New Free4Torrent BPS-Pharmacotherapy Exam Questions| Real BPS-Pharmacotherapy Dumps Updated on Feb 11, 2022
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NEW QUESTION 81
A 50-year-old patient is admitted for acute coronary syndrome with a past medical history of hyperlipidemia and diabetes. The patient was transferred to the cardiac care unit for intubation because of worsening condition with increased shortness of breath. Physical examination and laboratory results reveal:
* BP: 140/90 mm Hg
* HR: 90 bpm
* RR:27 bpm
* O2 Sat: 90% on 2L
* Nasal cannula general: moderate distress
* Chest: bibasilar rales noted
* CV: S1, S2 present, + JVD 11 cm
* EXT. bilateral pulses, 2+ pitting edema, warm extremities
* BUN: 40 mg/dL
* Serum creatinine: 2.1 mg/dL
* Brain natriuretic peptide: 1120 pg/mL
Which of the following is the most appropriate first-line intravenous therapy for this patient?
- A. Metolazone
- B. Nitroprusside
- C. Furosemide
- D. Milrinone
Answer: B
NEW QUESTION 82
Which of the following is the best initial strategy in addition to docusate sodium to prevent constipation in a 45-year-old patient initiating around-the-clock morphine therapy for chronic pain associated with malignancy?
- A. Glycerin suppository
- B. Senna
- C. Magnesium citrate
- D. Psyllium
Answer: B
NEW QUESTION 83
An 18-year-old patient presents with abrasions on the hands, knees, and shoulder from a recent bicycle accident. Gram-staining of surgical incision and drainage specimens reveals Gram positive cocci in chains. The patient has necrotizing fasciitis and develops bronchospasms after being given penicillin. Which intravenous antibiotic would be best to use in place of penicillin?
- A. Ciprofloxacin
- B. Clindamycin
- C. Sulfamethoxazole/trimethoprim
- D. Ceftriaxone
Answer: B
NEW QUESTION 84
Which of the following is an advantage of a crossover-design clinical trial?
- A. No randomization needed
- B. No period effect
- C. Smaller sample size needed
- D. No carryover effect
Answer: A
NEW QUESTION 85
To correct the development of metabolic acidosis in patients receiving standard TPN solutions, which of the following is the best therapeutic intervention?
- A. Decrease the chloride and increase the acetate.
- B. Decrease the phosphate and add bicarbonate.
- C. Decrease the potassium and increase the calcium.
- D. Hyperventilate the patient to produce hypocapnia.
Answer: B
NEW QUESTION 86
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. Discontinue metformin.
- B. Start simethicone.
- C. Start metoclopramide.
- D. Begin intravenous fluids.
Answer: D
NEW QUESTION 87
A clinical trial is being designed to evaluate the efficacy of an intermediate-acting niacin preparation in a population with regard to amelioration of coronary artery disease risk.
Bioethical considerations would restrict recruitment of subjects with poorly controlled diabetes mellitus, recent gastroduodenal ulcer disease, or hyperuricemia. Which principle would consider these patients to be ineligible for enrollment?
- A. Autonomy
- B. Equipoise
- C. Beneficence
- D. Justice
Answer: A
NEW QUESTION 88
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. 64 mcg/mL
- B. 75 mcg/mL
- C. 50mcg/mL
- D. 58 mcg/mL
Answer: A
NEW QUESTION 89
A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?
- A. Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin
- B. Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy
- C. No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
- D. No, patient charts may not be placed outside an exam room door
Answer: D
NEW QUESTION 90
An investigator decides to perform a correlation analysis of the relationship between the number of cigarettes smoked per day and age. Results show a positive correlation between the two, with an r value of 0.50 and ap value for the correlation equal to 0.03. What is the most reasonable interpretation of this correlation?
- A. There is a statistically significant numerical association between age and amount of smoking.
- B. Increased age does not cause students to smoke more.
- C. There is no relationship between age and amount of smoking.
- D. Increased age causes students to Smoke more.
Answer: A
NEW QUESTION 91
A patient with hepatic encephalopathy is being treated with lactulose 15 mL four times daily.
Over the next 72 hours, the patient becomes less agitated but remains disoriented. Which of the following should be the next step?
- A. Measure stool pH to ensure that it is greater than 7.
- B. Add neomycin 1 g four times daily.
- C. Begin branched-chain amino-acid supplementation.
- D. Determine the frequency of bowel movements.
Answer: B
NEW QUESTION 92
A 68-year-old female patient is admitted to the ICU for acute decompensated heart failure. She is currently intubated due to acute respiratory failure and hypoxia. After intubation, her Richmond Agitation-Sedation Scale (RASS) score is +3, and her Confusion Assessment Method for the ICU (CAM-ICU) is positive for delirium. She denies pain.
Which of the following is the best recommendation for achieving her sedation goal of RASS equals zero?
- A. Administer lorazepam infusion at a rate of 1 mg/h.
- B. Initiate propofol at 5 mcg/kg/min and titrate as needed.
- C. Initiate morphine 2 mg intravenously q6h as needed for delirium.
- D. Administer haloperidol 5 mg intravenously q4h as needed for delirium.
Answer: B
NEW QUESTION 93
A pharmacotherapy specialist is evaluating a study that compared the effects of iron sucrose versus sodium ferric gluconate on ferritin levels in patients receiving hemodialysis. A significant difference was found between the groups. This study was conducted in a large academic center in Denmark; the specialist practices at a small rural hospital in Minnesota. Which of the following information in the paper will be most important in determining whether the study's results can be applied to the specialist's practice?
- A. Randomization methods
- B. Inclusion/exclusion criteria
- C. Internal validity
- D. Statistical analysis
Answer: B
NEW QUESTION 94
A 50-kg 15-year-old female patient presents to the emergency department 6 hours after ingesting 100 ferrous sulfate tablets, each containing 325 mg. A pregnancy test is negative, and flat plate radiography of the abdomen demonstrates many tablets in the stomach and throughout the small intestine. The patient is intermittently vomiting, with no tablets recovered in the emesis. The patient is otherwise asymptomatic and stable. Which of the following forms of gastrointestinal decontamination should be recommended?
- A. Whole bowel irrigation
- B. Activated charcoal administration
- C. Gastric lavage
- D. Ipecac syrup administration
Answer: A
NEW QUESTION 95
A patient presents to the emergency department with a generalized rash. When questioned about recent changes in medication therapy, the patient reports starting glyburide 2 week ago.
Which of the following may be used to assess the causality between glyburide use and the patient's rash?
- A. Naranjo Algorithm
- B. Brief Medication Questionnaire
- C. CAGE Questionnaire
- D. Modified Morisky Scale
Answer: B
NEW QUESTION 96
When low molecular weight heparin is prescribed, in which of the following patient populations would monitoring anti-factor-Xa levels be reasonable to consider?
- A. Protein C and Protein S deficiencies
- B. Significant renal impairment
- C. Past history of GI bleeding
- D. Anticardiolipin antibody syndrome
Answer: D
NEW QUESTION 97
Which of the following quality performance measures would be most appropriate to evaluate in relation to anticoagulation management in the outpatient setting?
- A. Bleeding and thromboembolic complication rates
- B. Medication adherence rates
- C. Percentage of time in therapeutic range
- D. Percentage of extremely high INRS
Answer: B
NEW QUESTION 98
A pharmacotherapy specialist in a managed-care organization is about to review a new drug for the treatment of osteoporosis. The P&T committee will use the results in deciding whether to add the new drug to the formulary. Which of the following information would be most helpful?
- A. The new drug will cost $15600 more than the current formulary drug to prevent one fracture.
- B. With the new drug, the number of patients needed to treat for the prevention of one fracture is 25.
- C. The annual cost of the new drug for the organization's population of patients with osteoporosis would be $2.7 million
- D. The new drug is associated with a 32% reduction in the fracture rate.
Answer: D
NEW QUESTION 99
A 50-year-old patient presents to the physician complaining of anxiety, insomnia, a depressed mood, and decreased energy level. Paroxetine therapy is initiated. Which symptom will be the last to respond?
- A. Depressed mood
- B. Insomnia
- C. Anxiety
- D. Decreased energy
Answer: B
NEW QUESTION 100
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 ropinirole.
- C. Change to entacapone.
- D. Change to carbidopa/levodopa.
Answer: D
NEW QUESTION 101
The Randomized Aldactone Evaluation Study (RALES) yielded the following results:
* Placebo death rate: 386/841
* Spironolactone death rate: 284/822
Given these data, which of the following is the relative risk reduction for death with spironolactone, in comparison with placebo?
- A. 11%
- B. 31%
- C. 45%
- D. 24%
Answer: A
NEW QUESTION 102
The pharmacotherapy specialist-directed research team in a large healthcare system plans to submit a comparative effectiveness study proposal in response to the request for proposals released under the Patient Protection and Affordable Care Act. In designing this study, which category of outcomes should be used for the primary endpoint?
- A. Surrogate markers
- B. Cost-effectiveness
- C. Cost savings
- D. Patient-centered health
Answer: D
NEW QUESTION 103
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. Amoxicillin 500 mg three times daily for 7 days
- B. Ciprofloxacin 500mg twice daily for 7 days
- C. Azithromycin 1 g single dose
- D. Sulfamethoxazole/trimethoprim one double-strength tablet twice daily for 3 days
Answer: D
NEW QUESTION 104
A 47-year-old patient with cirrhosis, ascites, and acute renal failure presents to the emergency department. A peritoneal tap reveals spontaneous bacterial peritonitis (neutrophils = 789 in the ascitic fluid). Medical history includes ethanol abuse and positivity for HCV antibody. What is the most appropriate drug therapy for this patient?
- A. Cefotaxime with albumin
- B. Gentamicin With albumin
- C. Levofloxacin With dextran 40
- D. Piperacillin/tazobactam with dextran 40
Answer: C
NEW QUESTION 105
A patient with previously well-controlled diabetes is suspected to be nonadherent with medication and diet. During the patient's last visit, the pharmacy student attempt to review education materials. However, the patient said that he forgot his reading glasses and asked if he could read through the information when he got home?
Which of the following is the best course of action for the patient at his next visit?
- A. Ask the patient to read and interpret the instructions on a prescription label to evaluate literacy
- B. Ask the patient to follow up with his primary care provider.
- C. Provider the patient with additional materials to read at home.
- D. Admit the patient to the hospital to optimize the diabetes regimen
Answer: B
NEW QUESTION 106
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