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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

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

2. A 14-year-old boy has mild papulopustular acne on the forehead, the nose, and the cheeks, with sparse involvement of the upper trunk and the neck. Which of the following is the most appropriate initial therapeutic agent?

A) Topical erythromycin
B) Oral tretinoin
C) Topical benzoyl peroxide
D) Topical isotretinoin

3. A 21-year-old patient with leukemia is admitted to the hospital with a temperature of 38.9°C and a nonproductive cough 8 days after induction chemotherapy completion. Laboratory tests show a WBC count of 1,000 cells/ul (10% segmented neutrophils, 0% bands, and 90% lymphocytes) and a platelet count of 60,000 cells/uL. Chest X-ray reveals a small left lower lobe infiltrate. Blood, urine, and sputum cultures are obtained. What should be the recommendation for initial management?

A) Initiate cefepime, Vancomycin, and tobramycin.
B) Hold antibiotics until Culture results are available.
C) Initiate fluconazole, vancomycin, and imipenem.
D) Initiate amphotericin, ceftazidime, and gentamicin.

4. A 72-year-old man has chronic insomnia that has not responded to measures to improve sleep hygiene. The patient is not depressed and has no other chronic health problems. It is determined that medication use will probably be necessary to manage the insomnia. What is the best initial recommendation for this patient?

A) Trazodone
B) Alprazolam
C) Diphenhydramine
D) Amitriptyline

5. A 50-kg 15-year-old female patient presents to the emergency department 6 hours after ingesting 100 ferrous sulfate tablets, each containing 325 mg. A pregnancy test is negative, and flat plate radiography of the abdomen demonstrates many tablets in the stomach and throughout the small intestine. The patient is intermittently vomiting, with no tablets recovered in the emesis. The patient is otherwise asymptomatic and stable. Which of the following forms of gastrointestinal decontamination should be recommended?

A) Gastric lavage
B) Ipecac syrup administration
C) Activated charcoal administration
D) Whole bowel irrigation

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