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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. Which of the following is the best initial strategy in addition to docusate sodium to prevent constipation in a 45-year-old patient initiating around-the-clock morphine therapy for chronic pain associated with malignancy?

A) Psyllium
B) Magnesium citrate
C) Glycerin suppository
D) Senna

2. A 25-year-old woman who is HIV-positive and has a CD4+ count of 120 cells/mm begins antiretroviral therapy. The patient's CD4+ count drops to 45 cells/mm3 over the next year. For which of the following opportunistic infections should this patient receive prophylaxis?

A) MAC and Pneumocystis jirovecii pneumonia
B) Mycobacterium tuberculosis and CMV
C) Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia
D) MAC and Candida

3. Prednisone 10 mg orally daily is prescribed for a 68-year-old 60-kg patient with acute temporal arteritis. The pharmacotherapy specialist would recommend which of the following?

A) Dose should be increased to 20 mg daily.
B) Prednisone should be discontinued after 2 Weeks.
C) Dose should be increased to 60 mg daily.
D) Dose should be decreased to 5 mg daily.

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

5. A 59-year-old patient who is HIV-positive is receiving darunavir and ritonavir as part of a highly active antiretroviral therapy program. Which herbal supplement is contraindicated for this patient because it would decrease darunavir concentrations?

A) Kava kava
B) Echinacea
C) Saw palmetto
D) St. John's wort

Solutions: