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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. Which statement is correct regarding the measurement of blood pressure, according to the American Society of Hypertension?

A) The patient should be seated at least 10 minutes prior to measurement.
B) The patient should stand with arms bared during measurement.
C) Two or more readings taken 2 minutes apart should be averaged.
D) The patient should not smoke for at least 10 minutes prior to measurement.

3. A 71-year-old patient presents for a hospital follow-up visit after a recent inpatient stay for an exacerbation of COPD, the fourth such stay in the past year. The patient's home medication regimen includes albuterol/ipratropium by inhaler, theophylline, and extended release guaifenesin. The latest FEV1 value in a one-second test was 40% of the predicted value; o2 Sat was 90%. Which of the following is the most appropriate management strategy for this patient?

A) A trail of home oxygen therapy
B) A trail of systemic corticosteroids
C) A trail of montelukast
D) A trial of inhaled corticosteroids

4. A pharmacotherapy specialist is contemplating Writing a case report on a suspected penicillin induced neutropenia in a patient who received intravenous penicillin G for treatment of infective endocarditis. The specialist has established a temporal relationship between the period of medication administration and the onset of neutropenia, and has excluded other potential causes of the adverse effect.
Which of the following is the most appropriate next step in composing the case report?

A) Collect all pertinent patient information, including past medical history, laboratory data, medication history, and consent.
B) Describe the incidence, severity, and outcome of penicillin-induced neutropenia for the introduction section of the report.
C) Generate ideas and wording for the patient case summary portion of the report.
D) Perform a comprehensive literature search to identify existing literature describing neutropenia in penicillin-treated patients.

5. A 55 year old woman being treated for hypothyroidism with levothyroxine 125 mcg daily is currently euthyroid. She now has menopausal symptoms and is receiving conjugated estrogens.
What effect is this most likely to have on her thyroid function tests?

A) No changes in TSH
B) Decreased total T4
C) No changes in reverse triiodothyronine uptake
D) Decreased free T4

Solutions: