BCPPS Practice Questions Set #1 QUESTIONS & ANSWERS(RATED A)
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Course
BCPPS
Institution
BCPPS
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
QUESTIONS & ANSWERS(RATED A)
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.
Smart infusion pumps help enhance the safe delivery of intermittent and
continuous-infusion parenteral medications. Pediatric pharmacists should be
, highly involved in developing the drug library content for these pumps. Which
would best be routinely assessed to optimize the infusion pump library?
a. Unnecessary alerts.
b. Need to develop new workarounds.
c. Nurses' inclination to use library.
d. Changes to dosing in library according to new guidelines. - ANSWER a.
Unnecessary alerts.
A joint task force created by the American College of Clinical Pharmacy (ACCP) and
the Pediatric Pharmacy Advocacy Group (PPAG) developed strategies to expand
the quality and capacity of clinical pharmacy services provided to pediatric
patients. Which strategy would best enhance clinical pharmacy services?
a. Developing minimum expectations for the training of those entering pediatric
practice.
b. Substituting on-the-job training for postgraduate year two (PGY2) residency
experience.
c. Expanding the service coverage of currently available clinical pharmacy
specialists.
d. Developing expectations for the participation of clinical pharmacists in pediatric
research. - ANSWER a. Developing minimum expectations for the training of those
entering pediatric practice.
In the pediatric population, a unilateral approach to quality assessment in
pediatric health care is likely to be unsuccessful. Which is most likely to complicate
a unilateral approach in pediatric patients?
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