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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. When low molecular weight heparin is prescribed, in which of the following patient populations would monitoring anti-factor-Xa levels be reasonable to consider?

A) Significant renal impairment
B) Anticardiolipin antibody syndrome
C) Protein C and Protein S deficiencies
D) Past history of GI bleeding


2. A 25-year-old woman who is HIV-positive and has a CD4+ count of 120 cells/mm begins antiretroviral therapy. The patient's CD4+ count drops to 45 cells/mm3 over the next year. For which of the following opportunistic infections should this patient receive prophylaxis?

A) Mycobacterium tuberculosis and CMV
B) Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia
C) MAC and Candida
D) MAC and Pneumocystis jirovecii pneumonia


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


4. Which statement best describes current recommendations on postnatal corticosteroids in neonatal Broncho pulmonary dysplasia?

A) High-dose dexamethasone is routinely and strongly recommended.
B) Combination of dexamethasone and hydrocortisone long-term therapies is advised.
C) Late and long-term hydrocortisone therapy may be warranted.
D) Early, low-dose, short-course hydrocortisone therapy may be beneficial.


5. A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?

A) No, patient charts may not be placed outside an exam room door
B) Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy
C) No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
D) Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: A
Question # 4
Answer: D
Question # 5
Answer: A

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