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BPS BPS-Pharmacotherapy Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Patient-Centered Pharmacotherapy | 55% | - Monitoring and Follow-Up
|
| System-Based Standards and Population-Based Pharmacotherapy | 20% | - Population Health and Public Health
|
| Drug Information and Evidence-Based Medicine | 25% | - Drug Information Resources
|
BPS Pharmacotherapy (Part1 and Part2) Sample Questions:
Question 1
A 65-year-old man presents to the internal medicine clinic with decreased exercise tolerance, lower extremity edema, and shortness of breath.
He has a history of diastolic dysfunction (ejection fraction of 60%) and hypertension; BP =
150/90 mm Hg, HR = 86 bpm.
Current medications include digoxin 125 mcg daily, furosemide 40 mg daily, enalapril 10 mg twice daily, aspirin 325 mg daily, and potassium 10 mEq twice daily. The digoxin concentration is 0.4 ng/mL.
After resolution of this exacerbation, which of the following should the pharmacotherapy specialist recommend to the internist regarding this patient's maintenance drug therapy?
A. Discontinue digoxin and add amlodipine.
B. Discontinue digoxin and add metoprolol.
C. Increase digoxin.
D. Increase furosemide.
Question 2
Many clinically important adverse drug reactions (ADRs) are detected after the marketing of a drug, rather than during premarketing clinical trials. Of the following, which is the primary reason for this phenomenon?
A. Pharmaceutical companies prefer to market agents with favorable side-effect profiles, so they focus premarketing studies on efficacy rather than on ADRs.
B. Too few patients are studied for too short a period of time during premarketing clinical trials.
C. Premarketing studies focus on efficacy rather than on safety; therefore, the study design accounts for the failure to detect ADRs.
D. Adverse reactions that are due to drug interactions or drug accumulation in renal insufficiency cannot be studied prospectively during the premarketing phase of clinical evaluation.
Question 3
A 65-year-old woman on chronic hemodialysis presents with difficulty breathing and inability to sleep. The patient has had shortness of breath, diaphoresis, and nausea, but has not vomited.
She denies having abdominal pain, diarrhea, or chest pain. She has tachycardia and tachypnea, and exhibits peaked T waves with occasional PVCs on the ECG. Serum chemistry values are:
* Sodium: 137 mEq/L
* BUN: 125 mg/dL
* Potassium: 7.2 mEq/L
* Creatinine: 12.8 mg/dL
* Chloride: 97 mEq/L
* Glucose: 95 mg/dL
* HCO3- : 11 mEq/L
* Calcium: 8.5 mg/dL
* Albumin: 3.1 g/dL
* Phosphorus: 1.7 mg/dL
Which of the following should the pharmacotherapy specialist recommend for immediate therapy?
A. Hemodialysis
B. Calcium gluconate intravenously
C. Sodium polystyrene sulfonate with sorbitol orally
D. Sodium bicarbonate intravenously
Question 4
A pharmacy resident calculates the appropriate gentamicin dose and frequency for an elderly patient on hemodialysis. This skill reflects what type of residency learning?
A. Evaluation
B. Analysis
C. Comprehension
D. Application
Question 5
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. MAC and Candida
C. Mycobacterium tuberculosis and CMV
D. Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: B | Question 4 Answer: D | Question 5 Answer: A |






