BCEMP Exam Questions with Correct Answers| Latest Update Guaranteed Success
ST elevation leads for inferior STEMI II, III, aVF
Which ACS medications should be avoided if pt is going for CABG? P2Y12 inhibitors
Which P2Y12 inhibitor should be avoided in ACS if pt has history of TIA/stroke? prasugrel
Which P2Y12 inhibitor is ONLY indicated if pt is going for PCI (NOT used for medical
management)? prasugrel
Which P2Y12 inhibitor(s) are used for medical management of ACS (not going for PCI)?
ticagrelor, clopidogrel
Which P2Y12 inhibitor is preferred if the pt is going for PCI? ticagrelor
loading dose of prasugrel 60mg
loading dose of clopidogrel if PCI 600mg
loading dose of clopidgrel if getting fibrinolytic (age <75) 300mg
loading dose of clopidgrel if getting fibrinolytic (age >/=75) 75mg
loading dose of clopidgrel if no PCI (medical management) 300mg
loading dose of ticagrelor 180mg
,Fibrinolytic therapy is considered when PCI not available within ___________________ and less
than ______________ have elapsed since symptom onset 120 minutes; 12 hours
STEMI alteplase dosing 15mg bolus, 0.75mg/kg over 30 min, 0.5 mg/kg over 60 min
PE alteplase dosing (w/ pulse) 100mg over 2 hours
PE alteplase dosing (cardiac arrest) 50mg followed by 50mg if no ROSC
STEMI/PE tenecteplase dosing if weight < 60 kg 30mg
STEMI/PE tenecteplase dosing if weight 60-69 kg 35mg
STEMI/PE tenecteplase dosing if weight 70-79 kg 40mg
STEMI/PE tenecteplase dosing if weight 80-89 kg 45mg
STEMI/PE tenecteplase dosing if weight >/= 90 kg 50mg
NSTEMI enoxaparin dosing 1 mg/kg SQ q12h
STEMI enoxaparin dosing (if age < 75) 30mg IV bolus then 1 mg/kg SQ q12h
STEMI enoxparin dosing (if age >/= 75) 0.75 mg/kg SQ q12h
IV/PO bumex 1mg = PO torsemide 20mg = PO furosemide ____ 40mg
, IV/PO bumex 1mg = PO torsemide 20mg = IV furosemide ____ 20mg
After fibrinolytic is given in STEMI/PE cardiac arrest, CPR efforts should be continued for
____________________` 60-90 minutes
Procainamide dose for AF rhythm control or monomorphic VT 15 mg/kg (max 1500mg)
HHS osmolality > ___ 320
Insulin should not be started for DKA until K >/= _____ for adults and >/= ____ for pediatrics
3.3; 2.5
Sodium bicarb should be started for DKA if pH < ____ 6.9
Pediatric maintenance fluid calculation if < 10 kg 4 mL/kg/hr
Pediatric maintenance fluid calculation if 11-20 kg 40 mL + 2 mL/kg/hr (*weight)
Pediatric maintenance fluid calculation if > 20 kg 60 mL + 1 mL/kg/hr (*weight)
In thyrotoxicosis, which agent(s) come FIRST PTU or methimazole (before iodide)
gonorrhea treatment ceftriaxone IM 500mg x1 (1g if >/= 150 kg)
alternative gonorrhea treatment gentamicin 240mg IM x1 + azithromycin 2g x1
duration of PEP 28 days
ST elevation leads for inferior STEMI II, III, aVF
Which ACS medications should be avoided if pt is going for CABG? P2Y12 inhibitors
Which P2Y12 inhibitor should be avoided in ACS if pt has history of TIA/stroke? prasugrel
Which P2Y12 inhibitor is ONLY indicated if pt is going for PCI (NOT used for medical
management)? prasugrel
Which P2Y12 inhibitor(s) are used for medical management of ACS (not going for PCI)?
ticagrelor, clopidogrel
Which P2Y12 inhibitor is preferred if the pt is going for PCI? ticagrelor
loading dose of prasugrel 60mg
loading dose of clopidogrel if PCI 600mg
loading dose of clopidgrel if getting fibrinolytic (age <75) 300mg
loading dose of clopidgrel if getting fibrinolytic (age >/=75) 75mg
loading dose of clopidgrel if no PCI (medical management) 300mg
loading dose of ticagrelor 180mg
,Fibrinolytic therapy is considered when PCI not available within ___________________ and less
than ______________ have elapsed since symptom onset 120 minutes; 12 hours
STEMI alteplase dosing 15mg bolus, 0.75mg/kg over 30 min, 0.5 mg/kg over 60 min
PE alteplase dosing (w/ pulse) 100mg over 2 hours
PE alteplase dosing (cardiac arrest) 50mg followed by 50mg if no ROSC
STEMI/PE tenecteplase dosing if weight < 60 kg 30mg
STEMI/PE tenecteplase dosing if weight 60-69 kg 35mg
STEMI/PE tenecteplase dosing if weight 70-79 kg 40mg
STEMI/PE tenecteplase dosing if weight 80-89 kg 45mg
STEMI/PE tenecteplase dosing if weight >/= 90 kg 50mg
NSTEMI enoxaparin dosing 1 mg/kg SQ q12h
STEMI enoxaparin dosing (if age < 75) 30mg IV bolus then 1 mg/kg SQ q12h
STEMI enoxparin dosing (if age >/= 75) 0.75 mg/kg SQ q12h
IV/PO bumex 1mg = PO torsemide 20mg = PO furosemide ____ 40mg
, IV/PO bumex 1mg = PO torsemide 20mg = IV furosemide ____ 20mg
After fibrinolytic is given in STEMI/PE cardiac arrest, CPR efforts should be continued for
____________________` 60-90 minutes
Procainamide dose for AF rhythm control or monomorphic VT 15 mg/kg (max 1500mg)
HHS osmolality > ___ 320
Insulin should not be started for DKA until K >/= _____ for adults and >/= ____ for pediatrics
3.3; 2.5
Sodium bicarb should be started for DKA if pH < ____ 6.9
Pediatric maintenance fluid calculation if < 10 kg 4 mL/kg/hr
Pediatric maintenance fluid calculation if 11-20 kg 40 mL + 2 mL/kg/hr (*weight)
Pediatric maintenance fluid calculation if > 20 kg 60 mL + 1 mL/kg/hr (*weight)
In thyrotoxicosis, which agent(s) come FIRST PTU or methimazole (before iodide)
gonorrhea treatment ceftriaxone IM 500mg x1 (1g if >/= 150 kg)
alternative gonorrhea treatment gentamicin 240mg IM x1 + azithromycin 2g x1
duration of PEP 28 days
