Pharmacotherapy (Part1 and Part2) Exam BPS-Pharmacotherapy exam torrent materials

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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient with hepatic encephalopathy is being treated with lactulose 15 mL four times daily.
Over the next 72 hours, the patient becomes less agitated but remains disoriented. Which of the following should be the next step?

A) Add neomycin 1 g four times daily.
B) Begin branched-chain amino-acid supplementation.
C) Determine the frequency of bowel movements.
D) Measure stool pH to ensure that it is greater than 7.

2. 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) Hypokalemia
B) Hypocalcaemia
C) Metabolic acidosis
D) Volume depletion

3. A 46-year-old patient begins treatment with allopurinol 300 mg daily following the onset of an acute gout attack due to elevated uric acid.
The patient's other medications are:
* Cyclosporine 800 mg daily
* Prednisone 20 mg daily
* Azathioprine 100 mg daily
* Nifedipine extended release 90 mg daily
Several days later there was an observed decrease in the patient's WBC count. Which drug interaction with allopurinol is most likely to account for this change?

A) Prednisone
B) Azathioprine
C) Nifedipine
D) Cyclosporine

4. A postmenopausal patient with osteoporosis is being switched from conjugated estrogen to raloxifene treatment. Which of the following should be communicated to this patient as the best outcome that has been documented with raloxifene?

A) Decreased incidence of cardiovascular events
B) Decreased incidence of hot flushes
C) Decreased incidence of Vertebral fractures
D) Lower likelihood of thromboembolic events

5. A 22-year-old woman presents to a clinic for her annual pap smear. At this time, she explains that she has engaged in increased unprotected sexual activity over the last few years and is concerned about sexually transmitted diseases, especially human papillomavirus (HPV). She completed the bivalent HPV vaccine series at age 15 and is questioning its duration of effect.
Which option is the most appropriate regarding continued efficacy of the vaccine?

A) Since the patient had only the bivalent HPV vaccine and more than 5 years passed with increased sexual activity, a repeat series should be given.
B) Obtain a geometric titer; if low, boost with either the bivalent or quadrivalent HPV vaccine to treat any genital warts present.
C) A lack of evidence exists regarding the geometric titer efficacy; therefore, FDA does not recommend a repeat series.
D) Boost with the quadrivalent HPV vaccine because the bivalent HPV vaccine does not protect against genital warts.

Solutions: