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BCPS Practice Test Questions and Answers (Graded A)

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BCPS Practice Test Questions and
Answers (Graded A)
OTC medications in Hep C patients - ANSWER - cirrhosiseither acetaminophen or
NSAIDs can be used in patients without evidence of cirrhosis.

Patients with cirrhosis should AVOID NSAIDs because they increase complications of
cirrhosis with risk of bleeding and renal insufficiency as well as carry the potential
for worsening ascites management.

Patients with cirhosis APAP can be used but must be limited to <2 grams/day

Hep C and pregnancy - ANSWER - Ribavirin is a known teratogen and must be
avoided in pregnancy. Patients should use two forms of contraception and female
patients a swell as the female partners of male patients are recommended to avoid
pregnancy while taking ribavirin as well as for 6 months afterward due to ribavirins
long half-life

Hep B exposure - ANSWER - Health care providers should receive a full series of hep
B vaccinations followed by titers 1-2 months after completing the vaccination series
to ensure adequate response. If someone has done these steps and is exposed no
further action is required.

Healthcare providers with an unknown response (titer) or were unvaccinated or
incompletely0 vaccinated should receive a dose of the HBIG followed by either
completion of an incomplete vaccination series or initiation of vaccines.

Healthcare providers who receive six doses of Hep B vaccine and are documented
non responders should receive two doses of HGIB separated by 1 month.

Prophylaxis should always be started based on the persons status you should not
wait on the confirmation of the source status

, vaccines - ANSWER - CDC recommendations for 19-21 years of age who have not
received a dose of the meningococcal vaccine since before their 16th birthday, a
catch-up booster dose should be given.

ACIP recommends a MenB series for adolescents and young adults aged 16-23
years on the basis of shared decision making

HPV and Tdap and pregnancy - ANSWER - Tdap should be given during each
pregnancy during weeks 27-36.

HPV catchup vaccination should be delayed until after pregnancy is completed.

Live attenuated influenza vaccine is contraindicated during pregnancy

Pneumococcal immunization recommendations - ANSWER - For those who are 65
years of age or older the CDC recommends 1 dose of PCV15 or PCV20, which should
be administered at least one year after the most recent PPSV23.

regardless of if PCV15 or PCV20 is given, an additional dose of PPSV23 is not
recommended if the patient has already received it.

PCV13 is no longer recommended for adults nor is an additional dose of PPSV23 if
one has already been given

When should higher doses of folic acid be given during preconception care -
ANSWER - women at higher risks of neural tube defects who could benefit from
higher doses of folic acid (4-5 mg) as part of preconception care include
-smokers
- BMI >35
- take antiepleptic drugs (CBZ or VPA)

Iron therapy during HD - ANSWER - transferrin saturation goal 30% or greater
(serum iron/TIBC x 100)

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