What is BPS?

BPS board certified pharmacists have been improving patient outcomes through
specialized care since 1976.
Board certification through the Board of Pharmacy Specialties is recognized as the
gold standard for determining which pharmacists are qualified to contribute at
advanced practice levels. Through our rigorous standards, the BPS board certified
pharmacist stands out as the most qualified to take on todays expanding
expectations of patients, physicians, employers and others who recognize the
increasing need for a team approach to healthcare. Content by BPSweb.org
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Question No 1:

A 14 yr old white female with asthma has been well controlled for the last 6 months on he
r current therapy of mometasone 200 mcg inhaler (1 inhalation per day, low dose), salmet
erol inhaler (1 puff twice a day) and albuterol inhaler as needed (not used in > 6 months).
Which of the following recommendations would be most appropriate?

A. Discontinue albuterol as she is not currently using the inhaler. Continue mometasone and
salmeterol.
B. Discontinue salmeterol. Continue scheduled mometasone and as needed albuterol.
C. Discontinue mometasone. Continue scheduled salmeterol and as needed albuterol.
D. Discontinue mometasone and salmeterol. Continue as needed albuterol.

Answer: B

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Question No 2:

What two factors can influence the pharmacological effect of phenytoin (Dilantin) and the
interpretation of measured drug levels by the lab?

A. Sodium and albumin levels

B. Potassium and bicarbonate levels
C. Albumin and creatinine kinase (CK) levels
D. Blood urea nitrogen and albumin levels

Answer: D

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Question No 3:

A 55 year old patient with Stage 2A HER2 positive breast cancer receiving every three wee
k adjuvant trastuzumab therapy. At her appointment, she complains of fatigue and the ina
bility to do her normal daily activities. Her lab results show that she is anemic with a hem
oglobin of 9.9 g/dL (hematocrit 29%). Which of the following treatments would be best fo
r this patient?

A. Start epoetin alfa 40,000 units SQ weekly

B. Begin darbepoetin alfa 500 mcg SQ every three weeks
C. Initiate iron sucrose 200 mg IV followed by darbepoetin 500 mcg SQ every 3 weeks
D. No erythropoiesis stimulating agent (ESA) is indicated

Answer: D

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Question No 4:

Which one of the following HIV medications (i.e., antiretrovirals) are known to cause renal
toxicity or failure at any time?

A. Zidovudine (AZT, Retrovir)

B. Nevirapine (NVP, Viramune)
C. Tenofovir (TNF, Viread)
D. Famciclovir (FMV, Famvir)

Answer: C

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Question No 5:

Which patient population and genetic polymorphism is known to significantly predispose t

he patient taking carbamazepine to a severe, life threatening rash such as Stevens Johnson
Syndrome (SJS)?

A. Caucasians; HLA-B*5701
B. Asians; HLA-B*1502
C. African Americans; VKORC1*2
D. Asians; CYP2C9*3

Answer: B

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