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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?

A) Erythrocyte sedimentation rate
B) Serum vitamin B12
C) Ferritin
D) Folic acid

2. A nurse administering an injectable narcotic is stuck with the needle. Which of the following is the most important information about the nurse's immune status to determine appropriate bloodborne pathogen/hepatitis B procedures?

A) Current hepatitis B surface antibody (anti-HBs) status
B) Dates of last hepatitis B vaccination
C) Current hepatitis B surface antigen (HBsAg) status
D) Date of last dose of hepatitis B immune globulin

3. A 72-year-old patient, weighing 72 kg and measuring 173 cm tall, presents to the emergency department with an acute ischemic stroke. The symptoms have been present for just over an hour. The patient has a history of hypertension and is currently taking lisinopril 10 mg daily.
The patient's evaluation reveals no intracerebral hemorrhaging. The current BP is 178/100 mm Hg. It is now 150 minutes from stroke symptom onset.
Which of the following should now be administered?

A) Intravenous glycoprotein IIb/IIIa inhibitor
B) Intravenous-PA
C) An antihypertensive; reconsider intravenous t-PA once BP decreases
D) An antihypertensive; reconsider intra-arterial thrombolytics once BP decreases

4. Which statement is correct regarding the measurement of blood pressure, according to the American Society of Hypertension?

A) The patient should stand with arms bared during measurement.
B) The patient should not smoke for at least 10 minutes prior to measurement.
C) The patient should be seated at least 10 minutes prior to measurement.
D) Two or more readings taken 2 minutes apart should be averaged.

5. A 42-year-old woman is diagnosed with deep vein thrombosis. Heparin therapy is initiated with
5,000 units as a single bolus injection, followed by an initial infusion rate of 1,000 units/h. The aPTT measured 6 hours later is >150 sec. Which of the following would be the most appropriate action at this time?

A) Stop the infusion for one hour, then resume at 750 units/h.
B) Continue the infusion at 1,000 units/h, since the aPTT was drawn too early and is not useful.
C) Stop the infusion until the aPTT falls to <50 sec, and then resume at 750 units/h.
D) Administer protamine 5 mg, and decrease the infusion rate to 750 units/h.

Solutions: