BCPS Exam Questions With All Correct Answers

BCPS Exam Questions With All Correct Answers Loop diuretics conversion Bumetanide-torsemide-furosemide-ethacrynic acid - CORRECT ANSWER 0.5-10-20-25 HF max dose: captopril - CORRECT ANSWER 50 TID HF max dose:enalapril - CORRECT ANSWER 10 BID HF max lisinopril - CORRECT ANSWER 20 daily HF max ramipril - CORRECT ANSWER 10 daily HF max losartan - CORRECT ANSWER 150 daily HF max valsartan - CORRECT ANSWER 150 BID HF max carvedilol - CORRECT ANSWER 25 BID HF max Metoprolol S - CORRECT ANSWER 200 daily Digoxin HF trough level - CORRECT ANSWER 0.5-0.9 Non-selective beta blockers - CORRECT ANSWER labetalol, carvedilol Use if AF and HTN Dabigatran renal dosing - CORRECT ANSWER CrCl30: 150 BID CrCl 15-30:75 BID CrCl15 CI Antidote:idarucizumab Normal CVP - CORRECT ANSWER 8-12 mmHg Dopamine AE - CORRECT ANSWER arrhythmias- can be used in tachycardia Prolonged infusion can deplete endogenous NE stores- loss of vasopressor response lowdose-beta1, DA moderate- all high-alpha1,beta1, DA Phenylephrine AE - CORRECT ANSWER reflex bradycardia, reduction in CO Minimal cardiac activity- alpha 1 only Use in vasopressor-induced tachycardia or persistent hypotension Dobutamine AE - CORRECT ANSWER MI- tacharrhythmias, change in BP Hypotension alpha 1, beta 1, beta 2 Milrinone - CORRECT ANSWER hypotension, arrythmias renal adjustment NE AE - CORRECT ANSWER alpha 1, beta 1 peripheral ischemia induce tachyarrhythmias, MI Epinephrine AE - CORRECT ANSWER all receptors increase blood glucose, lactate Vasopressin AE - CORRECT ANSWER peripheral vasoconstriction, peripheral necrosis No adrenergic activity-can be used in acidosis, hypoxia Max dose 0.04 units/min PCO2 normal values - CORRECT ANSWER 35-45 mm Hg HCO3- normal values - CORRECT ANSWER 22-26 mEq/L AG equation - CORRECT ANSWER AG = Na - (Cl + HCO3) NL = 5-15 Hypothermia ROSC - CORRECT ANSWER 32-36C x 12-24h SaO2 ROSC - CORRECT ANSWER 94% or higher Lorazepam (Ativan) adverse effects - CORRECT ANSWER propylene glycol toxicity: osmolol gap10-12 Potentiate neuromuscular blcokers - CORRECT ANSWER ABX (AMG, clinda, tetracyclines, polymyxins) CCB Furosemides 1a antiarrhythmics Li hypermag, low Ca, low K Antagonize neuromuscular blockers - CORRECT ANSWER aminophylline, theophylline, phenytoin Carbamazepine High Ca, High K How often to monitor BG if critical care patients on continuous insulin infusion? - CORRECT ANSWER BG q1-2h Indication for PPI prophylaxis in ICU patients - CORRECT ANSWER mechanical ventilation 48 hours Coagulopathy- INR1.5, APTT2x, Plt50K 2 or more of the following: Injury, burn, surgery, transplant, trauma hypoperfusion Protein needs in critical care patients - CORRECT ANSWER Normal: 1.2-2 g/kg of ABW AKI 0.6-0.8 g/kg/day Burn 3g/kg/day SAH BP goal - CORRECT ANSWER SBP160 with nicardipine, clevidipine