1
BCPS Study Set
Questions with Correct Answers | Updated
(100% Correct Answers) (ACLS) First line
medication for Asystole/PEA/VF/pVT and the
dose? Answer: Epinephrine.
Asystole/PEA: 1 mg rapid IV push and repeat q3-5mn prn.
VF/pVT: After delivery of shock, 1 mg rapid IV push ASAP and
repeat q3-5mn prn.
(ACLS) First line medication for suspected opioid overdose and the
dose? Max dose? Answer: Narcan 4 mg nasal spray. Spray 1 full
spray (4 mg) into 1 nostril. May repeat in opposite nostril in 3-5
minutes. Max 2 doses.
(ACLS) Second line medication for VF/pVT and the dose? Answer:
Amiodarone 150mg/100mL, 300 mg rapid bolus followed by 150
mg bolus if needed.
(ACLS) First line medication for hyperkalemia and the dose? Answer:
Calcium chloride 1g/10mL. 1 g IV push over 2-5 minutes.
(ACLS) What are two medication options for hypoglycemia and the
doses? Answer: Dextrose 50% (25g/50mL). IV push over 2-5
minutes.
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Glucagon kit (1mg/1mL). Infuse whole vial IV/IM/SC. May repeat in
15 minutes as needed.
(ACLS) First line medication for acidosis and the dose? Answer:
Sodium bicarbonate 50mEq/50mL. IV push over 5-30 seconds.
(ACLS) Second line medication to suspected opioid overdose? Max
dose? Answer: Naloxone 2mg/2mL IV. 2 mg rapid IV push if no
response to nasal spray. May repeat q2-3 minutes. Max 10 mg.
(ACLS) First line medication for Torsades
Arrythmia/Hypomagnesemia and the dose? Answer: Magnesium
sulfate 1g/100mL. Infuse 1 g bolus over 2-5 minutes.
(ACLS) What are two medication options for seizures and the dose?
Max doses? Answer: Lorazepam 2mg/mL.
For IV, dilute to 2mg/2mL with SWFI/NS.
For IM, no dilution req for 2mg/mL.
2-4 mg IV push over 1-2 minutes. May repeat in 3-5 minutes. Max 8
mg.
Midazolam 5mg nasal spray.
Spray 1 full spray into 1 nostril. May repeat in 10 minutes in
opposite nostril if needed.
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,3
Max 2 doses.
(ACLS) What is the MOA of epinephrine? Answer: Potent
vasoconstrictor -> Increases perfusion to brain and heart.
Increases CO by Increasing HR and CC.
(ACLS) What are two medication options as second line for
bradycardia and the doses? Answer: Epinephrine 2-10mcg/mn IV
infusion.
Dopamine 5-10mcg/kg/mn IV infusion.
(ACLS) First line medication for bradycardia and the dose? Max
dose? Answer: Atropine 1mg/10mL, 1 mg rapid IV push. May repeat
q3-5mn. Max dose 3mg.
(ACLS) What is the MOA of amiodarone? Answer: Class III
antiarrythmic, blocks K+ channels in myocardium to slow
conduction and increase refractoriness.
(ACLS) Part of ACLS is to treat the H's and T's. What are they?
Answer: Hypovolemia/poxia/thermia.
H+ Acidosis
Hypo/Hyperkalemia
Toxins (IE Meds such as BZD, opioids)
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, 4
(Gout) What are some medications that can contribute to elevated
uric acid levels? Answer: Thiazide/Loop diuretics
Tacrolimus
Niacin
Cyclosporin
Ticagrelor
(Gout) What is considered WNL for uric acid and what is the target
goal for tx of gout? Answer: 2-6 mg/dL is WNL for uric acid.
Target tx goal is <6mg/dL.
(Gout) What are some non-Rx related risk factors to developing
gout? Answer: Seafood, EtOH use, Metabolic disease, Family hx,
Males > Females
(Gout) What is first line medication for ppx of gout? What is the
MOA? Answer: Allopurinol/Zyloprim - Inhibits xanthine oxidase to
prevent conversion from xanthine to uric acid.
(Gout) Name some clinical pearls for allopurinol. Answer: Renally
dosed.
SE: Rash, GI
Test for HLA-B*5801 with AA and S.Asian descent prior to starting.
© 2025 All rights reserved
BCPS Study Set
Questions with Correct Answers | Updated
(100% Correct Answers) (ACLS) First line
medication for Asystole/PEA/VF/pVT and the
dose? Answer: Epinephrine.
Asystole/PEA: 1 mg rapid IV push and repeat q3-5mn prn.
VF/pVT: After delivery of shock, 1 mg rapid IV push ASAP and
repeat q3-5mn prn.
(ACLS) First line medication for suspected opioid overdose and the
dose? Max dose? Answer: Narcan 4 mg nasal spray. Spray 1 full
spray (4 mg) into 1 nostril. May repeat in opposite nostril in 3-5
minutes. Max 2 doses.
(ACLS) Second line medication for VF/pVT and the dose? Answer:
Amiodarone 150mg/100mL, 300 mg rapid bolus followed by 150
mg bolus if needed.
(ACLS) First line medication for hyperkalemia and the dose? Answer:
Calcium chloride 1g/10mL. 1 g IV push over 2-5 minutes.
(ACLS) What are two medication options for hypoglycemia and the
doses? Answer: Dextrose 50% (25g/50mL). IV push over 2-5
minutes.
© 2025 All rights reserved
,2
Glucagon kit (1mg/1mL). Infuse whole vial IV/IM/SC. May repeat in
15 minutes as needed.
(ACLS) First line medication for acidosis and the dose? Answer:
Sodium bicarbonate 50mEq/50mL. IV push over 5-30 seconds.
(ACLS) Second line medication to suspected opioid overdose? Max
dose? Answer: Naloxone 2mg/2mL IV. 2 mg rapid IV push if no
response to nasal spray. May repeat q2-3 minutes. Max 10 mg.
(ACLS) First line medication for Torsades
Arrythmia/Hypomagnesemia and the dose? Answer: Magnesium
sulfate 1g/100mL. Infuse 1 g bolus over 2-5 minutes.
(ACLS) What are two medication options for seizures and the dose?
Max doses? Answer: Lorazepam 2mg/mL.
For IV, dilute to 2mg/2mL with SWFI/NS.
For IM, no dilution req for 2mg/mL.
2-4 mg IV push over 1-2 minutes. May repeat in 3-5 minutes. Max 8
mg.
Midazolam 5mg nasal spray.
Spray 1 full spray into 1 nostril. May repeat in 10 minutes in
opposite nostril if needed.
© 2025 All rights reserved
,3
Max 2 doses.
(ACLS) What is the MOA of epinephrine? Answer: Potent
vasoconstrictor -> Increases perfusion to brain and heart.
Increases CO by Increasing HR and CC.
(ACLS) What are two medication options as second line for
bradycardia and the doses? Answer: Epinephrine 2-10mcg/mn IV
infusion.
Dopamine 5-10mcg/kg/mn IV infusion.
(ACLS) First line medication for bradycardia and the dose? Max
dose? Answer: Atropine 1mg/10mL, 1 mg rapid IV push. May repeat
q3-5mn. Max dose 3mg.
(ACLS) What is the MOA of amiodarone? Answer: Class III
antiarrythmic, blocks K+ channels in myocardium to slow
conduction and increase refractoriness.
(ACLS) Part of ACLS is to treat the H's and T's. What are they?
Answer: Hypovolemia/poxia/thermia.
H+ Acidosis
Hypo/Hyperkalemia
Toxins (IE Meds such as BZD, opioids)
© 2025 All rights reserved
, 4
(Gout) What are some medications that can contribute to elevated
uric acid levels? Answer: Thiazide/Loop diuretics
Tacrolimus
Niacin
Cyclosporin
Ticagrelor
(Gout) What is considered WNL for uric acid and what is the target
goal for tx of gout? Answer: 2-6 mg/dL is WNL for uric acid.
Target tx goal is <6mg/dL.
(Gout) What are some non-Rx related risk factors to developing
gout? Answer: Seafood, EtOH use, Metabolic disease, Family hx,
Males > Females
(Gout) What is first line medication for ppx of gout? What is the
MOA? Answer: Allopurinol/Zyloprim - Inhibits xanthine oxidase to
prevent conversion from xanthine to uric acid.
(Gout) Name some clinical pearls for allopurinol. Answer: Renally
dosed.
SE: Rash, GI
Test for HLA-B*5801 with AA and S.Asian descent prior to starting.
© 2025 All rights reserved
