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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 50-year-old woman experienced acute renal failure after receiving contrast dye for an imaging study. Her estimated creatinine clearance is now 20 mL/min. Her medications include:
* Piperacillin/tazobactam 4.5g intravenously every 8 hours
* Azithromycin 500 mg intravenously daily
* Famotidine 40 mg orally twice daily
* Enoxaparin 40 mg subcutaneously daily
* Metoprolol succinate 100 mg orally daily
Which drugs require dose reduction due to acute renal failure?

A) Piperacillin/tazobactam, famotidine, and enoxaparin
B) All of her current medications
C) Piperacillin/tazobactam, famotidine, and metoprolol succinate
D) Piperacillin/tazobactam, azithromycin, and enoxaparin

2. A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?

A) Calcipotriene
B) Halobetasol
C) Anthralin
D) Methotrexate

3. A hospital requests a policy and procedure document for the monitoring and reporting of significant adverse drug reactions. Which agency requires a policy for the reporting of adverse drug reactions by hospitals?

A) Institute for Safe medication Practices
B) Food and Drug Administration
C) Joint Commission
D) National Committee for Quality Assurance

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

5. A 51-year-old male patient reports waking up in the middle of the night and being unable to go back to sleep, but he has no problem falling asleep. The patient says he feels exhausted most days of the Week at Work. His physician prescribes zolpidem 3.5 mg sublingually as needed.
What is the most appropriate counseling point about zolpidem for this patient?

A) It should be taken with a full glass of water.
B) It should be taken shortly before bedtime.
C) It may be taken for middle-of-the-night awakenings.
D) It is unlikely to cause sleep during driving.

Solutions: