BCPPS PRACTICE QUESTIONS SET #1 EXAM QUESTIONS AND ANSWERS 2024.
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Course
BCACP
Institution
BCACP
The pharmacy and therapeutics (P&T) committee at a children's hospital is reviewing an application to add an antimicrobial agent that is active against highly resistant gram-negative bacteria and has new data for use in children. There is a desire to add this medication to formulary, but there are ...
BCPPS PRACTICE QUESTIONS SET #1 EXAM QUESTIONS AND ANSWERS 2024 The pharmacy and therapeutics (P&T) committee at a children's hospital is reviewing an application to add an antimicrobial agent that is active against highly resistant gram -
negative bacteria and has new data for use in children. There is a desire to add this medication to formulary, but there are concerns about resistance development to this medication, which has occurred in adult populations. Which strategy is best for adding this medication to formulary? a. Maintain the antibiotic as a non -formulary product to discourage use except in emergencies. b. Add the antibiotic to the formulary with no additional restrictions. c. Add the antibiotic to the formulary, but restrict its use in the pediatric intensive care unit (ICU). d. Add the antibiotic to the formulary, but restrict its use to the infectious disease service. - answer d. Add the antibiotic to the formulary, but restrict its use to the infectious disease service. Which is most likely to ensure change in practice or processes after completing a medication use evaluation (MUE)? a. Adult and pediatric populations are assessed using the same outcomes. b. A multidisciplinary team of key stakeholders participates. c. High-cost medications are evaluated. d. The scope of the evaluation is expanded once data collection begins. - answer b. A multidisciplinary team of key stakeholders participates. Which best describes inventory practices that should be used during a drug shortage? a. Drug supply should be obtained by any means possible, including "gray market" or compounding sources. b. The decision to use "gray market" or compounding sources should be made before critical supply levels are reached. c. When supply is available, the pharmacists responsible for inventory should order as much as possible, regardless of use history. d. The pharmacy should order alternative non - formulary products before a multidisciplinary review of need for alternatives. - answer b. The decision to use "gray market" or compounding sources should be made before critical supply levels are reached. An MUE is being undertaken to help ensure that prescribers in the outpatient setting are following the Risk Evaluation and Mitigation Strategies (REMS) for mycophenolate mofetil and pregnancy. Which step should be taken first? a. Identify the pediatric and adult outpatient areas in which females of childbearing age are prescribed mycophenolate to determine the scope of the evaluation. b. Discuss requirements for contraception and pregnancy testing with the family advisory committee to determine how patients and families will best receive education. c. Discuss which outcome measures related to pregnancy test frequency and contraception counseling are most appropriate for this MUE. d. Develop a protocol for pregnancy testing for females of childbearing age to ensure compliance with the REMS program. - answer a. Identify the pediatric and adult outpatient areas in which females of childbearing age are prescribed mycophenolate to determine the scope of the evaluation. Which best illustrates a potential barrier faced by a pediatric pharmacist when providing care to pediatric patients? a. A formulary diuretic is available both as tablets and as an oral liquid suspension. b. A hospital uses a standardized dosing nomogram for acetaminophen oral liquid suspension. c. A pump for subcutaneous treprostinil cannot accurately deliver the initial starting dose in an infant. d. The safety and efficacy of off -label use of a new sedative in a pediatric ICU patient is supported by an available prospective study. - answer c. A pump for subcutaneous treprostinil cannot accurately deliver the initial starting dose in an infant. Which strategy can best help ensure the safe provision of pharmacy services for pediatric inpatients? a. Dispensing patient -specific dilutions as determined by the Rule of 6. b. Dispensing multidose products, such as a reconstituted bottle of amoxicillin suspension. c. Purchasing products with preservatives like benzyl alcohol, when possible. d. Avoiding the use of high -osmolarity products in peripheral lines. - answer d. Avoiding the use of high -osmolarity products in peripheral lines. Pediatric pharmacists providing pharmacy services in an outpatient care setting should have an understanding of the unique medication needs of patients and their caregivers. Which would be considered the most essential component in providing outpatient services to pediatric patients and their caregivers? a. Educating pediatricians on poison prevention. b. Providing drug information education for nurses and providers. c. Educating caregivers on accurate medication measurement. d. Knowing what medication preparations are commercially available. - answer c. Educating caregivers on accurate medication measurement. Which best describes the location and maximum volume that should be used for an intramuscular injection in a neonate? a. Deltoid, 0.5 mL. b. Deltoid, 1 mL. c. Vastus lateralis, 0.5 mL. d. Vastus lateralis, 1 mL. - answer c. Vastus lateralis, 0.5 mL. <3: vastus lateralis >3: deltoid, vastus lateralis Older children: deltoid, ventral gluteal region
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