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| Section | Weight | Objectives |
|---|---|---|
| Drug Information and Evidence-Based Medicine | 25% | - Literature Evaluation
|
| Patient-Centered Pharmacotherapy | 55% | - Development and Implementation of Therapeutic Plans
|
| System-Based Standards and Population-Based Pharmacotherapy | 20% | - Medication-Use Systems
|
1. A 28 year old patient presents to a physician and reports persistent nasal discharge and facial tenderness for the past 15 days. The patient has no known drug allergies. Which recommendation would be best for treating this acute sinusitis?
A) Sulfamethoxazole/trimethoprim
B) Azithromycin
C) Amoxicillin/clavulanate acid
D) No antimicrobial indicated at this time
2. 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) Influenza Vaccine
C) Both Vaccines
D) Neither Vaccine
3. A patient is receiving oxcarbazepine. Which is the most relevant toxicity monitoring parameter?
A) TSH
B) Serum Sodium
C) Serum Creatinine
D) Serum potassium
4. 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) Urinary sodium
B) Serum magnesium
C) Serum antidiuretic hormone
D) Urinary potassium
5. 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 NPH insulin.
D) Increase the evening regular insulin.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: B |
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