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

2. A patient with a COPD exacerbation is treated with prednisone 40 mg daily for one week with improvement. To discontinue the prednisone, the most appropriate procedure would be which of the following?

A) Reducing the daily prednisone dose by 50% every day until the patient is off the drug.
B) Reducing the daily prednisone dose by 25% every day until the patient is off the drug.
C) Stopping prednisone administration without dose tapering.
D) Reducing the daily prednisone dose by 50% every other day until it is down to 10 mg daily, then reducing it by 25% every other day until the patient is off the drug.

3. In a clinical trial, when would "intention to treat" analysis be most appropriate?

A) High drop-out rate
B) Crossover design
C) Phase || trial
D) Small sample size

4. A patient presents to the emergency department with an acute Ischemic stroke. The symptoms have been present for just over an hour.
Which test would be most appropriate to help determine the patient's eligibility to receive t-PA?

A) Neurologic exam
B) MRI
C) Cerebral angiogram
D) CT scan

5. A 74-year-old man has been diagnosed with acute bacterial prostatitis. He has no known drug allergies. Which of the following is the optimal therapy duration with levofloxacin 500 mg daily?

A) 3-5 days
B) 6-8 Weeks
C) 7-10 days
D) 2-4 Weeks

Solutions: