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BCPS Exam 2024/2025 Questions and Answers (GRADED A)

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BCPS Exam 2024/2025 Questions and Answers (GRADED A)BCPS Exam 2024/2025 Questions and Answers (GRADED A)BCPS Exam 2024/2025 Questions and Answers (GRADED A)BCPS Exam 2024/2025 Questions and Answers (GRADED A)components of CHADsVASc score - ANSWER - C: congestive HF (+1) H: hypertension (+1) A: ag...

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  • September 26, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • bcps exam stuvia
  • BCPS
  • BCPS
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NursingTutor1
BCPS Exam 2024/2025 Questions
and Answers (GRADED A)
components of CHADsVASc score - ANSWER - C: congestive HF (+1)
H: hypertension (+1)
A: age > 75 (+2)
D: DM (+1)
S: stroke/TIA/thromboembolism (+2)
V: vascular disease (+1)
A: age 65-74 (+1)
S: sex = female (+1)


components of HAS-BLED score - ANSWER - H: hypertension - SBP > 160 (+1)
A: abnormal liver/renal function (+1 for either)
S: stroke hx (+1)
B: bleeding predisposition (+1)
L: labile INR (+1)
E: elderly > 65 (+1)
D: drug/alcohol use - blood thinners (+1), alc > 8 drinks/week (+1)


When to use apixaban 2.5 mg BID? - ANSWER - 2/3 Criteria:
1. age 80 or older
2. weight 60 kg or less
3. SCr 1.5 or greater


When to dose reduce rivaroxaban and edoxaban for renal function? - ANSWER - CrCl
< 50
Rivaroxaban to 15 mg daily and edoxaban to 30 mg daily

,When to dose reduce dabigatran for renal function? - ANSWER - CrCl < 30 to 74 mg
BID


Protamine is a reversal agent for: - ANSWER - Heparin


Off label: LMWH


Andexanet alfa is a reversal agent for: - ANSWER - Factor Xa inhibitors (apixaban &
rivaroxaban)


Idarucizumab (Praxbind) is the reversal agent for: - ANSWER - Dabigatran


INR goal for mechanical mitral valve - ANSWER - 2.5-3.5


Duration of treatment with aspirin for patients with bioprosthetic surgical aortic or
mitral valves - ANSWER - indefinitely


Duration of treatment with DAPT for patients with bare metal stent - ANSWER - at
least 1 month


Duration of treatment with warfarin for patients with bioprosthetic surgical aortic or
mitral valves - ANSWER - at least 3 months


Duration of treatment with DAPT for patients with a drug-eluting stent - ANSWER -
at least 1 year


Risk factors for developing VTE - ANSWER - Age > or = 40
Surgery
Trauma
Hypercoagulable states
Central venous catheterization
Estrogen use or selective estrogen receptor modulators

, Erythropoiesis-stimulating agents
Previous VTE
Cancer & treatments
Immobility or lower-extremity paresis
Various medical conditions/disease states
Smoking
Obesity


VTE treatment strategies - ANSWER - Bridging -- Injectable + warfarin w/ at least 5
days overlap or until INR > 2
Switching -- Injectable x 5 days then start edoxaban or dabigatran
Monotherapy -- apixaban or rivaroxaban at high dose then lower maintenance


Dabigatran dosing for VTE treatment - ANSWER - 150 mg BID after 5-10 days of
injectable


Rivaroxaban dosing for VTE treatment - ANSWER - 15 mg BID w/ food x 21 days
then 20 mg daily w/ food


after 6 months, may be reduced to 10 mg daily


Apixaban dosing for VTE treatment - ANSWER - 10 mg BID for 7 days then 5 mg BID


after 6 months, may be reduced to 2.5 mg BID


Edoxaban dosing for VTE treatment - ANSWER - 60 mg daily after 5-10 days of
injectable


Duration of VTE treatment - ANSWER - 3 months

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