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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

Question 1

A patient with diabetic ketoacidosis is receiving 0.9% NaCl, with potassium chloride 20 mEq/L, at 200 mL/h, and regular insulin 8 units/h, intravenously. After 8 hours, the blood glucose is
250 mg/dL and the anion gap is elevated. At this point, which of the following is the most appropriate therapy?

A. Discontinue the insulin and maintain current fluids.
B. Continue the current insulin and fluid therapy.
C. Convert to subcutaneous regular insulin and reduce fluids to a keep-vein-open rate.
D. Continue the insulin infusion rate and change to dextrose-containing fluids.

Question 2

A 60-year-old patient has a 15-year history of type 2 diabetes mellitus, hypertension, and dyslipidemia. The patient, who denies smoking or drinking, complains of early satiety, a full feeling, bloating, and vomiting, for the past 2 months. Current medications include glipizide, metformin, and atorvastatin. The most recent A1C was 9.8%. Liver and renal function test results are within normal limits.
Which of the following would be most appropriate for managing these complaints?

A. Start simethicone.
B. Begin intravenous fluids.
C. Start metoclopramide.
D. Discontinue metformin.

Question 3

Which of the following components of a grant proposal defines the study hypothesis?

A. Specific aims
B. Significance
C. Background
D. Research design

Question 4

A 45-year-old patient develops neutropenia, fever, headache, meningismus, and lethargy after induction chemotherapy for acute lymphocytic leukemia. A lumbar puncture reveals 1,000 total nucleated cells with elevated CSF protein with gram stain showing Gram-positive rods. Which of the following is the best initial empiric therapy for this patient?

A. Ceftriaxone
B. Ampicillin and cefotaxime
C. Ceftazidime and gentamicin
D. Ampicillin

Question 5

A 53-year-old patient with an 8-year history of diabetes is currently taking glipizide 10 mg twice daily before breakfast and supper. The patient weighs 85 kg and reports a 4.5 kg weight gain in the last year. Laboratory results are:
Creatinine: 1.2 mg/dL
A1C: 8.5%
What is the most appropriate recommendation at this time for improved diabetes control?

A. Continue with glipizide and add metformin.
B. Increase glipizide to 20 mg twice daily.
C. Change glipizide to metformin.
D. Change glipizide to insulin.

Solutions: