BPS Board of Pharmacy Specialties BPS-Pharmacotherapy

Simulation test system

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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?

A) Serum magnesium
B) Urinary sodium
C) Urinary potassium
D) Serum antidiuretic hormone

2. A patient taking warfarin is seen in the clinic today and prescribed a 2-Week course of fluconazole for a fungal infection. Before the patient receives the first dose of fluconazole, the pharmacotherapy specialist should ensure that:

A) An INR is obtained initially and monitored during fluconazole therapy.
B) The warfarin dose is empirically increased during fluconazole therapy.
C) The fluconazole dose is administered at least 2 hours after the Warfarin dose.
D) The fluconazole prescription is changed to ketoconazole.

3. After the first intravenous bolus dose of a drug, the peak concentration is 50 mcg/mL, the elimination rate constant is 0.3/h, and the dosage Interval is 6 hours. Assuming a one compartment model and intravenous bolus injection, which of the following will be the peak concentration following the second dose?

A) 50mcg/mL
B) 58 mcg/mL
C) 75 mcg/mL
D) 64 mcg/mL

4. The Healthcare Effectiveness Data and Information Set (HEDIS) measures health plan performance on important dimensions of care and service. The benchmarks used for quality of care are derived from goals established by the:

A) Centers for Medicare and Medicaid Services.
B) National Quality Forum.
C) National Committee for Quality Assurance.
D) Joint Commission.

5. A 67-year-old patient is hospitalized for decompensated heart failure. The serum sodium concentration is 130 mEq/L on admission. Which of the following is the most appropriate approach to managing the patient's hyponatremia?

A) 0.9% NaCl 200 mL/h intravenously for 5 hours
B) 3% NaCl 50 mL/h intravenously for 5 hours
C) Conivaptan 20 mg intravenously over 24 hours
D) Restriction of both sodium and fluids

Solutions: