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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. 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) Iron dextran
B) Oral iron
C) Subcutaneous erythropoietin
D) Two units of PRBCs

2. 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) Obtain stock from a neighboring hospital when supplies run out.
B) Order 250 vials in case the shortage is longer than expected.
C) Develop guidelines for use of the remaining supply.
D) Issue daily updates to prescribers on inventory levels.

3. 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) Red Book
C) The Harriet Lane Handbook
D) Micromedex

4. A patient presents a first-time prescription for exenatide subcutaneously twice daily. Which of the following information should the pharmacotherapy specialist present during patient counseling?

A) Dose size should be adjusted according to the size of each meal.
B) The drug should be taken within 60 minutes after eating the morning and evening meals.
C) The most common side effect is nausea, which usually decreases over time.
D) The drug should be discarded 60 days after first use, even if some remains in the pen.

5. 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) With the new drug, the number of patients needed to treat for the prevention of one fracture is 25.
B) The new drug is associated with a 32% reduction in the fracture rate.
C) The annual cost of the new drug for the organization's population of patients with osteoporosis would be $2.7 million
D) The new drug will cost $15600 more than the current formulary drug to prevent one fracture.

Solutions: