BPS Pharmacotherapy (Part1 and Part2) : BPS-Pharmacotherapy

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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A nurse administering an injectable narcotic is stuck with the needle. Which of the following is the most important information about the nurse's immune status to determine appropriate bloodborne pathogen/hepatitis B procedures?

A) Current hepatitis B surface antibody (anti-HBs) status
B) Current hepatitis B surface antigen (HBsAg) status
C) Date of last dose of hepatitis B immune globulin
D) Dates of last hepatitis B vaccination

2. A drug use evaluation (DUE) of an institution's ACLS medication administration records yields the following data:
* Rate of amiodarone use in patients with asystole = 30%
* Rate of amiodarone use in patients with ventricular fibrillation = 90%
* Rate of epinephrine use in patients with pulseless electrical activity (PEA) = 98%
* Rate of vasopressin use in patients with pulseless ventricular tachycardia = 50% Which of the following treatments should be targeted for intervention?

A) Asystole
B) Pulseless ventricular tachycardia
C) Pulseless electrical activity
D) Ventricular fibrillation

3. A patient asks for advice relative to an herbal supplement to treat heart failure. The patient is currently NYHA Class III (LVEF 25%) and is adherent to medications, which include digoxin
0.25 mg daily, furosemide 40 mg daily, lisinopril 10 mg daily, carvedilol 6.25 mg twice daily, potassium 20 mEq daily, and simvastatin 40 mg nightly.
The patient has BP of 120/78 mm Hg, HR of 60 bpm, 9 cm JVD, 2+ pitting edema, and has experienced a 2.3 kg weight gain in last 2 days. All laboratory values are within normal limits.
Based on the following information, what is the most appropriate suggestion for the patient?

A) Avoidance of dietary supplements
B) L-Carnitine
C) Omega-3-fatty acid
D) Coenzyme Q10

4. 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 entacapone.
B) Change to carbidopa/levodopa.
C) Change to ropinirole.
D) Change to amantadine.

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

Solutions: