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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 60-year-old man who is HIV-positive describes symptoms of erectile dysfunction and requests therapy. Current medications include tenofovir 300 mg orally daily, emtricitabine 200 mg orally daily, atazanavir 300 mg orally daily, and ritonavir 100 mg orally daily. In addition to counseling on preventing HIV transmission, which recommendation is appropriate?

A) Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours).
B) Start sildenafil 25 mg/dose (maximum 25 mg in 48 hours) and decrease atazanavir to
150 mg orally daily.
C) Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours).
D) Start sildenafil 50 mg/dose (maximum 200 mg in 48 hours) and decrease atazanavir to
150 mg orally daily.

2. A 76-year-old man has his first visit with a pharmacotherapy specialist for the management of his anticoagulation. The patient states that he started warfarin last week as instructed by his physician. He is able to explain the reason that he was started on anticoagulation therapy.
During the interview, some of the specialist's questions go unanswered or are answered inappropriately. For example, when asked if he has had any bleeding, the patient states that his breathing is fine.
Which will most likely be a barrier to the effective education of this patient?

A) Hearing impairment
B) Ability to afford medication
C) Lack of readiness to change
D) Cultural differences

3. A patient with previously well-controlled diabetes is suspected to be nonadherent with medication and diet. During the patient's last visit, the pharmacy student attempt to review education materials. However, the patient said that he forgot his reading glasses and asked if he could read through the information when he got home?
Which of the following is the best course of action for the patient at his next visit?

A) Ask the patient to follow up with his primary care provider.
B) Provider the patient with additional materials to read at home.
C) Ask the patient to read and interpret the instructions on a prescription label to evaluate literacy
D) Admit the patient to the hospital to optimize the diabetes regimen

4. A 59-year-old patient who is HIV-positive is receiving darunavir and ritonavir as part of a highly active antiretroviral therapy program. Which herbal supplement is contraindicated for this patient because it would decrease darunavir concentrations?

A) St. John's wort
B) Saw palmetto
C) Echinacea
D) Kava kava

5. Prednisone 10 mg orally daily is prescribed for a 68-year-old 60-kg patient with acute temporal arteritis. The pharmacotherapy specialist would recommend which of the following?

A) Dose should be decreased to 5 mg daily.
B) Dose should be increased to 20 mg daily.
C) Prednisone should be discontinued after 2 Weeks.
D) Dose should be increased to 60 mg daily.

Solutions: