BCPS Exam 1 2024 with 100% correct answers

A newly added medication to the formulary has been causing a significant number of drug interactions and adverse effects. You are part of the P&T committee and are of the opinion that this medication should be removed from formulary as other reasonable alternatives exist. Which of the following actions would NOT be appropriate? A. Remove the medication from the formulary as perceived harm outweighs potential risks, this can be done unilaterally by the P&T committee if necessary to minimize patient risk and maximize patient safety B. Continue to monitor the safety and reactions until removal of the drug from the formulary is approved C. Discuss the issue with colleagues to obtain as much information as possible D. Establish special monitoring procedures in the pharmacy department to help track the safety profile of this particular medication Answer - Answer: A. Remove the medication from the formulary as perceived harm outweighs potential risks, this can be done unilaterally by the P&T committee if necessary to minimize patient risk and maximize patient safety - Actions of the P&T committee are subject to the medical board's approval and the P&T committee cannot act unilaterally. The other answers all represent reasonable approaches to address and monitor the safety risk of the medication. 38 year old male with a history of Multiple Sclerosis. Past medical history is minimal other than MS. With treatment of Interferon Beta 1a for MS, what is the best choice for prevention of side effects? A. Low dose corticosteroid B. Acetaminophen scheduled three times daily C. Ibuprofen 600 mg with injection D. Benadryl 50 mg with injection Answer - Answer: C. Ibuprofen 600 mg with injection - Flu like symptoms are common with Interferon Beta 1a. Acetaminophen or Ibuprofen would be appropriate. Three times daily acetaminophen would be excessive for prevention of injection site reaction. Steroids would not be indicated due to long term adverse effects risk like hyperglycemia, osteoporosis, adrenal suppression, etc. Benadryl doesn't have any analgesic properties.