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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient-Centered Pharmacotherapy | 55% | - Development and Implementation of Therapeutic Plans
|
| Topic 2: Drug Information and Evidence-Based Medicine | 25% | - Drug Information Resources
|
| Topic 3: System-Based Standards and Population-Based Pharmacotherapy | 20% | - Medication-Use Systems
|
1. A patient presents at a physician's office with gait unsteadiness and clumsiness. The patient has a history of type 2 diabetes mellitus, hypertension, and chronic numbness and tingling of the feet and fingertips.
Examination reveals mild distal wasting, glove-and-stocking sensory impairment, absent ankle jerks, brisk knee jerks, and bilateral Babinski reflexes. Gait is slightly ataxic.
CBC reveals a hemoglobin of 10.1 g/dL, WBC of 4,500 cells/mL, MCV 120 fL, and platelets
163,000 cells/ul.
Which of the following is the most important laboratory test for assisting in diagnosis?
A) Ferritin
B) Folic acid
C) Serum vitamin B12
D) Erythrocyte sedimentation rate
2. A patient with hepatic encephalopathy is being treated with lactulose 15 mL four times daily.
Over the next 72 hours, the patient becomes less agitated but remains disoriented. Which of the following should be the next step?
A) Add neomycin 1 g four times daily.
B) Measure stool pH to ensure that it is greater than 7.
C) Begin branched-chain amino-acid supplementation.
D) Determine the frequency of bowel movements.
3. The Joint Commission requires accredited organizations to encourage which groups to report concerns about safety?
A) Patients and families
B) Medical students rotating through organizations
C) National special interest groups
D) Local specific disease support groups
4. Investigators studying the relative nephrotoxicity of two aminoglycosides selected their sample size to detect a reduction in toxicity of 10%. Which of the following is the power of this study if the probability of falsely rejecting the null hypothesis is 0.05 and the probability of falsely accepting the null hypothesis is 0.20?
A) 0.05
B) 0.80
C) 0.95
D) 0.10
5. Which of the following is an example of a sentinel event, as defined by the Joint Commission?
A) Death due to heart failure following discharge against medical advice
B) Administration of digoxin to the Wrong patient without adverse events
C) Removal of the Wrong breast during surgery
D) Death due to overdose of methylphenidate obtained from a brother's prescription
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
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