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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 60-year-old man with heart failure states that he becomes "a bit short of breath" after climbing a flight of stairs. His ejection fraction is 40%. Current medications include lisinopril 5 mg daily, metoprolol XL 100 mg daily, aspirin 81 mg daily, furosemide 40 mg daily, and digoxin
250 mcg daily. All vital signs and laboratory values are stable and within normal limits. Which of the following recommendations would be most appropriate at this time?

A) Increase lisinopril to 10 mg daily.
B) Add spironolactone 25 mg daily.
C) Replace aspirin with clopidogrel 75 mg daily.
D) Add Valsartan 80 mg twice daily.

2. A patient presents a first-time prescription for exenatide subcutaneously twice daily. Which of the following information should the pharmacotherapy specialist present during patient counseling?

A) The drug should be taken within 60 minutes after eating the morning and evening meals.
B) The drug should be discarded 60 days after first use, even if some remains in the pen.
C) Dose size should be adjusted according to the size of each meal.
D) The most common side effect is nausea, which usually decreases over time.

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

4. Which statement best describes current recommendations on postnatal corticosteroids in neonatal Broncho pulmonary dysplasia?

A) Early, low-dose, short-course hydrocortisone therapy may be beneficial.
B) High-dose dexamethasone is routinely and strongly recommended.
C) Late and long-term hydrocortisone therapy may be warranted.
D) Combination of dexamethasone and hydrocortisone long-term therapies is advised.

5. Which program model may include a shared savings contract between a healthcare provider organization and the Centers for Medicare and Medicaid Services?

A) Health Insurance Exchange
B) Patient Centered Medical Home
C) Accountable Care Organization
D) Health Maintenance Organization

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