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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 59-year-old man presents to the neurology clinic with recently diagnosed Parkinson's disease.
At his last visit 2 months ago, selegiline therapy was instituted, and he is tolerating it well. The patient still complains of tremor and rigidity that are interfering with both professional and leisure activities. Which option is most appropriate at this time?

A) Change to amantadine.
B) Change to entacapone.
C) Change to ropinirole.
D) Change to carbidopa/levodopa.

2. A 51-year-old male patient reports waking up in the middle of the night and being unable to go back to sleep, but he has no problem falling asleep. The patient says he feels exhausted most days of the Week at Work. His physician prescribes zolpidem 3.5 mg sublingually as needed.
What is the most appropriate counseling point about zolpidem for this patient?

A) It is unlikely to cause sleep during driving.
B) It may be taken for middle-of-the-night awakenings.
C) It should be taken shortly before bedtime.
D) It should be taken with a full glass of water.

3. After 9 days of hospitalization, a 60-year-old 60-kg patient has a temperature of 39.4°C and a WBC count of 20,000 cells/uL. A sputum sample shows numerous WBCs and Gram-negative bacilli. The serum creatinine is 1.0 mg/dL. For this patient, which of the following drugs would be most appropriate for initial parenteral therapy?

A) Aztreonam, clindamycin, and vancomycin
B) Tobramycin and cefepime
C) Cefepime, levofloxacin, and vancomycin
D) Ceftriaxone and azithromycin

4. A 48 year old man attends a local pharmacy health fair for a blood pressure check. His blodd pressure on two recent occasions has averaged 138/88 mm Hg.
According to the American Society of Hypertension, what is this patient's blood pressure classification?

A) Stage 2
B) Stage 1
C) Prehypertension
D) Normotensive

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

Solutions: