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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. The Healthcare Effectiveness Data and Information Set (HEDIS) measures health plan performance on important dimensions of care and service. The benchmarks used for quality of care are derived from goals established by the:

A) National Committee for Quality Assurance.
B) National Quality Forum.
C) Centers for Medicare and Medicaid Services.
D) Joint Commission.

2. A 60-year-old man with heart failure states that he becomes "a bit short of breath" after climbing a flight of stairs. His ejection fraction is 40%. Current medications include lisinopril 5 mg daily, metoprolol XL 100 mg daily, aspirin 81 mg daily, furosemide 40 mg daily, and digoxin
250 mcg daily. All vital signs and laboratory values are stable and within normal limits. Which of the following recommendations would be most appropriate at this time?

A) Add Valsartan 80 mg twice daily.
B) Add spironolactone 25 mg daily.
C) Replace aspirin with clopidogrel 75 mg daily.
D) Increase lisinopril to 10 mg daily.

3. A patient with renal failure is being treated with phenytoin and has an albumin concentration of
1.7 g/dL. Which of the following is likely to be higher than the general population in this patient?

A) Loading dose
B) Free fraction of phenytoin
C) Total steady-state phenytoin concentration
D) Maintenance dose

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

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

5. 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 50 mg/dose (maximum 200 mg in 48 hours) and decrease atazanavir to
150 mg orally daily.
B) Start sildenafil 25 mg/dose (maximum 25 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).

Solutions: