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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 50-year-old woman experienced acute renal failure after receiving contrast dye for an imaging study. Her estimated creatinine clearance is now 20 mL/min. Her medications include:
* Piperacillin/tazobactam 4.5g intravenously every 8 hours
* Azithromycin 500 mg intravenously daily
* Famotidine 40 mg orally twice daily
* Enoxaparin 40 mg subcutaneously daily
* Metoprolol succinate 100 mg orally daily
Which drugs require dose reduction due to acute renal failure?

A) All of her current medications
B) Piperacillin/tazobactam, azithromycin, and enoxaparin
C) Piperacillin/tazobactam, famotidine, and enoxaparin
D) Piperacillin/tazobactam, famotidine, and metoprolol succinate

2. A 53-year-old patient with an 8-year history of diabetes is currently taking glipizide 10 mg twice daily before breakfast and supper. The patient weighs 85 kg and reports a 4.5 kg weight gain in the last year. Laboratory results are:
Creatinine: 1.2 mg/dL
A1C: 8.5%
What is the most appropriate recommendation at this time for improved diabetes control?

A) Change glipizide to metformin.
B) Increase glipizide to 20 mg twice daily.
C) Continue with glipizide and add metformin.
D) Change glipizide to insulin.

3. A 47-year-old patient with type 2 diabetes mellitus reports severe painful burning and tingling in the lower extremities. The patient has been taking ibuprofen and using topical capsaicin without relief. Which recommendation is the most appropriate therapy for this patient's peripheral neuropathy?

A) Lamotrigine
B) Amitriptyline
C) Sertraline
D) Tramadol

4. A 58-year-old man recently diagnosed with chronic stable angina has discontinued metoprolol due to erectile dysfunction. Medical history also includes hypertension and type 2 diabetes mellitus. The patient's current medications include aspirin, lisinopril, metformin, and sublingual nitroglycerin as needed. BP is 128/76 mm Hg, and HR 88 bpm.
Which of the following is the most appropriate choice to manage the patient's stable angina symptoms?

A) Amlodipine
B) Vardenafil
C) Diltiazem CD
D) Atenolol

5. A patient is admitted to the hospital after a motor vehicle collision. The patient takes methadone
40 mg once daily for management of an opiate addiction. The remainder of the patient's medical history is unremarkable. The medical resident caring for the patient wants to order methadone but Expresses concern related to the Substance Abuse and Mental Health Services Administration (SAMHSA) regulations.
What is the appropriate action?

A) Order morphine at equivalent dose as an alternative management.
B) Order methadone 40 mg once daily if the patient shows signs of withdrawal.
C) Order methadone 40 mg once daily if the medical resident is a registered opioid treatment program (OTP) practitioner.
D) Order methadone 40 mg once daily during inpatient treatment.

Solutions: