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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. 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) Whole bowel irrigation
B) Activated charcoal administration
C) Gastric lavage
D) Ipecac syrup administration

2. 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) Red yeast rice
B) Valerian root
C) Hawthorn leaf
D) Ginkgo biloba

3. In which of the following scenarios should the error be reported to the Institute for Safe Medication Practices?

A) A shipment of influenza vaccine was received by the pharmacy and was not placed in a refrigerator until the following day.
B) A patient receives a 30-day supply of a prescription written for twice daily dosing with only 30 tablets dispensed.
C) A patient complains to a pharmacy manager that she did not receive an iPLEDGE brochure when receiving isotretinoin.
D) A pharmacy technician fills a prescription incorrectly with a "sound-alike" product, but the error is caught by the pharmacist before being dispensed to the patient.

4. A 24-year-old Woman complains of dysuria, hesitancy in urination, and frequent urination for the past 2 days. She has no costovertebral tenderness, fever, or history of UTls. Urinalysis data are:
* pH: 5.5
* WBCS: 15 cells/ul
* RBCS:5 Cells/uL
* Bacteria: Numerous Gram-negative rods
* Negative for protein, glucose, and WBC casts
For this patient, assuming that local resistance rates are low, which of the following would be an empiric cost-effective regimen?

A) Sulfamethoxazole/trimethoprim one double-strength tablet twice daily for 3 days
B) Amoxicillin 500 mg three times daily for 7 days
C) Azithromycin 1 g single dose
D) Ciprofloxacin 500mg twice daily for 7 days

5. A patient with rheumatoid arthritis has been experiencing increased pain over the last 2-3 weeks. The patient's rheumatoid arthritis has previously been controlled with methotrexate and periodic NSAID and steroid use for acute flares. However, currently this regimen is inadequate.
The physician wants to initiate therapy with etanercept.
Which of the following infections should be screened for prior to initiating therapy?

A) Hepatitis A
B) Legionella
C) Tuberculosis
D) Candida

Solutions: