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最新的 Board of Pharmacy Specialties BPS-Pharmacotherapy 免費考試真題:
1. 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) Influenza Vaccine
B) Both Vaccines
C) Oseltamivir With influenza Vaccine
D) Neither Vaccine
2. A 45-year-old patient develops neutropenia, fever, headache, meningismus, and lethargy after induction chemotherapy for acute lymphocytic leukemia. A lumbar puncture reveals 1,000 total nucleated cells with elevated CSF protein with gram stain showing Gram-positive rods. Which of the following is the best initial empiric therapy for this patient?
A) Ampicillin
B) Ceftriaxone
C) Ampicillin and cefotaxime
D) Ceftazidime and gentamicin
3. 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) Dopamine 15 mcg/kg/min
D) Furosemide 40 mg intravenous push
4. A 70-year-old 45-kg patient is admitted to the ICU with a diagnosis of digoxin intoxication. The patient complains of nausea, blurred vision, and fatigue that have been present for 3 days. A cardiac monitor reveals a HR of 42 bpm, an irregular rhythm, and a type second-degree heart block. Current medications include digoxin 0.25 mg and furosemide 40mg for heart failure, both taken daily at 0800. The patient remains adherent to all medications despite nausea, including today's doses. Blood is drawn at 1200 with the following results:
* Potassium: 6.0 mEq/L
* Creatinine: 2.3 mg/dL
* Digoxin: 1.7 ng/mL
Which of the following most appropriately describes the patient's digoxin concentration?
A) A pre-distribution digoxin concentration, which may be misinterpreted
B) Reflects the effect of furosemide on the renal excretion of digoxin
C) A post-distribution digoxin concentration, which indicates significant toxicity
D) A concentration within the desirable range
5. Two antihypertensive regimens have been compared in 50 patients with mild hypertension.
Treatment A decreased mean diastolic blood pressure to 81 mm Hg, and Treatment B decreased it to 85mm Hg (p = 0.08, a priori critical a = 0.05). The most reasonable interpretation of these results is that the difference between treatments is:
A) Statistically and clinically significant.
B) Clinically but not statistically significant.
C) Statistically but not clinically significant.
D) Neither statistically nor clinically significant.
問題與答案:
| 問題 #1 答案: D | 問題 #2 答案: B | 問題 #3 答案: B | 問題 #4 答案: B | 問題 #5 答案: B |




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