About BPS Pharmacotherapy (Part1 and Part2) exam torrent

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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 60-year-old man with heart failure states that he becomes "a bit short of breath" after climbing a flight of stairs. His ejection fraction is 40%. Current medications include lisinopril 5 mg daily, metoprolol XL 100 mg daily, aspirin 81 mg daily, furosemide 40 mg daily, and digoxin
250 mcg daily. All vital signs and laboratory values are stable and within normal limits. Which of the following recommendations would be most appropriate at this time?

A) Add spironolactone 25 mg daily.
B) Add Valsartan 80 mg twice daily.
C) Replace aspirin with clopidogrel 75 mg daily.
D) Increase lisinopril to 10 mg daily.

2. A pharmacotherapy specialist is interpreting a published paper describing a randomized controlled, double-bling study that was conducted to evaluate the effects of antihistamines on the failure rate of treatment of otitis media in children. In the study, 250 children received antihistamines and 264 did not. All children received appropriate antibiotic therapy. Treatment failures occurred in four (1.6%) of the children who received antihistamines and in 13 (4.9%) of those who did not. The difference is statistically significant (p<0.05, chi-square). Which of the following statements about these result is appropriate?

A) Knowledge of the rate and severity of adverse event in the study is needed to allow a therapeutic decision.
B) Antihistamines should be administered to all children with otitis media who meet study entry criteria.
C) The sample size is inadequate to allow clinical conclusions.
D) Chi-square is not the appropriate statistical test.

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

4. A 47-year-old patient with cirrhosis, ascites, and acute renal failure presents to the emergency department. A peritoneal tap reveals spontaneous bacterial peritonitis (neutrophils = 789 in the ascitic fluid). Medical history includes ethanol abuse and positivity for HCV antibody. What is the most appropriate drug therapy for this patient?

A) Gentamicin With albumin
B) Piperacillin/tazobactam with dextran 40
C) Levofloxacin With dextran 40
D) Cefotaxime with albumin

5. A 60-year-old man who is HIV-positive describes symptoms of erectile dysfunction and requests therapy. Current medications include tenofovir 300 mg orally daily, emtricitabine 200 mg orally daily, atazanavir 300 mg orally daily, and ritonavir 100 mg orally daily. In addition to counseling on preventing HIV transmission, which recommendation is appropriate?

A) Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours).
B) Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours) and decrease atazanavir to
150 mg orally daily.
C) Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours).
D) Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours) and decrease atazanavir to
150 mg orally daily.

Solutions: