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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient with recently diagnosed Iymphoma is receiving doxorubicin, bleomycin, vinblastine, and dacarbazine. Aggressive intravenous hydration is required to decrease the complications associated with which of the following?

A) Doxorubicin cardiomyopathy
B) Tumor lysis syndrome
C) Dacarbazine nephrotoxicity
D) Bleomycin pulmonary toxicity

2. A 47-year-old patient with type 2 diabetes mellitus reports severe painful burning and tingling in the lower extremities. The patient has been taking ibuprofen and using topical capsaicin without relief. Which recommendation is the most appropriate therapy for this patient's peripheral neuropathy?

A) Lamotrigine
B) Tramadol
C) Sertraline
D) Amitriptyline

3. A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?

A) Urinary sodium
B) Urinary potassium
C) Serum magnesium
D) Serum antidiuretic hormone

4. 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) Ventricular fibrillation
D) Pulseless electrical activity

5. The Joint Commission requires accredited organizations to encourage which groups to report concerns about safety?

A) Patients and families
B) Local specific disease support groups
C) Medical students rotating through organizations
D) National special interest groups

Solutions: