fosphenytoin 25 PE/kg intravenous push, then an appropriate maintenance dose for one week
C) Diazepam 5 mg intravenously over 5 minutes, qh6 for one week
D) Phenytoin 1,200 mg intravenously over 45 minutes, then an appropriate maintenance dose for one week

4. A 38-year-old man with stage II testicular cancer has received a 5-day course of Cisplatin and etoposide, followed by daily Filgrastim. On day 14, he reports duki aching bone pain. Which of the following is the most likely cause of this complaint?

A) Cisplatin
B) Etoposide
C) Disease progression
D) Filgrastim

5. A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?

A) This is only an error if the child had experienced harm.
B) This is only an error if the labeling or directions were wrong.
C) This is not an error since the mother is not a healthcare professional.
D) This is considered a medication error.

Solutions: