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BCPP Exam 2025: Board Certified Psychiatric Pharmacist Practice Test & Review Guide

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Prepare for the Board Certified Psychiatric Pharmacist (BCPP) certification exam with the newest 2025 actual practice test. This PDF includes exam-style questions with detailed rationales covering psychopharmacology, treatment guidelines, pharmacogenomics, and patient care management in psychiatry.

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Page 1 of 88


BCPP EXAM NEWEST 2025 ACTUAL EXAM| COMPLETE

REAL EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) ALREADY GRADED

A+| BCPP EXAM REVIEW 2025 (BRAND NEW!!)

What is the GAD7? .....ANSWER..... Patient self rated screener

for anxiety (doesn't measure tx response)

What are GAD7 cutoffs? .....ANSWER..... 5= mild

10= moderate

15= severe

What is the HAM A? .....ANSWER..... Clinician rated anxiety scale

Measures tx response

What are HAM A cutoffs? .....ANSWER..... Mild: 0-17

Mod: 18-24

Severe: 25-30

,Page 2 of 88


Remission: 70% imp

Improved: 50% imp

Partial: 25-49%

Starting dose of sertraline in elderly and children?

.....ANSWER..... 12.5-25 mg

Starting dose of venlafaxine in children and elderly?

.....ANSWER..... 37.5 mg

How should BZDs be discontinued? .....ANSWER..... 25% reduction

per week until 50% of dose is reached, then reduce by 1/8

every 4-7 days

Therapy > 8 weeks: 2-3 weeks

Therapy > 6 months: 4-8 weeks

Therapy > 1 year: slow taper over 2-4 months

,Page 3 of 88


What is the DI between omeprazole and diazepam?

.....ANSWER..... Omeprazole increases half life and concentration

of diazepam

Which SGAs can be used as augmenting agents in GAD?

.....ANSWER..... Olanzapine, quetiapine, risperidone. Quetiapine

XR can be used as early as 2nd line

What are first line treatments for panic disorder .....ANSWER.....

CBT: evidence does NOT show superiority of pharm over non-

pharm

SSRI

Venlafaxine

BZD

Clomipramine, imipramine

2nd line: mirtazepine

, Page 4 of 88


Can consider sga augmentation or MAOI after failure of ssri,

Snri, and tca

What are first line treatments for ptsd .....ANSWER..... Trauma

focused psychotherapy: exposure based, emdr, anxiety

management or cbt. Emphasized in recent guidelines.

SSRI: paroxetine, sertraline and fluoxetine have strong evidence

Venlafaxine

Consider alternative agents or augmentation after 3 failed trials:

Tcas, mirtazepine, phenelzine, AEDs

NO BZDs or SGAs

What is the YBOCS? .....ANSWER..... Yale-Brown Obsessive-

Compulsive scale

Clinician rated

Used for diagnosis and to assess response

How is the YBOCS interpreted? .....ANSWER..... 0-7 sub clinical
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