Pass Guaranteed Quiz 2021 Realistic Verified Free BPS-Pharmacotherapy Exam Dumps
Free Board of Pharmacy Specialties BPS-Pharmacotherapy Ultimate Study Guide (Updated 175 Questions)
NEW QUESTION 17
A 72-year-old woman with a long history of schizophrenia has been admitted to the state hospital because of a recent relapse while on risperidone 5 mg daily. It is decided to use an equivalent dose of ziprasidone. Which reference would most likely provide this information?
- A. The Sanford Guide
- B. Diagnostic and Statistical Manual of Mental Disorders - V
- C. Martindale: The Complete Drug Reference
- D. Drug Facts & Comparisons
Answer: C
NEW QUESTION 18
In designing a clinical trial, the method utilized to deal with inherent differences between groups is to:
- A. Use blinding techniques.
- B. Use a control or comparison group.
- C. Assign patients to groups randomly.
- D. Evaluate the results using statistical methods.
Answer: A
NEW QUESTION 19
A pharmacotherapy specialist wishes to investigate the impact of thiazolidinedione therapy on Weight gain. The specialist will determine average body weight immediately before participants begin therapy with pioglitazone and again after they complete 12 weeks of treatment. Which of the following statistical methods is most appropriate for analyzing these data?
- A. Chi-square test
- B. Paired t test
- C. Fisher's exact test
- D. Unpaired t test
Answer: D
NEW QUESTION 20
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 Vertebral fractures
- B. Lower likelihood of thromboembolic events
- C. Decreased incidence of hot flushes
- D. Decreased incidence of cardiovascular events
Answer: C
NEW QUESTION 21
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. Cultural differences
- B. Ability to afford medication
- C. Lack of readiness to change
- D. Hearing impairment
Answer: D
NEW QUESTION 22
Healthcare Failure Mode and Effect Analysis (HFMEA) is described as a:
- A. System analysis method for detecting the overuse or inappropriate use of selected medications within a health system.
- B. Quality assurance method for analyzing errors to identify their underlying causes.
- C. Proactive risk assessment process to identify and reduce potential errors and their consequences.
- D. Joint Commission-required process for monitoring drug prescribing errors and their consequences.
Answer: C
NEW QUESTION 23
A 75 year old patient with a BP of 70/40 mm HR and HR of 35 bpm after CPR should FIRST receive which of the following intravenous medications?
- A. Epinephrine
- B. Atropine
- C. Isoproterenol
- D. Dopamine
Answer: A
NEW QUESTION 24
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 current insulin and fluid therapy.
- B. Discontinue the insulin and maintain current fluids.
- C. Convert to subcutaneous regular insulin and reduce fluids to a keep-vein-open rate.
- D. Continue the insulin infusion rate and change to dextrose-containing fluids.
Answer: A
NEW QUESTION 25
A 72-year-old patient, weighing 72 kg and measuring 173 cm tall, presents to the emergency department with an acute ischemic stroke. The symptoms have been present for just over an hour. The patient has a history of hypertension and is currently taking lisinopril 10 mg daily.
The patient's evaluation reveals no intracerebral hemorrhaging. The current BP is 178/100 mm Hg. It is now 150 minutes from stroke symptom onset.
Which of the following should now be administered?
- A. Intravenous glycoprotein IIb/IIIa inhibitor
- B. An antihypertensive; reconsider intra-arterial thrombolytics once BP decreases
- C. An antihypertensive; reconsider intravenous t-PA once BP decreases
- D. Intravenous-PA
Answer: D
NEW QUESTION 26
Which of the following pharmacoeconomic analyses incorporates patient preferences regarding health?
- A. Cost-effectiveness
- B. Cost-minimization
- C. Cost-utility
- D. Cost-benefit
Answer: D
NEW QUESTION 27
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. Coenzyme Q10
- D. Avoidance of dietary supplements
Answer: B
NEW QUESTION 28
For a 34-year-old Woman with a history of ethanol abuse, cirrhosis, ascites, and jaundice, which of the following is the most important factor predisposing her to hepatorenal syndrome?
- A. Metabolic acidosis
- B. Volume depletion
- C. Hypocalcaemia
- D. Hypokalemia
Answer: A
NEW QUESTION 29
A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?
- A. Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy
- B. Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin
- C. No, patient charts may not be placed outside an exam room door
- D. No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
Answer: C
NEW QUESTION 30
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. Decreased free T4
- B. Decreased total T4
- C. No changes in reverse triiodothyronine uptake
- D. No changes in TSH
Answer: B
NEW QUESTION 31
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 read and interpret the instructions on a prescription label to evaluate literacy
- C. Ask the patient to follow up with his primary care provider.
- D. Admit the patient to the hospital to optimize the diabetes regimen
Answer: C
NEW QUESTION 32
A shortage of parenteral acyclovir was just announced; a hospital has 25 vials on hand and uses
20 vials in a typical month. The wholesaler has 250 vials on hand but will not receive any more supply for 4 months. What is the hospital's most appropriate response to the shortage?
- A. Issue daily updates to prescribers on inventory levels.
- B. Develop guidelines for use of the remaining supply.
- C. Order 250 vials in case the shortage is longer than expected.
- D. Obtain stock from a neighboring hospital when supplies run out.
Answer: B
NEW QUESTION 33
A 40-year-old transplant recipient who is receiving cyclosporine develops seizures requiring anticonvulsant therapy. Because a drug interaction is likely to occur between cyclosporine and phenytoin, the pharmacotherapy specialist suggests that the resident do which of the following?
- A. Decrease the cyclosporine dose.
- B. Increase the phenytoin dose.
- C. Increase the cyclosporine dose.
- D. Decrease the phenytoin dose.
Answer: C
NEW QUESTION 34
A pharmacy resident calculates the appropriate gentamicin dose and frequency for an elderly patient on hemodialysis. This skill reflects what type of residency learning?
- A. Application
- B. Comprehension
- C. Analysis
- D. Evaluation
Answer: A
NEW QUESTION 35
A 67-year-old patient is hospitalized for decompensated heart failure. The serum sodium concentration is 130 mEq/L on admission. Which of the following is the most appropriate approach to managing the patient's hyponatremia?
- A. Restriction of both sodium and fluids
- B. 0.9% NaCl 200 mL/h intravenously for 5 hours
- C. 3% NaCl 50 mL/h intravenously for 5 hours
- D. Conivaptan 20 mg intravenously over 24 hours
Answer: A
NEW QUESTION 36
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. Begin carbidopa/levodopa.
- B. Discontinue metoclopramide.
- C. Discontinue bupropion.
- D. Begin ropinirole.
Answer: B
NEW QUESTION 37
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