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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 75 year old patient with a BP of 70/40 mm HR and HR of 35 bpm after CPR should FIRST receive which of the following intravenous medications?

A) Dopamine
B) Epinephrine
C) Atropine
D) Isoproterenol

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 intravenous t-PA once BP decreases
C) An antihypertensive; reconsider intra-arterial thrombolytics once BP decreases
D) Intravenous-PA

3. What provides the best economic justification of the addition of a clinical pharmacist to a 200- bed - community hospital?

A) Participation on a nutrition support team
B) Discharge medication counseling
C) Drug protocol management
D) Participation in interprofessional committees

4. 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) 75 mcg/mL
B) 58 mcg/mL
C) 64 mcg/mL
D) 50mcg/mL

5. Many clinically important adverse drug reactions (ADRs) are detected after the marketing of a drug, rather than during premarketing clinical trials. Of the following, which is the primary reason for this phenomenon?

A) Pharmaceutical companies prefer to market agents with favorable side-effect profiles, so they focus premarketing studies on efficacy rather than on ADRs.
B) Premarketing studies focus on efficacy rather than on safety; therefore, the study design accounts for the failure to detect ADRs.
C) Adverse reactions that are due to drug interactions or drug accumulation in renal insufficiency cannot be studied prospectively during the premarketing phase of clinical evaluation.
D) Too few patients are studied for too short a period of time during premarketing clinical trials.

Solutions: