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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. Which of the following components of a grant proposal defines the study hypothesis?

A) Specific aims
B) Background
C) Significance
D) Research design

2. A 53-year-old man has been diagnosed with a deep vein thrombosis. Weight = 94kg and height
= 170 cm. Creatinine clearance F 60 mL/min, CBC results are within normal limits, and baseline INR = 0.9.
The pharmacotherapy specialist receives orders for warfarin 5 mg orally every evening and enoxaparin 80 mg subcutaneously every 12 hours. Which of the following is the best course of treatment?

A) Change enoxaparin to 140 mg every 24 hours.
B) Change enoxaparin to 100 mg every 24 hours.
C) Continue enoxaparin 80 mg every 12 hours.
D) Change enoxaparin to 80 mg every 24 hours.

3. 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) Niacin extended-release 500 mg once daily
B) Group weight-loss program
C) Fenofibrate 160 mg daily
D) Atorvastatin 40 mg daily

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

5. 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.

Solutions: