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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A nurse administering an injectable narcotic is stuck with the needle. Which of the following is the most important information about the nurse's immune status to determine appropriate bloodborne pathogen/hepatitis B procedures?

A) Date of last dose of hepatitis B immune globulin
B) Current hepatitis B surface antibody (anti-HBs) status
C) Dates of last hepatitis B vaccination
D) Current hepatitis B surface antigen (HBsAg) status

2. A 72-year-old patient, weighing 72 kg and measuring 173 cm tall, presents to the emergency department with an acute ischemic stroke. The symptoms have been present for just over an hour. The patient has a history of hypertension and is currently taking lisinopril 10 mg daily.
The patient's evaluation reveals no intracerebral hemorrhaging. The current BP is 178/100 mm Hg. It is now 150 minutes from stroke symptom onset.
Which of the following should now be administered?

A) Intravenous glycoprotein IIb/IIIa inhibitor
B) An antihypertensive; reconsider intra-arterial thrombolytics once BP decreases
C) Intravenous-PA
D) An antihypertensive; reconsider intravenous t-PA once BP decreases

3. 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) Phenytoin 1,200 mg intravenously over 45 minutes, then an appropriate maintenance dose for one week
B) Dexamethasone 10 mg intravenously q6h for one week
C) Diazepam 5 mg intravenously over 5 minutes, qh6 for one week
D) Fosphenytoin 25 PE/kg intravenous push, then an appropriate maintenance dose for one week

4. A hospital's P & T Committee is considering whether a particular drug should be considered for therapeutic substitution. The pharmacotherapy specialist considers the acquisition cost of each medication and recommends using the drug with the lower cost. Which of the following types of analysis has the pharmacotherapy specialist used?

A) Cost-benefit
B) Cost-minimization
C) Cost-effectiveness
D) Cost-utility

5. A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?

A) Erythrocyte sedimentation rate
B) Folic acid
C) Serum vitamin B12
D) Ferritin

Solutions: