[Dec-2021] BPS-Pharmacotherapy Braindumps – BPS-Pharmacotherapy Questions to Get Better Grades
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NEW QUESTION 78
A patient is receiving oxcarbazepine. Which is the most relevant toxicity monitoring parameter?
- A. Serum Sodium
- B. Serum Creatinine
- C. TSH
- D. Serum potassium
Answer: A
NEW QUESTION 79
In order to assess the effect of a potential metabolic enzyme inhibitor on the clearance of warfarin, the most appropriate study design would be which of the following?
- A. Single-blind (investigator only), two-group parallel, controlled study
- B. Double-blind, two-group parallel, controlled study
- C. Single-phase study with comparison of warfarin clearance to a population average in the literature
- D. Randomized crossover study with a washout period between phases
Answer: A
NEW QUESTION 80
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.
Answer: B
NEW QUESTION 81
A 25-year-old man who weighs 80 kg is brought to the emergency department following a motor vehicle collision. He has severe facial contusions and a presumed closed head injury. His Glasgow Coma Scale score is 8. An emergency CT scan shows no evidence of intracranial bleeding. What should recommendations for therapy include?
- A. Diazepam 5 mg intravenously over 5 minutes, qh6 for one week
- B. Fosphenytoin 25 PE/kg intravenous push, then an appropriate maintenance dose for one week
- C. Phenytoin 1,200 mg intravenously over 45 minutes, then an appropriate maintenance dose for one week
- D. Dexamethasone 10 mg intravenously q6h for one week
Answer: D
NEW QUESTION 82
A 47-year-old patient with type 2 diabetes mellitus reports severe painful burning and tingling in the lower extremities. The patient has been taking ibuprofen and using topical capsaicin without relief. Which recommendation is the most appropriate therapy for this patient's peripheral neuropathy?
- A. Lamotrigine
- B. Sertraline
- C. Tramadol
- D. Amitriptyline
Answer: D
NEW QUESTION 83
A 65-year-old Woman presents with complaints of Worsening incontinence associated with sneezing and coughing, as well as itching in the genital area. Physical examination reveals some vaginal atrophy. A pad test is positive, post void residuals average 5 mL, and urinalysis is normal. Which of the following is the best treatment option for this patient?
- A. Tamsulosin
- B. Tolterodine
- C. Vaginal estrogen cream
- D. Bethanechol
Answer: C
NEW QUESTION 84
Investigators studying the relative nephrotoxicity of two aminoglycosides selected their sample size to detect a reduction in toxicity of 10%. Which of the following is the power of this study if the probability of falsely rejecting the null hypothesis is 0.05 and the probability of falsely accepting the null hypothesis is 0.20?
- A. 0.80
- B. 0.05
- C. 0.95
- D. 0.10
Answer: A
NEW QUESTION 85
The results of a drug-use evaluation study by the P & T Committee reveal that 15 prescribers are using an antibiotic inappropriately. Which of the following is the most effective strategy for improving the drug therapy?
- A. Sending the prescriber's a letter with the results of the study and educational material
- B. Meeting individually with the prescribers to review the results of the study and review educational material
- C. Meeting in a seminar with the prescribers to review the results of the study
- D. Including the results of the study and educational material in a newsletter distributed to the medical staff
Answer: C
NEW QUESTION 86
A 58-year-old woman presents to the emergency department of a small rural hospital with recurrent chest pain that is unrelieved by three sublingual nitroglycerin tablets. Initial evaluation of her ECG and cardiac enzymes are consistent with non-STEMI. The woman is admitted for observation and given aspirin. Which of the following should be added to this patient's regimen to reduce her risk of death, MI, and recurrent ischemia?
- A. Oral warfarin
- B. Subcutaneous enoxaparin
- C. Subcutaneous heparin
- D. Intravenous t-PA
Answer: B
NEW QUESTION 87
Which of the following components of a grant proposal defines the study hypothesis?
- A. Research design
- B. Background
- C. Specific aims
- D. Significance
Answer: C
NEW QUESTION 88
A 24-year-old Woman complains of dysuria, hesitancy in urination, and frequent urination for the past 2 days. She has no costovertebral tenderness, fever, or history of UTls. Urinalysis data are:
* pH: 5.5
* WBCS: 15 cells/ul
* RBCS:5 Cells/uL
* Bacteria: Numerous Gram-negative rods
* Negative for protein, glucose, and WBC casts
For this patient, assuming that local resistance rates are low, which of the following would be an empiric cost-effective regimen?
- A. Azithromycin 1 g single dose
- B. Amoxicillin 500 mg three times daily for 7 days
- C. Ciprofloxacin 500mg twice daily for 7 days
- D. Sulfamethoxazole/trimethoprim one double-strength tablet twice daily for 3 days
Answer: D
NEW QUESTION 89
Which is the most effective method to improve the safety of the use of phytonadione in an institution with a 24-hour pharmacy?
- A. Removal of phytonadione from all patient care areas of the facility coupled with strict usage guidelines
- B. Yearly in-service education and medical staff presentation about phytonadione use
- C. Establishment of emergency preparedness kits containing phytonadione to be stored in the patient care areas where warfarin is used
- D. Computer order sets that default to using a standardized number of vials or amps of phytonadione per dose
Answer: A
NEW QUESTION 90
A 14-year-old boy has mild papulopustular acne on the forehead, the nose, and the cheeks, with sparse involvement of the upper trunk and the neck. Which of the following is the most appropriate initial therapeutic agent?
- A. Topical erythromycin
- B. Topical isotretinoin
- C. Topical benzoyl peroxide
- D. Oral tretinoin
Answer: B
NEW QUESTION 91
Healthcare Failure Mode and Effect Analysis (HFMEA) is described as a:
- A. System analysis method for detecting the overuse or inappropriate use of selected medications within a health system.
- B. Proactive risk assessment process to identify and reduce potential errors and their consequences.
- C. Joint Commission-required process for monitoring drug prescribing errors and their consequences.
- D. Quality assurance method for analyzing errors to identify their underlying causes.
Answer: B
NEW QUESTION 92
A 66-year-old man with a history of chronic bronchitis is seen in October for treatment of an acute exacerbation. He received the pneumococcal vaccine 3 years ago and an influenza vaccine this past March. Which of the following should the pharmacotherapy specialist recommend?
- A. Influenza Vaccine
- B. Both Vaccines
- C. Oseltamivir With influenza Vaccine
- D. Neither Vaccine
Answer: D
NEW QUESTION 93
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. Candida
- B. Tuberculosis
- C. Hepatitis A
- D. Legionella
Answer: B
NEW QUESTION 94
A 72-year-old man has chronic insomnia that has not responded to measures to improve sleep hygiene. The patient is not depressed and has no other chronic health problems. It is determined that medication use will probably be necessary to manage the insomnia. What is the best initial recommendation for this patient?
- A. Alprazolam
- B. Trazodone
- C. Amitriptyline
- D. Diphenhydramine
Answer: B
NEW QUESTION 95
A 40-year-old transplant recipient who is receiving cyclosporine develops seizures requiring anticonvulsant therapy. Because a drug interaction is likely to occur between cyclosporine and phenytoin, the pharmacotherapy specialist suggests that the resident do which of the following?
- A. Decrease the phenytoin dose.
- B. Decrease the cyclosporine dose.
- C. Increase the phenytoin dose.
- D. Increase the cyclosporine dose.
Answer: D
NEW QUESTION 96
A 74-year-old man has been diagnosed with acute bacterial prostatitis. He has no known drug allergies. Which of the following is the optimal therapy duration with levofloxacin 500 mg daily?
- A. 3-5 days
- B. 6-8 Weeks
- C. 7-10 days
- D. 2-4 Weeks
Answer: D
NEW QUESTION 97
Before initiating thrombolytic therapy in a 58 year old patient who has just sustained an acute anterior MI, which of the following must be ascertained?
- A. Medical history, current medications, and serum electrolytes
- B. aPTT, serum electrolytes and duration of chest pain
- C. Medical history, vital sign, duration of chest pain, and current medications
- D. Vital signs, current medications and cardiac enzymes
Answer: D
NEW QUESTION 98
A 28 year old patient presents to a physician and reports persistent nasal discharge and facial tenderness for the past 15 days. The patient has no known drug allergies. Which recommendation would be best for treating this acute sinusitis?
- A. No antimicrobial indicated at this time
- B. Amoxicillin/clavulanate acid
- C. Azithromycin
- D. Sulfamethoxazole/trimethoprim
Answer: B
NEW QUESTION 99
A 70-year-old man has completed a 14-day course of sulfamethoxazole/trimethoprim for Escherichia coli cystourethritis. The patient has a Foley catheter. A urine culture obtained 24 hours after the last antibiotic dose shows Candida albicans > 10x3 cfu/mL, RBC > 100 cells/hpf, and WBC = 10-20 cells/hpf. The patient is asymptomatic. What is the most appropriate management?
- A. No anti-infective needed
- B. Fluconazole orally daily for 5-10 days
- C. Posaconazole orally daily for 5-10 days
- D. Amphotericin bladder irrigation for 5-10 days
Answer: A
NEW QUESTION 100
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