FREE BCACP Medication Management Questions and Answers

Question 1

A 58-year-old female with a history of hypertension and osteoarthritis is being treated with the following medications:

Lisinopril 10 mg daily
Hydrochlorothiazide (HCTZ) 25 mg daily
Ibuprofen 400 mg TID for knee pain
She complains of worsening blood pressure readings, now averaging 150/92 mmHg.
What is the MOST likely reason for her uncontrolled blood pressure?

Accepted Answer

Ibuprofen use

Answer

Lisinopril dose is too low

Answer

HCTZ is causing hypokalemia

Answer

Non-adherence to medication

Question 2

A 65-year-old male with heart failure with reduced ejection fraction (HFrEF, EF 35%) is currently on the following medications:

Carvedilol 6.25 mg BID
Lisinopril 10 mg daily
Furosemide 40 mg daily

His blood pressure is 110/70 mmHg, and he is asymptomatic. What is the NEXT best step in optimizing his therapy?

Accepted Answer

Increase Carvedilol to 12.5 mg BID

Answer

Discontinue Furosemide

Answer

Add Spironolactone 25 mg daily

Answer

Increase Lisinopril to 20 mg daily

Question 3

A 72-year-old woman with atrial fibrillation (AF) and a CHADS₂-VASc score of 4 is prescribed Apixaban 5 mg BID. Her labs show:

Serum creatinine: 1.6 mg/dL
Weight: 48 kg
Age: 72 years
What is the appropriate adjustment to her Apixaban dose?

Accepted Answer

Reduce Apixaban to 2.5 mg BID

Answer

Continue Apixaban 5 mg BID

Answer

Discontinue Apixaban

Answer

Switch to Warfarin

Question 4

A 60-year-old man with Type 2 Diabetes and albuminuria (urine albumin-creatinine ratio of 350 mg/g) is currently on Metformin 1000 mg BID. His blood pressure is 140/85 mmHg.

Which of the following is the MOST appropriate addition to his therapy?

Accepted Answer

Empagliflozin

Answer

Amlodipine

Answer

Pioglitazone

Answer

Sitagliptin

Question 5

A 64-year-old male with coronary artery disease (CAD) and a history of myocardial infarction is currently taking:

Aspirin 81 mg daily
Metoprolol succinate 50 mg daily
Lisinopril 20 mg daily
His LDL cholesterol is 110 mg/dL. What is the BEST addition to his therapy?

Accepted Answer

Add Atorvastatin 40 mg daily

Answer

Add Ezetimibe 10 mg daily

Answer

Start Rosuvastatin 5 mg daily

Answer

Increase Metoprolol to 100 mg daily