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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 42-year-old woman is diagnosed with deep vein thrombosis. Heparin therapy is initiated with
5,000 units as a single bolus injection, followed by an initial infusion rate of 1,000 units/h. The aPTT measured 6 hours later is >150 sec. Which of the following would be the most appropriate action at this time?

A) Continue the infusion at 1,000 units/h, since the aPTT was drawn too early and is not useful.
B) Stop the infusion for one hour, then resume at 750 units/h.
C) Stop the infusion until the aPTT falls to <50 sec, and then resume at 750 units/h.
D) Administer protamine 5 mg, and decrease the infusion rate to 750 units/h.

2. A 67-year-old patient is hospitalized for decompensated heart failure. The serum sodium concentration is 130 mEq/L on admission. Which of the following is the most appropriate approach to managing the patient's hyponatremia?

A) Restriction of both sodium and fluids
B) 0.9% NaCl 200 mL/h intravenously for 5 hours
C) 3% NaCl 50 mL/h intravenously for 5 hours
D) Conivaptan 20 mg intravenously over 24 hours

3. The risk of methemoglobinemia is highest with the use of:

A) benzocaine 10% oral gel in a 67-year-old for oral pain associated with ill-fitting dentures.
B) benzocaine 6% topical cream in a 25-year-old for pain associated with a sunburn.
C) benzocaine 7.5% oral gel in an 18-month-old for oral pain associated with teething.
D) benzocaine 20% topical cream in a 42-year-old for pain associated with insect bites.

4. What is the most appropriate source for identifying the generic name, classification, and adverse effects of a foreign brand-name medication?

A) American Hospital Formulary Service Drug information
B) Micromedex
C) Martindale: The Complete Drug Reference
D) Drug Facts & Comparisons

5. A 50-year-old woman experienced acute renal failure after receiving contrast dye for an imaging study. Her estimated creatinine clearance is now 20 mL/min. Her medications include:
* Piperacillin/tazobactam 4.5g intravenously every 8 hours
* Azithromycin 500 mg intravenously daily
* Famotidine 40 mg orally twice daily
* Enoxaparin 40 mg subcutaneously daily
* Metoprolol succinate 100 mg orally daily
Which drugs require dose reduction due to acute renal failure?

A) All of her current medications
B) Piperacillin/tazobactam, famotidine, and metoprolol succinate
C) Piperacillin/tazobactam, famotidine, and enoxaparin
D) Piperacillin/tazobactam, azithromycin, and enoxaparin

Solutions: