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2026 Statistics

Key Facts: BCGP Exam

175

Total Questions

BPS

150

Scored Questions

BPS

4 hrs

Time Limit

BPS

500/800

Passing Scaled Score

BPS

$600

Application Fee

BPS 2026

7 yrs

Certification Validity

BPS

BCGP-certified pharmacists demonstrate mastery of geriatric pharmacotherapy, polypharmacy management, and care transitions for adults 65+. As of 2026 the exam runs year-round under continuous testing, with results delivered immediately after the session.

Sample BCGP Practice Questions

Try these sample questions to test your BCGP exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 78-year-old male with hypertension, type 2 diabetes, and osteoarthritis is taking 12 different medications. Which of the following best defines his situation?
A.Polypharmacy
B.Appropriate prescribing
C.Medication adherence
D.Pharmacogenomics
Explanation: Polypharmacy is the concurrent use of multiple medications by a patient. It is common in the elderly and increases the risk of adverse drug events, drug interactions, and non-adherence. The goal is to reduce polypharmacy through deprescribing when appropriate.
2An 82-year-old female with atrial fibrillation is being considered for anticoagulant therapy. According to the CHA2DS2-VASc score, which of the following patient characteristics would contribute the most points to her stroke risk assessment?
A.Female sex
B.Age 65-74
C.History of hypertension
D.Age ≥ 75
Explanation: In the CHA2DS2-VASc score, age ≥ 75 years is assigned 2 points, which is the highest possible score for a single risk factor. This highlights the significant impact of advanced age on stroke risk in patients with atrial fibrillation.
3A 90-year-old male with a creatinine clearance of 25 mL/min is prescribed digoxin for heart failure. How would you expect the volume of distribution (Vd) of digoxin to be affected in this patient?
A.Increased due to increased body fat
B.Decreased due to decreased renal function
C.Unchanged, as digoxin is not affected by age
D.Increased due to decreased plasma protein binding
Explanation: Digoxin is a hydrophilic drug, and its volume of distribution is decreased in the elderly due to a decrease in total body water and lean body mass. The Vd of digoxin is also decreased in patients with renal impairment, which is common in the elderly. This is a complex topic, but the most important factor here is the decreased renal function, which reduces the Vd of digoxin.
4Which part of Medicare provides prescription drug coverage?
A.Part A
B.Part B
C.Part C
D.Part D
Explanation: Medicare Part D provides outpatient prescription drug coverage. It is an optional benefit for people with Medicare and is offered through private insurance companies approved by Medicare.
5A 75-year-old female with Alzheimer's disease is prescribed donepezil. What is the primary mechanism of action of this medication?
A.NMDA receptor antagonist
B.Acetylcholinesterase inhibitor
C.Dopamine agonist
D.Serotonin reuptake inhibitor
Explanation: Donepezil is an acetylcholinesterase inhibitor. It works by increasing the levels of acetylcholine, a neurotransmitter involved in memory and thinking, in the brain. This can help to improve cognitive function in patients with Alzheimer's disease.
6An 88-year-old male with severe osteoarthritis is prescribed celecoxib. Which of the following is the most important consideration for this patient?
A.The risk of gastrointestinal bleeding
B.The risk of cardiovascular events
C.The risk of renal toxicity
D.The risk of hepatotoxicity
Explanation: Celecoxib is a COX-2 selective NSAID, which has a lower risk of GI bleeding compared to non-selective NSAIDs. However, it has been associated with an increased risk of cardiovascular events, particularly in patients with pre-existing cardiovascular disease. This is a critical consideration in the elderly, who are more likely to have cardiovascular comorbidities.
7When communicating with an elderly patient with hearing impairment, which of the following is the most effective technique?
A.Shouting to make sure they can hear you
B.Speaking in a high-pitched voice
C.Facing the patient and speaking clearly in a normal tone
D.Using complex medical terminology to sound professional
Explanation: When communicating with an elderly patient with hearing impairment, it is important to face the patient so they can see your lips, speak clearly in a normal tone, and use simple language. Shouting can distort the sound of your voice and make it more difficult for the patient to understand. High-pitched sounds are often the first to be lost in age-related hearing loss.
8A 92-year-old female is a resident of a long-term care facility. Which of the following is the most common cause of infection in this setting?
A.Pneumonia
B.Urinary tract infections
C.Skin and soft tissue infections
D.Gastrointestinal infections
Explanation: Urinary tract infections (UTIs) are the most common cause of infection in long-term care facilities. This is due to a number of factors, including the use of urinary catheters, incontinence, and age-related changes in the urinary tract.
9A 79-year-old male with a history of falls is taking lisinopril, metformin, and atorvastatin. Which of the following medications is most likely to contribute to his risk of falls?
A.Lisinopril
B.Metformin
C.Atorvastatin
D.None of the above
Explanation: Lisinopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when standing up. This can lead to dizziness and an increased risk of falls. While metformin and atorvastatin are generally not associated with an increased risk of falls, it is important to review all medications for potential side effects that could contribute to falls.
10An 85-year-old female with type 2 diabetes has a hemoglobin A1c of 8.5%. According to the American Diabetes Association (ADA) guidelines for older adults, what is the recommended A1c goal for this patient?
A.< 7.0%
B.< 7.5%
C.< 8.0%
D.< 8.5%
Explanation: The ADA guidelines for older adults recommend a less stringent A1c goal of < 8.0% for patients with multiple comorbidities, cognitive impairment, or a limited life expectancy. This is to avoid the risks of hypoglycemia, which can be particularly dangerous in the elderly. For healthier older adults, a goal of < 7.5% is recommended.

About the BCGP Exam

The Board Certified Geriatric Pharmacist (BCGP) credential, administered by the Board of Pharmacy Specialties, certifies pharmacists with advanced expertise in optimizing medication therapy for older adults. The computer-based exam contains 175 multiple-choice questions (150 scored, 25 unscored pretest) and is delivered in a single 4-hour session through Pearson VUE.

Questions

175 scored questions

Time Limit

4 hours

Passing Score

Scaled 500/800

Exam Fee

$600 (Board of Pharmacy Specialties (BPS))

BCGP Exam Content Outline

53%

Patient Care and Therapeutics

Pharmacotherapy for geriatric syndromes, chronic disease management, polypharmacy, and Beers Criteria application across older adult populations.

20%

Retrieval, Generation, Interpretation, and Dissemination of Knowledge

Evidence-based medicine, biostatistics, literature evaluation, and clinical research design as applied to geriatric practice.

20%

System-Based Patient Care and Population Health

Care transitions, interprofessional collaboration, long-term care regulations, Medicare Part D, and population-level medication safety.

7%

Patient Advocacy

Goals of care, advance directives, end-of-life pharmacotherapy, and ethical decision-making for vulnerable older adults.

How to Pass the BCGP Exam

What You Need to Know

  • Passing score: Scaled 500/800
  • Exam length: 175 questions
  • Time limit: 4 hours
  • Exam fee: $600

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

BCGP Study Tips from Top Performers

1Master the AGS Beers Criteria — potentially inappropriate medications appear in nearly every exam form
2Memorize STOPP/START criteria and how they differ from Beers
3Drill renal and hepatic dose adjustments for high-risk geriatric drugs
4Practice case-based polypharmacy questions with 8+ medications
5Review CMS F-tag requirements for long-term care facilities

Frequently Asked Questions

How many questions are on the BCGP exam?

The BCGP exam contains 175 multiple-choice questions: 150 scored items and 25 unscored pretest items. All questions are single best-answer multiple-choice.

How long is the BCGP exam?

Candidates have 4 hours to complete the BCGP exam in a single seated session at a Pearson VUE test center.

What is the passing score for the BCGP exam?

BCGP results are reported as a scaled score from 200 to 800. A scaled score of 500 is required to pass. The historical first-time pass rate is roughly 50-60%.

How much does the BCGP exam cost?

The BCGP application fee is $600 for first-time applicants in 2026. Recertification fees are lower. The fee is non-refundable once the application is approved.

What are the BCGP eligibility requirements?

Candidates must hold a current pharmacist license plus either (1) 4 years of practice experience with at least 50% in geriatric pharmacy, or (2) a PGY1 residency plus 2 additional years of geriatric experience, or (3) a PGY2 residency in geriatric pharmacy.