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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient asks for advice relative to an herbal supplement to treat heart failure. The patient is currently NYHA Class III (LVEF 25%) and is adherent to medications, which include digoxin
0.25 mg daily, furosemide 40 mg daily, lisinopril 10 mg daily, carvedilol 6.25 mg twice daily, potassium 20 mEq daily, and simvastatin 40 mg nightly.
The patient has BP of 120/78 mm Hg, HR of 60 bpm, 9 cm JVD, 2+ pitting edema, and has experienced a 2.3 kg weight gain in last 2 days. All laboratory values are within normal limits.
Based on the following information, what is the most appropriate suggestion for the patient?

A) L-Carnitine
B) Omega-3-fatty acid
C) Avoidance of dietary supplements
D) Coenzyme Q10

2. A pharmacotherapy specialist has been asked to provide information on the incidence of a particular side effect for a drug that has now been on the U.S. market for 5 years. The only information available comes from the FDA's MedWatch program. The apparent incidence of a given adverse effect, as determined from the MedWatch database, is likely to be which of the following?

A) Reliable because healthcare institutions such as hospitals are mandated to report all adverse drug events to the FDA
B) Unreliable because the voluntary nature of reporting makes numerator data questionable
C) Reliable because the data are accumulated in cooperation with the pharmaceutical industry
D) Unreliable because reporting healthcare providers usually fail to establish a temporal relationship

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

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

5. Which statement regarding vaccine administration in infants and children is correct?

A) There is no limit to the number of vaccines an individual may receive at one visit.
B) The appropriate administration site is the deltoid.
C) Live Vaccines should be administered at least 2 Weeks before killed Vaccines in infants less than 6 months old.
D) The vaccines may be combined in the same syringe.

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