BCPS LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔PD - med for treatment of "off" episodes in advanced disease - ✔✔apomorphine -
short acting dopamine receptor agonist - usually treat wtih trimethobenzamide b/c n/v
✔✔in PD, meds that are most helpful with tremor - ✔✔anticholinergics - trihexyphenidyl,
benztropine
✔✔in PD, med that can be used to treat dyskinesias caused by levodopa/dopamine
agonists - ✔✔amantadine; side effect = livedo reticularis (reddish blue discoloration)
✔✔prophylaxis for tension headaches - ✔✔tricyclics, botox
✔✔prophylaxis for migraine headaches - ✔✔propanolol, frovatriptan, topiramate,
✔✔prophylaxis for cluster headaches - ✔✔verapamil, melatonin, lithium
treatment with O2, triptans, intranasal lidocaine 4%
✔✔steroid dosing for MS acute relapses - ✔✔methyl pred IV 1 g/d x 3-5 d
PO pred 1250 mg/d qod x 5 doses
✔✔Difference btwn mild and moderate persistent asthma - ✔✔Daily vs more than 2
days/wk symptoms
Saba daily vs more than 2 d/w
Fev1 60-80 vsore than 80%
✔✔Severe persist asthma symptoms - ✔✔Night awake very day, several times per day
saba use fev1 less than 60%
✔✔Inhaled steroids - ✔✔Beclomethasone
Fluticasone
Mometasone
Bude snide
Ciclesonide
✔✔Inhaled anticholinergic - ✔✔Ipratropium
Tiotropium
Aclidinium
✔✔Labas - ✔✔Salmeterol
Formeterol
Indacaterol
, ✔✔Adair =? - ✔✔Fluticasone, salmeterol
✔✔Symbicort=? - ✔✔Budesonide, formorterol
✔✔Dulera=? - ✔✔Mometasone, formoterol
✔✔COPD GOLD pt group B - ✔✔fev 50-80%, mMrC >/= 2, less than 1 exacerbation/yr
✔✔COPD GOLD pt group D - ✔✔fev < 30,, mMRC >=2, 2 or more exacerbations.yr
✔✔COPD GOLD pt groups A, C - ✔✔same as B, D but with mMRC 0-1
✔✔COPD group B treatment preference - ✔✔LABA or LA anticholingeric
✔✔three cardinal symptoms in COPD exacerbations
when should abx be used - ✔✔increase dyspnea
increased sputum volume
increased sputum purulence
abx if all three, or if two AND one is sputum purulence
✔✔Best time to.check uric acid for gout - ✔✔2 weeks after flare
✔✔Indications for urate lowering therapy - ✔✔Tophus
2 or more attacks in year
Ckd stage 2 or more
Past urolithiasis
✔✔Duration of gout ppx - ✔✔Longest of:
6 MO
3 MO after urate levels achieved (less than 5)
6mo after urate levels achieved in pt with tophi
✔✔First line xoi - ✔✔Initial: Allopurinol (max dose 800mg/dose; can use >300mg/dose
in CKD)
Added: Probenecid (1st line)
Losartan (2nd line)
Febuxostat (2nd line)
✔✔Prop treatment options for gout - ✔✔Low dose Colchicine
Low dose nsaids w/ppi if necessary
Oral corticosteroids (use if above two is CI or cant use)
Topical Ice (adjunctive therapy prn)
ANSWERS GRADED A+
✔✔PD - med for treatment of "off" episodes in advanced disease - ✔✔apomorphine -
short acting dopamine receptor agonist - usually treat wtih trimethobenzamide b/c n/v
✔✔in PD, meds that are most helpful with tremor - ✔✔anticholinergics - trihexyphenidyl,
benztropine
✔✔in PD, med that can be used to treat dyskinesias caused by levodopa/dopamine
agonists - ✔✔amantadine; side effect = livedo reticularis (reddish blue discoloration)
✔✔prophylaxis for tension headaches - ✔✔tricyclics, botox
✔✔prophylaxis for migraine headaches - ✔✔propanolol, frovatriptan, topiramate,
✔✔prophylaxis for cluster headaches - ✔✔verapamil, melatonin, lithium
treatment with O2, triptans, intranasal lidocaine 4%
✔✔steroid dosing for MS acute relapses - ✔✔methyl pred IV 1 g/d x 3-5 d
PO pred 1250 mg/d qod x 5 doses
✔✔Difference btwn mild and moderate persistent asthma - ✔✔Daily vs more than 2
days/wk symptoms
Saba daily vs more than 2 d/w
Fev1 60-80 vsore than 80%
✔✔Severe persist asthma symptoms - ✔✔Night awake very day, several times per day
saba use fev1 less than 60%
✔✔Inhaled steroids - ✔✔Beclomethasone
Fluticasone
Mometasone
Bude snide
Ciclesonide
✔✔Inhaled anticholinergic - ✔✔Ipratropium
Tiotropium
Aclidinium
✔✔Labas - ✔✔Salmeterol
Formeterol
Indacaterol
, ✔✔Adair =? - ✔✔Fluticasone, salmeterol
✔✔Symbicort=? - ✔✔Budesonide, formorterol
✔✔Dulera=? - ✔✔Mometasone, formoterol
✔✔COPD GOLD pt group B - ✔✔fev 50-80%, mMrC >/= 2, less than 1 exacerbation/yr
✔✔COPD GOLD pt group D - ✔✔fev < 30,, mMRC >=2, 2 or more exacerbations.yr
✔✔COPD GOLD pt groups A, C - ✔✔same as B, D but with mMRC 0-1
✔✔COPD group B treatment preference - ✔✔LABA or LA anticholingeric
✔✔three cardinal symptoms in COPD exacerbations
when should abx be used - ✔✔increase dyspnea
increased sputum volume
increased sputum purulence
abx if all three, or if two AND one is sputum purulence
✔✔Best time to.check uric acid for gout - ✔✔2 weeks after flare
✔✔Indications for urate lowering therapy - ✔✔Tophus
2 or more attacks in year
Ckd stage 2 or more
Past urolithiasis
✔✔Duration of gout ppx - ✔✔Longest of:
6 MO
3 MO after urate levels achieved (less than 5)
6mo after urate levels achieved in pt with tophi
✔✔First line xoi - ✔✔Initial: Allopurinol (max dose 800mg/dose; can use >300mg/dose
in CKD)
Added: Probenecid (1st line)
Losartan (2nd line)
Febuxostat (2nd line)
✔✔Prop treatment options for gout - ✔✔Low dose Colchicine
Low dose nsaids w/ppi if necessary
Oral corticosteroids (use if above two is CI or cant use)
Topical Ice (adjunctive therapy prn)
