BPS Pharmacotherapy (Part1 and Part2) 認定 BPS-Pharmacotherapy 試験問題:
1. A 58-year-old man presents complaining of unsteady gait. Past medical history is significant for diabetes mellitus, gastroparesis, and depression. The patient exhibits a slight shuffling gait, mild limb rigidity, and decreased speed in performing rapid alternating movement. Current daily medications are bupropion, glyburide, metoclopramide, and omeprazole. Which of the following would be the most appropriate initial management for the presenting complaint?
A) Begin ropinirole.
B) Discontinue metoclopramide.
C) Begin carbidopa/levodopa.
D) Discontinue bupropion.
2. A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?
A) Serum magnesium
B) Serum antidiuretic hormone
C) Urinary potassium
D) Urinary sodium
3. A 40-year-old transplant recipient who is receiving cyclosporine develops seizures requiring anticonvulsant therapy. Because a drug interaction is likely to occur between cyclosporine and phenytoin, the pharmacotherapy specialist suggests that the resident do which of the following?
A) Decrease the cyclosporine dose.
B) Decrease the phenytoin dose.
C) Increase the phenytoin dose.
D) Increase the cyclosporine dose.
4. From ethical and scientific validity standpoints, in addition to double blinding, which of the following research designs is best for determining a new medication's relative efficacy in treating acute stroke?
A) Parallel design comparing the new therapy with the best standard therapy
B) Crossover design comparing the new therapy with the best standard therapy
C) Placebo-controlled, randomized, parallel design
D) Placebo-controlled, crossover design
5. A 71-year-old patient presents for a hospital follow-up visit after a recent inpatient stay for an exacerbation of COPD, the fourth such stay in the past year. The patient's home medication regimen includes albuterol/ipratropium by inhaler, theophylline, and extended release guaifenesin. The latest FEV1 value in a one-second test was 40% of the predicted value; o2 Sat was 90%. Which of the following is the most appropriate management strategy for this patient?
A) A trial of inhaled corticosteroids
B) A trail of home oxygen therapy
C) A trail of systemic corticosteroids
D) A trail of montelukast
質問と回答：
| 質問 # 1 正解： B | 質問 # 2 正解： B | 質問 # 3 正解： D | 質問 # 4 正解： B | 質問 # 5 正解： A |
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