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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient-Centered Pharmacotherapy | 55% | - Assessment of Patient-Specific Information
|
| Topic 2: Drug Information and Evidence-Based Medicine | 25% | - Drug Information Resources
|
| Topic 3: System-Based Standards and Population-Based Pharmacotherapy | 20% | - Population Health and Public Health
|
1. A 76-year-old man has his first visit with a pharmacotherapy specialist for the management of his anticoagulation. The patient states that he started warfarin last week as instructed by his physician. He is able to explain the reason that he was started on anticoagulation therapy.
During the interview, some of the specialist's questions go unanswered or are answered inappropriately. For example, when asked if he has had any bleeding, the patient states that his breathing is fine.
Which will most likely be a barrier to the effective education of this patient?
A) Ability to afford medication
B) Hearing impairment
C) Cultural differences
D) Lack of readiness to change
2. A 48-year-old African American woman presents with BP = 142/96 mm Hg. Serum chemistry values are all within normal ranges. Lifestyle modification was initiated 6 months ago when BP was 146/94 mm Hg. The pharmacotherapy specialist should recommend which of the following?
A) Losartan 25 mg daily
B) Atenolol 25 mg daily
C) Hydrochlorothiazide 12.5 mg daily
D) Continued lifestyle modification
3. A 72-year-old man has chronic insomnia that has not responded to measures to improve sleep hygiene. The patient is not depressed and has no other chronic health problems. It is determined that medication use will probably be necessary to manage the insomnia. What is the best initial recommendation for this patient?
A) Alprazolam
B) Diphenhydramine
C) Trazodone
D) Amitriptyline
4. Which of the following disease states has been associated with stress-related mucosal bleeding and is an indication for initiation of stress ulcer prophylaxis?
A) Ulcerative Colitis
B) Diabetes mellitus
C) Gastric carcinoma
D) Coagulopathy
5. A pharmacotherapy specialist has been asked to provide information on the incidence of a particular side effect for a drug that has now been on the U.S. market for 5 years. The only information available comes from the FDA's MedWatch program. The apparent incidence of a given adverse effect, as determined from the MedWatch database, is likely to be which of the following?
A) Reliable because the data are accumulated in cooperation with the pharmaceutical industry
B) Unreliable because the voluntary nature of reporting makes numerator data questionable
C) Unreliable because reporting healthcare providers usually fail to establish a temporal relationship
D) Reliable because healthcare institutions such as hospitals are mandated to report all adverse drug events to the FDA
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |
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