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BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

1. A 22-year-old woman presents to a clinic for her annual pap smear. At this time, she explains that she has engaged in increased unprotected sexual activity over the last few years and is concerned about sexually transmitted diseases, especially human papillomavirus (HPV). She completed the bivalent HPV vaccine series at age 15 and is questioning its duration of effect.
Which option is the most appropriate regarding continued efficacy of the vaccine?

A) A lack of evidence exists regarding the geometric titer efficacy; therefore, FDA does not recommend a repeat series.
B) Obtain a geometric titer; if low, boost with either the bivalent or quadrivalent HPV vaccine to treat any genital warts present.
C) Since the patient had only the bivalent HPV vaccine and more than 5 years passed with increased sexual activity, a repeat series should be given.
D) Boost with the quadrivalent HPV vaccine because the bivalent HPV vaccine does not protect against genital warts.

2. A MEDLINE search fails to retrieve a clinical trial known by the searcher to have been published in a recently established open-access medical journal. This failure has most likely occurred because of which of the following?

A) MEDLINE does not index open-access journals.
B) The time that the journal has been available does not meet criteria for indexing.
C) MEDLINE selectively indexes articles of the highest scientific merit.
D) The searcher limited the search to "humans" and "English language."

3. 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) Ampicillin and cefotaxime
C) Ceftriaxone
D) Ceftazidime and gentamicin

4. A 66-year-old man with a history of chronic bronchitis is seen in October for treatment of an acute exacerbation. He received the pneumococcal vaccine 3 years ago and an influenza vaccine this past March. Which of the following should the pharmacotherapy specialist recommend?

A) Oseltamivir With influenza Vaccine
B) Neither Vaccine
C) Both Vaccines
D) Influenza Vaccine

5. Which of the following is the best initial strategy in addition to docusate sodium to prevent constipation in a 45-year-old patient initiating around-the-clock morphine therapy for chronic pain associated with malignancy?

A) Magnesium citrate
B) Psyllium
C) Glycerin suppository
D) Senna

Solutions: