[Jan-2022] The Best Board of Pharmacy Specialties BPS-Pharmacotherapy Professional Exam Questions
Try 100% Updated BPS-Pharmacotherapy Exam Questions [2022]
NEW QUESTION 87
A 47-year-old patient with type 2 diabetes mellitus and no known coronary heart disease has the following fasting lipid profile. HDL cholesterol = 40 mg/dL, LDL cholesterol = 164 mg/dL, and triglycerides = 150 mg/dL. The patient has an ASCVD 10-year risk score of 6%. According to the ACC/AHA, which of the following is the most appropriate intervention for this patient's LDL?
- A. Reduce LDL by 30-50% (moderate intensity statin)
- B. No indication to lower LDL
- C. LDL lowering only warranted if the LDL was > 190 mg/dL
- D. Reduce LDL by >50% (high intensity statin)
Answer: D
NEW QUESTION 88
A patient is receiving oxcarbazepine. Which is the most relevant toxicity monitoring parameter?
- A. Serum Sodium
- B. Serum potassium
- C. Serum Creatinine
- D. TSH
Answer: A
NEW QUESTION 89
A 58-year-old man presents complaining of unsteady gait. Past medical history is significant for diabetes mellitus, gastroparesis, and depression. The patient exhibits a slight shuffling gait, mild limb rigidity, and decreased speed in performing rapid alternating movement. Current daily medications are bupropion, glyburide, metoclopramide, and omeprazole. Which of the following would be the most appropriate initial management for the presenting complaint?
- A. Discontinue metoclopramide.
- B. Begin ropinirole.
- C. Begin carbidopa/levodopa.
- D. Discontinue bupropion.
Answer: A
NEW QUESTION 90
A pharmacotherapy specialist in a managed-care organization is about to review a new drug for the treatment of osteoporosis. The P&T committee will use the results in deciding whether to add the new drug to the formulary. Which of the following information would be most helpful?
- A. The new drug will cost $15600 more than the current formulary drug to prevent one fracture.
- B. The annual cost of the new drug for the organization's population of patients with osteoporosis would be $2.7 million
- C. With the new drug, the number of patients needed to treat for the prevention of one fracture is 25.
- D. The new drug is associated with a 32% reduction in the fracture rate.
Answer: D
NEW QUESTION 91
A 47-year-old patient with end-stage renal disease undergoing hemodialysis has an HCT of 23% and exhibits anginal symptoms. Upon further Workup, no evidence of occult bleeding is found.
In addition to antianginal therapy, which of the following is the most appropriate initial treatment for this patient's anemia?
- A. Oral iron
- B. Iron dextran
- C. Subcutaneous erythropoietin
- D. Two units of PRBCs
Answer: D
NEW QUESTION 92
Which statement best describes current recommendations on postnatal corticosteroids in neonatal Broncho pulmonary dysplasia?
- A. Combination of dexamethasone and hydrocortisone long-term therapies is advised.
- B. High-dose dexamethasone is routinely and strongly recommended.
- C. Early, low-dose, short-course hydrocortisone therapy may be beneficial.
- D. Late and long-term hydrocortisone therapy may be warranted.
Answer: C
NEW QUESTION 93
Which program model may include a shared savings contract between a healthcare provider organization and the Centers for Medicare and Medicaid Services?
- A. Health Insurance Exchange
- B. Patient Centered Medical Home
- C. Health Maintenance Organization
- D. Accountable Care Organization
Answer: C
NEW QUESTION 94
A patient with renal failure is being treated with phenytoin and has an albumin concentration of
1.7 g/dL. Which of the following is likely to be higher than the general population in this patient?
- A. Maintenance dose
- B. Total steady-state phenytoin concentration
- C. Free fraction of phenytoin
- D. Loading dose
Answer: C
NEW QUESTION 95
A patient with previously well-controlled diabetes is suspected to be nonadherent with medication and diet. During the patient's last visit, the pharmacy student attempt to review education materials. However, the patient said that he forgot his reading glasses and asked if he could read through the information when he got home?
Which of the following is the best course of action for the patient at his next visit?
- A. Provider the patient with additional materials to read at home.
- B. Ask the patient to follow up with his primary care provider.
- C. Ask the patient to read and interpret the instructions on a prescription label to evaluate literacy
- D. Admit the patient to the hospital to optimize the diabetes regimen
Answer: B
NEW QUESTION 96
A 59-year-old patient who is HIV-positive is receiving darunavir and ritonavir as part of a highly active antiretroviral therapy program. Which herbal supplement is contraindicated for this patient because it would decrease darunavir concentrations?
- A. Kava kava
- B. St. John's wort
- C. Echinacea
- D. Saw palmetto
Answer: B
NEW QUESTION 97
A patient presents with palpitations and shortness of breath. A 12-lead ECG reveals a regular narrow QRS complex supraventricular tachycardia. What is the recommended first-line therapy?
- A. Amiodarone
- B. Verapamil
- C. Adenosine
- D. Lidocaine
Answer: C
NEW QUESTION 98
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. Ciprofloxacin 500mg twice daily for 7 days
- B. Amoxicillin 500 mg three times daily for 7 days
- C. Azithromycin 1 g single dose
- D. Sulfamethoxazole/trimethoprim one double-strength tablet twice daily for 3 days
Answer: D
NEW QUESTION 99
Before initiating thrombolytic therapy in a 58 year old patient who has just sustained an acute anterior MI, which of the following must be ascertained?
- A. Vital signs, current medications and cardiac enzymes
- B. aPTT, serum electrolytes and duration of chest pain
- C. Medical history, vital sign, duration of chest pain, and current medications
- D. Medical history, current medications, and serum electrolytes
Answer: A
NEW QUESTION 100
A 53-year-old man has been diagnosed with a deep vein thrombosis. Weight = 94kg and height
= 170 cm. Creatinine clearance F 60 mL/min, CBC results are within normal limits, and baseline INR = 0.9.
The pharmacotherapy specialist receives orders for warfarin 5 mg orally every evening and enoxaparin 80 mg subcutaneously every 12 hours. Which of the following is the best course of treatment?
- A. Change enoxaparin to 80 mg every 24 hours.
- B. Change enoxaparin to 100 mg every 24 hours.
- C. Continue enoxaparin 80 mg every 12 hours.
- D. Change enoxaparin to 140 mg every 24 hours.
Answer: A
NEW QUESTION 101
A 14-year-old boy has mild papulopustular acne on the forehead, the nose, and the cheeks, with sparse involvement of the upper trunk and the neck. Which of the following is the most appropriate initial therapeutic agent?
- A. Topical erythromycin
- B. Topical benzoyl peroxide
- C. Topical isotretinoin
- D. Oral tretinoin
Answer: C
NEW QUESTION 102
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. Report the event to the FDA MedWatch program.
- B. Complete a manufacturer's adverse event report.
- C. Write and submit a case report detailing the event.
- D. Report the event to the P & T Committee.
Answer: C
NEW QUESTION 103
A 65-year-old Woman presents with complaints of Worsening incontinence associated with sneezing and coughing, as well as itching in the genital area. Physical examination reveals some vaginal atrophy. A pad test is positive, post void residuals average 5 mL, and urinalysis is normal. Which of the following is the best treatment option for this patient?
- A. Tamsulosin
- B. Vaginal estrogen cream
- C. Tolterodine
- D. Bethanechol
Answer: B
NEW QUESTION 104
A 49-year-old patient has been taking pregabalin for the treatment of fibromyalgia for one year with good relief of symptoms. However, this patient recently lost access to health insurance.
Although she experienced excellent relief from pregabalin, she is unable to continue this therapy due to cost.
Which of the following would be the best intervention?
- A. Change to amitriptyline
- B. Change to duloxetine
- C. Change to gabapentin
- D. Change to tramaddy
Answer: B
NEW QUESTION 105
A 24-year-old woman with bipolar disorder is admitted for arthroscopic surgery. Baseline laboratory studies reveal leukocytosis. Which drug is most likely to elevate WBCs and lead to an erroneous interpretation?
- A. Olanzapine
- B. Carbamazepine
- C. Lithium
- D. Valproic acid
Answer: A
NEW QUESTION 106
A patient with diabetic ketoacidosis is receiving 0.9% NaCl, with potassium chloride 20 mEq/L, at 200 mL/h, and regular insulin 8 units/h, intravenously. After 8 hours, the blood glucose is
250 mg/dL and the anion gap is elevated. At this point, which of the following is the most appropriate therapy?
- A. Continue the insulin infusion rate and change to dextrose-containing fluids.
- B. Continue the current insulin and fluid therapy.
- C. Discontinue the insulin and maintain current fluids.
- D. Convert to subcutaneous regular insulin and reduce fluids to a keep-vein-open rate.
Answer: B
NEW QUESTION 107
A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?
- A. Serum vitamin B12
- B. Folic acid
- C. Ferritin
- D. Erythrocyte sedimentation rate
Answer: A
NEW QUESTION 108
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