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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?

A) Neurologic exam
B) Cerebral angiogram
C) CT scan
D) MRI

2. A 72-year-old patient, weighing 72 kg and measuring 173 cm tall, presents to the emergency department with an acute ischemic stroke. The symptoms have been present for just over an hour. The patient has a history of hypertension and is currently taking lisinopril 10 mg daily.
The patient's evaluation reveals no intracerebral hemorrhaging. The current BP is 178/100 mm Hg. It is now 150 minutes from stroke symptom onset.
Which of the following should now be administered?

A) An antihypertensive; reconsider intra-arterial thrombolytics once BP decreases
B) An antihypertensive; reconsider intravenous t-PA once BP decreases
C) Intravenous glycoprotein IIb/IIIa inhibitor
D) Intravenous-PA

3. A study is conducted comparing two antibiotics for the treatment of UTIs. The results after 7 days of therapy demonstrated that Drug A was superior to Drug B in eradicating bacteria from the urine and eliminating signs and symptoms of infections. The investigators concluded that Drug A was significantly superior to Drug B (p<0.05). In subsequent studies, however, the two drugs were equivalent in efficacy.
Which one of the following types of error apparently occurred in the first study?

A) Type ||
B) Beta error
C) Type |
D) Regression to the mean

4. 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

5. A 25-year-old woman who is HIV-positive and has a CD4+ count of 120 cells/mm begins antiretroviral therapy. The patient's CD4+ count drops to 45 cells/mm3 over the next year. For which of the following opportunistic infections should this patient receive prophylaxis?

A) MAC and Pneumocystis jirovecii pneumonia
B) MAC and Candida
C) Mycobacterium tuberculosis and CMV
D) Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia

Solutions: