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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

Question 1

A 59-year-old patient with a diagnosis of deep vein thrombosis is anticoagulated with enoxaparin 1 mg/kg every 12 hours and warfarin 5 mg daily. On the third day of therapy, his INR
= 2.2. The patient is symptomatically improved. Which of the following is the most appropriate management of this patient?

A. Continue enoxaparin and warfarin.
B. Discontinue enoxaparin and continue warfarin.
C. Discontinue enoxaparin and increase warfarin.
D. Continue enoxaparin and hold Warfarin.

Question 2

What provides the best economic justification of the addition of a clinical pharmacist to a 200- bed - community hospital?

A. Participation in interprofessional committees
B. Drug protocol management
C. Discharge medication counseling
D. Participation on a nutrition support team

Question 3

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. Discontinue metoclopramide.
B. Begin ropinirole.
C. Begin carbidopa/levodopa.
D. Discontinue bupropion.

Question 4

A 53-year-old patient is admitted to the hospital with diarrhea. He has been experiencing five unformed stools daily for 2 days. The patient had a previous admission 6 weeks ago for C.
difficile diarrhea, which was treated successfully with oral metronidazole. Stool tests are again positive for C. difficile toxin A.
On presentation, his vital signs are: BP 128/86 mm Hg, HR 75 bpm, RR 14 bpm, and T37.8°C.
WBC count shows 12,300 cells/ul (80% neutrophils-segs, 10% neutrophils-bands), serum creatinine 1.2 mg/dL, and albumin 3.4 g/dL. The patient has no evidence of colitis, toxic megacolon, or perforation on imaging studies of the abdomen.
What is the most appropriate treatment recommendation for this patient?

A. Rifaximin 550mg orally three times daily
B. Vancomycin 125 mg orally four times daily plus metronidazole 500 mg three times daily intravenously
C. Metronidazole 500mg orally three times daily
D. Vancomycin 125mg orally four times daily

Question 5

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

Solutions: