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Free BCACP Practice Questions

10 free, exam-style Board Certified Ambulatory Care Pharmacist (BCACP) practice questions with answers and explanations. No signup required. Work through them below, then take the full free BCACP practice test to study every exam domain.

Question 1

A 61-year-old man with type 2 diabetes and established atherosclerotic cardiovascular disease (prior myocardial infarction) is taking metformin 1,000 mg twice daily. His A1C is 7.9% (individualized goal <8%). His eGFR is 74 mL/min/1.73m². Which change to his regimen is MOST appropriate?

  1. Make no change to his regimen, because his A1C is already within his individualized goal range
  2. Add a sulfonylurea such as glipizide to further lower his A1C
  3. Add a GLP-1 receptor agonist with proven cardiovascular benefit
  4. Discontinue metformin and start basal insulin
Show answer & explanation

Correct answer: C - Add a GLP-1 receptor agonist with proven cardiovascular benefit

Question 2

An 84-year-old woman with nonvalvular atrial fibrillation is to begin apixaban for stroke prevention. Her body weight is 72 kg and her serum creatinine is 0.9 mg/dL. Which apixaban regimen is correct for this patient?

  1. Apixaban 5 mg twice daily
  2. Apixaban 2.5 mg twice daily
  3. Apixaban 5 mg once daily
  4. Apixaban 10 mg twice daily for 7 days, then 5 mg twice daily
Show answer & explanation

Correct answer: A - Apixaban 5 mg twice daily

Question 3

A 58-year-old woman with type 2 diabetes and hypertension has a blood pressure of 148/92 mmHg on no antihypertensive therapy. Her labs show an eGFR of 68 mL/min/1.73m² and a urine albumin-to-creatinine ratio of 410 mg/g. Which agent is the MOST appropriate first-line choice?

  1. Amlodipine
  2. Lisinopril
  3. Hydrochlorothiazide
  4. Metoprolol succinate
Show answer & explanation

Correct answer: B - Lisinopril

Question 4

A 67-year-old man stable on simvastatin 40 mg daily is prescribed a 7-day course of clarithromycin for a respiratory infection by an outside provider. The pharmacist is reviewing the new prescription. What is the MOST appropriate action?

  1. Reduce the simvastatin dose to 20 mg daily and resume the usual dose once the antibiotic course is finished
  2. Continue both medications and order a baseline creatine kinase level
  3. Continue simvastatin and counsel the patient to take the doses 2 hours apart
  4. Hold simvastatin during the antibiotic course, or recommend azithromycin instead
Show answer & explanation

Correct answer: D - Hold simvastatin during the antibiotic course, or recommend azithromycin instead

Question 5

A 29-year-old woman is newly diagnosed with mild asthma. She reports symptoms about twice a month and has no history of severe exacerbations. According to current asthma guidelines, which is the PREFERRED initial treatment approach?

  1. As-needed low-dose inhaled corticosteroid-formoterol
  2. As-needed short-acting beta-agonist (albuterol) alone
  3. A daily leukotriene receptor antagonist
  4. A daily long-acting beta-agonist alone
Show answer & explanation

Correct answer: A - As-needed low-dose inhaled corticosteroid-formoterol

Question 6

A 32-year-old woman who takes lisinopril 20 mg daily for chronic hypertension informs the pharmacist that she just found out she is 7 weeks pregnant. Her blood pressure today is 142/88 mmHg. What is the MOST appropriate recommendation?

  1. Continue lisinopril, as the benefits outweigh the risks in pregnancy
  2. Switch lisinopril to losartan to improve renal protection
  3. Discontinue lisinopril today and start labetalol instead
  4. Discontinue lisinopril and start chlorthalidone
Show answer & explanation

Correct answer: C - Discontinue lisinopril today and start labetalol instead

Question 7

A patient with hypertension is started on lisinopril. Which set of laboratory parameters is MOST important to check approximately 1 to 2 weeks after initiation?

  1. Liver function tests and creatine kinase
  2. Serum potassium and serum creatinine
  3. Complete blood count and TSH
  4. Fasting lipid panel and hemoglobin A1C
Show answer & explanation

Correct answer: B - Serum potassium and serum creatinine

Question 8

In a randomized controlled trial, the rate of the primary outcome (myocardial infarction) was 12% in the placebo group and 8% in the treatment group over the study period. What is the number needed to treat (NNT) to prevent one additional event?

  1. 4
  2. 8
  3. 13
  4. 25
Show answer & explanation

Correct answer: D - 25

Question 9

A study reports that a new medication reduced the risk of hospitalization compared with placebo, with a relative risk of 0.85 (95% confidence interval, 0.70 to 1.04). How should this result be interpreted?

  1. The reduction in hospitalization is not statistically significant
  2. The medication significantly reduces hospitalizations compared with placebo
  3. The medication significantly increases hospitalizations
  4. The result cannot be interpreted without the p-value
Show answer & explanation

Correct answer: A - The reduction in hospitalization is not statistically significant

Question 10

During a visit, a patient with poorly controlled diabetes says, "I know I should check my blood sugar, but I just keep forgetting and honestly I'm not sure it matters." Which response BEST reflects motivational interviewing?

  1. "If you don't start checking, you could end up with serious complications."
  2. "You really do need to check your blood sugar at least twice every day from now on, before breakfast and before dinner."
  3. "It sounds like checking feels like a hassle. What would make it feel more worthwhile to you?"
  4. "Most of my other patients manage to check without any problems."
Show answer & explanation

Correct answer: C - "It sounds like checking feels like a hassle. What would make it feel more worthwhile to you?"

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