Online Access Free BPS-Pharmacotherapy Exam Questions

A 60-year-old man who is HIV-positive describes symptoms of erectile dysfunction and requests therapy. Current medications include tenofovir 300 mg orally daily, emtricitabine 200 mg orally daily, atazanavir 300 mg orally daily, and ritonavir 100 mg orally daily. In addition to counseling on preventing HIV transmission, which recommendation is appropriate?

• A.Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours) and decrease atazanavir to
  150 mg orally daily.
• B.Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours).
• C.Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours).
• D.Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours) and decrease atazanavir to
  150 mg orally daily.

A patient presents to the emergency department with a generalized rash. When questioned about recent changes in medication therapy, the patient reports starting glyburide 2 week ago.
Which of the following may be used to assess the causality between glyburide use and the patient's rash?

• A.Modified Morisky Scale
• B.CAGE Questionnaire
• C.Naranjo Algorithm
• D.Brief Medication Questionnaire

A 28 year old patient presents to a physician and reports persistent nasal discharge and facial tenderness for the past 15 days. The patient has no known drug allergies. Which recommendation would be best for treating this acute sinusitis?

• A.Amoxicillin/clavulanate acid
• B.No antimicrobial indicated at this time
• C.Sulfamethoxazole/trimethoprim
• D.Azithromycin

A patient in an ICU has been receiving heparin 5,000 units subcutaneously three times daily for the last 7 days. Today the patient's platelet count has dropped by more than 50%, and the patient has developed a pulmonary embolism. The patient's heparin platelet factor 4 antibody test is positive.
What is the most appropriate treatment for this patient's pulmonary embolism?

• A.Argatroban 2 mcg/kg/min intravenously
• B.Warfarin 5 mg orally once daily
• C.Unfractionated heparin 18 units/kg/h intravenously
• D.Dabigatran 150 mg orally twice daily

A 13-year-old boy who has asthma, weight 32kg, height 150cm, takes inhaled salmeterol one puff twice daily and inhaled fluticasone 2 puffs twice daily. The patient must stop participation in physical education classes after a few minutes due to shortness of breath. To allow the patient to participate longer, the most effective measure would be to add which of the following?

• A.Inhaled cromolyn 30-60 minutes prior to class
• B.An extra dose of inhaled fluticasone 1-2 hours before class
• C.Inhaled albuterol 15 minutes before class
• D.An extra dose of inhaled salmeterol 30-60 minutes before class