New 2021 BPS-Pharmacotherapy Dumps for Board of Pharmacy Specialties Certified Exam Questions & Answer
Realistic Verified BPS-Pharmacotherapy exam dumps Q&As - BPS-Pharmacotherapy Free Update
NEW QUESTION 12
A prospective randomized study is being developed to evaluate the effects of steroids on mortality in patients who are admitted for head injury Patients will be randomly assigned to receive 48 hours of methylprednisolone or placebo. The study will have an 80% power to detect a 2% difference in mortality. Which of the following is an appropriate null hypothesis for this study?
- A. Methylprednisolone and placebo are not different with respect to effect on mortality.
- B. Methylprednisolone will increase mortality by 2% compared with placebo.
- C. Methylprednisolone reduces mortality in head injury patients.
- D. Methylprednisolone will have a 20% reduction in mortality compared with placebo.
Answer: A
NEW QUESTION 13
A 50-year-old patient has a past medical history significant for obesity. The patient has no family history of coronary artery disease, does not smoke or drink, and presently takes only aspirin 81 mg daily. Today's fasting lipid panel is:
Total cholesterol: 230 mg/dL
HDL cholesterol: 45mg/dL
LDL cholesterol: 140 mg/dL
Triglycerides: 160 mg/dL
The patient's ASCVD 10-year risk score is equal to 4%. According to the ACC/AHA, what is the most appropriate intervention?
- A. Group weight-loss program
- B. Niacin extended-release 500 mg once daily
- C. Atorvastatin 40 mg daily
- D. Fenofibrate 160 mg daily
Answer: C
NEW QUESTION 14
A 47-year-old patient with type 2 diabetes mellitus and no known coronary heart disease has the following fasting lipid profile. HDL cholesterol = 40 mg/dL, LDL cholesterol = 164 mg/dL, and triglycerides = 150 mg/dL. The patient has an ASCVD 10-year risk score of 6%. According to the ACC/AHA, which of the following is the most appropriate intervention for this patient's LDL?
- A. LDL lowering only warranted if the LDL was > 190 mg/dL
- B. Reduce LDL by >50% (high intensity statin)
- C. Reduce LDL by 30-50% (moderate intensity statin)
- D. No indication to lower LDL
Answer: B
NEW QUESTION 15
A 58-year-old man recently diagnosed with chronic stable angina has discontinued metoprolol due to erectile dysfunction. Medical history also includes hypertension and type 2 diabetes mellitus. The patient's current medications include aspirin, lisinopril, metformin, and sublingual nitroglycerin as needed. BP is 128/76 mm Hg, and HR 88 bpm.
Which of the following is the most appropriate choice to manage the patient's stable angina symptoms?
- A. Atenolol
- B. Diltiazem CD
- C. Vardenafil
- D. Amlodipine
Answer: B
NEW QUESTION 16
A 65-year-old Woman presents with complaints of Worsening incontinence associated with sneezing and coughing, as well as itching in the genital area. Physical examination reveals some vaginal atrophy. A pad test is positive, post void residuals average 5 mL, and urinalysis is normal. Which of the following is the best treatment option for this patient?
- A. Tamsulosin
- B. Tolterodine
- C. Vaginal estrogen cream
- D. Bethanechol
Answer: C
NEW QUESTION 17
For a 34-year-old Woman with a history of ethanol abuse, cirrhosis, ascites, and jaundice, which of the following is the most important factor predisposing her to hepatorenal syndrome?
- A. Hypokalemia
- B. Volume depletion
- C. Metabolic acidosis
- D. Hypocalcaemia
Answer: C
NEW QUESTION 18
Which program model may include a shared savings contract between a healthcare provider organization and the Centers for Medicare and Medicaid Services?
- A. Accountable Care Organization
- B. Health Maintenance Organization
- C. Patient Centered Medical Home
- D. Health Insurance Exchange
Answer: B
NEW QUESTION 19
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. Too few patients are studied for too short a period of time during premarketing clinical trials.
- B. Pharmaceutical companies prefer to market agents with favorable side-effect profiles, so they focus premarketing studies on efficacy rather than on ADRs.
- C. Premarketing studies focus on efficacy rather than on safety; therefore, the study design accounts for the failure to detect ADRs.
- D. 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.
Answer: A
NEW QUESTION 20
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-utility
- D. Cost-effectiveness
Answer: B
NEW QUESTION 21
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. Clindamycin
- B. Ceftriaxone
- C. Ciprofloxacin
- D. Sulfamethoxazole/trimethoprim
Answer: A
NEW QUESTION 22
The most efficient approach for comparing the efficacy of treatments for BPH is to search which of the following?
- A. Lexicomp's Drug information Handbook
- B. Drug Facts & Comparisons
- C. MEDLINE for clinical trials
- D. Cochrane Systematic Reviews
Answer: C
NEW QUESTION 23
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. Prehypertension
- B. Stage 1
- C. Stage 2
- D. Normotensive
Answer: A
NEW QUESTION 24
A 46-year-old patient begins treatment with allopurinol 300 mg daily following the onset of an acute gout attack due to elevated uric acid.
The patient's other medications are:
* Cyclosporine 800 mg daily
* Prednisone 20 mg daily
* Azathioprine 100 mg daily
* Nifedipine extended release 90 mg daily
Several days later there was an observed decrease in the patient's WBC count. Which drug interaction with allopurinol is most likely to account for this change?
- A. Cyclosporine
- B. Azathioprine
- C. Nifedipine
- D. Prednisone
Answer: A
NEW QUESTION 25
To correct the development of metabolic acidosis in patients receiving standard TPN solutions, which of the following is the best therapeutic intervention?
- A. Hyperventilate the patient to produce hypocapnia.
- B. Decrease the potassium and increase the calcium.
- C. Decrease the chloride and increase the acetate.
- D. Decrease the phosphate and add bicarbonate.
Answer: D
NEW QUESTION 26
A 24-year-old woman with bipolar disorder is admitted for arthroscopic surgery. Baseline laboratory studies reveal leukocytosis. Which drug is most likely to elevate WBCs and lead to an erroneous interpretation?
- A. Valproic acid
- B. Carbamazepine
- C. Olanzapine
- D. Lithium
Answer: C
NEW QUESTION 27
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