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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 75-year-old man with a medical history significant for hypertension, diabetes mellitus, and erectile dysfunction returns for follow-up. He currently takes benazepril, glipizide, and sildenafil as needed. He is in the clinic today with symptoms of depression. The physician wants to start an antidepressant that will have a minimal effect on the patient's erectile dysfunction. Which of the following agents would be the best recommendation?

A) Fluoxetine
B) Desipramine
C) Venlafaxine
D) Bupropion

2. A patient with a nasogastric output of 8 L daily and respirations of 10 bpm has the following - laboratory values:

This clinical information is most consistent with which of the following?

A) Compensated metabolic alkalosis
B) Compensated respiratory alkalosis
C) Uncompensated metabolic alkalosis
D) Uncompensated respiratory alkalosis

3. A patient is receiving oxcarbazepine. Which is the most relevant toxicity monitoring parameter?

A) Serum Creatinine
B) TSH
C) Serum potassium
D) Serum Sodium

4. For a 34-year-old Woman with a history of ethanol abuse, cirrhosis, ascites, and jaundice, which of the following is the most important factor predisposing her to hepatorenal syndrome?

A) Hypocalcaemia
B) Hypokalemia
C) Volume depletion
D) Metabolic acidosis

5. A 70-year-old 45-kg patient is admitted to the ICU with a diagnosis of digoxin intoxication. The patient complains of nausea, blurred vision, and fatigue that have been present for 3 days. A cardiac monitor reveals a HR of 42 bpm, an irregular rhythm, and a type second-degree heart block. Current medications include digoxin 0.25 mg and furosemide 40mg for heart failure, both taken daily at 0800. The patient remains adherent to all medications despite nausea, including today's doses. Blood is drawn at 1200 with the following results:
* Potassium: 6.0 mEq/L
* Creatinine: 2.3 mg/dL
* Digoxin: 1.7 ng/mL
Which of the following most appropriately describes the patient's digoxin concentration?

A) Reflects the effect of furosemide on the renal excretion of digoxin
B) A post-distribution digoxin concentration, which indicates significant toxicity
C) A pre-distribution digoxin concentration, which may be misinterpreted
D) A concentration within the desirable range

Solutions: