BCACP REVIEW 2023 UPDATED EXAM QUESTIONS AND ANSWERS

BCACP REVIEW 2023 UPDATED EXAM QUESTIONS AND ANSWERS What is the cutoff for diagnosis of COPD? - ANSWER- FEV1/FVC < 0.7 What is the criteria for GOLD Stage 1? - ANSWER- FEV1 (predicted) >80 What is the criteria for GOLD Stage 2? - ANSWER- FEV1 (predicted) 50-80 What is the criteria for GOLD Stage 3? - ANSWER- FEV1 (predicted) 30-50 What is the criteria for GOLD Stage 4? - ANSWER- FEV1 (predicted) <30 What is used as classification of COPD Class A? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER- <2/<10/0 or 1/0 (low symptoms, low risk of hospitalization) What is used as classification of COPD Class B? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER- 2+/10+/0 or 1/0 (high symptoms, low risk of hospitalization) What is used as classification of COPD Class C? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER- <2/<10/2+/1+ (low symptoms, high risk of hospitalization) What is used as classification of COPD Class D? (answer is mMRC/CAT/exacerbations/hospitalizations) - ANSWER- 2+/10+/2+/1+ (high symptoms, high risk of hospitalization) What is preferred treatment for COPD Class A? - ANSWER- Bronchodilator What is preferred treatment for COPD Class B? - ANSWER- LABA or LAMA What is preferred treatment for COPD Class C? - ANSWER- LAMA (+/- LABA) What is preferred treatment for COPD Class D? - ANSWER- LAMA + LABA (+/- ICS) What is the preferred length of therapy for oral corticosteroids for COPD exacerbations? - ANSWER- 5 days What is CURB 65? - ANSWER- Confusion, BUN >20, RR >30, BP <90/<60, age 65 How would you treat CAP if CURB 65 score if 0? - ANSWER- Outpatient How would you treat CAP if CURB 65 score if 1? - ANSWER- Outpatient How would you treat CAP if CURB 65 score if 2? - ANSWER- Inpatient How would you treat CAP if CURB 65 score if 3+? - ANSWER- ICU What is CAP empiric therapy if patient is previously health, no antibiotic use in the past 3 months? - ANSWER- Macrolide azithromycin, clarithromycin OR doxycycline What is CAP empiric therapy if patient has chronic comorbidities (such as chronic heart/lunch/liver/renal dx, DM, alcoholism, asplenia, immunosuppressed) - ANSWERFQ Levo, gemi, moxi OR beta-lactam (high dose amoxicillin, amox/clav, or cefpodoxime) PLUS a macrolide (azithromycin or clarithromycin) What are atypical GERD symptoms? - ANSWER- Predominant epigastric pain, belching, hoarseness, sore throat, cough What are AUA BPH Symptom scores for Mild disease? - ANSWER- 0-7 What are AUA BPH Symptom scores for Moderate disease? - ANSWER- 8-19 What are AUA BPH Symptom scores for severe disease? - ANSWER- 20-35 Which are the uroselective or 3rd generation alpha blockers ? - ANSWER- tamsulosin, silodosin (+/- alfuzosin) Persons born between what years should be screened one time for Hep C? - ANSWER Per ADA, if no risk factors for testing for DM earlier, when should all individuals be screened? - ANSWER- 45 What are the cutoffs for prediabetes? (A1C then FBG then 2HPP- don't include units) per ADA - ANSWER- 5.7-6.4, 100-125, 140-199 What are the cutoffs for diabetes? (A1C then FBG then 2HPP then random- don't include units) per ADA - ANSWER- 6.5, 126, 200, 200 if symptomatic What are the glycemic goals for adult patients with DM? (per ADA- A1C, FBG, 2HPPwithout units) - ANSWER- <7, 80-130, <180 What are the glycemic goals for adult patients with DM? (per AACE - A1C, FBG, 2HPPwithout units) - ANSWER- <6.5, <110, <140 What are the glycemic goals for toddlers/preschoolers (age 0-6 years) with DM1 per ADA? (A1C, before meals, bedtime/overnight) - ANSWER- <8.5, 100-180, 110-200 What are the glycemic goals for school age children (age 6-12 years) with DM1 per ADA? (A1C, before meals, bedtime/overnight) - ANSWER- <8, 90-180, 100-180 What are the glycemic goals for adolescents/young adults (age 13-19 years) with DM1 per ADA? (A1C, before meals, bedtime/overnight) - ANSWER- <7.5, 90-130, 90-150 What is the calculation for correction factor? - ANSWER- Rule of 1650 (or 1500 or 1800, you divide 1650 by total daily insulin dose) What is the calculation for insulin:carbohydrate ratio? - ANSWER- CF x 0.33 What is the rate of insulin drip for initial presentation of DKA/HHS? 2 options - ANSWER- (1) 0.1 units/kg IV bolus then 0.1 units/kg/hr continuous infusion; (2) 0.14 units/kg/hr continuous infusion For patients presenting with DKA/HHS, when would you withhold insulin first? - ANSWER- If K is <3.3, give K first For patients presenting with DKA, when would you given bicarb and at what dose? - ANSWER- if pH <6.9, give sodium bicarb 100 mmol in 400 mL water + 20 mEq KCl over