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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A physician suspects that a patient's symptoms are related to abrupt discontinuation of a certain drug and asks the pharmacotherapy specialist about common reactions in this type of situation.
A literature search produces one case report of a discontinuation syndrome involving the drug.
What is the most appropriate action to take with regard to the current suspected adverse event?

A) Write and submit a case report detailing the event.
B) Complete a manufacturer's adverse event report.
C) Report the event to the P & T Committee.
D) Report the event to the FDA MedWatch program.

2. A 60-year-old patient has a 15-year history of type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient, who denies smoking or drinking, complains of early satiety, a full feeling, bloating, and vomiting, for the past 2 months. Current medications include glipizide, metformin, and atorvastatin. The most recent A1C was 9.8%. Liver and renal function test results are within normal limits.
Which of the following would be most appropriate for managing these complaints?

A) Discontinue metformin.
B) Begin intravenous fluids.
C) Start metoclopramide.
D) Start simethicone.

3. A 58-year-old man presents with symptoms of the common cold (nasal congestion, headaches, and dry Cough).
He purchased XYZ Cold formula (acetaminophen, pseudoephedrine, and dextromethorphan), but after reading the cautionary information on the package, he thought he should obtain his pharmacist's advice. He has hypertension and is taking hydrochlorothiazide daily. His office blood pressures range from 127-134/82-88 mm Hg, and he has no other medical problems.
Which of the following instructions are applicable to this patient regarding XYZ Cold formula?

A) XYZ Cold would be safe short term because he has well-controlled hypertension.
B) Although pseudoephedrine is safe to use, he should use an antihistamine instead to better control his symptoms.
C) He should avoid XYZ Cold because it significantly raises blood pressure.
D) He should substitute nasal cromolyn for the decongestant.

4. The Randomized Aldactone Evaluation Study (RALES) yielded the following results:
* Placebo death rate: 386/841
* Spironolactone death rate: 284/822
Given these data, which of the following is the relative risk reduction for death with spironolactone, in comparison with placebo?

A) 31%
B) 45%
C) 24%
D) 11%

5. A nurse's aide calls the drug information center, tells the pharmacotherapy specialist that she has found a capsule on her client's countertop and asks if the capsule can be identified. There is an imprint on the capsule. Which reference is the most appropriate to identify this capsule?

A) Martindale: The Complete Drug Book
B) Micromedex
C) The Harriet Lane Handbook
D) Red Book

Solutions: