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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 24-year-old woman with bipolar disorder is admitted for arthroscopic surgery. Baseline laboratory studies reveal leukocytosis. Which drug is most likely to elevate WBCs and lead to an erroneous interpretation?

A) Olanzapine
B) Valproic acid
C) Carbamazepine
D) Lithium

2. Which statement regarding vaccine administration in infants and children is correct?

A) There is no limit to the number of vaccines an individual may receive at one visit.
B) The appropriate administration site is the deltoid.
C) Live Vaccines should be administered at least 2 Weeks before killed Vaccines in infants less than 6 months old.
D) The vaccines may be combined in the same syringe.

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

4. A 51-year-old male patient reports waking up in the middle of the night and being unable to go back to sleep, but he has no problem falling asleep. The patient says he feels exhausted most days of the Week at Work. His physician prescribes zolpidem 3.5 mg sublingually as needed.
What is the most appropriate counseling point about zolpidem for this patient?

A) It may be taken for middle-of-the-night awakenings.
B) It is unlikely to cause sleep during driving.
C) It should be taken with a full glass of water.
D) It should be taken shortly before bedtime.

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

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