Exam (elaborations)
BCPS Exam 1 | 60 Questions with 100% Correct Answers | Updated 2024 | Guaranteed A+
- Course
- Institution
BCPS Exam 1 | 60 Questions with 100% Correct Answers | Updated 2024 | Guaranteed A+
[Show more]
Content preview
BCPS Exam 1 | 60 Questions with 100%Correct Answers | Updated 2024 |
Guaranteed A+
How much volume will the intravascular space increase with 1 liter of 5% albumin?
A. 1 liter
B. 500 mls
C. 250 mls
D. 100 mls ✔✔Answer: A. 1 liter - Remember that albumin is a large protein that cannot
escape the intravascular space - water will flow in to try to dilute the albumin out. More
concentrated albumin, the more fluid will flow into the intravascular space.
A patient presents with muscle rigidity, fever, and delirium. Labwork reveals normal LFT's,
normal renal panel, elevations in creatinine phosphokinase. Current medications include
lisinopril, aspirin, citalopram, valproic acid, risperidone, tramadol, and baclofen. Which agent
is the likely cause?
,A. Citalopram
B. Risperidone
C. Valproic acid
D. Baclofen ✔✔Answer: B. Risperidone - This is likely a case of NMS and antipsychotics have
a much higher incidence of causing this versus other medications.
A 68 year old male has a medical history of atrial fibrillation, essential tremor, diabetes, and
CHF. Over the past year, he has had worsening respiratory symptoms and
albuterol/ipratropium as needed and fluticasone/salmeterol has been added. Other
medications include warfarin, amiodarone, primidone, metformin, and aspirin. Which
medication is most likely to cause the respiratory symptoms?
A. Warfarin
B. Amiodarone
C. Primidone
D. Metformin ✔✔Answer: B. Amiodarone has the potential to cause pulmonary fibrosis.
What is the most likely agent that would cause the worsening confusion?
A. Propranolol
B. Insulin glargine
C. Naproxen
D. Ranitidine ✔✔Answer: D. Ranitidine - While propranolol can certainly cause some
cognition/sedation issues, the likely cause here with the change in kidney function is the
accumulation of ranitidine. H2 blockers are primarily eliminated via the kidney. Propranolol
is primarily eliminated via the liver.
, Which medications are most likely to cause an elevation in lithium levels?
A. Hydrochlorothiazide and Clozapine
B. Ibuprofen and Hydrochlorothiazide
C. Venlafaxine and Clozapine
D. Ibuprofen and Clozapine ✔✔Answer: B. Ibuprofen and Hydrochlorothiazide - NSAIDs and
thiazide diuretics are two classic examples of very common medications that can
potentially increase lithium concentrations. Whenever these medications are added or
increased, at a minimum ramped up monitoring is recommended.
In the case above, what is the target concentration for digoxin?
A. <0.5
B. 0.5-0.8
C. 0.8-1.2
D. 1.2-1.5 ✔✔Answer: B. 0.5-0.8 - Goal for CHF is 0.5-0.8.
A 55 year old male has a history of seizure disorder, GERD, muscle spasms, and bipolar
depression. Current plan is to add lamotrigine to current medication regimen. Current
medications include: Phenytoin, Valproic acid, omeprazole, and cyclobenzaprine.
Which medication is most likely to cause a significant increase in lamotrigine level?
A. Phenytoin
B. Valproic acid
C. Omeprazole
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Examsplug. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.24. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now