BPS BPS-Pharmacotherapyテストエンジン練習テスト問題、試験問題集
100%無料BPS-Pharmacotherapy日常練習試験には175問があります
質問 58
A 35-year-old Woman is diagnosed with pustular psoriasis, which covers 35% of her body. She has tried high-potency topical steroid creams and topical coal tar with ultraviolet B treatments in the past, with no effect. Which of the following is the best therapeutic option for this patient?
- A. Halobetasol
- B. Anthralin
- C. Calcipotriene
- D. Methotrexate
正解: D
質問 59
A 55 year old woman being treated for hypothyroidism with levothyroxine 125 mcg daily is currently euthyroid. She now has menopausal symptoms and is receiving conjugated estrogens.
What effect is this most likely to have on her thyroid function tests?
- A. Decreased total T4
- B. No changes in TSH
- C. Decreased free T4
- D. No changes in reverse triiodothyronine uptake
正解: A
質問 60
The prophylaxis of postsurgical deep vein thrombosis was reviewed in an article published 5 years ago. A researcher wishes to identify any studies since then that have used this article as a reference. What is the most appropriate database for this search?
- A. Science Citation Index
- B. MEDLINE
- C. International Pharmaceutical Abstracts
- D. The Cochrane Collaboration
正解: B
質問 61
A pharmacy resident calculates the appropriate gentamicin dose and frequency for an elderly patient on hemodialysis. This skill reflects what type of residency learning?
- A. Evaluation
- B. Analysis
- C. Comprehension
- D. Application
正解: D
質問 62
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 phenytoin dose.
- B. Decrease the cyclosporine dose.
- C. Increase the cyclosporine dose.
- D. Increase the phenytoin dose.
正解: C
質問 63
A pharmacotherapy specialist is interpreting a published paper describing a randomized controlled, double-bling study that was conducted to evaluate the effects of antihistamines on the failure rate of treatment of otitis media in children. In the study, 250 children received antihistamines and 264 did not. All children received appropriate antibiotic therapy. Treatment failures occurred in four (1.6%) of the children who received antihistamines and in 13 (4.9%) of those who did not. The difference is statistically significant (p<0.05, chi-square). Which of the following statements about these result is appropriate?
- A. The sample size is inadequate to allow clinical conclusions.
- B. Knowledge of the rate and severity of adverse event in the study is needed to allow a therapeutic decision.
- C. Antihistamines should be administered to all children with otitis media who meet study entry criteria.
- D. Chi-square is not the appropriate statistical test.
正解: D
質問 64
A pharmacy student on rotation in a community health clinic states that he saw medical charts outside exam rooms in the box on the door. He wants to know if this conforms to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. What is the best response?
- A. Yes, if the clinic removes the patient's name from the outside of the chart and places the chart in an unlabeled bin
- B. No, patient charts must be kept in a secure location at the nurses' station or in the room with the patient
- C. No, patient charts may not be placed outside an exam room door
- D. Yes, provided that the clinic takes reasonable and appropriate measures to protect the patient's privacy
正解: C
質問 65
An article in a clinical pharmacology journal describes a double-blind controlled trial comparing the efficacy of sumatriptan to a placebo injection for intractable migraine which used a 5 point Likert scale to evaluate headaches 2 hours after treatment. Which of the following is the most appropriate statistical test for analyzing the data?
- A. Mann-Whitney U test
- B. Chi-square test
- C. Fisher's exact test
- D. Student's t test
正解: A
質問 66
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
正解: B
質問 67
Which statement regarding vaccine administration in infants and children is correct?
- A. The appropriate administration site is the deltoid.
- B. There is no limit to the number of vaccines an individual may receive at one visit.
- C. Live Vaccines should be administered at least 2 Weeks before killed Vaccines in infants less than 6 months old.
- D. The vaccines may be combined in the same syringe.
正解: A
質問 68
A 47-year-old patient with end-stage renal disease undergoing hemodialysis has an HCT of 23% and exhibits anginal symptoms. Upon further Workup, no evidence of occult bleeding is found.
In addition to antianginal therapy, which of the following is the most appropriate initial treatment for this patient's anemia?
- A. Oral iron
- B. Iron dextran
- C. Subcutaneous erythropoietin
- D. Two units of PRBCs
正解: D
質問 69
A 58-year-old woman presents to the emergency department of a small rural hospital with recurrent chest pain that is unrelieved by three sublingual nitroglycerin tablets. Initial evaluation of her ECG and cardiac enzymes are consistent with non-STEMI. The woman is admitted for observation and given aspirin. Which of the following should be added to this patient's regimen to reduce her risk of death, MI, and recurrent ischemia?
- A. Oral warfarin
- B. Subcutaneous heparin
- C. Intravenous t-PA
- D. Subcutaneous enoxaparin
正解: D
質問 70
In a clinical trial, when would "intention to treat" analysis be most appropriate?
- A. Phase || trial
- B. Small sample size
- C. High drop-out rate
- D. Crossover design
正解: B
質問 71
A patient in an ICU has been receiving heparin 5,000 units subcutaneously three times daily for the last 7 days. Today the patient's platelet count has dropped by more than 50%, and the patient has developed a pulmonary embolism. The patient's heparin platelet factor 4 antibody test is positive.
What is the most appropriate treatment for this patient's pulmonary embolism?
- A. Warfarin 5 mg orally once daily
- B. Dabigatran 150 mg orally twice daily
- C. Argatroban 2 mcg/kg/min intravenously
- D. Unfractionated heparin 18 units/kg/h intravenously
正解: D
質問 72
A 54-year-old male patient (BSA = 1.8 m2) is being treated for head and neck cancer with the following regimen:
* Cisplatin 100 mg/m2 intravenously on day 1
* 5-Fluorouracil 1000 mg/m2 intravenously by continuous infusion on days 1 through 5
* Ondansetron 16 mg intravenously
Which of the following is the appropriate administration instruction for ondansetron?
- A. One dose 30 minutes before Cisplatin and a repeat dose immediately before 5- fluorouracil on day 1; then repeat daily before 5-fluorouracil
- B. Thirty minutes prior to Cisplatin, thereafter as needed for nausea
- C. Thirty minutes before Cisplatin on day 1
- D. Daily prior to 5-fluorouracil infusion on days 1 through 5
正解: C
質問 73
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. Change glipizide to insulin.
- B. Change glipizide to metformin.
- C. Increase glipizide to 20 mg twice daily.
- D. Continue with glipizide and add metformin.
正解: B
質問 74
A 48-year-old African American woman presents with BP = 142/96 mm Hg. Serum chemistry values are all within normal ranges. Lifestyle modification was initiated 6 months ago when BP was 146/94 mm Hg. The pharmacotherapy specialist should recommend which of the following?
- A. Continued lifestyle modification
- B. Losartan 25 mg daily
- C. Atenolol 25 mg daily
- D. Hydrochlorothiazide 12.5 mg daily
正解: D
質問 75
Which of the following disease states has been associated with stress-related mucosal bleeding and is an indication for initiation of stress ulcer prophylaxis?
- A. Diabetes mellitus
- B. Coagulopathy
- C. Gastric carcinoma
- D. Ulcerative Colitis
正解: C
質問 76
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