100+ Free BCSCP Practice Questions
Pass your Board Certified Solid Organ Transplantation Pharmacy Specialist exam on the first try — instant access, no signup required.
Which class of human leukocyte antigens (HLA) includes the A, B, and C loci?
Key Facts: BCSCP Exam
150
Total Exam Items
BPS (125 scored + 25 pretest)
3h 45m
Exam Time
BPS
$600
Initial Application Fee
BPS 2026 ($300 retake)
BCTXP
Official BPS Abbreviation
Board of Pharmacy Specialties
4 yrs
Practice Experience (non-residency pathway)
BPS eligibility (50%+ SOT)
7 yrs
Recertification Cycle
BPS (exam + up to 20 CPD units)
The BCSCP exam (BPS credential abbreviation BCTXP - Board Certified Transplant Pharmacist) is a 150-item, 3-hour 45-minute computer-based exam with 125 scored items and 25 unscored pretest items. BPS charges a $600 initial application fee and a $300 retake fee. The exam is offered through continuously available testing (transitioned Q3 2025) and covers transplant biology, transplantation process, pretransplant evaluation, perioperative management, immunosuppression, post-transplant complications and infections, and professional practice. BPS does NOT publish a fixed percentage passing score - results use a criterion-referenced scaled score.
Sample BCSCP Practice Questions
Try these sample questions to test your BCSCP exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Which class of human leukocyte antigens (HLA) includes the A, B, and C loci?
2Which HLA class II locus is considered the most important for kidney transplant matching?
3Signal 1 in T-cell activation involves:
4Which rejection type is mediated by preformed antibodies and typically occurs within minutes to hours after transplantation?
5The Banff classification is used to grade rejection in which organ?
6C4d staining on biopsy is a key marker for which type of rejection?
7Thymoglobulin (rabbit ATG) works primarily by:
8Basiliximab (Simulect) is typically dosed as:
9Which of the following is the primary mechanism of action of tacrolimus?
10Which enzyme system is primarily responsible for tacrolimus metabolism?
About the BCSCP Exam
The Board Certified Solid Organ Transplantation Pharmacy Specialist credential (BPS officially uses the abbreviation BCTXP - Board Certified Transplant Pharmacist) is administered by the Board of Pharmacy Specialties. It certifies pharmacists who provide advanced pharmacotherapeutic care to solid organ transplant (SOT) candidates and recipients. The exam is a 3-hour 45-minute, 150-item computer-based test delivered through continuously available testing.
Assessment
150 multiple-choice items (125 scored + 25 unscored pretest) covering transplant immunology, induction and maintenance immunosuppression, organ-specific management (kidney, liver, heart, lung, pancreas, intestine), infection prophylaxis, complications (rejection, PTLD, skin cancer), and professional practice.
Time Limit
3 hours 45 minutes
Passing Score
Criterion-referenced scaled score (BPS does not publish a fixed percentage passing score)
Exam Fee
$600 initial application ($300 retake) (BPS (Board of Pharmacy Specialties))
BCSCP Exam Content Outline
Solid Organ Transplantation Foundations
Transplant biology (HLA, immunology, MHC, rejection pathways) and transplantation process (donor evaluation, organ allocation via UNOS/OPTN, listing, KDIGO/MELD/ISHLT criteria)
Pretransplant Evaluation and Listing
Candidate selection, comorbidity management, HCV/HBV/HIV screening, vaccination pre-transplant, psychosocial evaluation, and desensitization (IVIG, plasmapheresis, rituximab)
Perioperative and Induction Management
Induction immunosuppression (rATG/Thymoglobulin, basiliximab, alemtuzumab), surgical prophylaxis, DVT prophylaxis, pain, PONV, and early post-op pharmacotherapy
Maintenance Immunosuppression and TDM
CNIs (tacrolimus, cyclosporine), mTOR inhibitors (sirolimus, everolimus), antiproliferatives (MMF, MPA, azathioprine), corticosteroids, belatacept; therapeutic drug monitoring; drug interactions (CYP3A4/PGP)
Infection Prophylaxis and Treatment
CMV (valganciclovir, letermovir), PJP (TMP-SMX), HSV/VZV, fungal (fluconazole, voriconazole, posaconazole), BK polyomavirus, EBV, HBV/HCV, vaccination post-transplant
Post-transplant Complications and Long-term Care
Acute cellular and antibody-mediated rejection, chronic allograft dysfunction, PTLD, PTDM, CV disease, skin cancer, pregnancy, bone disease, recurrent disease
Professional Practice, Research, and Ethics
Organ allocation ethics, transitions of care, guideline interpretation (KDIGO, ISHLT, AST/ASTS), literature evaluation, and pharmacoeconomics
How to Pass the BCSCP Exam
What You Need to Know
- Passing score: Criterion-referenced scaled score (BPS does not publish a fixed percentage passing score)
- Assessment: 150 multiple-choice items (125 scored + 25 unscored pretest) covering transplant immunology, induction and maintenance immunosuppression, organ-specific management (kidney, liver, heart, lung, pancreas, intestine), infection prophylaxis, complications (rejection, PTLD, skin cancer), and professional practice.
- Time limit: 3 hours 45 minutes
- Exam fee: $600 initial application ($300 retake)
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
BCSCP Study Tips from Top Performers
Frequently Asked Questions
What is the BCSCP exam and who administers it?
BCSCP is the Board Certified Solid Organ Transplantation Pharmacy Specialist credential administered by the Board of Pharmacy Specialties (BPS). Note: BPS itself uses the abbreviation BCTXP (Board Certified Transplant Pharmacist) for the Solid Organ Transplantation Pharmacy specialty - BCSCP is used synonymously on many job postings. The exam is 150 multiple-choice items (125 scored + 25 unscored pretest) administered over 3 hours and 45 minutes via continuously available computer-based testing.
Is BCSCP the same as BCTXP? What about BPS Sterile Compounding?
Yes, BCSCP and BCTXP refer to the SAME credential - BPS Solid Organ Transplantation Pharmacy. The OFFICIAL BPS abbreviation is BCTXP (Board Certified Transplant Pharmacist). IMPORTANT: Do NOT confuse this with BPS Compounded Sterile Preparations Pharmacy, which is a separate BPS specialty. If you see 'BCSCP' in a job posting, ask the employer to clarify - most often it refers to the transplant specialty.
What are the eligibility requirements for the BCSCP / BCTXP exam?
Candidates must (1) graduate from an ACPE-accredited pharmacy program (or equivalent outside the U.S.), (2) hold a current, active pharmacist license, AND complete ONE of the following practice pathways: (a) 4 years of practice post-licensure with at least 50% of time spent in solid organ transplant (SOT) pharmacy; (b) completion of a PGY-1 residency PLUS 2 additional years of practice with at least 50% SOT time; or (c) completion of a PGY-2 residency in Solid Organ Transplantation Pharmacy.
How much does the BCSCP exam cost?
The BPS initial application / examination fee is $600 USD for first-time applicants. The retake fee is $300 USD. There is no separate application fee - it is included in the $600. Recertification has its own fee structure published on bpsweb.org. Preparatory review courses (e.g., ACCP/ASHP Transplantation Pharmacy Prep Course, SOTSAP) are an additional cost, typically $500-$1,500 for members.
How many questions are on the BCSCP exam and how long is it?
The BCSCP / BCTXP exam consists of 150 multiple-choice items delivered in 3 hours and 45 minutes. Of the 150 items, 125 are scored and 25 are unscored pretest items being trialed for future exams. Each item is typically single-best-answer with 4 options. The exam is delivered via Prometric and uses continuous availability testing starting Q3 2025.
What is the passing score for the BCSCP exam?
BPS uses a criterion-referenced scaled scoring system - they do NOT publish a fixed percentage passing score. Each candidate receives a scaled score and a pass/fail determination. BPS cycle-level pass rates have historically ranged from approximately 65-80% for solid organ transplantation pharmacy. Beginning January 2026, BPS provides an immediate preliminary score report, with final results within 45 calendar days.
How long should I study for the BCSCP exam?
Plan 150-300 hours of focused study over 4-6 months. Most candidates complete the ACCP/ASHP Solid Organ Transplantation Pharmacy Preparatory Review Course (30-40 hours of recorded content), work through SOTSAP self-assessment, review KDIGO, ISHLT, AST Infectious Diseases Community of Practice guidelines, and drill 500+ practice questions. Target scoring 75%+ on timed practice sets before scheduling.
What topics are weighted most heavily on the BCSCP exam?
Maintenance immunosuppression and therapeutic drug monitoring (~22%) is the single largest domain. Transplant biology and process (~19%) and pretransplant evaluation (~17%) together make up more than a third of the exam. Infection prophylaxis (~14%) and perioperative/induction (~14%) are also major sections. Master CNI drug interactions (CYP3A4), CMV risk stratification and prophylaxis, HLA and DSA interpretation, and rejection pathways.