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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. 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) Ability to afford medication
B) Lack of readiness to change
C) Cultural differences
D) Hearing impairment

2. A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?

A) Serum magnesium
B) Serum antidiuretic hormone
C) Urinary potassium
D) Urinary sodium

3. A 50-year-old patient has a past medical history significant for obesity. The patient has no family history of coronary artery disease, does not smoke or drink, and presently takes only aspirin 81 mg daily. Today's fasting lipid panel is:
Total cholesterol: 230 mg/dL
HDL cholesterol: 45mg/dL
LDL cholesterol: 140 mg/dL
Triglycerides: 160 mg/dL
The patient's ASCVD 10-year risk score is equal to 4%. According to the ACC/AHA, what is the most appropriate intervention?

A) Niacin extended-release 500 mg once daily
B) Group weight-loss program
C) Fenofibrate 160 mg daily
D) Atorvastatin 40 mg daily

4. The risk of methemoglobinemia is highest with the use of:

A) benzocaine 6% topical cream in a 25-year-old for pain associated with a sunburn.
B) benzocaine 7.5% oral gel in an 18-month-old for oral pain associated with teething.
C) benzocaine 20% topical cream in a 42-year-old for pain associated with insect bites.
D) benzocaine 10% oral gel in a 67-year-old for oral pain associated with ill-fitting dentures.

5. The Joint Commission requires accredited organizations to encourage which groups to report concerns about safety?

A) Local specific disease support groups
B) Medical students rotating through organizations
C) Patients and families
D) National special interest groups

Solutions: