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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient is admitted to the hospital after a motor vehicle collision. The patient takes methadone
40 mg once daily for management of an opiate addiction. The remainder of the patient's medical history is unremarkable. The medical resident caring for the patient wants to order methadone but Expresses concern related to the Substance Abuse and Mental Health Services Administration (SAMHSA) regulations.
What is the appropriate action?

A) Order methadone 40 mg once daily during inpatient treatment.
B) Order morphine at equivalent dose as an alternative management.
C) Order methadone 40 mg once daily if the patient shows signs of withdrawal.
D) Order methadone 40 mg once daily if the medical resident is a registered opioid treatment program (OTP) practitioner.

2. Which of the following pharmacoeconomic analyses incorporates patient preferences regarding health?

A) Cost-effectiveness
B) Cost-utility
C) Cost-benefit
D) Cost-minimization

3. A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?

A) Ferritin
B) Erythrocyte sedimentation rate
C) Serum vitamin B12
D) Folic acid

4. A study of oral contraceptive use found a risk of breast cancer in long-term (> 12 years) higher dose oral contraceptive users odds ratio = 2.33 (95% CI = 0.9-3.2). Which of the following statements most accurately assesses the study's conclusion that there is a modest effect of oral contraceptive use on breast cancer risk in young women?

A) The conclusion is justified statistically because the odds ratio is significant.
B) The conclusion is understated because the odds ratio is greater than two times the nonuser risk.
C) The conclusion is not justified statistically because the odds ratio is nonsignificant.
D) The conclusion cannot be evaluated until the odds ratio is converted to relative risk.

5. A 53-year-old man has been diagnosed with a deep vein thrombosis. Weight = 94kg and height
= 170 cm. Creatinine clearance F 60 mL/min, CBC results are within normal limits, and baseline INR = 0.9.
The pharmacotherapy specialist receives orders for warfarin 5 mg orally every evening and enoxaparin 80 mg subcutaneously every 12 hours. Which of the following is the best course of treatment?

A) Change enoxaparin to 140 mg every 24 hours.
B) Change enoxaparin to 80 mg every 24 hours.
C) Continue enoxaparin 80 mg every 12 hours.
D) Change enoxaparin to 100 mg every 24 hours.

Solutions: