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BPS BPS-Pharmacotherapy Exam Syllabus Topics:

SectionObjectives
Part II: Applied Clinical Decision Making- Case-based pharmacotherapy scenarios
  • 1. Complex patient management cases
    • 2. Therapeutic optimization in multi-morbidity
      Special Populations- Pediatrics and geriatrics
      • 1. Age-specific pharmacotherapy considerations
        - Renal and hepatic impairment
        • 1. Dose adjustment strategies
          Disease State Management- Infectious diseases
          • 1. Resistance management principles
            • 2. Antimicrobial therapy selection
              - Cardiovascular disorders
              • 1. Hypertension and heart failure
                • 2. Acute coronary syndromes
                  - Endocrine and metabolic disorders
                  • 1. Thyroid and lipid disorders
                    • 2. Diabetes management
                      Patient Care and Pharmacotherapy Principles- Medication management
                      • 1. Adverse drug reaction management
                        • 2. Dosing optimization and adjustments
                          - Therapeutic decision making
                          • 1. Drug selection and individualized therapy
                            • 2. Evidence-based medicine application
                              Part I: Knowledge-Based Assessment- Foundational pharmacotherapy knowledge
                              • 1. Guideline-based treatment approaches
                                • 2. Drug mechanisms and clinical use

                                  BPS Pharmacotherapy (Part1 and Part2) Sample Questions:

                                  1. A mother mistakenly gives her 2-year-old child 1 tablespoon of albuterol sulfate (2 mg/5mL) instead of 1 teaspoon. The child experiences no harm from the extra amount. Which statement is correct?

                                  A) This is only an error if the labeling or directions were wrong.
                                  B) This is considered a medication error.
                                  C) This is not an error since the mother is not a healthcare professional.
                                  D) This is only an error if the child had experienced harm.


                                  2. Post myocardial infarction, a patient's cardiac profile and serum chemistry results show the following values:
                                  Heart rate: 120 bpm
                                  Blood pressure: 80/40 mm Hg
                                  Pulmonary capillary Wedge pressure: 6 mm Hg
                                  Right atrial pressure: 2 mm Hg
                                  Cardiac index: 2.3 L/min/m2
                                  Sodium: 136 mEq/L
                                  Potassium: 4.2 mEq/L
                                  Chloride: 98 mEq/L
                                  Bicarbonate: 22 mEq/L
                                  Blood urea nitrogen: 25 mg/dL
                                  Creatinine: 1.0 mg/dL
                                  Glucose: 110 mg/dL
                                  Which one of the following therapeutic regimens is most appropriate for the initial treatment of this patient?

                                  A) Nitroprusside 2 mcg/kg/min
                                  B) Normal saline 500 mL/h
                                  C) Furosemide 40 mg intravenous push
                                  D) Dopamine 15 mcg/kg/min


                                  3. 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 morning NPH insulin.
                                  C) Increase the evening regular insulin.
                                  D) Increase the evening NPH insulin.


                                  4. A study shows that the participants who received 6 months of a new oral anticoagulant after a venous thromboembolism were randomized to continue with the new oral anticoagulant (n =
                                  612) or to placebo (n = 611) for 18 months. Thromboembolism recurred in 12 subjects in the new oral anticoagulant group and 71 subjects in the placebo group (hazard ratio 0.17; 95% CI, 0.09-
                                  0.30; p < 0.001).
                                  Which of the following statements regarding these results is correct?

                                  A) The difference between the new oral anticoagulant and placebo in the secondary prevention of venous thromboembolism is not statistically significant.
                                  B) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 83% compared to placebo.
                                  C) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 17% compared to placebo.
                                  D) The new oral anticoagulant reduces the relative risk of a secondary venous thromboembolism by 9.6% compared to placebo.


                                  5. Upon reviewing a clinical trial submission for publication, it is discovered that the authors have asked a medical Writer to help develop the manuscript after the data have been collected and analyzed by the authors. The medical Writer developed the manuscript, and the authors reviewed and edited the document before submitting it for publication. What is the most appropriate action for the authors to take?

                                  A) Name the medical Writer in the acknowledgements section.
                                  B) Do not identify the medical Writer.
                                  C) List the medical Writer as an author.
                                  D) The article should not be published.


                                  Solutions:

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

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