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BCPS Exam Questions & Answers 100% Correct!!

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components of CHADsVASc score - ANSWERC: 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 - ANSWERH: hypertension - SBP > 160 (+1) A: a...

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  • October 8, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
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BCPS 2024-2025 Exam Questions &
Answers 100% Correct!!

components of CHADsVASc score - ANSWERC: 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 - ANSWERH: 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? - ANSWER2/3 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? - ANSWERCrCl < 50

Rivaroxaban to 15 mg daily and edoxaban to 30 mg daily

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



Protamine is a reversal agent for: - ANSWERHeparin



Off label: LMWH



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



Idarucizumab (Praxbind) is the reversal agent for: - ANSWERDabigatran



INR goal for mechanical mitral valve - ANSWER2.5-3.5



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



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



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



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



Risk factors for developing VTE - ANSWERAge > 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



Hierarchy of clinical study design - ANSWER1. Systematic reviews/meta-analysis

2. RCT

3. Cohort

4. Case-control

5. Cross-sectional

6. Case series/case reports

7. Ideas, opinions, reviews



internal validity - ANSWERthe degree to which the outcome can be explained by differences in
assigned groups



Factors affecting internal validity - ANSWERpoor design

inadequate randomization

lack of or inappropriate blinding

imprecise/inaccurate measurement or inappropriate stat method

incomplete or selective outcome reporting



external validity - ANSWERthe degree to which the findings can be generalized or extrapolated to a
population beyond the study



factors affecting external validity - ANSWERsetting of trial

patient selection -- exclusions, etc

patient characteristics

trial protocol vs. routine practice

outcome measures and follow-up

adverse effects of treatment

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