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Key Facts: ACVCP Exam

AVMA RVSO

Recognized 1988

ACVCP (acvcp.org)

500 MCQ

Phase I

60% pass, $200, ExamSoft

Phase II

Essay/Written

Following Phase I

5 t1/2

Steady State

~97% plateau

ACVCP is the AVMA-recognized vet specialty board for clinical pharmacology. Phase I: 500 MCQ, 60% pass, $200. Master ADME + PK calculations (Vd, Cl, t1/2, F bioavailability), CYP induction (phenobarbital) vs inhibition (ketoconazole), MDR1 mutation in Collies (ivermectin/loperamide), antimicrobial PK/PD (T>MIC vs Cmax/MIC), cat acetaminophen toxicity (UGT deficiency), and AMDUCA-prohibited drugs in food animals.

Sample ACVCP Practice Questions

Try these sample questions to review concepts for the ACVCP exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A drug administered IV has an AUC of 100 mg·h/L. The same dose given orally produces an AUC of 35 mg·h/L. What is the oral bioavailability (F)?
A.0.286
B.0.35
C.0.65
D.1.0
Explanation: Bioavailability F = AUC(oral) / AUC(IV) when the same dose is given by both routes. F = 35 / 100 = 0.35 (35%).
2A 20 kg dog receives a 200 mg IV bolus of a drug. Plasma concentration extrapolated to time zero (C0) is 10 mg/L. What is the apparent volume of distribution?
A.0.5 L/kg
B.1.0 L/kg
C.2.0 L/kg
D.20 L/kg
Explanation: Vd = Dose / C0 = 200 mg / 10 mg/L = 20 L total. Per kg: 20 L / 20 kg = 1.0 L/kg, indicating distribution into total body water.
3A drug has a clearance of 0.5 L/h/kg and a volume of distribution of 5 L/kg. What is the elimination half-life?
A.1.4 h
B.3.5 h
C.6.93 h
D.10 h
Explanation: t1/2 = 0.693 × Vd / Cl = 0.693 × 5 / 0.5 = 6.93 hours.
4Approximately how many half-lives are required to reach steady-state concentration with constant-rate IV infusion?
A.1
B.3
C.5
D.10
Explanation: After 5 half-lives, plasma concentration reaches approximately 97% of the steady-state plateau, which is clinically considered steady state.
5Which statement best describes a drug with a volume of distribution of 10 L/kg?
A.Confined to plasma
B.Restricted to extracellular fluid
C.Highly tissue-bound and lipophilic
D.Eliminated only by glomerular filtration
Explanation: A Vd >> total body water (~0.6 L/kg) indicates extensive sequestration in tissues, typical of highly lipophilic and protein- or tissue-bound drugs (e.g., amiodarone).
6First-pass metabolism most directly reduces which pharmacokinetic parameter for an orally administered drug?
A.Volume of distribution
B.Bioavailability
C.Elimination half-life
D.Protein binding
Explanation: First-pass hepatic metabolism removes a fraction of orally absorbed drug before it reaches systemic circulation, decreasing F (bioavailability).
7A loading dose is best calculated using which of the following?
A.Cl × Cp_target
B.Vd × Cp_target
C.Cl × τ / F
D.0.693 × Vd / Cl
Explanation: Loading dose = Vd × Cp_target / F. The loading dose fills the volume of distribution to attain the target concentration rapidly.
8Which equation correctly defines clearance in terms of half-life and volume of distribution?
A.Cl = Vd / t1/2
B.Cl = 0.693 × Vd / t1/2
C.Cl = t1/2 × Vd
D.Cl = Vd × 0.693
Explanation: Rearranging t1/2 = 0.693 × Vd / Cl gives Cl = 0.693 × Vd / t1/2. Clearance is volume cleared per unit time.
9After discontinuing an IV infusion at steady state, approximately what percentage of drug remains after 4 half-lives?
A.50%
B.25%
C.12.5%
D.6.25%
Explanation: Each half-life removes 50%. After 4 half-lives: 100 → 50 → 25 → 12.5 → 6.25%. Greater than 94% has been eliminated.
10A two-compartment open model is best characterized by which feature on a semilog concentration-time plot after IV bolus?
A.Single linear decline
B.Biphasic curve with distribution and elimination phases
C.Sigmoidal absorption phase
D.Zero-order plateau
Explanation: The two-compartment model exhibits a rapid initial (alpha/distribution) phase followed by a slower terminal (beta/elimination) phase on semilog plots.

About the ACVCP Exam

AVMA-recognized veterinary specialty board for clinical pharmacology. Two-phase exam: Phase I (500 MCQ, 60% pass, $200, ExamSoft CBT) covers general pharmacology — pharmacokinetics, pharmacodynamics, ADME, drug classes, regulatory; Phase II is written/essay. Domains include PK/PD principles, cardiovascular/respiratory/renal drugs, antimicrobials (beta-lactams, fluoroquinolones, aminoglycosides), analgesics/anesthetics, endocrine/GI, toxicology and adverse drug reactions, species-specific sensitivities (cat UGT deficiency, Collie MDR1), and AMDUCA regulatory.

Exam sponsor: ACVCP. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

500 questions

Time Limit

Per ACVCP

Passing Score

60% Phase I

Exam / Certification Fees

$200 Phase I

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

20%

Pharmacokinetics

ADME, half-life, clearance, Vd, bioavailability, compartment models, dosing math

15%

Pharmacodynamics

Receptor theory, dose-response, EC50, efficacy vs potency, partial agonism

15%

CV/Respiratory/Renal

Cardiac drugs, diuretics, ACEi/ARBs, antiarrhythmics, pimobendan

15%

Antimicrobials

Beta-lactams, fluoroquinolones, aminoglycosides, sulfas, macrolides; PK/PD index

10%

Analgesics & Anesthetics

Opioids, NSAIDs, alpha-2 agonists, ketamine, inhalants, MAC concept

10%

Endocrine & GI

Insulin, thyroid (methimazole), maropitant NK1, omeprazole, trilostane

10%

Toxicology & ADRs

Drug interactions, CYP induction/inhibition, species sensitivities (cat UGT, Collie MDR1)

5%

Regulatory

AMDUCA, FDA-CVM, withdrawal times (FARAD), ELDU rules, VFD

Preparing for the ACVCP Exam

What You Need to Know

  • Passing score: 60% Phase I
  • Exam length: 500 questions
  • Time limit: Per ACVCP
  • Exam / certification fees: $200 Phase I Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

ACVCP: Suggested Study Strategy

1Master PK calculations: Vd, Cl, t1/2, F bioavailability, loading vs maintenance dose
2Memorize CYP inducers (phenobarbital, rifampin) vs inhibitors (ketoconazole, cimetidine, erythromycin)
3Drill species sensitivities: Collie MDR1 (ivermectin, loperamide), cat UGT (acetaminophen, permethrin), horse NSAIDs
4Know antimicrobial PK/PD: time-dependent (β-lactams T>MIC) vs concentration-dependent (FQs/AGs Cmax/MIC, AUC/MIC)
5Apply AMDUCA: prohibited in food animals — fluoroquinolones, chloramphenicol, DES, dimetridazole, glycopeptides

Frequently Asked Questions

How do you calculate steady state and loading dose?

Steady state is achieved at ~5 half-lives (97% of plateau); washout requires ~4-5 half-lives for >94% elimination. t1/2 = 0.693 × Vd / Cl. Loading dose (Cl-equivalent of dose at desired Cp): LD = Vd × Cp_target / F (oral) or Vd × Cp_target (IV). Maintenance dose = Cl × Cp_target × τ / F. Loading dose useful when t1/2 is long and immediate therapeutic concentration is needed (e.g., digoxin, lidocaine drips).

Why are Collies sensitive to ivermectin?

ABCB1-1Δ (formerly MDR1) gene mutation in Collies, Australian Shepherds, Long-haired Whippets, and ~10 other breeds produces a non-functional P-glycoprotein efflux transporter at the blood-brain barrier. Ivermectin and other P-gp substrates (loperamide, vincristine, doxorubicin, butorphanol) accumulate in the CNS at standard doses → severe neurotoxicity (mydriasis, ataxia, seizure, coma). Genetic testing available; affected dogs require dose reductions or alternative drugs.

Why is acetaminophen contraindicated in cats?

Cats lack glucuronyl transferase (UGT1A6 deficiency) — cannot glucuronidate acetaminophen for safe excretion. Acetaminophen is instead metabolized via cytochrome P450 to NAPQI (toxic intermediate). NAPQI depletes glutathione → methemoglobinemia (chocolate-brown blood, cyanosis), Heinz body hemolytic anemia, and facial/paw edema characteristic of cat acetaminophen toxicity. Treatment: N-acetylcysteine (NAC) IV/PO + ascorbic acid + supportive. Even small doses (50-100 mg) can be fatal.

How should I study for ACVCP?

Plan 500-800 hours. Master Riviere & Papich Veterinary Pharmacology and Therapeutics (current edition) cover-to-cover — primary reference. Practice PK calculations until automatic. Master AMDUCA-prohibited drugs for food animals (fluoroquinolones, chloramphenicol, DES, dimetridazole, etc.) and species-specific sensitivities (Collie MDR1, cat UGT deficiency, horse NSAID restrictions). Phase I is 60% pass — heavily weight time on PK math and antimicrobial PK/PD.