[Feb 21, 2022] Valid BPS-Pharmacotherapy Test Answers & BPS-Pharmacotherapy Exam PDF
Valid Board of Pharmacy Specialties BPS-Pharmacotherapy Dumps Ensure Your Passing
NEW QUESTION 88
A Woman with a history of poison-ivy allergic contact dermatitis presents with widespread well demarcated patches of erythema and vesicles that are oozing and Weeping. Her eyes are nearly closed, due to swelling. Which of the following drugs is most appropriate for this patient?
- A. Topical triamcinolone
- B. Diphenhydramine
- C. Oral prednisone Oral
- D. Epinephrine subcutaneous
Answer: A
NEW QUESTION 89
A 47-year-old patient with type 2 diabetes mellitus and no known coronary heart disease has the following fasting lipid profile. HDL cholesterol = 40 mg/dL, LDL cholesterol = 164 mg/dL, and triglycerides = 150 mg/dL. The patient has an ASCVD 10-year risk score of 6%. According to the ACC/AHA, which of the following is the most appropriate intervention for this patient's LDL?
- A. LDL lowering only warranted if the LDL was > 190 mg/dL
- B. No indication to lower LDL
- C. Reduce LDL by 30-50% (moderate intensity statin)
- D. Reduce LDL by >50% (high intensity statin)
Answer: D
NEW QUESTION 90
A pharmacotherapy specialist wishes to investigate the impact of thiazolidinedione therapy on Weight gain. The specialist will determine average body weight immediately before participants begin therapy with pioglitazone and again after they complete 12 weeks of treatment. Which of the following statistical methods is most appropriate for analyzing these data?
- A. Unpaired t test
- B. Paired t test
- C. Fisher's exact test
- D. Chi-square test
Answer: A
NEW QUESTION 91
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. Discontinue enoxaparin and continue warfarin.
- B. Discontinue enoxaparin and increase warfarin.
- C. Continue enoxaparin and warfarin.
- D. Continue enoxaparin and hold Warfarin.
Answer: D
NEW QUESTION 92
A 65-year-old woman on chronic hemodialysis presents with difficulty breathing and inability to sleep. The patient has had shortness of breath, diaphoresis, and nausea, but has not vomited.
She denies having abdominal pain, diarrhea, or chest pain. She has tachycardia and tachypnea, and exhibits peaked T waves with occasional PVCs on the ECG. Serum chemistry values are:
* Sodium: 137 mEq/L
* BUN: 125 mg/dL
* Potassium: 7.2 mEq/L
* Creatinine: 12.8 mg/dL
* Chloride: 97 mEq/L
* Glucose: 95 mg/dL
* HCO3- : 11 mEq/L
* Calcium: 8.5 mg/dL
* Albumin: 3.1 g/dL
* Phosphorus: 1.7 mg/dL
Which of the following should the pharmacotherapy specialist recommend for immediate therapy?
- A. Hemodialysis
- B. Sodium polystyrene sulfonate with sorbitol orally
- C. Sodium bicarbonate intravenously
- D. Calcium gluconate intravenously
Answer: D
NEW QUESTION 93
What is the most appropriate source for identifying the generic name, classification, and adverse effects of a foreign brand-name medication?
- A. Martindale: The Complete Drug Reference
- B. Micromedex
- C. American Hospital Formulary Service Drug information
- D. Drug Facts & Comparisons
Answer: D
NEW QUESTION 94
A patient with a nasogastric output of 8 L daily and respirations of 10 bpm has the following - laboratory values:
This clinical information is most consistent with which of the following?
- A. Compensated respiratory alkalosis
- B. Uncompensated metabolic alkalosis
- C. Compensated metabolic alkalosis
- D. Uncompensated respiratory alkalosis
Answer: A
NEW QUESTION 95
A 48-year-old African American woman presents with BP = 142/96 mm Hg. Serum chemistry values are all within normal ranges. Lifestyle modification was initiated 6 months ago when BP was 146/94 mm Hg. The pharmacotherapy specialist should recommend which of the following?
- A. Hydrochlorothiazide 12.5 mg daily
- B. Continued lifestyle modification
- C. Losartan 25 mg daily
- D. Atenolol 25 mg daily
Answer: A
NEW QUESTION 96
Which of the following components of a grant proposal defines the study hypothesis?
- A. Specific aims
- B. Research design
- C. Significance
- D. Background
Answer: A
NEW QUESTION 97
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. Atenolol
- B. Vardenafil
- C. Diltiazem CD
- D. Amlodipine
Answer: C
NEW QUESTION 98
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 99
A 58-year-old patient presents to a clinic for a routine physical. The patient has no significant past medical history. A recent visit to the primary care physician revealed the following fasting laboratory values:
* Glucose: 120 mg/dL
* TSH: 2.5 ulU/mL
* Total cholesterol: 256 mg/dL
* HDL cholesterol: 36 mg/dL
* LDL cholesterol: 170 mg/dL
* Triglycerides: 250 mg/dL
The patient would like to initiate alternative therapy in addition to the physician's diet and exercise recommendations. Which of the following alternative products may be effective for this patient?
- A. Hawthorn leaf
- B. Red yeast rice
- C. Valerian root
- D. Ginkgo biloba
Answer: D
NEW QUESTION 100
In a case-control study of 285 subjects with Alzheimer's dementia and 1,080 control subjects, the number of patients with dyslipidemia was recorded for each group. Among the subjects with dyslipidemia who had taken statins, the odds ratio for developing dementia was 0.29 (95%CI,
0.13-0.63). Which of the following statements can accurately be made about the relationship between the taking of statins and the development of dementia in this study?
- A. Taking statins did not prevent development of dementia.
- B. Taking statins was not associated with development of dementia.
- C. Taking statins prevented development of dementia.
- D. Taking statins was associated with a decreased risk of developing dementia.
Answer: D
NEW QUESTION 101
A study of oral contraceptive use found a risk of breast cancer in long-term (> 12 years) higher dose oral contraceptive users odds ratio = 2.33 (95% CI = 0.9-3.2). Which of the following statements most accurately assesses the study's conclusion that there is a modest effect of oral contraceptive use on breast cancer risk in young women?
- A. The conclusion is justified statistically because the odds ratio is significant.
- B. The conclusion is understated because the odds ratio is greater than two times the nonuser risk.
- C. The conclusion cannot be evaluated until the odds ratio is converted to relative risk.
- D. The conclusion is not justified statistically because the odds ratio is nonsignificant.
Answer: D
NEW QUESTION 102
An 18-year-old patient presents with abrasions on the hands, knees, and shoulder from a recent bicycle accident. Gram-staining of surgical incision and drainage specimens reveals Gram positive cocci in chains. The patient has necrotizing fasciitis and develops bronchospasms after being given penicillin. Which intravenous antibiotic would be best to use in place of penicillin?
- A. Ciprofloxacin
- B. Clindamycin
- C. Sulfamethoxazole/trimethoprim
- D. Ceftriaxone
Answer: B
NEW QUESTION 103
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. Unreliable because reporting healthcare providers usually fail to establish a temporal relationship
- B. Reliable because healthcare institutions such as hospitals are mandated to report all adverse drug events to the FDA
- C. Reliable because the data are accumulated in cooperation with the pharmaceutical industry
- D. Unreliable because the voluntary nature of reporting makes numerator data questionable
Answer: B
NEW QUESTION 104
A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?
- A. Calcipotriene
- B. Halobetasol
- C. Methotrexate
- D. Anthralin
Answer: C
NEW QUESTION 105
A pharmacotherapy specialist is contemplating Writing a case report on a suspected penicillin induced neutropenia in a patient who received intravenous penicillin G for treatment of infective endocarditis. The specialist has established a temporal relationship between the period of medication administration and the onset of neutropenia, and has excluded other potential causes of the adverse effect.
Which of the following is the most appropriate next step in composing the case report?
- A. Describe the incidence, severity, and outcome of penicillin-induced neutropenia for the introduction section of the report.
- B. Perform a comprehensive literature search to identify existing literature describing neutropenia in penicillin-treated patients.
- C. Collect all pertinent patient information, including past medical history, laboratory data, medication history, and consent.
- D. Generate ideas and wording for the patient case summary portion of the report.
Answer: B
NEW QUESTION 106
A postmenopausal patient with osteoporosis is being switched from conjugated estrogen to raloxifene treatment. Which of the following should be communicated to this patient as the best outcome that has been documented with raloxifene?
- A. Decreased incidence of hot flushes
- B. Lower likelihood of thromboembolic events
- C. Decreased incidence of cardiovascular events
- D. Decreased incidence of Vertebral fractures
Answer: A
NEW QUESTION 107
Which of the following is the best initial strategy in addition to docusate sodium to prevent constipation in a 45-year-old patient initiating around-the-clock morphine therapy for chronic pain associated with malignancy?
- A. Glycerin suppository
- B. Senna
- C. Magnesium citrate
- D. Psyllium
Answer: B
NEW QUESTION 108
Administration of a marketed drug to a patient for an off-label indication without approval from a local IRB is permissible in which of the following situations?
- A. The patient's physician has filed a Notice of Claimed Investigational Exemption for a New Drug with the FDA.
- B. The patient's physician considers that the risk/benefit ratio favors the use of the drug.
- C. The drug is administered on the request of the patient or the patient's representative.
- D. The drug is administered under a protocol sponsored by an NIH grant.
Answer: B
NEW QUESTION 109
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. Tramadol
- C. Sertraline
- D. Amitriptyline
Answer: D
NEW QUESTION 110
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. Cefotaxime with albumin
- B. Gentamicin With albumin
- C. Levofloxacin With dextran 40
- D. Piperacillin/tazobactam with dextran 40
Answer: C
NEW QUESTION 111
A 51-year-old male patient reports waking up in the middle of the night and being unable to go back to sleep, but he has no problem falling asleep. The patient says he feels exhausted most days of the Week at Work. His physician prescribes zolpidem 3.5 mg sublingually as needed.
What is the most appropriate counseling point about zolpidem for this patient?
- A. It should be taken with a full glass of water.
- B. It is unlikely to cause sleep during driving.
- C. It should be taken shortly before bedtime.
- D. It may be taken for middle-of-the-night awakenings.
Answer: C
NEW QUESTION 112
Investigators studying the relative nephrotoxicity of two aminoglycosides selected their sample size to detect a reduction in toxicity of 10%. Which of the following is the power of this study if the probability of falsely rejecting the null hypothesis is 0.05 and the probability of falsely accepting the null hypothesis is 0.20?
- A. 0.95
- B. 0.05
- C. 0.80
- D. 0.10
Answer: C
NEW QUESTION 113
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