BCCP Prep Course (BCCP): free quiz

1. Question 1 of 10

   A 64-year-old adult in the medical ICU is receiving vancomycin 1.25 g IV every 12 hours and piperacillin/tazobactam 4.5 g IV every 6 hours for suspected pneumonia. Serum creatinine increased from 0.9 to 1.6 mg/dL over 24 hours. The bedside team asks for pharmacy input while bronchoscopy is being considered. Which pharmacist action is most appropriate?

   Choose one answer

   ARecommend immediate bronchoscopy scheduling and determine the sedation plan before addressing the antimicrobials.BAssess the medication regimen for nephrotoxic contributors, recommend vancomycin dose reassessment with AUC-guided monitoring, review the need for continued combination therapy, and urgently communicate findings to the ICU team.CFocus on documenting the creatinine rise for later review because procedural and diagnostic decisions fall outside the pharmacist role.DIndependently diagnose acute tubular necrosis and discontinue both antibiotics without discussing the plan with the prescriber.
2. Question 2 of 10

   A patient has persistent shock despite current therapy. The team asks the pharmacist whether the medication regimen is contributing to the problem. Which framing is most appropriate for the pharmacist’s initial assessment?

   Choose one answer

   ADefine the medication-related problem before selecting or modifying therapy.BAssume the regimen is unrelated because shock is not a medication issue.CRecommend discontinuing all medications without reviewing patient-specific information.DFocus only on discharge counseling because ICU medication decisions are outside the framework.
3. Question 3 of 10

   A pharmacist is asked why trend review is important in ICU medication decisions. Which explanation is most consistent with the source pack?

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   ATrends show whether patient status is changing in a way that may alter drug selection, dosing, or urgency.BTrends are only useful for billing documentation.CTrends should be ignored when a single current value is available.DTrends replace the need to review medications.
4. Question 4 of 10

   A critically ill patient is receiving a medication for which exposure must be monitored. The pharmacist notes that the patient has shock, edema, and possible changes in protein binding. What is the most appropriate monitoring mindset?

   Choose one answer

   AInterpret exposure using patient-specific changes rather than assuming usual PK behaviorBAssume the measured exposure is unaffected by critical illnessCFocus only on whether the patient has cardiovascular diseaseDDiscontinue monitoring after the first dose because maintenance dosing cannot change
5. Question 5 of 10

   A trough concentration is reported for a monitored ICU medication, but the nurse documents that the sample was drawn at an unexpected time relative to the dose. The care team asks whether the dose should be changed immediately. What is the most appropriate next step?

   Choose one answer

   AInterpret the result in the context of timing before recommending a dose or interval changeBIncrease the dose because any measurable concentration indicates underexposureCHold all future doses because incorrectly timed concentrations always indicate toxicityDIgnore the concentration and continue therapy without structured follow-up
6. Question 6 of 10

   A pharmacist is checking a weight-based ICU order written as 1.5 mg/kg using an adjusted body weight of 76 kg. Which dose is calculated correctly?

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   A50.7 mgB76 mgC114 mgD760 mg
7. Question 7 of 10

   A continuous infusion is ordered at 30 mg/hr. The bag contains 1500 mg in 250 mL. Which pump rate correctly converts the ordered dose?

   Choose one answer

   A0.5 mL/hrB5 mL/hrC50 mL/hrD60 mL/hr
8. Question 8 of 10A 66-year-old adult in the medical ICU with pneumonia is receiving norepinephrine 0.12 mcg/kg/min IV continuous infusion, titrated per protocol, after 30 mL/kg crystalloid. Home phenelzine 15 mg PO three times daily is held. MAP is 54 mm Hg, lactate rose from 3.1 to 4.6 mmol/L, urine output is 0.2 mL/kg/hr, cardiac index is 4.2 L/min/m², and SVR is low with warm extremities. As the critical care pharmacist, which medication strategy best matches the shock phenotype?
   Choose one answer

   ADecrease norepinephrine to 0.03 mcg/kg/min IV continuous infusion because oliguria suggests acute kidney injury requiring renal dose adjustment.BStart dobutamine 5 mcg/kg/min IV continuous infusion as the primary escalation because tissue hypoperfusion is present.CSwitch to dopamine 5 mcg/kg/min IV continuous infusion because it can increase blood pressure and renal perfusion in shock.DContinue norepinephrine titration toward MAP ≥65 mm Hg and add vasopressin 0.03 units/min IV continuous infusion if MAP remains inadequate or norepinephrine needs rise.
9. Question 9 of 10

   The ICU team asks the pharmacist to help determine whether a shock patient is responding to resuscitation. Which recommendation best reflects the blueprint's patient-care emphasis and the node's high-yield bullets?

   Choose one answer

   ACollect and integrate patient-specific data, trend response to therapy, and reassess perfusion and safety.BRecommend therapy changes without reviewing patient-specific information.CBase decisions only on a single endpoint to simplify rounds.DAvoid escalation even if goals remain unmet.
10. Question 10 of 10

    During shock rounds, a pharmacist notes that the patient has new signs concerning for myocardial ischemia while vasoactive and sedating medications are being adjusted. Which response best matches the source content?

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    AAnticipate ischemia risk as part of medication management in shockBIgnore ischemia risk because it is unrelated to medication adjustmentCRestart all antihypertensives immediately to eliminate ischemia riskDEscalate sedatives without reassessing hemodynamics

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