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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

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

2. A 35-year-old patient presents with symptoms consistent with acute pharyngitis. The patient reports no other illnesses, no known drug allergies, and a medical history significant for generalized anxiety disorder. The appropriate therapy should be determined by testing for which of the following?

A) Streptococcus pneumoniae
B) Haemophilus influenzae
C) Group A Streptococcus
D) Staphylococcus aureus

3. An investigator decides to perform a correlation analysis of the relationship between the number of cigarettes smoked per day and age. Results show a positive correlation between the two, with an r value of 0.50 and ap value for the correlation equal to 0.03. What is the most reasonable interpretation of this correlation?

A) Increased age does not cause students to smoke more.
B) Increased age causes students to Smoke more.
C) There is a statistically significant numerical association between age and amount of smoking.
D) There is no relationship between age and amount of smoking.

4. A 49-year-old man presents to his physician with a 3-day acute attack of gout in four joints of the right foot. The patient has a history of at least three previous gout attacks; in one, a joint aspirate was positive for urate crystals. His history also includes type 2 diabetes mellitus and two calcium oxalate kidney stones.
Laboratory values include creatinine 3.1 mg/dL, uric acid 11.7 mg/dL, and A1C 6.8%. The patient is allergic to aspirin. Vital signs are BP135/82mm Hg and HR 90 bpm and regular.
Current medications are glipizide 10 mg daily and enalapril 20 mg daily.
Which short-term regimen is most appropriate for treating this patient's gout?

A) Prednisone 40 mg daily
B) Celecoxib 200 mg daily
C) Indomethacin 50 mg three times daily
D) Colchicine 0.6 mg hourly

5. A postmenopausal patient with osteoporosis is being switched from conjugated estrogen to raloxifene treatment. Which of the following should be communicated to this patient as the best outcome that has been documented with raloxifene?

A) Decreased incidence of hot flushes
B) Decreased incidence of Vertebral fractures
C) Lower likelihood of thromboembolic events
D) Decreased incidence of cardiovascular events

Solutions: