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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 65-year-old Woman presents with complaints of Worsening incontinence associated with sneezing and coughing, as well as itching in the genital area. Physical examination reveals some vaginal atrophy. A pad test is positive, post void residuals average 5 mL, and urinalysis is normal. Which of the following is the best treatment option for this patient?

A) Vaginal estrogen cream
B) Tolterodine
C) Bethanechol
D) Tamsulosin

2. 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 100 mg every 24 hours.
C) Continue enoxaparin 80 mg every 12 hours.
D) Change enoxaparin to 140 mg every 24 hours.

3. A 72-year-old man has chronic insomnia that has not responded to measures to improve sleep hygiene. The patient is not depressed and has no other chronic health problems. It is determined that medication use will probably be necessary to manage the insomnia. What is the best initial recommendation for this patient?

A) Alprazolam
B) Trazodone
C) Amitriptyline
D) Diphenhydramine

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

5. After the first intravenous bolus dose of a drug, the peak concentration is 50 mcg/mL, the elimination rate constant is 0.3/h, and the dosage Interval is 6 hours. Assuming a one compartment model and intravenous bolus injection, which of the following will be the peak concentration following the second dose?

A) 64 mcg/mL
B) 58 mcg/mL
C) 50mcg/mL
D) 75 mcg/mL

Solutions: