BCPP Exam test with possible solutions
1st line mild to moderate migraines? moderate to severe? - CORRECT ANSWERS-Aspirin,
IBU, APAP- mild to mod
Mod to severe- triptans
Absolute risk reduction - CORRECT ANSWERS-ARR = [c/c + d] − [a/a + b]
Provides the percent of patients spared the adverse outcome by the treatment in a clinical trial
AChEI adverse effects - CORRECT ANSWERS-GI (worst with oral rivastigmine)- n/v/d, weight
loss, ulcer, GI bleed- CAUTION with nsaids, blood thinners
Slow conduction through AV node -> AV block or bradycardia
AEDs effective as second line treatments for binge eating disorder? - CORRECT ANSWERS-
Topamax, zonisamide
Depakote may WORSEN!!
Allocation bias - CORRECT ANSWERS-Occurs when subjects or investigators can choose
which treatment group they would like. Results in groups with different characteristics
Alpha - CORRECT ANSWERS-the probability of a type I error, set before experiment begins
Amitriptyline dose in elderly? - CORRECT ANSWERS-10 mg TID, 20 at bedtime
Ammitriptyline and nortriptyline dosing in migraine - CORRECT ANSWERS-25-150 mg
,Antidepressants with evidence for BPSD? - CORRECT ANSWERS-Trazodone questionable -
equal to placebo in one study, equal to haldol in another
Citalopram best evidence for efficacy
Can be used for depression, may take longer to respond, or as an alternative treatment for
agitation.
Antipsychotic treatment considerations in pediatrics? - CORRECT ANSWERS-Children and
adolescents gain more weight- avoid quetiapine, olanzapine
Quetiapine raises blood pressure in peds
Aripiprazole, lurqsidone, olanzapine, paliperidone, risperidone FDA approved
Antipsychotics preferred for dementia? - CORRECT ANSWERS-Risperidone first line
OVERALL
Aripiprazole second line for PSYCHOSIS
Olanzapine second line for AGITATION
Quetiapine third line
AHRQ guidelines
APDs Highest risk of prolactinemia - CORRECT ANSWERS-Risperidone, iloperidone
Aripiprazole LAI dosing? - CORRECT ANSWERS-Monohydrate monthly, lauroxil monthly, then
every 6 weeks, then every 2 months
Asenapine contraindication - CORRECT ANSWERS-Severe hepatic impairment
Assertive Community Treatment (ACT) - CORRECT ANSWERS-An intensive type of case
management for people with serious, persistent psychiatric symptoms. Repeated
hospitalizations are reduced and housing stabilized through a multidisciplinary team that
provides a comprehensive array of services. Includes medication management. Little effect on
social functioning and employment.
,Atomexitine drug interaction? - CORRECT ANSWERS-CYP2D6 inhibitor increases levels
Attrition bias - CORRECT ANSWERS-Certain participants are more likely to drop out of the
study than others, leading to a final sample that differs from the initial
Aubagio - CORRECT ANSWERS-Teriflunomide
PO daily
No pregnancy for two years after stopping, can accelerate with cholestramine
Hepatotoxicity, bone marrow suppression, peripheral neuropathy, inc blood pressure
Autism diagnostic interview revised - CORRECT ANSWERS-Clinician rated scale
Autism diagnostic observation scale - CORRECT ANSWERS-Clinician rated diagnostic
interview
Avonex - CORRECT ANSWERS-Interferon B1A
IM inj once weekly
Mood changes, flu like symptoms, hepatic injury, tissue necrosis
Beta - CORRECT ANSWERS-probability of making a type II error. 1-Beta = power
beta blocker contraindications - CORRECT ANSWERS-COPD and asthma
Reynauds
>1st degree heart block
Betaseron, Extavia - CORRECT ANSWERS-interferon beta-1B
SQ every other day
Bipolar 1 vs Bipolar 2 requirements for diagnosis? - CORRECT ANSWERS-1 - manic episode
2 - hypomanic episode, 1 major depressive episode
, Blocked random allocation - CORRECT ANSWERS-Used to ensure that at any given point in
time, the groups will be similar or equal in size. I.e. ABBA, BAAB, ABAB
Bupropion CYP interaction? - CORRECT ANSWERS-Potent CYP2D6 inhibitor, inc conc of
metoprolol, TCAs, trintellix
Can lisdexamfetamine capsules be dissolved? - CORRECT ANSWERS-Yes
Carbamazepine and eslicarbazepine adverse effects - CORRECT ANSWERS-Rash,
Hyponatremia, decreased bone density, agranulocytosis/aplastic anemia
DC if WBC below 3000 or neutrophil counts below 1000
Carbamazepine and eslicarbazepine MOA - CORRECT ANSWERS-Na channel blocker
Cariprazine MOA pearls? - CORRECT ANSWERS-Partial agonist at D2 receptor
Partial agonist at D3 and 5HT1A: may enhance cognitive functioning and negative symptom
control
channeling bias - CORRECT ANSWERS-Occurs in observational studies. Occurs when
clinicians choose treatment according to pts diagnosis, I.e, pt at highest risk gets treatment
Child Behavior Checklist - CORRECT ANSWERS-Assesses child's bx via parent report on
rating scale, used for ODD/CD
Classification bias - CORRECT ANSWERS-Bias due to a misclassification (ex. measurement
error, errors in diagnosing AD in clinical trials without a PET scan)
Clinical pearls for TBI? - CORRECT ANSWERS-Avoid benzodiazepines- paradoxical agitation
Avoid sedating meds
Avoid FGAs
Avoid TCAs, bupropion, clozapine- induce seizures
Antidepressants and AEDs are good for mood and agitation
1st line mild to moderate migraines? moderate to severe? - CORRECT ANSWERS-Aspirin,
IBU, APAP- mild to mod
Mod to severe- triptans
Absolute risk reduction - CORRECT ANSWERS-ARR = [c/c + d] − [a/a + b]
Provides the percent of patients spared the adverse outcome by the treatment in a clinical trial
AChEI adverse effects - CORRECT ANSWERS-GI (worst with oral rivastigmine)- n/v/d, weight
loss, ulcer, GI bleed- CAUTION with nsaids, blood thinners
Slow conduction through AV node -> AV block or bradycardia
AEDs effective as second line treatments for binge eating disorder? - CORRECT ANSWERS-
Topamax, zonisamide
Depakote may WORSEN!!
Allocation bias - CORRECT ANSWERS-Occurs when subjects or investigators can choose
which treatment group they would like. Results in groups with different characteristics
Alpha - CORRECT ANSWERS-the probability of a type I error, set before experiment begins
Amitriptyline dose in elderly? - CORRECT ANSWERS-10 mg TID, 20 at bedtime
Ammitriptyline and nortriptyline dosing in migraine - CORRECT ANSWERS-25-150 mg
,Antidepressants with evidence for BPSD? - CORRECT ANSWERS-Trazodone questionable -
equal to placebo in one study, equal to haldol in another
Citalopram best evidence for efficacy
Can be used for depression, may take longer to respond, or as an alternative treatment for
agitation.
Antipsychotic treatment considerations in pediatrics? - CORRECT ANSWERS-Children and
adolescents gain more weight- avoid quetiapine, olanzapine
Quetiapine raises blood pressure in peds
Aripiprazole, lurqsidone, olanzapine, paliperidone, risperidone FDA approved
Antipsychotics preferred for dementia? - CORRECT ANSWERS-Risperidone first line
OVERALL
Aripiprazole second line for PSYCHOSIS
Olanzapine second line for AGITATION
Quetiapine third line
AHRQ guidelines
APDs Highest risk of prolactinemia - CORRECT ANSWERS-Risperidone, iloperidone
Aripiprazole LAI dosing? - CORRECT ANSWERS-Monohydrate monthly, lauroxil monthly, then
every 6 weeks, then every 2 months
Asenapine contraindication - CORRECT ANSWERS-Severe hepatic impairment
Assertive Community Treatment (ACT) - CORRECT ANSWERS-An intensive type of case
management for people with serious, persistent psychiatric symptoms. Repeated
hospitalizations are reduced and housing stabilized through a multidisciplinary team that
provides a comprehensive array of services. Includes medication management. Little effect on
social functioning and employment.
,Atomexitine drug interaction? - CORRECT ANSWERS-CYP2D6 inhibitor increases levels
Attrition bias - CORRECT ANSWERS-Certain participants are more likely to drop out of the
study than others, leading to a final sample that differs from the initial
Aubagio - CORRECT ANSWERS-Teriflunomide
PO daily
No pregnancy for two years after stopping, can accelerate with cholestramine
Hepatotoxicity, bone marrow suppression, peripheral neuropathy, inc blood pressure
Autism diagnostic interview revised - CORRECT ANSWERS-Clinician rated scale
Autism diagnostic observation scale - CORRECT ANSWERS-Clinician rated diagnostic
interview
Avonex - CORRECT ANSWERS-Interferon B1A
IM inj once weekly
Mood changes, flu like symptoms, hepatic injury, tissue necrosis
Beta - CORRECT ANSWERS-probability of making a type II error. 1-Beta = power
beta blocker contraindications - CORRECT ANSWERS-COPD and asthma
Reynauds
>1st degree heart block
Betaseron, Extavia - CORRECT ANSWERS-interferon beta-1B
SQ every other day
Bipolar 1 vs Bipolar 2 requirements for diagnosis? - CORRECT ANSWERS-1 - manic episode
2 - hypomanic episode, 1 major depressive episode
, Blocked random allocation - CORRECT ANSWERS-Used to ensure that at any given point in
time, the groups will be similar or equal in size. I.e. ABBA, BAAB, ABAB
Bupropion CYP interaction? - CORRECT ANSWERS-Potent CYP2D6 inhibitor, inc conc of
metoprolol, TCAs, trintellix
Can lisdexamfetamine capsules be dissolved? - CORRECT ANSWERS-Yes
Carbamazepine and eslicarbazepine adverse effects - CORRECT ANSWERS-Rash,
Hyponatremia, decreased bone density, agranulocytosis/aplastic anemia
DC if WBC below 3000 or neutrophil counts below 1000
Carbamazepine and eslicarbazepine MOA - CORRECT ANSWERS-Na channel blocker
Cariprazine MOA pearls? - CORRECT ANSWERS-Partial agonist at D2 receptor
Partial agonist at D3 and 5HT1A: may enhance cognitive functioning and negative symptom
control
channeling bias - CORRECT ANSWERS-Occurs in observational studies. Occurs when
clinicians choose treatment according to pts diagnosis, I.e, pt at highest risk gets treatment
Child Behavior Checklist - CORRECT ANSWERS-Assesses child's bx via parent report on
rating scale, used for ODD/CD
Classification bias - CORRECT ANSWERS-Bias due to a misclassification (ex. measurement
error, errors in diagnosing AD in clinical trials without a PET scan)
Clinical pearls for TBI? - CORRECT ANSWERS-Avoid benzodiazepines- paradoxical agitation
Avoid sedating meds
Avoid FGAs
Avoid TCAs, bupropion, clozapine- induce seizures
Antidepressants and AEDs are good for mood and agitation
