Online Access Free BPS-Pharmacotherapy Practice Test

In which of the following scenarios should the error be reported to the Institute for Safe Medication Practices?

• A.A pharmacy technician fills a prescription incorrectly with a "sound-alike" product, but the error is caught by the pharmacist before being dispensed to the patient.
• B.A patient receives a 30-day supply of a prescription written for twice daily dosing with only 30 tablets dispensed.
• C.A shipment of influenza vaccine was received by the pharmacy and was not placed in a refrigerator until the following day.
• D.A patient complains to a pharmacy manager that she did not receive an iPLEDGE brochure when receiving isotretinoin.

A 78-year-old woman presents to the outpatient clinic for workup for depression. Medical history includes hypertension, simple partial seizures, and osteoporosis. The patient reports a
6.8 kg non-intentional weight loss over the past month. Home medications include lisinopril, hydrochlorothiazide, carbamazepine, and alendronate. The patient has been diagnosed with severe depression. Which antidepressant should be recommended for this patient?

• A.Bupropion XL 150 mg daily
• B.Mirtazapine 15 mg daily
• C.Escitalopram 20 mg daily
• D.Nortriptyline 25 mg daily

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 reverse triiodothyronine uptake
• C.Decreased free T4
• D.No changes in TSH

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

A 59-year-old patient who is HIV-positive is receiving darunavir and ritonavir as part of a highly active antiretroviral therapy program. Which herbal supplement is contraindicated for this patient because it would decrease darunavir concentrations?

• A.Saw palmetto
• B.St. John's wort
• C.Kava kava
• D.Echinacea