[2022] BPS-Pharmacotherapy Exam Dumps, Test Engine Practice Test Questions

Pass BPS-Pharmacotherapy exam [Jan 01, 2022] Updated 175 Questions

NEW QUESTION 23
A patient with rheumatoid arthritis has been experiencing increased pain over the last 2-3 weeks. The patient's rheumatoid arthritis has previously been controlled with methotrexate and periodic NSAID and steroid use for acute flares. However, currently this regimen is inadequate.
The physician wants to initiate therapy with etanercept.
Which of the following infections should be screened for prior to initiating therapy?

• A. Legionella
• B. Tuberculosis
• C. Candida
• D. Hepatitis A

Answer: B

 

NEW QUESTION 24
A 21-year-old patient with leukemia is admitted to the hospital with a temperature of 38.9°C and a nonproductive cough 8 days after induction chemotherapy completion. Laboratory tests show a WBC count of 1,000 cells/ul (10% segmented neutrophils, 0% bands, and 90% lymphocytes) and a platelet count of 60,000 cells/uL. Chest X-ray reveals a small left lower lobe infiltrate. Blood, urine, and sputum cultures are obtained. What should be the recommendation for initial management?

• A. Initiate cefepime, Vancomycin, and tobramycin.
• B. Hold antibiotics until Culture results are available.
• C. Initiate amphotericin, ceftazidime, and gentamicin.
• D. Initiate fluconazole, vancomycin, and imipenem.

Answer: A

 

NEW QUESTION 25
A prospective randomized study is being developed to evaluate the effects of steroids on mortality in patients who are admitted for head injury Patients will be randomly assigned to receive 48 hours of methylprednisolone or placebo. The study will have an 80% power to detect a 2% difference in mortality. Which of the following is an appropriate null hypothesis for this study?

• A. Methylprednisolone and placebo are not different with respect to effect on mortality.
• B. Methylprednisolone reduces mortality in head injury patients.
• C. Methylprednisolone will increase mortality by 2% compared with placebo.
• D. Methylprednisolone will have a 20% reduction in mortality compared with placebo.

Answer: A

 

NEW QUESTION 26
The results of a drug-use evaluation study by the P & T Committee reveal that 15 prescribers are using an antibiotic inappropriately. Which of the following is the most effective strategy for improving the drug therapy?

• A. Including the results of the study and educational material in a newsletter distributed to the medical staff
• B. Meeting in a seminar with the prescribers to review the results of the study
• C. Sending the prescriber's a letter with the results of the study and educational material
• D. Meeting individually with the prescribers to review the results of the study and review educational material

Answer: B

 

NEW QUESTION 27
A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?

• A. CT scan
• B. Cerebral angiogram
• C. Neurologic exam
• D. MRI

Answer: A

 

NEW QUESTION 28
A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?

• A. Halobetasol
• B. Calcipotriene
• C. Methotrexate
• D. Anthralin

Answer: C

 

NEW QUESTION 29
In designing a clinical trial, the method utilized to deal with inherent differences between groups is to:

• A. Use a control or comparison group.
• B. Assign patients to groups randomly.
• C. Use blinding techniques.
• D. Evaluate the results using statistical methods.

Answer: C

 

NEW QUESTION 30
A 71-year-old patient presents for a hospital follow-up visit after a recent inpatient stay for an exacerbation of COPD, the fourth such stay in the past year. The patient's home medication regimen includes albuterol/ipratropium by inhaler, theophylline, and extended release guaifenesin. The latest FEV1 value in a one-second test was 40% of the predicted value; o2 Sat was 90%. Which of the following is the most appropriate management strategy for this patient?

• A. A trail of home oxygen therapy
• B. A trial of inhaled corticosteroids
• C. A trail of montelukast
• D. A trail of systemic corticosteroids

Answer: B

 

NEW QUESTION 31
A patient taking warfarin is seen in the clinic today and prescribed a 2-Week course of fluconazole for a fungal infection. Before the patient receives the first dose of fluconazole, the pharmacotherapy specialist should ensure that:

• A. The warfarin dose is empirically increased during fluconazole therapy.
• B. The fluconazole prescription is changed to ketoconazole.
• C. The fluconazole dose is administered at least 2 hours after the Warfarin dose.
• D. An INR is obtained initially and monitored during fluconazole therapy.

Answer: D

 

NEW QUESTION 32
A 45-year-old patient develops neutropenia, fever, headache, meningismus, and lethargy after induction chemotherapy for acute lymphocytic leukemia. A lumbar puncture reveals 1,000 total nucleated cells with elevated CSF protein with gram stain showing Gram-positive rods. Which of the following is the best initial empiric therapy for this patient?

• A. Ampicillin
• B. Ceftriaxone
• C. Ampicillin and cefotaxime
• D. Ceftazidime and gentamicin

Answer: B

 

NEW QUESTION 33
A 25-year-old man with type 1 diabetes mellitus has recorded the following average blood - glucose concentrations for the past 5 days:

Which of the following changes in his insulin regimen is most appropriate?

• A. Increase the evening regular insulin.
• B. Increase the evening NPH insulin.
• C. Increase the morning NPH insulin.
• D. Decrease the morning regular insulin.

Answer: C

 

NEW QUESTION 34
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. He should avoid XYZ Cold because it significantly raises blood pressure.
• C. He should substitute nasal cromolyn for the decongestant.
• D. Although pseudoephedrine is safe to use, he should use an antihistamine instead to better control his symptoms.

Answer: A

 

NEW QUESTION 35
A patient is being discharged on dabigatran, and the pharmacotherapy specialist is counseling the patient's caregiver about the medication. What is the best information to give the caregiver concerning the storage of dabigatran?

• A. Refrigerate an opened bottle of dabigatran to increase shelf life.
• B. Keep dabigatran in the original container until ready for use.
• C. Discard the dabigatran bottle within 60 days of opening.
• D. Place dabigatran in a weekly pill planner to aid compliance.

Answer: D

 

NEW QUESTION 36
A study shows that the participants who received 6 months of a new oral anticoagulant after a venous thromboembolism were randomized to continue with the new oral anticoagulant (n =
612) or to placebo (n = 611) for 18 months. Thromboembolism recurred in 12 subjects in the new oral anticoagulant group and 71 subjects in the placebo group (hazard ratio 0.17; 95% CI, 0.09-
0.30; p < 0.001).
Which of the following statements regarding these results is correct?

• A. The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 9.6% compared to placebo.
• B. The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 17% compared to placebo.
• C. The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 83% compared to placebo.
• D. The difference between the new oral anticoagulant and placebo in the secondary prevention of venous thromboembolism is not statistically significant.

Answer: D

 

NEW QUESTION 37
A 22-year-old woman presents to a clinic for her annual pap smear. At this time, she explains that she has engaged in increased unprotected sexual activity over the last few years and is concerned about sexually transmitted diseases, especially human papillomavirus (HPV). She completed the bivalent HPV vaccine series at age 15 and is questioning its duration of effect.
Which option is the most appropriate regarding continued efficacy of the vaccine?

• A. Obtain a geometric titer; if low, boost with either the bivalent or quadrivalent HPV vaccine to treat any genital warts present.
• B. Since the patient had only the bivalent HPV vaccine and more than 5 years passed with increased sexual activity, a repeat series should be given.
• C. A lack of evidence exists regarding the geometric titer efficacy; therefore, FDA does not recommend a repeat series.
• D. Boost with the quadrivalent HPV vaccine because the bivalent HPV vaccine does not protect against genital warts.

Answer: C

 

NEW QUESTION 38
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 39
A clinical trial is being designed to evaluate the efficacy of an intermediate-acting niacin preparation in a population with regard to amelioration of coronary artery disease risk.
Bioethical considerations would restrict recruitment of subjects with poorly controlled diabetes mellitus, recent gastroduodenal ulcer disease, or hyperuricemia. Which principle would consider these patients to be ineligible for enrollment?

• A. Equipoise
• B. Autonomy
• C. Justice
• D. Beneficence

Answer: B

 

NEW QUESTION 40
Two antihypertensive regimens have been compared in 50 patients with mild hypertension.
Treatment A decreased mean diastolic blood pressure to 81 mm Hg, and Treatment B decreased it to 85mm Hg (p = 0.08, a priori critical a = 0.05). The most reasonable interpretation of these results is that the difference between treatments is:

• A. Clinically but not statistically significant.
• B. Neither statistically nor clinically significant.
• C. Statistically but not clinically significant.
• D. Statistically and clinically significant.

Answer: A

 

NEW QUESTION 41
A 48-year-old African American woman presents with BP = 142/96 mm Hg. Serum chemistry values are all within normal ranges. Lifestyle modification was initiated 6 months ago when BP was 146/94 mm Hg. The pharmacotherapy specialist should recommend which of the following?

• A. Losartan 25 mg daily
• B. Continued lifestyle modification
• C. Atenolol 25 mg daily
• D. Hydrochlorothiazide 12.5 mg daily

Answer: D

 

NEW QUESTION 42
A 50-year-old patient is admitted for acute coronary syndrome with a past medical history of hyperlipidemia and diabetes. The patient was transferred to the cardiac care unit for intubation because of worsening condition with increased shortness of breath. Physical examination and laboratory results reveal:
* BP: 140/90 mm Hg
* HR: 90 bpm
* RR:27 bpm
* O2 Sat: 90% on 2L
* Nasal cannula general: moderate distress
* Chest: bibasilar rales noted
* CV: S1, S2 present, + JVD 11 cm
* EXT. bilateral pulses, 2+ pitting edema, warm extremities
* BUN: 40 mg/dL
* Serum creatinine: 2.1 mg/dL
* Brain natriuretic peptide: 1120 pg/mL
Which of the following is the most appropriate first-line intravenous therapy for this patient?

• A. Milrinone
• B. Metolazone
• C. Nitroprusside
• D. Furosemide

Answer: C

 

NEW QUESTION 43
Which of the following components of a grant proposal defines the study hypothesis?

• A. Significance
• B. Research design
• C. Specific aims
• D. Background

Answer: C

 

NEW QUESTION 44
From ethical and scientific validity standpoints, in addition to double blinding, which of the following research designs is best for determining a new medication's relative efficacy in treating acute stroke?

• A. Crossover design comparing the new therapy with the best standard therapy
• B. Placebo-controlled, randomized, parallel design
• C. Placebo-controlled, crossover design
• D. Parallel design comparing the new therapy with the best standard therapy

Answer: A

 

NEW QUESTION 45
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 should be taken with a full glass of water.
• B. It is unlikely to cause sleep during driving.
• C. It may be taken for middle-of-the-night awakenings.
• D. It should be taken shortly before bedtime.

Answer: D

 

NEW QUESTION 46
A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?

• A. This is only an error if the child had experienced harm.
• B. This is only an error if the labeling or directions were wrong.
• C. This is considered a medication error.
• D. This is not an error since the mother is not a healthcare professional.

Answer: C

 

NEW QUESTION 47
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