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| Section | Weight | Objectives |
|---|---|---|
| Drug Information and Evidence-Based Medicine | 25% | - Literature Evaluation
|
| System-Based Standards and Population-Based Pharmacotherapy | 20% | - Medication-Use Systems
|
| Patient-Centered Pharmacotherapy | 55% | - Monitoring and Follow-Up
|
Question 1
A 22-year-old woman presents to a clinic for her annual pap smear. At this time, she explains that she has engaged in increased unprotected sexual activity over the last few years and is concerned about sexually transmitted diseases, especially human papillomavirus (HPV). She completed the bivalent HPV vaccine series at age 15 and is questioning its duration of effect.
Which option is the most appropriate regarding continued efficacy of the vaccine?
A. A lack of evidence exists regarding the geometric titer efficacy; therefore, FDA does not recommend a repeat series.
B. Boost with the quadrivalent HPV vaccine because the bivalent HPV vaccine does not protect against genital warts.
C. Since the patient had only the bivalent HPV vaccine and more than 5 years passed with increased sexual activity, a repeat series should be given.
D. Obtain a geometric titer; if low, boost with either the bivalent or quadrivalent HPV vaccine to treat any genital warts present.
Question 2
A patient is started on ledipasvir-sofosbuvir. What would be the best indicator of treatment response?
A. Absence of alpha-fetoprotein
B. HCV RNA below the lower limit of quantification
C. ALT less than three times the upper limit of normal
D. Absence of cryoglobulinemia
Question 3
Which statement best describes current recommendations on postnatal corticosteroids in neonatal Broncho pulmonary dysplasia?
A. High-dose dexamethasone is routinely and strongly recommended.
B. Combination of dexamethasone and hydrocortisone long-term therapies is advised.
C. Early, low-dose, short-course hydrocortisone therapy may be beneficial.
D. Late and long-term hydrocortisone therapy may be warranted.
Question 4
A 14-year-old boy has mild papulopustular acne on the forehead, the nose, and the cheeks, with sparse involvement of the upper trunk and the neck. Which of the following is the most appropriate initial therapeutic agent?
A. Oral tretinoin
B. Topical erythromycin
C. Topical benzoyl peroxide
D. Topical isotretinoin
Question 5
In a case-control study of 285 subjects with Alzheimer's dementia and 1,080 control subjects, the number of patients with dyslipidemia was recorded for each group. Among the subjects with dyslipidemia who had taken statins, the odds ratio for developing dementia was 0.29 (95%CI,
0.13-0.63). Which of the following statements can accurately be made about the relationship between the taking of statins and the development of dementia in this study?
A. Taking statins was associated with a decreased risk of developing dementia.
B. Taking statins was not associated with development of dementia.
C. Taking statins did not prevent development of dementia.
D. Taking statins prevented development of dementia.
Solutions:
| Question 1 Answer: A | Question 2 Answer: B | Question 3 Answer: C | Question 4 Answer: D | Question 5 Answer: A |
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