BPS Pharmacotherapy (Part1 and Part2) 認定 BPS-Pharmacotherapy 試験問題:

1. According to the Centers for Disease Control and Prevention recommendations, administration of which vaccines must be separated by at least 4 weeks if the vaccines are not administered simultaneously?

A) Measles, mumps, and rubella (MMR), and varicella
B) Tetanus/diphtheria (Td) and hepatitis A
C) Tetanus/diphtheria (Td) and intranasal influenza
D) Measles, mumps, and rubella (MMR), and Haemophilus influenzae type b (Hib)

2. A shortage of parenteral acyclovir was just announced; a hospital has 25 vials on hand and uses
20 vials in a typical month. The wholesaler has 250 vials on hand but will not receive any more supply for 4 months. What is the hospital's most appropriate response to the shortage?

A) Order 250 vials in case the shortage is longer than expected.
B) Issue daily updates to prescribers on inventory levels.
C) Develop guidelines for use of the remaining supply.
D) Obtain stock from a neighboring hospital when supplies run out.

3. A 25-year-old woman who is HIV-positive and has a CD4+ count of 120 cells/mm begins antiretroviral therapy. The patient's CD4+ count drops to 45 cells/mm3 over the next year. For which of the following opportunistic infections should this patient receive prophylaxis?

A) MAC and Candida
B) Mycobacterium tuberculosis and CMV
C) Mycobacterium tuberculosis and Pneumocystis Jirovecii pneumonia
D) MAC and Pneumocystis jirovecii pneumonia

4. 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 metformin.
B) Increase glipizide to 20 mg twice daily.
C) Continue with glipizide and add metformin.
D) Change glipizide to insulin.

5. A 21-year-old patient with leukemia is admitted to the hospital with a temperature of 38.9°C and a nonproductive cough 8 days after induction chemotherapy completion. Laboratory tests show a WBC count of 1,000 cells/ul (10% segmented neutrophils, 0% bands, and 90% lymphocytes) and a platelet count of 60,000 cells/uL. Chest X-ray reveals a small left lower lobe infiltrate. Blood, urine, and sputum cultures are obtained. What should be the recommendation for initial management?

A) Initiate cefepime, Vancomycin, and tobramycin.
B) Hold antibiotics until Culture results are available.
C) Initiate fluconazole, vancomycin, and imipenem.
D) Initiate amphotericin, ceftazidime, and gentamicin.

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