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This 10 question BCPS Practice Test is designed to give you a sense of the difficulty of the pharmacotherapy exam. With over 1/3 failing this exam, it is likely the hardest one you will ever take. We have premium study guides, mock exams, and lectures available that have been really helpful for hundreds of pharmacists. BCGP and BCACP content is also available. I hope it helps give you a feel for the exam!
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Question 1 of 10
1. Question
Patient presents with recent lab test results and vitals. Currently receives propranolol, lubiprostone, methotrexate, and carbamazepine. Results were as follows: creatinine = 0.9, potassium = 4.6, pulse = 78, blood pressure = 126/74, sodium 124, ALT = 15, AST = 24. Which medication is the most likely cause of the lab abnormality?
Correct
Carbamazepine, SSRI’s, Diuretics are a few common causes of hyponatremia. Be especially cautious when these medications are used together on the same patient.
Incorrect
Carbamazepine, SSRI’s, Diuretics are a few common causes of hyponatremia. Be especially cautious when these medications are used together on the same patient.
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Question 2 of 10
2. Question
Patient’s medication list includes metoprolol, omeprazole, pregabalin, and tramadol. Over time this patients renal function has declined from 66 mls/minute to 16 mls/min. Dose of each medication has remained constant. Patient presents with new prescription for furosemide to help treat edema. She has also had some fatigue as well. Which of the following is the most likely cause of current symptoms?
Correct
Pregabalin and Gabapentin mainly used for neuropathy are common contributors to edema. They are also eliminated via the kidney and can accumulate with changes in renal function. Tramadol and metoprolol could contribute to the fatigue, but likely not the edema.
Incorrect
Pregabalin and Gabapentin mainly used for neuropathy are common contributors to edema. They are also eliminated via the kidney and can accumulate with changes in renal function. Tramadol and metoprolol could contribute to the fatigue, but likely not the edema.
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Question 3 of 10
3. Question
Which of these agents is most likely to cause issues with diabetes in our patients?
Correct
Antipsychotics can certainly increase the risk of metabolic syndrome and worsen diabetes concerns. Zyprexa (olanzapine) and Clozapine are two of the worst antipsychotics as far as metabolic issues. Ziprasidone and Aripiprazole are two that tend to have less metabolic concerns.
Incorrect
Antipsychotics can certainly increase the risk of metabolic syndrome and worsen diabetes concerns. Zyprexa (olanzapine) and Clozapine are two of the worst antipsychotics as far as metabolic issues. Ziprasidone and Aripiprazole are two that tend to have less metabolic concerns.
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Question 4 of 10
4. Question
What does a p value represent?
Correct
Remember that type 1 error is the likelihood that you detected a difference, and in reality there isn’t. If a p value is <0.00001 for example, there is an extremely low risk that the difference detected is false. In general if p is greater than 0.05, the results are not considered statistically significant.
Incorrect
Remember that type 1 error is the likelihood that you detected a difference, and in reality there isn’t. If a p value is <0.00001 for example, there is an extremely low risk that the difference detected is false. In general if p is greater than 0.05, the results are not considered statistically significant.
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Question 5 of 10
5. Question
78 year old male with increasing fatigue, feels like sleeping all day – history of Hypertension, diabetes, osteoarthritis, and CKD. Current medications include ferrous sulfate 325 mg daily, Folic acid 1 mg daily, hydrochlorothiazide, and glipizide. Labwork reveals occult blood negative, hemoglobin 8.4, ferritin 460, B-12 700, Folate – >20 MCV = 96, creatinine = 2.3. What would be most appropriate in treating this patient’s anemia?
Correct
Labs all reveal adequate stores of iron, B-12, and occults were negative so only option that would likely help this patient’s symptomatic anemia is erythropoietin therapy. Remember that the kidney is where the body makes its erythropoietin – in kidney disease this production can decrease (noted elevated creatinine).
Incorrect
Labs all reveal adequate stores of iron, B-12, and occults were negative so only option that would likely help this patient’s symptomatic anemia is erythropoietin therapy. Remember that the kidney is where the body makes its erythropoietin – in kidney disease this production can decrease (noted elevated creatinine).
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Question 6 of 10
6. Question
Which of the following antiarrhythmics works via blocking potassium channels?
Correct
Sotolol has both beta blocking and potassium channel blocking activity. The others primarily work on sodium channels.
Incorrect
Sotolol has both beta blocking and potassium channel blocking activity. The others primarily work on sodium channels.
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Question 7 of 10
7. Question
Choosing only patients with severely high blood pressure for a study on hypertension medication that will help you prove statistical significance is an example of:
Correct
Bias in selection or choosing of participants in a study is selection bias.
Incorrect
Bias in selection or choosing of participants in a study is selection bias.
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Question 8 of 10
8. Question
How much of a 1 liter bag of NS or LR solution will end up in the intravascular space?
Correct
Answer is 250 mls.
Incorrect
Answer is 250 mls.
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Question 9 of 10
9. Question
34 year old male presents with painful urination. Reported being recently sexually active with multiple partners. There is no discharge noted, but symptoms have been ongoing for 2-3 days. Current allergies: Macrolides. Suspected bacterial STD with gonorrhea and chlamydia. What is the most appropriate therapy?
Correct
Remember that quinolone resistance is highly reported in the literature. Normal first line therapy for co-infection is ceftriaxone and azithromycin, but with the allergy, doxycycline can be used as an alternate.
Incorrect
Remember that quinolone resistance is highly reported in the literature. Normal first line therapy for co-infection is ceftriaxone and azithromycin, but with the allergy, doxycycline can be used as an alternate.
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Question 10 of 10
10. Question
Which of the following would not be an anticipated side effect of rivastigmine?
Correct
Rivastigmine is an acetylcholinesterase inhibitor – think opposite effects of anticholinergics. Urinary retention would not be anticipated.
Incorrect
Rivastigmine is an acetylcholinesterase inhibitor – think opposite effects of anticholinergics. Urinary retention would not be anticipated.
