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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 71-year-old patient presents for a hospital follow-up visit after a recent inpatient stay for an exacerbation of COPD, the fourth such stay in the past year. The patient's home medication regimen includes albuterol/ipratropium by inhaler, theophylline, and extended release guaifenesin. The latest FEV1 value in a one-second test was 40% of the predicted value; o2 Sat was 90%. Which of the following is the most appropriate management strategy for this patient?

A) A trial of inhaled corticosteroids
B) A trail of systemic corticosteroids
C) A trail of home oxygen therapy
D) A trail of montelukast

2. Healthcare Failure Mode and Effect Analysis (HFMEA) is described as a:

A) Proactive risk assessment process to identify and reduce potential errors and their consequences.
B) System analysis method for detecting the overuse or inappropriate use of selected medications within a health system.
C) Joint Commission-required process for monitoring drug prescribing errors and their consequences.
D) Quality assurance method for analyzing errors to identify their underlying causes.

3. From ethical and scientific validity standpoints, in addition to double blinding, which of the following research designs is best for determining a new medication's relative efficacy in treating acute stroke?

A) Placebo-controlled, crossover design
B) Placebo-controlled, randomized, parallel design
C) Parallel design comparing the new therapy with the best standard therapy
D) Crossover design comparing the new therapy with the best standard therapy

4. 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) Oral warfarin
B) Subcutaneous enoxaparin
C) Intravenous t-PA
D) Subcutaneous heparin

5. 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) Food and Drug Administration
B) National Committee for Quality Assurance
C) Joint Commission
D) Institute for Safe medication Practices

Solutions: