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? - ANSWER1945-1965
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 continuou