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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 74-year-old man has been diagnosed with acute bacterial prostatitis. He has no known drug allergies. Which of the following is the optimal therapy duration with levofloxacin 500 mg daily?

A) 2-4 Weeks
B) 6-8 Weeks
C) 7-10 days
D) 3-5 days

2. A shortage of parenteral acyclovir was just announced; a hospital has 25 vials on hand and uses
20 vials in a typical month. The wholesaler has 250 vials on hand but will not receive any more supply for 4 months. What is the hospital's most appropriate response to the shortage?

A) Order 250 vials in case the shortage is longer than expected.
B) Develop guidelines for use of the remaining supply.
C) Issue daily updates to prescribers on inventory levels.
D) Obtain stock from a neighboring hospital when supplies run out.

3. A 50-year-old patient is admitted for acute coronary syndrome with a past medical history of hyperlipidemia and diabetes. The patient was transferred to the cardiac care unit for intubation because of worsening condition with increased shortness of breath. Physical examination and laboratory results reveal:
* BP: 140/90 mm Hg
* HR: 90 bpm
* RR:27 bpm
* O2 Sat: 90% on 2L
* Nasal cannula general: moderate distress
* Chest: bibasilar rales noted
* CV: S1, S2 present, + JVD 11 cm
* EXT. bilateral pulses, 2+ pitting edema, warm extremities
* BUN: 40 mg/dL
* Serum creatinine: 2.1 mg/dL
* Brain natriuretic peptide: 1120 pg/mL
Which of the following is the most appropriate first-line intravenous therapy for this patient?

A) Nitroprusside
B) Milrinone
C) Metolazone
D) Furosemide

4. 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) Psyllium
B) Senna
C) Magnesium citrate
D) Glycerin suppository

5. 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) Determining a measurable outcome
B) Formulating an answerable question
C) Selecting a viable intervention
D) Selecting an appropriate comparator

Solutions: