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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 24-year-old Woman complains of dysuria, hesitancy in urination, and frequent urination for the past 2 days. She has no costovertebral tenderness, fever, or history of UTls. Urinalysis data are:
* pH: 5.5
* WBCS: 15 cells/ul
* RBCS:5 Cells/uL
* Bacteria: Numerous Gram-negative rods
* Negative for protein, glucose, and WBC casts
For this patient, assuming that local resistance rates are low, which of the following would be an empiric cost-effective regimen?

A) Amoxicillin 500 mg three times daily for 7 days
B) Sulfamethoxazole/trimethoprim one double-strength tablet twice daily for 3 days
C) Ciprofloxacin 500mg twice daily for 7 days
D) Azithromycin 1 g single dose

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

3. A 76-year-old man has his first visit with a pharmacotherapy specialist for the management of his anticoagulation. The patient states that he started warfarin last week as instructed by his physician. He is able to explain the reason that he was started on anticoagulation therapy.
During the interview, some of the specialist's questions go unanswered or are answered inappropriately. For example, when asked if he has had any bleeding, the patient states that his breathing is fine.
Which will most likely be a barrier to the effective education of this patient?

A) Hearing impairment
B) Cultural differences
C) Lack of readiness to change
D) Ability to afford medication

4. A hospital's P & T Committee is considering whether a particular drug should be considered for therapeutic substitution. The pharmacotherapy specialist considers the acquisition cost of each medication and recommends using the drug with the lower cost. Which of the following types of analysis has the pharmacotherapy specialist used?

A) Cost-benefit
B) Cost-minimization
C) Cost-effectiveness
D) Cost-utility

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

A) Yearly in-service education and medical staff presentation about phytonadione use
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) Establishment of emergency preparedness kits containing phytonadione to be stored in the patient care areas where warfarin is used

Solutions: