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BCPS 2022 EXAM QUESTIONS
WITH DETAILED ANSWERS //
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100% GUARANTEED PASS A+
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GRADED
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,components of CHADsVASc score - ANS 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)
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components of HAS-BLED score - ANS 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)
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D: drug/alcohol use - blood thinners (+1), alc > 8 drinks/week (+1)
When to use apixaban 2.5 mg BID? - ANS 2/3 Criteria:
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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? - ANS CrCl < 50
Rivaroxaban to 15 mg daily and edoxaban to 30 mg daily
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When to dose reduce dabigatran for renal function? - ANS CrCl < 30 to 74 mg BID
Protamine is a reversal agent for: - ANS Heparin
Off label: LMWH
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Andexanet alfa is a reversal agent for: - ANS Factor Xa inhibitors (apixaban & rivaroxaban)
Idarucizumab (Praxbind) is the reversal agent for: - ANS Dabigatran
INR goal for mechanical mitral valve - ANS 2.5-3.5
Duration of treatment with aspirin for patients with bioprosthetic surgical aortic or mitral valves -
ANS indefinitely
Duration of treatment with DAPT for patients with bare metal stent - ANS at least 1 month
, Duration of treatment with warfarin for patients with bioprosthetic surgical aortic or mitral valves -
ANS at least 3 months
Duration of treatment with DAPT for patients with a drug-eluting stent - ANS at least 1 year
Risk factors for developing VTE - ANS Age > or = 40
Surgery
Trauma
Hypercoagulable states
Central venous catheterization
Estrogen use or selective estrogen receptor modulators
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Erythropoiesis-stimulating agents
Previous VTE
Cancer & treatments
Immobility or lower-extremity paresis
Various medical conditions/disease states
Smoking
Obesity
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VTE treatment strategies - ANS Bridging -- Injectable + warfarin w/ at least 5 days overlap or
until INR > 2
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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 - ANS 150 mg BID after 5-10 days of injectable
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Rivaroxaban dosing for VTE treatment - ANS 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 - ANS 10 mg BID for 7 days then 5 mg BID
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after 6 months, may be reduced to 2.5 mg BID
Edoxaban dosing for VTE treatment - ANS 60 mg daily after 5-10 days of injectable
Duration of VTE treatment - ANS 3 months
How to dose protamine - ANS 1 mg for every 100 units of UFH given in the past 3 hours, not
to exceed 50mg
Hierarchy of clinical study design - ANS 1. Systematic reviews/meta-analysis
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