Ambulatory Care Pharmacy Sample Examination Items

These sample examination items are made available by BPS for the purposes of familiarizing certification candidates and other stakeholders with the structure and format of BPS certification examinations. This is not meant for use as a self-assessment. Performance on any of these items does not correlate with performance on the actual examination.

The content of these examples is meant to be illustrative of actual examination items, but these items do not appear on the certification examination and are not meant to identify the scope of the examination. For a more comprehensive indication of the scope of each certification examination, please refer to the Exam Content Outline for each specialty area.

Examination items are in multiple-choice format. The great majority of examination items are multiple-choice with a single response from among four options. Some examinations may include a small percentage of items that require selection of multiple (three or four) responses from among a larger set of available (up to eight) options. Examinations items may also be supplemented by an image.

Which physical assessment finding would be consistent with an exacerbation of heart failure?

Rales
Systolic murmur
Lobar consolidation
S2 gallop

Correct!

Incorrect!

A 40-year-old patient presents to the primary care clinic and is diagnosed with group A streptococcal pharyngitis. The patient reports no other recent illnesses and no known drug allergies. Which agent is the most appropriate for antimicrobial therapy?

Penicillin
Azithromycin
Cephalexin
Levofloxacin

Correct!

Incorrect!

A woman with a history of poison-ivy allergic contact dermatitis presents with well-demarcated patches of erythema on her body as well as vesicles that are oozing and weeping on her face and hands. Which drug is most appropriate for this patient?

Topical diphenhydramine
Oral prednisone
Oral diphenhydramine
Topical triamcinolone

Correct!

Incorrect!

A pharmacy manager at a rural community outpatient clinic is thinking about starting a diabetes disease management service. What is the first step the pharmacist should take to justify this new service?

Collect patient data to assess the need for the service.
Develop a mission statement to provide a focus for the service.
Perform a SWOT analysis to determine if the service is justified.
Perform a thorough financial analysis to determine start-up costs.

Correct!

Incorrect!

In designing a clinical trial, how can inherent differences between groups at baseline be minimized?

Use of a control or comparison group
Blinding of patients and investigators
Regression models with the statistical analysis
Random assignment of patients to study groups

Correct!

Incorrect!

When making an evidence-based decision, which source would provide the highest level of evidence?

Patients with chronic migraines randomly assigned to placebo or feverfew to assess effectiveness are followed for 3 months.
A cohort of patients are followed for 5 years to examine the persistence of blood pressure lowering with lisinopril.
Meta-analysis of studies of the relationship between aspirin and bleeding events in patients with acute ischemic syndromes is performed.
An analysis of extracted data from a national medical and pharmacy claims database is used to evaluate the interaction between omeprazole and clopidogrel.

Correct!

Incorrect!

In order to assess the effect of a potential metabolic enzyme inhibitor on the clearance of warfarin, which study design would be most appropriate?

Randomized crossover study with a washout period between phases
Single-blind (investigator only), two-group parallel, controlled study
Double-blind, two-group parallel, controlled study
Single-phase study with comparison of warfarin clearance to a population average in the literature

Correct!

Incorrect!

Which study would meet "no more than minimal risk" criteria and therefore allow an institutional review board (IRB) to complete an expedited review?

Evaluation of an approved drug for an additional unapproved indication
The expected risk for severe adverse events is minimal
The expected risk is limited to mild adverse events only
Additional testing performed on previously collected patient blood samples

Correct!

Incorrect!

According to recommendations from the Centers for Medicare & Medicaid Services (CMS), what is the minimum number of allotted Comprehensive Medication Reviews (CMR) and targeted medication reviews for medication therapy management (MTM) for which Medicare patients are eligible?

Quarterly CMR with targeted medication reviews monthly
CMR twice annually with annual targeted medication reviews
CMR every 5 years with annual targeted medication reviews
Annual CMR with quarterly targeted medication reviews

Correct!

Incorrect!

When developing a new Exposure Control Plan, which action should the pharmacist recommend for exposure to patients known to have hepatitis C?

Test for antigen to the hepatitis C virus.
Treat with interferon-alfa.
Administer hepatitis C vaccine.
Test for antibody to the hepatitis C virus.

Correct!

Incorrect!

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Ambulatory Care Pharmacy Sample Questions

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