BCPS Exam –Questions & Accurate Solutions (Rated
A+)
____ is the most appropriate answer because there are no drug-drug
interactions or contraindications / cautions in HIV ✔️Ans - Bictegravir
n patients with persistent neutropenic fever despite anti-pseudomonal
coverage, what should be considered? ✔️Ans - empiric antifungal
therapy should be considered after 4 - 10 days
electrocautery ✔️Ans - Which of the following therapies is most likely
to result in a resolution rate which approaches 100% in patients w/
external anogenital warts.?
preferred therapy for CMV retinitis? ✔️Ans - Ganciclovir intravitreal
injections plus valganciclovir oral
bacterial vaginosis recommended treatment ✔️Ans - clindamycin or
metronidazole
(i.e. Clindamycin 300 mg orally twice daily for 7 days)
recommended treatment regimen for pelvic inflammatory disease ✔️Ans
- Ceftriaxone 250 mg intramuscularly x 1 dose plus doxycycline 100 mg
orally twice daily for 14 days
vulvovaginal candidiasis teeatment ✔️Ans - Clindamycin cream 2%, 5 g
intravaginally at bedtime for 7 days
MedWatch ✔️Ans - preferred route for healthcare professionals and
patients to report suspected adverse events to the FDA
FDA Form 3500A ✔️Ans - mechanism for reporting suspected adverse
events, but is reserved for use by user-facilities, importers, distributors,
and manufacturers
-reporting errors related to vaccines ✔️Ans - ISMP VERP and VAERS
, viral rhinosinusitis sx duration ✔️Ans - -peak at 3 days and may persist
longer than 14 days but usually decreases in severity by 10 days
-watchful waiting is recommended to avoid overuse of antibiotics as
episodes are often self-limited
Malignant external otitis treatment ✔️Ans - - predominantly caused by
Pseudomonas aeruginosa
-antipseudomonal antimicrobials are considered the mainstay of therapy.
Fidaxomicin ✔️Ans - -associated with decreased recurrence of
Clostridioides difficile likely owing to its narrow spectrum and minimal
effect on normal colonic flora
duration of initial therapy for CDI? ✔️Ans - 10 days with oral
vancomycin or fidaxomicin
MRSA PCR ✔️Ans - -well-recognized tool for antimicrobial de-escalation
as part of stewardship initiatives given the high negative predictive value
MRSA nasal culture ✔️Ans - -used for surveillance and is not employed
as a stewardship tool
Procalcitonin ✔️Ans - -useful in differentiating between viral and
bacterial etiologies
-chronic kidney disease may cause an artificially high level leading to
questionable interpretation and potential continuation of inappropriate
antimicrobials
Asymptomatic candiduria ✔️Ans - -common among hospitalized
patients with an indwelling urinary catheter and treatment is nt is not
warranted
elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide
(EVG/c/FTC/TAF) ✔️Ans - Elvitegravir is only available in single-tablet
regimen form; either as EVG/c/FTC/TAF or EVG/c/FTC/TDF. Therefore, it
is not possible to stock the single agents and "break up" the patient's
regimen
A+)
____ is the most appropriate answer because there are no drug-drug
interactions or contraindications / cautions in HIV ✔️Ans - Bictegravir
n patients with persistent neutropenic fever despite anti-pseudomonal
coverage, what should be considered? ✔️Ans - empiric antifungal
therapy should be considered after 4 - 10 days
electrocautery ✔️Ans - Which of the following therapies is most likely
to result in a resolution rate which approaches 100% in patients w/
external anogenital warts.?
preferred therapy for CMV retinitis? ✔️Ans - Ganciclovir intravitreal
injections plus valganciclovir oral
bacterial vaginosis recommended treatment ✔️Ans - clindamycin or
metronidazole
(i.e. Clindamycin 300 mg orally twice daily for 7 days)
recommended treatment regimen for pelvic inflammatory disease ✔️Ans
- Ceftriaxone 250 mg intramuscularly x 1 dose plus doxycycline 100 mg
orally twice daily for 14 days
vulvovaginal candidiasis teeatment ✔️Ans - Clindamycin cream 2%, 5 g
intravaginally at bedtime for 7 days
MedWatch ✔️Ans - preferred route for healthcare professionals and
patients to report suspected adverse events to the FDA
FDA Form 3500A ✔️Ans - mechanism for reporting suspected adverse
events, but is reserved for use by user-facilities, importers, distributors,
and manufacturers
-reporting errors related to vaccines ✔️Ans - ISMP VERP and VAERS
, viral rhinosinusitis sx duration ✔️Ans - -peak at 3 days and may persist
longer than 14 days but usually decreases in severity by 10 days
-watchful waiting is recommended to avoid overuse of antibiotics as
episodes are often self-limited
Malignant external otitis treatment ✔️Ans - - predominantly caused by
Pseudomonas aeruginosa
-antipseudomonal antimicrobials are considered the mainstay of therapy.
Fidaxomicin ✔️Ans - -associated with decreased recurrence of
Clostridioides difficile likely owing to its narrow spectrum and minimal
effect on normal colonic flora
duration of initial therapy for CDI? ✔️Ans - 10 days with oral
vancomycin or fidaxomicin
MRSA PCR ✔️Ans - -well-recognized tool for antimicrobial de-escalation
as part of stewardship initiatives given the high negative predictive value
MRSA nasal culture ✔️Ans - -used for surveillance and is not employed
as a stewardship tool
Procalcitonin ✔️Ans - -useful in differentiating between viral and
bacterial etiologies
-chronic kidney disease may cause an artificially high level leading to
questionable interpretation and potential continuation of inappropriate
antimicrobials
Asymptomatic candiduria ✔️Ans - -common among hospitalized
patients with an indwelling urinary catheter and treatment is nt is not
warranted
elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide
(EVG/c/FTC/TAF) ✔️Ans - Elvitegravir is only available in single-tablet
regimen form; either as EVG/c/FTC/TAF or EVG/c/FTC/TDF. Therefore, it
is not possible to stock the single agents and "break up" the patient's
regimen
