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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. An investigator decides to perform a correlation analysis of the relationship between the number of cigarettes smoked per day and age. Results show a positive correlation between the two, with an r value of 0.50 and ap value for the correlation equal to 0.03. What is the most reasonable interpretation of this correlation?

A) There is a statistically significant numerical association between age and amount of smoking.
B) Increased age does not cause students to smoke more.
C) There is no relationship between age and amount of smoking.
D) Increased age causes students to Smoke more.

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

3. A 65-year-old Woman presents with complaints of Worsening incontinence associated with sneezing and coughing, as well as itching in the genital area. Physical examination reveals some vaginal atrophy. A pad test is positive, post void residuals average 5 mL, and urinalysis is normal. Which of the following is the best treatment option for this patient?

A) Tolterodine
B) Tamsulosin
C) Bethanechol
D) Vaginal estrogen cream

4. A 59-year-old patient with a diagnosis of deep vein thrombosis is anticoagulated with enoxaparin 1 mg/kg every 12 hours and warfarin 5 mg daily. On the third day of therapy, his INR
= 2.2. The patient is symptomatically improved. Which of the following is the most appropriate management of this patient?

A) Continue enoxaparin and hold Warfarin.
B) Discontinue enoxaparin and increase warfarin.
C) Discontinue enoxaparin and continue warfarin.
D) Continue enoxaparin and warfarin.

5. A 49-year-old man presents to his physician with a 3-day acute attack of gout in four joints of the right foot. The patient has a history of at least three previous gout attacks; in one, a joint aspirate was positive for urate crystals. His history also includes type 2 diabetes mellitus and two calcium oxalate kidney stones.
Laboratory values include creatinine 3.1 mg/dL, uric acid 11.7 mg/dL, and A1C 6.8%. The patient is allergic to aspirin. Vital signs are BP135/82mm Hg and HR 90 bpm and regular.
Current medications are glipizide 10 mg daily and enalapril 20 mg daily.
Which short-term regimen is most appropriate for treating this patient's gout?

A) Celecoxib 200 mg daily
B) Prednisone 40 mg daily
C) Colchicine 0.6 mg hourly
D) Indomethacin 50 mg three times daily

Solutions: