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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient is admitted to the hospital after a motor vehicle collision. The patient takes methadone
40 mg once daily for management of an opiate addiction. The remainder of the patient's medical history is unremarkable. The medical resident caring for the patient wants to order methadone but Expresses concern related to the Substance Abuse and Mental Health Services Administration (SAMHSA) regulations.
What is the appropriate action?

A) Order methadone 40 mg once daily if the medical resident is a registered opioid treatment program (OTP) practitioner.
B) Order methadone 40 mg once daily during inpatient treatment.
C) Order methadone 40 mg once daily if the patient shows signs of withdrawal.
D) Order morphine at equivalent dose as an alternative management.

2. 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) Azithromycin
B) Ceftriaxone
C) Doxycycline
D) Levofloxacin

3. A pharmacy resident calculates the appropriate gentamicin dose and frequency for an elderly patient on hemodialysis. This skill reflects what type of residency learning?

A) Analysis
B) Evaluation
C) Application
D) Comprehension

4. A 42-year-old woman is diagnosed with deep vein thrombosis. Heparin therapy is initiated with
5,000 units as a single bolus injection, followed by an initial infusion rate of 1,000 units/h. The aPTT measured 6 hours later is >150 sec. Which of the following would be the most appropriate action at this time?

A) Administer protamine 5 mg, and decrease the infusion rate to 750 units/h.
B) Stop the infusion until the aPTT falls to <50 sec, and then resume at 750 units/h.
C) Continue the infusion at 1,000 units/h, since the aPTT was drawn too early and is not useful.
D) Stop the infusion for one hour, then resume at 750 units/h.

5. A 50-year-old woman experienced acute renal failure after receiving contrast dye for an imaging study. Her estimated creatinine clearance is now 20 mL/min. Her medications include:
* Piperacillin/tazobactam 4.5g intravenously every 8 hours
* Azithromycin 500 mg intravenously daily
* Famotidine 40 mg orally twice daily
* Enoxaparin 40 mg subcutaneously daily
* Metoprolol succinate 100 mg orally daily
Which drugs require dose reduction due to acute renal failure?

A) Piperacillin/tazobactam, azithromycin, and enoxaparin
B) All of her current medications
C) Piperacillin/tazobactam, famotidine, and enoxaparin
D) Piperacillin/tazobactam, famotidine, and metoprolol succinate

Solutions: