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| Section | Objectives |
|---|---|
| Patient Care and Pharmacotherapy Principles | - Therapeutic decision making
|
| Disease State Management | - Endocrine and metabolic disorders
|
| Part I: Knowledge-Based Assessment | - Foundational pharmacotherapy knowledge
|
| Special Populations | - Renal and hepatic impairment
|
| Part II: Applied Clinical Decision Making | - Case-based pharmacotherapy scenarios
|
A Woman with a history of poison-ivy allergic contact dermatitis presents with widespread well demarcated patches of erythema and vesicles that are oozing and Weeping. Her eyes are nearly closed, due to swelling. Which of the following drugs is most appropriate for this patient?
Correct Answer: C 🗳️
A 58-year-old man recently diagnosed with chronic stable angina has discontinued metoprolol due to erectile dysfunction. Medical history also includes hypertension and type 2 diabetes mellitus. The patient's current medications include aspirin, lisinopril, metformin, and sublingual nitroglycerin as needed. BP is 128/76 mm Hg, and HR 88 bpm.
Which of the following is the most appropriate choice to manage the patient's stable angina symptoms?
Correct Answer: B 🗳️
A 59-year-old patient who is HIV-positive is receiving darunavir and ritonavir as part of a highly active antiretroviral therapy program. Which herbal supplement is contraindicated for this patient because it would decrease darunavir concentrations?
Correct Answer: D 🗳️
Two antihypertensive regimens have been compared in 50 patients with mild hypertension.
Treatment A decreased mean diastolic blood pressure to 81 mm Hg, and Treatment B decreased it to 85mm Hg (p = 0.08, a priori critical a = 0.05). The most reasonable interpretation of these results is that the difference between treatments is:
Correct Answer: B 🗳️
A 68-year-old female patient is admitted to the ICU for acute decompensated heart failure. She is currently intubated due to acute respiratory failure and hypoxia. After intubation, her Richmond Agitation-Sedation Scale (RASS) score is +3, and her Confusion Assessment Method for the ICU (CAM-ICU) is positive for delirium. She denies pain.
Which of the following is the best recommendation for achieving her sedation goal of RASS equals zero?
Correct Answer: C 🗳️
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