BCEMP Exam Questions with Correct Answers| Latest Update Guaranteed Success
Medications that can cause DKA steroids, thiazides, sympathomimetics, atypical
antipsychotics, SGLT-2 inhibitors
Sodium correction equation for hyperglycemia Na correction. = measured NA + [(glucose
level - 100) x 0.016]
Subcutaneous insulin dosing in DKA lispro/aspart 0.3 u/kg x1, then 0.1 u/kg/hr
Holliday-Segar (simplified) Helps to determine maintenance fluid needs in kids with DKA
<10 kg: 4 mL/kg/hr
11-20 kg: 40 + 2 mL/kg/hr for each kg between 11-20
>20 kg: 60 + 1 mL/kg/hr for each kg > 20
Potassium cutoff in pediatric DKA K = 2.5 mmol/L
Mainstays of therapy for gastroparesis Prokinetics: metoclopramide (5-10 mg BID to QID,
dystonia/dyskinesia), erythromycin (250-300 mg TID; tachyphylaxis QTc)
Antiemetics for symptoms
Abdominal pain: anticholinergics (dicylomine, hyoscyamine), antidepressants (TCA, mirtazapine,
dulolextine), others (gabapentin, pregabalin)
Drugs that can worsen gastroparesis CCB's, antipsychotics, progesterone, lithium, GLP's
Burch Wartofsky Criteria for Thyroid Storm Temperature, CNS effects, GI/hepato disorders,
CV dysfunction, CHF, a.fib, precipitating event. >45 is indicative of thyroid storm.
Myxedema coma steroid dosing Hydrocortisone 100 mg q8h
, Myxedema coma IV levothyroxine dosing IV levothyroxine (t4) 200-400 mcg PLUS IV
liothyronine (T3) 5-20 mcg then 2.5-10 mcg
Management of Thyroid Storm PTU (oral or rectal 200-400 q6-8 hours) or methimazole (20-
25 mg q6 hours)
Followed 30-60 min later by iodine
SSKI or Lugol's
+/- beta blockers (usually PO/IV propranolol OR esmolol)
+ steroids
Refractory management of thyroid storm Lithium (targeting 0.6 -1)
Cholestyramine 4 g q6 hours
Antipyretics (acetaminophen preferred over ibuprofen)
Empiric treatment for STI's Ceftriaxone 500 mg IM x1 (1000 mg if >150 kg)
Doxycycline 100 mg PO BID x 7 days (Azithro 1000 mg x1 if concern for adherence or pregnant)
Metronidazole 500 mg PO BID x 7 days (Metronidazole 2000 mg x1 if concern for adherence)
(PLUS contraceptives + HIV PEP)
Hepatits B Vaccinations after sexual assault assailant unknown and survivor unvaxx'd =
VACCINE
assailant positive = vaccine PLUS immunglobulin
survivor previously vaxx'd = BOOSTER
Who should receive HPV vaccine after sexual assault? 9-26 yo if not vaxx'd or incomplete
history
Medications that can cause DKA steroids, thiazides, sympathomimetics, atypical
antipsychotics, SGLT-2 inhibitors
Sodium correction equation for hyperglycemia Na correction. = measured NA + [(glucose
level - 100) x 0.016]
Subcutaneous insulin dosing in DKA lispro/aspart 0.3 u/kg x1, then 0.1 u/kg/hr
Holliday-Segar (simplified) Helps to determine maintenance fluid needs in kids with DKA
<10 kg: 4 mL/kg/hr
11-20 kg: 40 + 2 mL/kg/hr for each kg between 11-20
>20 kg: 60 + 1 mL/kg/hr for each kg > 20
Potassium cutoff in pediatric DKA K = 2.5 mmol/L
Mainstays of therapy for gastroparesis Prokinetics: metoclopramide (5-10 mg BID to QID,
dystonia/dyskinesia), erythromycin (250-300 mg TID; tachyphylaxis QTc)
Antiemetics for symptoms
Abdominal pain: anticholinergics (dicylomine, hyoscyamine), antidepressants (TCA, mirtazapine,
dulolextine), others (gabapentin, pregabalin)
Drugs that can worsen gastroparesis CCB's, antipsychotics, progesterone, lithium, GLP's
Burch Wartofsky Criteria for Thyroid Storm Temperature, CNS effects, GI/hepato disorders,
CV dysfunction, CHF, a.fib, precipitating event. >45 is indicative of thyroid storm.
Myxedema coma steroid dosing Hydrocortisone 100 mg q8h
, Myxedema coma IV levothyroxine dosing IV levothyroxine (t4) 200-400 mcg PLUS IV
liothyronine (T3) 5-20 mcg then 2.5-10 mcg
Management of Thyroid Storm PTU (oral or rectal 200-400 q6-8 hours) or methimazole (20-
25 mg q6 hours)
Followed 30-60 min later by iodine
SSKI or Lugol's
+/- beta blockers (usually PO/IV propranolol OR esmolol)
+ steroids
Refractory management of thyroid storm Lithium (targeting 0.6 -1)
Cholestyramine 4 g q6 hours
Antipyretics (acetaminophen preferred over ibuprofen)
Empiric treatment for STI's Ceftriaxone 500 mg IM x1 (1000 mg if >150 kg)
Doxycycline 100 mg PO BID x 7 days (Azithro 1000 mg x1 if concern for adherence or pregnant)
Metronidazole 500 mg PO BID x 7 days (Metronidazole 2000 mg x1 if concern for adherence)
(PLUS contraceptives + HIV PEP)
Hepatits B Vaccinations after sexual assault assailant unknown and survivor unvaxx'd =
VACCINE
assailant positive = vaccine PLUS immunglobulin
survivor previously vaxx'd = BOOSTER
Who should receive HPV vaccine after sexual assault? 9-26 yo if not vaxx'd or incomplete
history
