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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient asks for advice relative to an herbal supplement to treat heart failure. The patient is currently NYHA Class III (LVEF 25%) and is adherent to medications, which include digoxin
0.25 mg daily, furosemide 40 mg daily, lisinopril 10 mg daily, carvedilol 6.25 mg twice daily, potassium 20 mEq daily, and simvastatin 40 mg nightly.
The patient has BP of 120/78 mm Hg, HR of 60 bpm, 9 cm JVD, 2+ pitting edema, and has experienced a 2.3 kg weight gain in last 2 days. All laboratory values are within normal limits.
Based on the following information, what is the most appropriate suggestion for the patient?

A) Coenzyme Q10
B) L-Carnitine
C) Omega-3-fatty acid
D) Avoidance of dietary supplements

2. A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?

A) No, patient charts may not be placed outside an exam room door
B) Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin
C) No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
D) Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy

3. A 53-year-old man has been diagnosed with a deep vein thrombosis. Weight = 94kg and height
= 170 cm. Creatinine clearance F 60 mL/min, CBC results are within normal limits, and baseline INR = 0.9.
The pharmacotherapy specialist receives orders for warfarin 5 mg orally every evening and enoxaparin 80 mg subcutaneously every 12 hours. Which of the following is the best course of treatment?

A) Change enoxaparin to 80 mg every 24 hours.
B) Change enoxaparin to 140 mg every 24 hours.
C) Change enoxaparin to 100 mg every 24 hours.
D) Continue enoxaparin 80 mg every 12 hours.

4. Prednisone 10 mg orally daily is prescribed for a 68-year-old 60-kg patient with acute temporal arteritis. The pharmacotherapy specialist would recommend which of the following?

A) Dose should be increased to 20 mg daily.
B) Prednisone should be discontinued after 2 Weeks.
C) Dose should be increased to 60 mg daily.
D) Dose should be decreased to 5 mg daily.

5. 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.

Solutions: