BCPP Prep Course (BCPP): free quiz

1. Question 1 of 10

   During medication reconciliation for a patient taking sertraline 100 mg by mouth each morning and trazodone 50 mg by mouth at bedtime, the psychiatric pharmacist reviews the initial interview note: “still hears voices, stopped meds before because they made me pace, drinks 4 beers nightly, mother had bipolar disorder.” Which additional psychiatric history question is most important to clarify first to distinguish a prior adverse effect from persistent target symptoms and guide safer psychotropic recommendations?

   Choose one answer

   AAsk which previous psychotropic caused the pacing, when it started relative to dose changes, and whether the restlessness improved after the medication was reduced or stopped.BAsk whether the patient has ever used nicotine replacement therapy or varenicline during past quit attempts.CAsk whether the patient prefers morning or evening medication administration for convenience at home.DAsk whether any first-degree relative took antidepressants successfully without weight gain.
2. Question 2 of 10

   A patient says she plans to drive herself home despite feeling extremely sedated and unsteady after taking a newly started psychotropic medication. Which MSE domain is most directly relevant to the pharmacist’s medication safety concern?

   Choose one answer

   AJudgmentBAffectCMoodDThought content
3. Question 3 of 10

   A pharmacist is creating a monitoring plan for a patient with depressive symptoms, anxiety symptoms, and concern for medication-related abnormal movements. What is the best approach to scale selection?

   Choose one answer

   AChoose scales based on each assessment purpose rather than using one score for all domainsBUse only PHQ-9 because it can replace all other psychiatric scalesCUse only AIMS because medication monitoring always supersedes symptom monitoringDAvoid all scales because clinical judgment and scales cannot be combined
4. Question 4 of 10

   A patient with a recent suicide attempt presents for a first outpatient medication visit after discharge. The patient appears visibly agitated and states they have not disposed of old medication bottles. What is the most important medication-related safety issue?

   Choose one answer

   AWhether the patient prefers once-daily medicationsBWhether old medications create access for overdoseCWhether the patient uses the same pharmacy as before hospitalizationDWhether the patient has read all medication package inserts
5. Question 5 of 10

   Which rationale best explains why psychiatric pharmacists should be involved in mental health crisis presentations?

   Choose one answer

   ACrisis presentations may involve medication-related contributors, adverse effects, adherence problems, substances, or urgent hazards that require pharmacist-scope inputBPsychiatric pharmacists are responsible for replacing all emergency protocols with medication algorithmsCMental health crises are unrelated to medication history or drug-related problemsDThe pharmacist’s only role is to provide counseling after the patient is discharged
6. Question 6 of 10

   A patient says, "I know taking my medication would help, but I always forget because I work two jobs." Which pharmacist response best supports behavior change using motivational interviewing principles?

   Choose one answer

   AForgetting doses means you are not committed to treatment.BWhat ideas have you considered for fitting the medication into your work schedule?CYou should set an alarm every day, and that will solve the problem.DYour work schedule is the reason this medication is not appropriate for you.
7. Question 7 of 10

   Which scenario best illustrates the need to link medication formulation choice to real-world access barriers?

   Choose one answer

   AA patient cannot store or obtain the current formulation reliably because of unstable housing and transportation barriersBA patient asks about the chemical structure of the medicationCA patient has no difficulty obtaining medication or attending follow-upDA patient prefers appointments in the morning but can attend any time
8. Question 8 of 10

   A patient reports missing doses after a medication change from once daily to three times daily. The patient denies side effects and states they want to continue treatment. What is the most likely adherence barrier?

   Choose one answer

   ARegimen complexity causing unintentional nonadherenceBBelief-based intentional nonadherenceCAdverse-effect intoleranceDIntentional refusal because of lack of insight
9. Question 9 of 10

   A pharmacist is evaluating laboratory results for a patient receiving ongoing psychotropic therapy. One value is slightly outside the reference range, but previous results show a gradual upward pattern over several visits. What is the best interpretation strategy?

   Choose one answer

   AInterpret the most recent isolated value only, because prior values are no longer clinically relevant.BFocus only on whether the current result is flagged abnormal by the laboratory system.CInterpret the result in the context of trends over time rather than as an isolated value alone.DDisregard laboratory trends unless the patient is hospitalized.
10. Question 10 of 10

    A patient with baseline generalized anxiety disorder reports worsened restlessness and insomnia. The pharmacist notices an anticholinergic medication was added recently for another condition. What is the best next step?

    Choose one answer

    AAssess the anticholinergic as a possible contributor and review symptom timingBAssume anxiety disorder progression because the patient already has anxietyCExclude nonpsychiatric medications from the assessmentDRecommend no action unless the patient has stopped taking psychiatric medications

Check my answers