BCACP EXAM QUESTIONS WITH ALL CORRECT ANSWERS

BCACP EXAM QUESTIONS WITH
ALL CORRECT ANSWERS
In asthma, FeNo >20 is associated with a better or worse response to corticosteroids? -
CORRECT ANSWER- better: recommended to increase ICS or add on other therapy
Difference in pattern of symptoms between asthma and COPD - CORRECT ANSWERasthma has variation; COPD is persistent despite treatment
Intermittent Asthma (symptom freq, nightime, SABA use, FEV1) - CORRECT
ANSWER- less then/= 2 days/wk, less than/= 2 times per month, 80%
Mild persistent Asthma (symptom freq, nightime, SABA use, FEV1) - CORRECT
ANSWER- >2 days/wk, 3-4 times/mo, >2 days/wk, >80%
Mod Persistent Asthma (symptom freq, nightime, SABA use, FEV1) - CORRECT
ANSWER- daily, >1x weekly, daily, 60-80%
Sev Persistent Asthma (symptom freq, nightime, SABA use, FEV1) - CORRECT
ANSWER- throughout day, 7x/wk, several times/day, <60%
Goal for frequency of needing a SABA in asthma - CORRECT ANSWER- week
in asthma, we should not use ____ alone - CORRECT ANSWER- LABA therapy
LABA with fastest onset - CORRECT ANSWER- formoterol
In COPD we should not use ___ alone - CORRECT ANSWER- ICS
the only ICS available nebulized - CORRECT ANSWER- budesonide
LAMA that cannot be used with severe milk allergy - CORRECT ANSWERumeclidinium
Theophylline goal trough - CORRECT ANSWER- 5-15; clearance decreases with age
When do we consider stepping down asthma treatment? - CORRECT ANSWER- well
controlled for 3 months
What MDI inhalers do not need to be shaken? - CORRECT ANSWER- alvesvo, QVAR,
atrovent
respimat education: when to prime - CORRECT ANSWER- spray 1 puff if not used in 3
days; spray 3x if not used for 21 days
GOLD grades 1-4 according to FEV1 - CORRECT ANSWER- 1: >/= 80%
2: 50-79%
3: 30-49%
4: <30%
COPD treatment according to pt groups A-D - CORRECT ANSWER- A:
SAMA/SABA/LAMA/LABA
B: LABA or LAMA
C: LAMA
D: LAMA or LABA+LAMA or ICS+LABA
When to use steroids based on eosinophil count - CORRECT ANSWER- <100: little
effect
>300: likely effect
COPD exacerbation steroid dose - CORRECT ANSWER- 40 mg x 5 days
3 cardinal copd symptoms - CORRECT ANSWER- 1. Increased dyspnea
2. Increased sputum
3. Increased sputum purulence
When to give antibiotics in COPD - CORRECT ANSWER- If all 3 cardinal symptoms
present OR
Increased sputum purulence + 1 other
Antibiotics choice and duration in COPD - CORRECT ANSWER- 5-10 days
Uncomplicated: azith, clarith, doxy, amox
Complicated: augmentin, levo, moxi
Pseudomonas: high dose levo (750 mg) or cipro
5 A's of smoking cessation: ask at every visit - CORRECT ANSWER- Ask
Advice
Assess
Assist
Arrange
Set a quit date within ______days/weeks - CORRECT ANSWER- 2 weeks
Quit plan "STAR" - CORRECT ANSWER- Set a quit date
Tell family/friends
Anticipate challenges
Remove tobacco
Which smoking cessation agent has BBW of SI/mood changes - CORRECT ANSWERvarenicline
Bupropion, varenicline, and NRT all _____ weight gain - CORRECT ANSWER- delay
but do not prevent weight gain
Dosing schedule for nicotine replacement patches and when to use 21 mg vs 14 mg -
CORRECT ANSWER- 21 mg x6 wks, 14 mgx2 wks, 7 mg x 2 wks
21 mg = >10 cigs/day
14 mg = <10 cigs
Which smoking cessation agent has contrainidication for hx of seizure, eating disorder,
MAOI use? - CORRECT ANSWER- Bupropion
Diagnosis for diabetes is made by: - CORRECT ANSWER- 2 abnormal results of the
SAME sample (FPG and A1c) or in 2 separate samples
*if pt is symptomatic, diagnosis can be made without a 2nd diagnostic test
FPG cutoffs for prediab and diabetes - CORRECT ANSWER- pre-diabetes: 100-125
mg/dL
Diabetes: >/= 126 mg/dL
OGTT cutoff for prediab and diab