BCPS CORE EXAM TEST 2026 QUESTIONS AND ANSWERS
GRADED A+
✔✔What blood pressure is NTg contraindicated in for ACS - ✔✔SBP<90 or >30
decrease from baseline
✔✔What pulse parameters exclude NTG in ACs - ✔✔<50 or >100
✔✔What time frame is NTG contraindicated with PDE5s? - ✔✔24 hrs; 48 hrs for
tadalafil
✔✔What to do for cardiogenic shock secondary to PDE5 plus NTG - ✔✔Fluids and
alpha agonist therapy (phenylepherine or norepinephrine)
✔✔Which antiplatelet should not be used for medical management in AcS -
✔✔Prasugrel
✔✔If going to CABG, which anticoagulant to use - ✔✔UFH
✔✔Whic Gp2b inhibitor is not recommended for medical management of ACS -
✔✔Abcicimab (Reopro)
✔✔When to avoid prasugrel for planned PCI - ✔✔Prior history of stroke or TIA
✔✔Which beta blockers to avoid in ACs - ✔✔iSA activity, i.e. Pindolol
✔✔What patients have a high risk for shock with beta blockers in STEMI - ✔✔Age >70,
SBP<120, pulse <50 or >110
✔✔What is the JCAHo measure for beta blockers? - ✔✔Need started within 24 hours
✔✔When to give thrombolytics - ✔✔For STEMI within last 12 hours with no cath lab
available for 90 minutes
✔✔Which drugs important after ACS - ✔✔Beta blocker, aspirin, ACEi, statin, clopidogrrl
for 12 months after any stent placement
✔✔Which cyps do OAB products go through - ✔✔3a4 and 2d6
✔✔Which OAB product has the least drug interactions - ✔✔Trospium
✔✔Concerning OAB products, food increases absorption of what and decreases
absorptive of what - ✔✔Tolterodine: trospium
, ✔✔Risk with excessive Vitamin A in postmenopausal women - ✔✔Hip fractures
✔✔What vitamin can become low with isoniazid therapy - ✔✔Pyrodoxine (B6)
✔✔Preterm labor is defined as uterine contraction with cervical changes prior to how
many weeks - ✔✔37
✔✔Delay delivery if between which weeks to give ______ for surfactant production (XX-
XX; XXXXXXX) - ✔✔24-34; steroids
✔✔Drugs used to delay preterm labor (M, N, T, I) - ✔✔Mag, nifedipine, terbutaline,
indomethacin
✔✔Definition of post-partum hemmorhage - ✔✔vaginal delivery 500cc, C section
1000cc
✔✔Treatment for post partum hemorrhage (O, M, M, C) - ✔✔Oxytocin,
methylergonovine, misoprostol, carboprost tromethamine
✔✔What is the issue with misoprostol for post-partum hemorrhage (Note, it is given
rectally in this situation) - ✔✔multiple tablets (4-5) and delayed onset
✔✔Preeclampsia definition - ✔✔weeks 20-6 weeks post partum, HTN>140/90,
proteinuria>0.3g/24hrs w/ no UTI
✔✔In addition to criteria for preeclampsia, what are the criteria that make it severe? -
✔✔BP>160/110, >5g/24 hr proteinuria or >3+ on random urine, oliguria <500ml/24hrs),
RUQ pain, HELLP syndrome
✔✔Eclampsia - ✔✔seizures in a woman with preeclampsia
✔✔Presentation of preeclampsia - ✔✔HA, vision changes, epigastric pain, swelling
✔✔Cure for severe cases of preeclampsia/eclampsia - ✔✔delivery
✔✔If mild preeclampsia, wait until - ✔✔37 weeks
✔✔In severe cases of preeclampsia, try to wait until - ✔✔34 weeks
✔✔acute management of seizures in eclampsia - ✔✔Mag 4-6gm over 20 minutes, then
1-2gm/hr
GRADED A+
✔✔What blood pressure is NTg contraindicated in for ACS - ✔✔SBP<90 or >30
decrease from baseline
✔✔What pulse parameters exclude NTG in ACs - ✔✔<50 or >100
✔✔What time frame is NTG contraindicated with PDE5s? - ✔✔24 hrs; 48 hrs for
tadalafil
✔✔What to do for cardiogenic shock secondary to PDE5 plus NTG - ✔✔Fluids and
alpha agonist therapy (phenylepherine or norepinephrine)
✔✔Which antiplatelet should not be used for medical management in AcS -
✔✔Prasugrel
✔✔If going to CABG, which anticoagulant to use - ✔✔UFH
✔✔Whic Gp2b inhibitor is not recommended for medical management of ACS -
✔✔Abcicimab (Reopro)
✔✔When to avoid prasugrel for planned PCI - ✔✔Prior history of stroke or TIA
✔✔Which beta blockers to avoid in ACs - ✔✔iSA activity, i.e. Pindolol
✔✔What patients have a high risk for shock with beta blockers in STEMI - ✔✔Age >70,
SBP<120, pulse <50 or >110
✔✔What is the JCAHo measure for beta blockers? - ✔✔Need started within 24 hours
✔✔When to give thrombolytics - ✔✔For STEMI within last 12 hours with no cath lab
available for 90 minutes
✔✔Which drugs important after ACS - ✔✔Beta blocker, aspirin, ACEi, statin, clopidogrrl
for 12 months after any stent placement
✔✔Which cyps do OAB products go through - ✔✔3a4 and 2d6
✔✔Which OAB product has the least drug interactions - ✔✔Trospium
✔✔Concerning OAB products, food increases absorption of what and decreases
absorptive of what - ✔✔Tolterodine: trospium
, ✔✔Risk with excessive Vitamin A in postmenopausal women - ✔✔Hip fractures
✔✔What vitamin can become low with isoniazid therapy - ✔✔Pyrodoxine (B6)
✔✔Preterm labor is defined as uterine contraction with cervical changes prior to how
many weeks - ✔✔37
✔✔Delay delivery if between which weeks to give ______ for surfactant production (XX-
XX; XXXXXXX) - ✔✔24-34; steroids
✔✔Drugs used to delay preterm labor (M, N, T, I) - ✔✔Mag, nifedipine, terbutaline,
indomethacin
✔✔Definition of post-partum hemmorhage - ✔✔vaginal delivery 500cc, C section
1000cc
✔✔Treatment for post partum hemorrhage (O, M, M, C) - ✔✔Oxytocin,
methylergonovine, misoprostol, carboprost tromethamine
✔✔What is the issue with misoprostol for post-partum hemorrhage (Note, it is given
rectally in this situation) - ✔✔multiple tablets (4-5) and delayed onset
✔✔Preeclampsia definition - ✔✔weeks 20-6 weeks post partum, HTN>140/90,
proteinuria>0.3g/24hrs w/ no UTI
✔✔In addition to criteria for preeclampsia, what are the criteria that make it severe? -
✔✔BP>160/110, >5g/24 hr proteinuria or >3+ on random urine, oliguria <500ml/24hrs),
RUQ pain, HELLP syndrome
✔✔Eclampsia - ✔✔seizures in a woman with preeclampsia
✔✔Presentation of preeclampsia - ✔✔HA, vision changes, epigastric pain, swelling
✔✔Cure for severe cases of preeclampsia/eclampsia - ✔✔delivery
✔✔If mild preeclampsia, wait until - ✔✔37 weeks
✔✔In severe cases of preeclampsia, try to wait until - ✔✔34 weeks
✔✔acute management of seizures in eclampsia - ✔✔Mag 4-6gm over 20 minutes, then
1-2gm/hr
