Updated: Aug 13, 2026
No. of Questions: 175 Questions & Answers with Testing Engine
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| Certification Vendor: | Board of Pharmacy Specialties (BPS) |
| Exam Name: | BPS Pharmacotherapy Specialty Certification Examination (BCPS) |
| Exam Number: | BCPS |
| Exam Format: | Multiple-choice questions, Computer-based testing, Case-based clinical scenarios |
| Exam Price: | USD 600–850 (varies by member/non-member status and region) |
| Exam Duration: | Approximately 225–240 minutes (computer-based exam session) |
| Related Certifications: | BCACP BCPS BCOP BCGP BCCCP |
| Certificate Validity Period: | 7 years |
| Real Exam Qty: | Approximately 175 scored questions plus additional pretest items |
| Available Languages: | English |
| Passing Score: | Scaled score of 500 (BPS scaling range typically 200–800) |
| Recommended Training: | American College of Clinical Pharmacy (ACCP) Resources ASHP Board Certification Preparation |
| Exam Registration: | BPS Certification Application Portal |
| Sample Questions: | BPS BPS-Pharmacotherapy Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers (and/or remote proctored options depending on region and current BPS policy) |
| Pre Condition: | Pharmacist licensure (or equivalent) is required. Candidates typically have advanced clinical pharmacy experience. |
| Official Syllabus URL: | https://www.bpsweb.org |
| Section | Objectives |
|---|---|
| Topic 1: Part II: Applied Clinical Decision Making | - Case-based pharmacotherapy scenarios
|
| Topic 2: Disease State Management | - Cardiovascular disorders
|
| Topic 3: Part I: Knowledge-Based Assessment | - Foundational pharmacotherapy knowledge
|
| Topic 4: Special Populations | - Pediatrics and geriatrics
|
| Topic 5: Patient Care and Pharmacotherapy Principles | - Medication management
|
1. A 72-year-old woman with a long history of schizophrenia has been admitted to the state hospital because of a recent relapse while on risperidone 5 mg daily. It is decided to use an equivalent dose of ziprasidone. Which reference would most likely provide this information?
A) Martindale: The Complete Drug Reference
B) Drug Facts & Comparisons
C) The Sanford Guide
D) Diagnostic and Statistical Manual of Mental Disorders - V
2. A patient in an ICU has been receiving heparin 5,000 units subcutaneously three times daily for the last 7 days. Today the patient's platelet count has dropped by more than 50%, and the patient has developed a pulmonary embolism. The patient's heparin platelet factor 4 antibody test is positive.
What is the most appropriate treatment for this patient's pulmonary embolism?
A) Dabigatran 150 mg orally twice daily
B) Unfractionated heparin 18 units/kg/h intravenously
C) Argatroban 2 mcg/kg/min intravenously
D) Warfarin 5 mg orally once daily
3. Which statement is correct regarding the measurement of blood pressure, according to the American Society of Hypertension?
A) The patient should not smoke for at least 10 minutes prior to measurement.
B) The patient should be seated at least 10 minutes prior to measurement.
C) The patient should stand with arms bared during measurement.
D) Two or more readings taken 2 minutes apart should be averaged.
4. A 69-year-old Woman with chronic liver disease treated with furosemide and potassium chloride for ascites and peripheral edema presents with weakness and fatigue. Her serum laboratory Values are:
* Sodium: 138 mEq/L
* Potassium: 2.6 mEq/L
* Glucose: 88 mg/dL
* BUN: 33 mg/dL
* Chloride: 101 mEq/L
* HCO3- 26 mEq/L
* Creatinine: 1.1 mg/dL
Attempts to increase her serum potassium over the next 48 hours include intravenous replacement (240 mEq over this period), without success. The current serum potassium concentration is 2.8 mEq/L. Which of the following is the most appropriate test to obtain for this patient?
A) Urinary potassium
B) Serum magnesium
C) Serum antidiuretic hormone
D) Urinary sodium
5. Which of the following pharmacoeconomic analyses incorporates patient preferences regarding health?
A) Cost-minimization
B) Cost-effectiveness
C) Cost-benefit
D) Cost-utility
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |
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