Easily To Pass New BPS BPS-Pharmacotherapy Dumps with 175 Questions
Latest BPS-Pharmacotherapy Study Guides 2021 - With Test Engine PDF
NEW QUESTION 14
A 59-year-old man presents to the neurology clinic with recently diagnosed Parkinson's disease.
At his last visit 2 months ago, selegiline therapy was instituted, and he is tolerating it well. The patient still complains of tremor and rigidity that are interfering with both professional and leisure activities. Which option is most appropriate at this time?
- A. Change to carbidopa/levodopa.
- B. Change to ropinirole.
- C. Change to amantadine.
- D. Change to entacapone.
Answer: A
NEW QUESTION 15
A pharmacotherapy specialist has been asked to provide information on the incidence of a particular side effect for a drug that has now been on the U.S. market for 5 years. The only information available comes from the FDA's MedWatch program. The apparent incidence of a given adverse effect, as determined from the MedWatch database, is likely to be which of the following?
- A. Reliable because healthcare institutions such as hospitals are mandated to report all adverse drug events to the FDA
- B. Unreliable because the voluntary nature of reporting makes numerator data questionable
- C. Reliable because the data are accumulated in cooperation with the pharmaceutical industry
- D. Unreliable because reporting healthcare providers usually fail to establish a temporal relationship
Answer: A
NEW QUESTION 16
An oncology team that includes a pharmacotherapy specialist wishes to test the anecdotal observation that gabapentin reduces vincristine-induced neuropathic pain. Which of the following study designs would provide the best evidence for using gabapentin for this indication?
- A. A randomized, double-blind, placebo-controlled study of gabapentin administered concomitantly with Vincristine.
- B. A nonrandomized, open-label study of patients receiving vincristine with or without concomitant gabapentin.
- C. A case-control study of patients receiving Vincristine conducted in multiple centers.
- D. A retrospective chart review using pharmacy records to determine which patients received Vincristine concomitantly with gabapentin.
Answer: C
NEW QUESTION 17
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 125mg orally four times daily
- C. Vancomycin 125 mg orally four times daily plus metronidazole 500 mg three times daily intravenously
- D. Metronidazole 500mg orally three times daily
Answer: D
NEW QUESTION 18
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. The drug should be taken within 60 minutes after eating the morning and evening meals.
- B. The most common side effect is nausea, which usually decreases over time.
- C. Dose size should be adjusted according to the size of each meal.
- D. The drug should be discarded 60 days after first use, even if some remains in the pen.
Answer: A
NEW QUESTION 19
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. Participation on a nutrition support team
- C. Discharge medication counseling
- D. Drug protocol management
Answer: D
NEW QUESTION 20
To correct the development of metabolic acidosis in patients receiving standard TPN solutions, which of the following is the best therapeutic intervention?
- A. Hyperventilate the patient to produce hypocapnia.
- B. Decrease the potassium and increase the calcium.
- C. Decrease the chloride and increase the acetate.
- D. Decrease the phosphate and add bicarbonate.
Answer: D
NEW QUESTION 21
A MEDLINE search fails to retrieve a clinical trial known by the searcher to have been published in a recently established open-access medical journal. This failure has most likely occurred because of which of the following?
- A. The time that the journal has been available does not meet criteria for indexing.
- B. MEDLINE does not index open-access journals.
- C. The searcher limited the search to "humans" and "English language."
- D. MEDLINE selectively indexes articles of the highest scientific merit.
Answer: A
NEW QUESTION 22
Before initiating thrombolytic therapy in a 58 year old patient who has just sustained an acute anterior MI, which of the following must be ascertained?
- A. Medical history, current medications, and serum electrolytes
- B. aPTT, serum electrolytes and duration of chest pain
- C. Medical history, vital sign, duration of chest pain, and current medications
- D. Vital signs, current medications and cardiac enzymes
Answer: D
NEW QUESTION 23
A 35-year-old patient presents with symptoms consistent with acute pharyngitis. The patient reports no other illnesses, no known drug allergies, and a medical history significant for generalized anxiety disorder. The appropriate therapy should be determined by testing for which of the following?
- A. Haemophilus influenzae
- B. Streptococcus pneumoniae
- C. Group A Streptococcus
- D. Staphylococcus aureus
Answer: C
NEW QUESTION 24
In which of the following scenarios should the error be reported to the Institute for Safe Medication Practices?
- A. A patient complains to a pharmacy manager that she did not receive an iPLEDGE brochure when receiving isotretinoin.
- B. A patient receives a 30-day supply of a prescription written for twice daily dosing with only 30 tablets dispensed.
- C. A pharmacy technician fills a prescription incorrectly with a "sound-alike" product, but the error is caught by the pharmacist before being dispensed to the patient.
- D. A shipment of influenza vaccine was received by the pharmacy and was not placed in a refrigerator until the following day.
Answer: A
NEW QUESTION 25
A 14-year-old boy has mild papulopustular acne on the forehead, the nose, and the cheeks, with sparse involvement of the upper trunk and the neck. Which of the following is the most appropriate initial therapeutic agent?
- A. Topical erythromycin
- B. Topical isotretinoin
- C. Topical benzoyl peroxide
- D. Oral tretinoin
Answer: B
NEW QUESTION 26
Healthcare Failure Mode and Effect Analysis (HFMEA) is described as a:
- A. System analysis method for detecting the overuse or inappropriate use of selected medications within a health system.
- B. Proactive risk assessment process to identify and reduce potential errors and their consequences.
- C. Joint Commission-required process for monitoring drug prescribing errors and their consequences.
- D. Quality assurance method for analyzing errors to identify their underlying causes.
Answer: B
NEW QUESTION 27
A patient with renal failure is being treated with phenytoin and has an albumin concentration of
1.7 g/dL. Which of the following is likely to be higher than the general population in this patient?
- A. Maintenance dose
- B. Free fraction of phenytoin
- C. Loading dose
- D. Total steady-state phenytoin concentration
Answer: B
NEW QUESTION 28
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. Nitroprusside
- B. Furosemide
- C. Milrinone
- D. Metolazone
Answer: A
NEW QUESTION 29
The pharmacotherapy specialist-directed research team in a large healthcare system plans to submit a comparative effectiveness study proposal in response to the request for proposals released under the Patient Protection and Affordable Care Act. In designing this study, which category of outcomes should be used for the primary endpoint?
- A. Cost-effectiveness
- B. Surrogate markers
- C. Cost savings
- D. Patient-centered health
Answer: D
NEW QUESTION 30
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. Group weight-loss program
- B. Niacin extended-release 500 mg once daily
- C. Atorvastatin 40 mg daily
- D. Fenofibrate 160 mg daily
Answer: C
NEW QUESTION 31
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. Hold antibiotics until Culture results are available.
- B. Initiate cefepime, Vancomycin, and tobramycin.
- C. Initiate fluconazole, vancomycin, and imipenem.
- D. Initiate amphotericin, ceftazidime, and gentamicin.
Answer: B
NEW QUESTION 32
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