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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient with diabetic ketoacidosis is receiving 0.9% NaCl, with potassium chloride 20 mEq/L, at 200 mL/h, and regular insulin 8 units/h, intravenously. After 8 hours, the blood glucose is
250 mg/dL and the anion gap is elevated. At this point, which of the following is the most appropriate therapy?

A) Continue the insulin infusion rate and change to dextrose-containing fluids.
B) Continue the current insulin and fluid therapy.
C) Discontinue the insulin and maintain current fluids.
D) Convert to subcutaneous regular insulin and reduce fluids to a keep-vein-open rate.

2. The risk of methemoglobinemia is highest with the use of:

A) benzocaine 7.5% oral gel in an 18-month-old for oral pain associated with teething.
B) benzocaine 20% topical cream in a 42-year-old for pain associated with insect bites.
C) benzocaine 10% oral gel in a 67-year-old for oral pain associated with ill-fitting dentures.
D) benzocaine 6% topical cream in a 25-year-old for pain associated with a sunburn.

3. 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) Initiate propofol at 5 mcg/kg/min and titrate as needed.
B) Administer haloperidol 5 mg intravenously q4h as needed for delirium.
C) Initiate morphine 2 mg intravenously q6h as needed for delirium.
D) Administer lorazepam infusion at a rate of 1 mg/h.

4. A 58-year-old patient is admitted to the hospital with a temperature of 38.3°C, cough, and dyspnea. Rales are present at the left base, and chest X-ray reveals a left lower lobe infiltrate.
Oxygen saturation is 88% on room air. Which of the following antibiotics is most appropriate?

A) Doxycycline
B) Ceftriaxone
C) Levofloxacin
D) Azithromycin

5. A 76-year-old man has his first visit with a pharmacotherapy specialist for the management of his anticoagulation. The patient states that he started warfarin last week as instructed by his physician. He is able to explain the reason that he was started on anticoagulation therapy.
During the interview, some of the specialist's questions go unanswered or are answered inappropriately. For example, when asked if he has had any bleeding, the patient states that his breathing is fine.
Which will most likely be a barrier to the effective education of this patient?

A) Hearing impairment
B) Ability to afford medication
C) Cultural differences
D) Lack of readiness to change

Solutions: