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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 45-year-old patient develops neutropenia, fever, headache, meningismus, and lethargy after induction chemotherapy for acute lymphocytic leukemia. A lumbar puncture reveals 1,000 total nucleated cells with elevated CSF protein with gram stain showing Gram-positive rods. Which of the following is the best initial empiric therapy for this patient?

A) Ampicillin
B) Ceftriaxone
C) Ceftazidime and gentamicin
D) Ampicillin and cefotaxime

2. A 25-year-old man with type 1 diabetes mellitus has recorded the following average blood - glucose concentrations for the past 5 days:

Which of the following changes in his insulin regimen is most appropriate?

A) Decrease the morning regular insulin.
B) Increase the evening NPH insulin.
C) Increase the morning NPH insulin.
D) Increase the evening regular insulin.

3. 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) MAC and Candida
C) MAC and Pneumocystis jirovecii pneumonia
D) Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia

4. A 59-year-old man presents to the neurology clinic with recently diagnosed Parkinson's disease.
At his last visit 2 months ago, selegiline therapy was instituted, and he is tolerating it well. The patient still complains of tremor and rigidity that are interfering with both professional and leisure activities. Which option is most appropriate at this time?

A) Change to ropinirole.
B) Change to carbidopa/levodopa.
C) Change to entacapone.
D) Change to amantadine.

5. A 53-year-old patient with an 8-year history of diabetes is currently taking glipizide 10 mg twice daily before breakfast and supper. The patient weighs 85 kg and reports a 4.5 kg weight gain in the last year. Laboratory results are:
Creatinine: 1.2 mg/dL
A1C: 8.5%
What is the most appropriate recommendation at this time for improved diabetes control?

A) Increase glipizide to 20 mg twice daily.
B) Change glipizide to metformin.
C) Change glipizide to insulin.
D) Continue with glipizide and add metformin.

Solutions: