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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A nurse's aide calls the drug information center, tells the pharmacotherapy specialist that she has found a capsule on her client's countertop and asks if the capsule can be identified. There is an imprint on the capsule. Which reference is the most appropriate to identify this capsule?

A) Martindale: The Complete Drug Book
B) The Harriet Lane Handbook
C) Micromedex
D) Red Book

2. A 76-year-old man has his first visit with a pharmacotherapy specialist for the management of his anticoagulation. The patient states that he started warfarin last week as instructed by his physician. He is able to explain the reason that he was started on anticoagulation therapy.
During the interview, some of the specialist's questions go unanswered or are answered inappropriately. For example, when asked if he has had any bleeding, the patient states that his breathing is fine.
Which will most likely be a barrier to the effective education of this patient?

A) Cultural differences
B) Ability to afford medication
C) Hearing impairment
D) Lack of readiness to change

3. To correct the development of metabolic acidosis in patients receiving standard TPN solutions, which of the following is the best therapeutic intervention?

A) Hyperventilate the patient to produce hypocapnia.
B) Decrease the phosphate and add bicarbonate.
C) Decrease the potassium and increase the calcium.
D) Decrease the chloride and increase the acetate.

4. 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

5. A patient with hepatic encephalopathy is being treated with lactulose 15 mL four times daily.
Over the next 72 hours, the patient becomes less agitated but remains disoriented. Which of the following should be the next step?

A) Add neomycin 1 g four times daily.
B) Begin branched-chain amino-acid supplementation.
C) Measure stool pH to ensure that it is greater than 7.
D) Determine the frequency of bowel movements.

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