BCEMP Review Questions with Correct Answers| Latest Update Guaranteed Success
What is ACOG's preferred anticoagulant during pregnancy and why? LMWH is preferred
over UFH due to the lower incidence of bleeding and other complications
What is the difference between spinal shock and neurogenic shock? Neurogenic shock
describes the hemodynamic changes resulting from a sudden loss of autonomic tone due to
spinal cord injury. It is commonly seen when the level of the injury is above T6. Spinal shock, on
the other hand, refers to loss of all sensation below the level of injury and is not circulatory in
nature.
What is risk ratio and how is it calculated? RR = (A/A + B)/(C/C + D); this can also be
translated as the risk of the outcome in the exposed
(the "Yes" row in the table that follows) over the risk of the outcome in the non-exposed (the
"No" row)
What is odds ratio and how is it calculated? OR = odds of exposure in diseased group/odds
of exposure in non‐diseased group = (A/C)/(B/D)
or = (A ×D)/(B × C)
What factors predispose patients to death from asthma? Previous intubation/ICU stay
Recent PO steroid use
Poor ICS adherence
More than 1 hospital stay in past year
Psych history
Low SES
Food allergy
Coexisting illness
What are risk factors for MRSA or PSAR PNA? Prior MRSA or PSAR isolate
, IV antibiotics within the past 90 days
Which induction agent is best for RSI of a TBI patient? Etomidate has been shown to
decrease cerebral blood flow and cerebral metabolic demand while preserving cerebral
perfusion pressure and mean arterial pressure. This makes etomidate the ideal induction agent
for patients with TBI who require RSI.
What is the time goal for ECG and patient evaluation in suspected ACS? 10 minutes
What is door to baloon time for primary PCI? 90 minutes
When should fibrinolysis be considered in STEMI patients? When 12 or fewer hours since
symptom onset and PCI not available within 120 minutes
When 12-24 hours since symptom onset if HD unstable or large area of myocardium at risk
What P2Y12 agents are used following fibrinolytic reperfusion for STEMI? What is the dosing?
Clopidogrel 300 mg
If > 75 years, clopidogrel 75 mg
What is the dosing for LMWH following fibrinolytic reperfusion of STEMI? If less than 75
years old, 30 mg IV bolus,
followed in 15 minutes by 1 mg/kg
subcutaneously every 12 hours (maximum 100
mg for first 2 doses)
If at least 75 years old, 0.75 mg/kg
subcutaneously every 12 hours (maximum 75
mg for the first 2 doses)
What is ACOG's preferred anticoagulant during pregnancy and why? LMWH is preferred
over UFH due to the lower incidence of bleeding and other complications
What is the difference between spinal shock and neurogenic shock? Neurogenic shock
describes the hemodynamic changes resulting from a sudden loss of autonomic tone due to
spinal cord injury. It is commonly seen when the level of the injury is above T6. Spinal shock, on
the other hand, refers to loss of all sensation below the level of injury and is not circulatory in
nature.
What is risk ratio and how is it calculated? RR = (A/A + B)/(C/C + D); this can also be
translated as the risk of the outcome in the exposed
(the "Yes" row in the table that follows) over the risk of the outcome in the non-exposed (the
"No" row)
What is odds ratio and how is it calculated? OR = odds of exposure in diseased group/odds
of exposure in non‐diseased group = (A/C)/(B/D)
or = (A ×D)/(B × C)
What factors predispose patients to death from asthma? Previous intubation/ICU stay
Recent PO steroid use
Poor ICS adherence
More than 1 hospital stay in past year
Psych history
Low SES
Food allergy
Coexisting illness
What are risk factors for MRSA or PSAR PNA? Prior MRSA or PSAR isolate
, IV antibiotics within the past 90 days
Which induction agent is best for RSI of a TBI patient? Etomidate has been shown to
decrease cerebral blood flow and cerebral metabolic demand while preserving cerebral
perfusion pressure and mean arterial pressure. This makes etomidate the ideal induction agent
for patients with TBI who require RSI.
What is the time goal for ECG and patient evaluation in suspected ACS? 10 minutes
What is door to baloon time for primary PCI? 90 minutes
When should fibrinolysis be considered in STEMI patients? When 12 or fewer hours since
symptom onset and PCI not available within 120 minutes
When 12-24 hours since symptom onset if HD unstable or large area of myocardium at risk
What P2Y12 agents are used following fibrinolytic reperfusion for STEMI? What is the dosing?
Clopidogrel 300 mg
If > 75 years, clopidogrel 75 mg
What is the dosing for LMWH following fibrinolytic reperfusion of STEMI? If less than 75
years old, 30 mg IV bolus,
followed in 15 minutes by 1 mg/kg
subcutaneously every 12 hours (maximum 100
mg for first 2 doses)
If at least 75 years old, 0.75 mg/kg
subcutaneously every 12 hours (maximum 75
mg for the first 2 doses)
