FREE BCACP Patient-Centered Care Questions and Answers

Question 1

A 67-year-old male with Type 2 Diabetes presents to the clinic for follow-up. His recent lab results include:
A1C: 8.4%
Blood Pressure: 138/88 mmHg
LDL cholesterol: 112 mg/dL
Current medications: Metformin 1000 mg BID, Lisinopril 10 mg daily.
Which of the following interventions is MOST appropriate to optimize his therapy?

Accepted Answer

Add Empagliflozin 10 mg daily

Answer

Add Aspirin 81 mg daily

Answer

Continue current therapy without changes

Question 2

A 55-year-old female with a 10-year history of hypertension and dyslipidemia reports muscle aches after starting Simvastatin 40 mg. Labs show normal kidney and liver function.

What is the BEST next step?

Accepted Answer

Discontinue Simvastatin and start Atorvastatin 10 mg

Answer

Reduce Simvastatin to 20 mg

Answer

Start Coenzyme Q10 supplements

Answer

Continue Simvastatin and reassure the patient

Question 3

A 72-year-old patient with heart failure and reduced ejection fraction (HFrEF) is taking:

Metoprolol succinate 25 mg daily
Furosemide 40 mg daily
Lisinopril 10 mg daily

His symptoms are well-controlled, but his potassium is 5.4 mEq/L (normal 3.5-5.0). What is the MOST appropriate intervention?

Accepted Answer

Hold Lisinopril temporarily

Answer

Increase Lisinopril to 20 mg daily

Answer

Switch Lisinopril to Sacubitril/Valsartan

Answer

Start Spironolactone 25 mg daily

Question 4

A 60-year-old man with COPD presents with increasing dyspnea and a recent exacerbation. Current medications:
Tiotropium 18 mcg daily
Albuterol inhaler PRN

What is the BEST addition to his therapy?

Accepted Answer

Start Fluticasone/Salmeterol (ICS/LABA)

Answer

Add Theophylline 200 mg BID

Answer

Increase Albuterol inhaler use

Answer

Start Roflumilast 500 mcg daily

Question 5

A 50-year-old woman with obesity, hypertension, and osteoarthritis seeks advice on lifestyle changes for managing her hypertension.

What is the MOST effective intervention for lowering blood pressure?

Accepted Answer

DASH diet

Answer

Increase caffeine intake for energy

Answer

Start resistance exercise 5 days/week