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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. Which of the following disease states has been associated with stress-related mucosal bleeding and is an indication for initiation of stress ulcer prophylaxis?

A) Diabetes mellitus
B) Ulcerative Colitis
C) Coagulopathy
D) Gastric carcinoma

2. A 47-year-old patient with type 2 diabetes mellitus reports severe painful burning and tingling in the lower extremities. The patient has been taking ibuprofen and using topical capsaicin without relief. Which recommendation is the most appropriate therapy for this patient's peripheral neuropathy?

A) Lamotrigine
B) Tramadol
C) Sertraline
D) Amitriptyline

3. A 22-year-old woman presents to a clinic for her annual pap smear. At this time, she explains that she has engaged in increased unprotected sexual activity over the last few years and is concerned about sexually transmitted diseases, especially human papillomavirus (HPV). She completed the bivalent HPV vaccine series at age 15 and is questioning its duration of effect.
Which option is the most appropriate regarding continued efficacy of the vaccine?

A) Since the patient had only the bivalent HPV vaccine and more than 5 years passed with increased sexual activity, a repeat series should be given.
B) Obtain a geometric titer; if low, boost with either the bivalent or quadrivalent HPV vaccine to treat any genital warts present.
C) A lack of evidence exists regarding the geometric titer efficacy; therefore, FDA does not recommend a repeat series.
D) Boost with the quadrivalent HPV vaccine because the bivalent HPV vaccine does not protect against genital warts.

4. A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?

A) This is only an error if the labeling or directions were wrong.
B) This is not an error since the mother is not a healthcare professional.
C) This is considered a medication error.
D) This is only an error if the child had experienced harm.

5. Administration of a marketed drug to a patient for an off-label indication without approval from a local IRB is permissible in which of the following situations?

A) The patient's physician has filed a Notice of Claimed Investigational Exemption for a New Drug with the FDA.
B) The drug is administered on the request of the patient or the patient's representative.
C) The patient's physician considers that the risk/benefit ratio favors the use of the drug.
D) The drug is administered under a protocol sponsored by an NIH grant.

Solutions: