Real Exam Questions BPS-Pharmacotherapy Dumps Exam Questions in here [Sep-2021]
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NEW QUESTION 98
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. Diltiazem CD
- C. Atenolol
- D. Vardenafil
Answer: B
NEW QUESTION 99
A patient is being discharged on dabigatran, and the pharmacotherapy specialist is counseling the patient's caregiver about the medication. What is the best information to give the caregiver concerning the storage of dabigatran?
- A. Discard the dabigatran bottle within 60 days of opening.
- B. Keep dabigatran in the original container until ready for use.
- C. Place dabigatran in a weekly pill planner to aid compliance.
- D. Refrigerate an opened bottle of dabigatran to increase shelf life.
Answer: C
NEW QUESTION 100
A nurse administering an injectable narcotic is stuck with the needle. Which of the following is the most important information about the nurse's immune status to determine appropriate bloodborne pathogen/hepatitis B procedures?
- A. Date of last dose of hepatitis B immune globulin
- B. Dates of last hepatitis B vaccination
- C. Current hepatitis B surface antigen (HBsAg) status
- D. Current hepatitis B surface antibody (anti-HBs) status
Answer: D
NEW QUESTION 101
A hospital requests a policy and procedure document for the monitoring and reporting of significant adverse drug reactions. Which agency requires a policy for the reporting of adverse drug reactions by hospitals?
- A. Institute for Safe medication Practices
- B. Food and Drug Administration
- C. National Committee for Quality Assurance
- D. Joint Commission
Answer: B
NEW QUESTION 102
A 60-year-old man is admitted to the CCU with an acute anterior wall Ml. Therapy with amiodarone is initiated. The man's concurrent medications include Warfarin, furosemide, and enalapril. Which of the following baseline laboratory land clinical data, in addition to thyroid and liver function tests, should be obtained prior to initiation of amiodarone therapy in this patient?
- A. Fasting blood glucose
- B. Chest X-ray
- C. Spirometry and 24-hour urine for creatinine clearance
- D. FEV1 and baseline electroencephalogram
Answer: D
NEW QUESTION 103
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. Senna
- B. Magnesium citrate
- C. Psyllium
- D. Glycerin suppository
Answer: A
NEW QUESTION 104
A 58-year-old man presents complaining of unsteady gait. Past medical history is significant for diabetes mellitus, gastroparesis, and depression. The patient exhibits a slight shuffling gait, mild limb rigidity, and decreased speed in performing rapid alternating movement. Current daily medications are bupropion, glyburide, metoclopramide, and omeprazole. Which of the following would be the most appropriate initial management for the presenting complaint?
- A. Begin carbidopa/levodopa.
- B. Begin ropinirole.
- C. Discontinue bupropion.
- D. Discontinue metoclopramide.
Answer: D
NEW QUESTION 105
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. Clindamycin
- B. Ceftriaxone
- C. Ciprofloxacin
- D. Sulfamethoxazole/trimethoprim
Answer: A
NEW QUESTION 106
Which is the most effective method to improve the safety of the use of phytonadione in an institution with a 24-hour pharmacy?
- A. Computer order sets that default to using a standardized number of vials or amps of phytonadione per dose
- B. Removal of phytonadione from all patient care areas of the facility coupled with strict usage guidelines
- C. Yearly in-service education and medical staff presentation about phytonadione use
- D. Establishment of emergency preparedness kits containing phytonadione to be stored in the patient care areas where warfarin is used
Answer: B
NEW QUESTION 107
A pharmacotherapy specialist in a managed-care organization is about to review a new drug for the treatment of osteoporosis. The P&T committee will use the results in deciding whether to add the new drug to the formulary. Which of the following information would be most helpful?
- A. The annual cost of the new drug for the organization's population of patients with osteoporosis would be $2.7 million
- B. The new drug is associated with a 32% reduction in the fracture rate.
- C. With the new drug, the number of patients needed to treat for the prevention of one fracture is 25.
- D. The new drug will cost $15600 more than the current formulary drug to prevent one fracture.
Answer: B
NEW QUESTION 108
A 60-year-old patient has a 15-year history of type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient, who denies smoking or drinking, complains of early satiety, a full feeling, bloating, and vomiting, for the past 2 months. Current medications include glipizide, metformin, and atorvastatin. The most recent A1C was 9.8%. Liver and renal function test results are within normal limits.
Which of the following would be most appropriate for managing these complaints?
- A. Start simethicone.
- B. Start metoclopramide.
- C. Discontinue metformin.
- D. Begin intravenous fluids.
Answer: D
NEW QUESTION 109
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 drug is administered on the request of the patient or the patient's representative.
- B. The drug is administered under a protocol sponsored by an NIH grant.
- C. The patient's physician has filed a Notice of Claimed Investigational Exemption for a New Drug with the FDA.
- D. The patient's physician considers that the risk/benefit ratio favors the use of the drug.
Answer: D
NEW QUESTION 110
A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?
- A. Erythrocyte sedimentation rate
- B. Ferritin
- C. Folic acid
- D. Serum vitamin B12
Answer: D
NEW QUESTION 111
The Healthcare Effectiveness Data and Information Set (HEDIS) measures health plan performance on important dimensions of care and service. The benchmarks used for quality of care are derived from goals established by the:
- A. National Committee for Quality Assurance.
- B. Centers for Medicare and Medicaid Services.
- C. Joint Commission.
- D. National Quality Forum.
Answer: A
NEW QUESTION 112
A 49-year-old patient has been taking pregabalin for the treatment of fibromyalgia for one year with good relief of symptoms. However, this patient recently lost access to health insurance.
Although she experienced excellent relief from pregabalin, she is unable to continue this therapy due to cost.
Which of the following would be the best intervention?
- A. Change to gabapentin
- B. Change to duloxetine
- C. Change to amitriptyline
- D. Change to tramaddy
Answer: B
NEW QUESTION 113
A patient is started on ledipasvir-sofosbuvir. What would be the best indicator of treatment response?
- A. HCV RNA below the lower limit of quantification
- B. ALT less than three times the upper limit of normal
- C. Absence of alpha-fetoprotein
- D. Absence of cryoglobulinemia
Answer: A
NEW QUESTION 114
A 50-kg 15-year-old female patient presents to the emergency department 6 hours after ingesting 100 ferrous sulfate tablets, each containing 325 mg. A pregnancy test is negative, and flat plate radiography of the abdomen demonstrates many tablets in the stomach and throughout the small intestine. The patient is intermittently vomiting, with no tablets recovered in the emesis. The patient is otherwise asymptomatic and stable. Which of the following forms of gastrointestinal decontamination should be recommended?
- A. Gastric lavage
- B. Activated charcoal administration
- C. Ipecac syrup administration
- D. Whole bowel irrigation
Answer: D
NEW QUESTION 115
An obtunded 61-year-old Woman weighing 45 kg with Worsening renal function is admitted to the hospital. She has a recent history of several days of nausea, fatigue, pruritus, and a metallic taste in her mouth. Her medical history includes diabetes, heart failure, and COPD. Admission laboratory values include:
SERUM CHEMISTRY
Sodium: 135 mEq/L
Potassium: 5.7 mEq/L
Chloride: 100 mEq/L
HCO3: 15 mEq/L
BUN: 96 mg/dL
Creatinine: 5.5 mg/dL
Glucose: 300 mg/dL
Calcium: 7.4 mg/dL
Serum ketones: Negative
ABGS (Room Air)
pH: 72
PaCO2: 30 mm Hg
PaO2: 75 mm Hg
O2 Sat: 90%
Chest X-ray shows a flattened diaphragm. Current medications include furosemide, fluticasone salmeterol, and glipizide. Which acid-base disorder does this patient exhibit?
- A. Metabolic acidosis secondary to end-stage renal disease
- B. Respiratory acidosis secondary to COPD
- C. Metabolic acidosis secondary to diabetic ketoacidosis
- D. Metabolic acidosis secondary to furosemide use
Answer: A
NEW QUESTION 116
A patient with a COPD exacerbation is treated with prednisone 40 mg daily for one week with improvement. To discontinue the prednisone, the most appropriate procedure would be which of the following?
- A. Reducing the daily prednisone dose by 50% every day until the patient is off the drug.
- B. Reducing the daily prednisone dose by 50% every other day until it is down to 10 mg daily, then reducing it by 25% every other day until the patient is off the drug.
- C. Stopping prednisone administration without dose tapering.
- D. Reducing the daily prednisone dose by 25% every day until the patient is off the drug.
Answer: C
NEW QUESTION 117
A 58-year-old woman presents to the emergency department of a small rural hospital with recurrent chest pain that is unrelieved by three sublingual nitroglycerin tablets. Initial evaluation of her ECG and cardiac enzymes are consistent with non-STEMI. The woman is admitted for observation and given aspirin. Which of the following should be added to this patient's regimen to reduce her risk of death, MI, and recurrent ischemia?
- A. Intravenous t-PA
- B. Oral warfarin
- C. Subcutaneous heparin
- D. Subcutaneous enoxaparin
Answer: D
NEW QUESTION 118
A new team has been established in a large healthcare system to conduct research. At the first meeting of the new team, the pharmacotherapy specialist was asked to submit a proposal for a randomized clinical study. What is the first step in formulating the research hypothesis for this proposal?
- A. Selecting an appropriate comparator
- B. Determining a measurable outcome
- C. Selecting a viable intervention
- D. Formulating an answerable question
Answer: D
NEW QUESTION 119
A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?
- A. This is not an error since the mother is not a healthcare professional.
- B. This is considered a medication error.
- C. This is only an error if the child had experienced harm.
- D. This is only an error if the labeling or directions were wrong.
Answer: B
NEW QUESTION 120
A 48 year old man attends a local pharmacy health fair for a blood pressure check. His blodd pressure on two recent occasions has averaged 138/88 mm Hg.
According to the American Society of Hypertension, what is this patient's blood pressure classification?
- A. Stage 1
- B. Prehypertension
- C. Stage 2
- D. Normotensive
Answer: B
NEW QUESTION 121
A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?
- A. Urinary potassium
- B. Urinary sodium
- C. Serum antidiuretic hormone
- D. Serum magnesium
Answer: C
NEW QUESTION 122
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