100+ Free BCGP Practice Questions

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A 78-year-old male with hypertension, type 2 diabetes, and osteoarthritis is taking 12 different medications. Which of the following best defines his situation?

Polypharmacy

Appropriate prescribing

Medication adherence

Pharmacogenomics

to track

2026 Statistics

Key Facts: BCGP Exam

100

Typical exam questions

Typical exam time limit

500

Typical passing threshold

Typical exam fee

Board Certified Geriatric Pharmacist candidates typically succeed by combining topic review with timed practice and explanation-driven remediation.

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) exam is a credential for pharmacists who have demonstrated expertise in the principles of geriatric pharmacotherapy.

Questions

100 scored questions

Time Limit

Passing Score

500

Exam Fee

()

BCGP Exam Content Outline

30%

Core Concepts

Fundamental concepts and frameworks tested on this exam.

25%

Applied Scenarios

Case-based and scenario-driven questions that mirror real exam tasks.

25%

Regulations & Standards

Rules, standards, and compliance requirements relevant to this credential.

20%

Test Strategy

Time management, pacing, and error-avoidance techniques for exam day.

How to Pass the BCGP Exam

What You Need to Know

Passing score: 500
Exam length: 100 questions
Time limit:
Exam fee:

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

1Start with high-weight domains, then cycle into mixed-domain practice sets.

2Use timed blocks to build pace and reduce second-guessing under pressure.

3Review every missed question explanation and classify the root cause.

4Track weak topics weekly and re-test them with targeted mini-sets.

5Simulate full-length sessions at least twice before your exam date.

Frequently Asked Questions

How hard is the Board Certified Geriatric Pharmacist exam?

Board Certified Geriatric Pharmacist is manageable with consistent study, targeted review, and timed practice sessions.

How many questions are on Board Certified Geriatric Pharmacist?

Most official outlines report around 100 questions, but always verify with the test administrator.

What score do I need to pass Board Certified Geriatric Pharmacist?

A common target is 500, though policy updates can change thresholds by administration.

How long should I study for Board Certified Geriatric Pharmacist?

Most learners benefit from a 6-10 week plan with weekly mixed-topic practice and progress tracking.

What is the best strategy on test day?

Use two-pass pacing: answer confident items first, flag uncertain questions, then revisit with remaining time.