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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 58-year-old man presents complaining of unsteady gait. Past medical history is significant for diabetes mellitus, gastroparesis, and depression. The patient exhibits a slight shuffling gait, mild limb rigidity, and decreased speed in performing rapid alternating movement. Current daily medications are bupropion, glyburide, metoclopramide, and omeprazole. Which of the following would be the most appropriate initial management for the presenting complaint?

A) Discontinue bupropion.
B) Begin carbidopa/levodopa.
C) Begin ropinirole.
D) Discontinue metoclopramide.

2. A hospital requests a policy and procedure document for the monitoring and reporting of significant adverse drug reactions. Which agency requires a policy for the reporting of adverse drug reactions by hospitals?

A) National Committee for Quality Assurance
B) Food and Drug Administration
C) Institute for Safe medication Practices
D) Joint Commission

3. A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?

A) Cerebral angiogram
B) MRI
C) CT scan
D) Neurologic exam

4. A 47-year-old patient with type 2 diabetes mellitus reports severe painful burning and tingling in the lower extremities. The patient has been taking ibuprofen and using topical capsaicin without relief. Which recommendation is the most appropriate therapy for this patient's peripheral neuropathy?

A) Lamotrigine
B) Amitriptyline
C) Sertraline
D) Tramadol

5. 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) With the new drug, the number of patients needed to treat for the prevention of one fracture is 25.
B) The new drug will cost $15600 more than the current formulary drug to prevent one fracture.
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.

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