BCPS Exam Questions and Answers 100% CorrectBCPS Exam Questions and Answers 100% CorrectBCPS Exam Questions and Answers 100% CorrectBCPS Exam Questions and Answers 100% CorrectBCPS Exam Questions and Answers 100% Correct
When should intensive insulin therapy should be initiated in critically ill? ...
BCPS Exam Questions and
Answers 100% Correct
When should intensive insulin therapy should be initiated in critically ill?
(A) when the blood glucose level exceeds 110 mg/dl regardless of caloric intake
(B) when the blood glucose level exceeds 215 mg/dl regardless of caloric intake
(C) when the blood glucose level exceeds 110 mg/dl and the patient is receiving IV
glucose (200 to 300 gm per 24 hours), total parenteral, parenteral and enteral, or
total enteral feedings
(D) when the blood glucose level exceeds 215 mg/dl and the patient is receiving IV
glucose (200 to 300 gm per 24 hours), total parenteral, parenteral and enteral, or
total enteral feedings - ANSWER - Answer: C.
Intensive insulin therapy (maintaining serum glucose between 80-110 mg/dl) has
been found to decrease morbidity and mortality in critically ill patients. Most
institutions have developed insulin protocols to help achieve these serum glucose
goals, and consider serum glucose levels of < 150 mg/dl as clinically acceptable.
When using intensive insulin therapy, hypoglycemia can occur if a continuous
supply of glucose substrate is not maintained. Therefore, a continuous glucose
supply should be initiated in patients who are not profoundly hyperglycemic to
minimize hypoglycemic episodes.
TB is a 34-year-old, sexually active man who admits an encounter tens days ago
with a woman whom he met in a nightclub. He participated in oral and vaginal sex
without a condom. He did not notice any discharge from his partner but began
experiencing dysuria three days ago with a mucopurulent discharge that stained his
underwear. PMH: genital herpes simplex two years ago. FH unremarkable. He
smokes one pack per day; alcohol 3-4 x week; sexually active with multiple
partners. Meds: none. Allergies: none. Discharge culture is positive for gonorrhea.
What should be recommended to treat TB?
(A) ceftriaxone 125 mg IM
(B) azithromycin 1 g in a single dose
(C) ceftriaxone 125 mg IM + azithromycin 1 g in a single dose
, (D) benzathine penicillin G 2.4 million units IM in a single dose - ANSWER - Answer:
C.
Ceftriaxone 125 mg IM or ciprofloxacin 500 mg or ofloxacin 400 mg or levofloxacin
250 mg or gatifloxacin 400 mg—all as a single dose, would be the correct answer.
Since the incidence of coinfection with Chlamydia is high, azithromycin or
doxycycline should be added presumptively to the above therapy; in areas where
coinfection is low, patients should be tested and not treated presumptively.
Benzathine penicillin G 2.4 million units IM in a single dose is the treatment for
syphilis.
FJ is a 72-year-old Caucasian man with the following health conditions:
hypertension, atrial fibrillation, hypercholesterolemia, osteoarthritis, diabetes
mellitus, and benign prostatic hypertrophy. Which one of the following medications
should be added to FJ's regimen to prevent stroke?
Because this patient has atrial fibrillation, he requires primary stroke prevention. His
age, hypertension, and diabetes mellitus all indicate that he should receive warfarin
rather than aspirin.
The benefit of activated protein C has been attributed to which of the following
properties?
(A) anti-inflammatory, prothrombotic and profibrinolytic
(B) anti-inflammatory, antithrombotic, and antifibrinolytic
(C) anti-inflammatory, antithrombotic and profibrinolytic
(D) pro-inflammatory, antithrombotic and antifibrinolytic - ANSWER - Answer: C.
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