A 58-year-old patient with type 2 diabetes (HbA1c 8.2%, eGFR 45 mL/min/1.73m²) is currently on metformin 1000 mg twice daily. Which is the most appropriate next step according to the 2024 ADA Standards of Care?
Bcacp Pharmacotherapy
Question · Medium
P-R-I-L: the -pril arena anthem
Short
BCACP Exam Guide 2026: Ambulatory Care Pharmacy Prep
A 2026 BCACP guide for pharmacists: BPS eligibility, 175-question format, scaled 500 passing score, pharmacotherapy domains, and free practice.
Blog
Which of the following is the preferred first-line agent for hypertension in a patient with diabetes and albuminuria (UACR 350 mg/g)?
Chapter 1: Exam Overview & Patient Care Process
1.1 BCACP Exam Logistics, Blueprint & Pass Standards
Study guide
A 65-year-old patient with HFrEF (LVEF 35%) is on lisinopril 20 mg daily and metoprolol succinate 50 mg daily. Which medication should be added next per GDMT guidelines?
Nursing & Healthcare Exam Prep Podcast
Listen on Spotify
Podcast
Which statin intensity is appropriate for a 60-year-old patient with ASCVD (prior MI) to achieve LDL reduction goals?
Question · Easy
A patient with non-valvular atrial fibrillation (CHA₂DS₂-VASc score 4) and normal renal function should be initiated on which anticoagulant?
A patient with COPD (FEV₁ 55% predicted, 2 exacerbations in past year) is on albuterol PRN. Which is the next step per GOLD 2024 guidelines?
1.2 The Pharmacists' Patient Care Process (PPCP) in Ambulatory Care
A patient with hypothyroidism has been stable on levothyroxine 100 mcg daily with TSH 3.8 mIU/L. When should TSH be rechecked?
Which antidepressant would be preferred for a patient with major depressive disorder and comorbid insomnia?
A patient with osteoarthritis has inadequate pain control with acetaminophen 3 g/day. Which is the next appropriate step?
Which vaccines are recommended for all adults aged 65 years and older?
1.3 Communication, Health Literacy & Cultural Competence
A 35-year-old patient with asthma reports using albuterol 4-5 times per week for rescue. What does this indicate per GINA 2024 guidelines?
Which medication requires therapeutic drug monitoring (TDM) in a patient with atrial fibrillation on anticoagulation?
A patient with type 2 diabetes is initiated on dapagliflozin. Which counseling point is most important?
Which is a major drug-drug interaction with clarithromycin that requires therapy modification?
Chapter 2: Cardiovascular I: Hypertension & Dyslipidemia
2.1 Hypertension Guidelines, Staging & Primary Regimens
A patient with HFrEF is on sacubitril-valsartan (ARNI). What is the most important monitoring parameter?
Which OTC product is most appropriate for a patient with seasonal allergic rhinitis who also has hypertension?
A patient with CKD stage 3b (eGFR 38 mL/min) needs dose adjustment for which medication?
Question · Hard
What is the recommended duration of dual antiplatelet therapy (DAPT) after drug-eluting stent (DES) placement in a patient with ACS?
2.2 Resistant Hypertension, Secondary Causes & Special Populations
Which GLP-1 receptor agonist is available as an oral formulation?
A patient with type 2 diabetes consistently has HbA1c >10% despite multiple medication adjustments. What is the most appropriate next step?
Bcacp Collaboration
Which technique is most effective for counseling a patient with low health literacy about their medication regimen?
In a shared decision-making encounter about starting statin therapy, what is the pharmacist's primary role?
2.3 Dyslipidemia: Statin Benefit Groups & Non-Statin Add-ons
A patient refuses insulin therapy due to fear of injections. Which response demonstrates cultural competency?
During a telehealth visit, which action is most important for medication therapy management?
A patient is being discharged from the hospital after heart failure exacerbation. What is the pharmacist's priority role in care transitions?
Which documentation is required for a comprehensive MTM service (CPT 99605-99607)?
Chapter 3: Cardiovascular II: Heart Failure, CAD & Anticoagulation
3.1 Heart Failure GDMT: HFrEF Four Pillars & HFpEF Management
In an interprofessional team caring for a patient with diabetes, what is the pharmacist's unique contribution?
A patient reports taking their spouse's prescription medication because "it's the same thing." What is the most appropriate response?
A patient with limited English proficiency needs medication counseling. What is the best approach?
Which approach best supports medication adherence in a patient newly diagnosed with hypertension?
3.2 Chronic Coronary Disease & Antiplatelet Strategies
A patient expresses concern about the cost of their new prescription. What is the most appropriate initial response?
Which study design provides the highest level of evidence for evaluating drug efficacy?
Bcacp Evidence Translation
What does the p-value represent in a clinical trial?
Which of the following is the appropriate initial therapy for type 2 diabetes per 2024 ADA guidelines?
3.3 Anticoagulation: Atrial Fibrillation, VTE & Peri-Procedural Care
A new study reports a Number Needed to Treat (NNT) of 50 for preventing one cardiovascular event with a new antihyperglycemic agent over 3 years. How should this be interpreted?
Which tool is most appropriate for evaluating the quality of a clinical practice guideline?
Loading more…