BCPS Quiz 29 Jun 2025

A 56-year-old patient with type 2 diabetes mellitus is on a current metformin dose of 1,000 mg twice daily. The patient's A1c was checked one week ago, and it was 7.9%. The patient's body mass index is 32 kg/m², and she has no other significant medical history. Which medication should be added to the patient's regimen?

• Glipizide

• Insulin Glargine

• Semaglutide

• Sitagliptin

Which guidance should be given to a patient receiving amphetamine / dextroamphetamine mixed salts ER 20 mg orally once daily for a recent diagnosis of ADHD?

• This medication might cause drowsiness.

• This medication might cause weight gain.

• This medication might increase the likelihood of developing tics.

• This medication might increase the risk of cytopenias.

A 55-year-old woman calls a clinic and asks if she should stop her hormone replacement therapy after hearing a program on the news.

Current medications:
Conjugated equine estrogen
Medroxyprogesterone
Calcium

Which is an accurate statement regarding this patient's hormone replacement therapy?

• It decreases the risk of stroke.

• It decreases the risk of non-vertebral fracture.

• It decreases the risk of cardiovascular disease.

• It increases the risk of colon cancer.

Which is an accurate statement regarding the use of the HPV vaccine?

• Need for the vaccination must be established beforehand by an HPV or Pap test.

• The CDC recommends the HPV vaccine for people 9-26 years of age.

• The HPV vaccine has no demonstrated benefit in people who already have acquired at least one of the HPV types covered by the vaccine.

• The HPV vaccine protects against all causes of cervical cancer and genital warts.

A patient received the first dose of the measles, mumps, and rubella (MMR) vaccine 7 days ago and presents to a clinic with numerous bruises and small red spots on the lower legs. The patient is diagnosed with thrombocytopenia purpura, which is suspected to be vaccine-induced. Where should the pharmacotherapy specialist report this adverse effect?

• CDC/FDA Vaccine Adverse Event Reporting System

• FDA Adverse Event Reporting System

• FDA MedWatch

• ISMP National Vaccine Errors Reporting Program

A 15-year-old patient with no past medical history requests treatment for acne. According to the physician, the patient has mild papulopustular acne and has not used anything in the past. Which treatment option is the most appropriate initial recommendation?

• Oral doxycycline

• Oral isotretinoin

• Topical azelaic acid

• Topical benzoyl peroxide

A 30-year-old patient presents to the dermatologist with mild to moderate psoriasis. The patient has no known drug allergies and is not on any medications. The patient is currently unemployed and has no health insurance. Which treatment option is most appropriate?

• Betamethasone cream applied twice daily

• Calcipotriene foam applied twice daily

• Coal tar ointment applied one to four times daily

• Pimecrolimus cream applied twice daily

A patient with bipolar disorder is admitted for arthroscopic surgery. Baseline laboratory studies reveal leukocytosis. Which medication is most likely to elevate white blood cells and lead to an erroneous interpretation?

• Clozapine

• Haloperidol

• Lithium

• Valproic acid