Infectious Diseases 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.

A patient with acute myelogenous leukemia (AML) who has been receiving voriconazole as prophylaxis for several weeks is found to have new pulmonary nodules during a neutropenic fever work-up. Which fungal organism is the most likely cause of this finding?

Coccidioides immitis
Cryptococcus gattii
Histoplasma capsulatum
Rhizopus species

Correct!

Incorrect!

A patient presents to a clinic with perforated appendicitis. The local antibiogram states that Escherichia coli has a susceptibility of 75% to fluoroquinolones. Which antibiotic regimen is the best recommendation for this patient?

Ciprofloxacin plus metronidazole
Ceftriaxone plus metronidazole
Ciprofloxacin plus clindamycin
Ceftriaxone plus clindamycin

Correct!

Incorrect!

A 46-year-old patient was diagnosed with HIV and hepatitis B coinfection. The patient's current CD4 count is 650 cells/mm3, and their HIV viral load is 78,000 copies/mL. The patient should receive therapy for:

HBV only.
HIV only.
both HBV and HIV.
neither HBV or HIV.

Correct!

Incorrect!

A mother brings her 2-year-old child into the pediatric clinic with pink eye. The child is afebrile with an eye that is red, swollen, and watery. A number of other children in the daycare center are suffering from similar symptoms. What is the appropriate management of conjunctivitis for this child?

Supportive care, with cold compresses if needed
Moxifloxacin ophthalmic drops, one drop three times daily for 7 days
Neomycin / Polymixin B / Hydrocortisone ophthalmic drops, one drop every 4 hours for 5 days
Tobramycin ophthalmic drops, one drop every 4 hours for 5 days

Correct!

Incorrect!

A 58-year-old woman presented 3 days ago from home with a history of shortness of breath, purulent sputum production, and chills. She was started on ampicillin / sulbactam 1.5 g intravenously every 6 hours and azithromycin 500 mg intravenously x 1 dose then 250 mg orally every 24 hours for community-acquired pneumonia. The patient has a serum creatinine of 0.9 mg/dL, a BUN of 14 mg/dL, and has been afebrile since admission.

Cultures came back as follows:

Blood culturesNo growth to date
Legionella urinary antigenNegative
Streptococcus urinary antigenNegative
Sputum cultures> 100,000 cfu beta-lactamase-positive Haemophilus influenzae, scant Candida albicans

The patient is improving, and the medical team plans to discharge the patient this afternoon. Which outpatient regimen is most appropriate?

Amoxicillin / clavulanate + azithromycin to complete 5 days of therapy
Amoxicillin / clavulanate to complete 5 days of therapy
Amoxicillin / clavulanate to complete 5 days of therapy + fluconazole to complete 7 days of therapy
Amoxicillin to complete 5 days of therapy

Correct!

Incorrect!

A 2-month-old patient is post-operative day 3 following cardiovascular surgery and chest tubes remain in place. After reviewing the patient's current medication list, the pharmacist notices that cefazolin is prescribed for surgical prophylaxis. The patient is afebrile, hemodynamically stable, and all cultures previously collected are negative to date. From a stewardship perspective, which is the most appropriate recommendation?

Add intravenous clindamycin
Add intravenous vancomycin
Discontinue cefazolin
Discontinue cefazolin and add intravenous vancomycin

Correct!

Incorrect!

Which is the Food and Drug Administration (FDA) recommended primary end point for acute bacterial skin and skin structure infections?

Absence of fever, swelling, or tenderness, without any increase in erythema at 72–96 hours
Reduction in primary lesion size compared to baseline at 48–72 hours
Resolution of the primary lesion 10–14 days after cessation of antibiotic therapy
Significant reduction in erythema, swelling, or tenderness at 8–10 days

Correct!

Incorrect!

A study is designed to compare the incidence of recurrent Clostridioides difficile infection during the 4-week period after treatment of the initial episode of Clostridioides difficile with either fidaxomicin or oral vancomycin. After completing therapy, 13% of fidaxomicin-treated patients developed recurrent infection versus 24% in patients treated with vancomycin. What is the number of patients needed to be treated with fidaxomicin to prevent one recurrence of Clostridioides difficile?

9
10
11
15

Correct!

Incorrect!

An infectious diseases pharmacist has discovered an error in which a compounded amphotericin product for continuous bladder irrigation was administered intravenously in the hospital. In addition to the institutional medication error committee, which external voluntary reporting system is best to notify?

Centers for Disease Control and Prevention (CDC) Medication Safety Program
Food and Drug Administration (FDA) MedWatch Program
Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program
The Joint Commission National Patient Safety Committee

Correct!

Incorrect!

An infectious diseases clinical pharmacist is evaluating the newly published hospital's antibiogram, which shows the following results:

 

% Susceptibility

OrganismNo. of isolatesCefepimeMeropenemCiprofloxacinTigecycline
Citrobacter freundii7288988173
Klebsiella oxytoca 5476906782
Pseudomonas aeruginosa1917780660

Which listed bacteria should the pharmacist advise against reporting their susceptibility on the hospital's antibiogram?

Acinetobacter baumannii
Citrobacter freundii
Klebsiella oxytoca
Pseudomonas aeruginosa

Correct!

Incorrect!

Share the quiz to show your results !

Subscribe to see your results

Infectious Diseases Pharmacy Sample Questions

I got %%score%% of %%total%% right

%%description%%

%%description%%

Loading...