100+ Free BCTXP Practice Questions
Pass your Board Certified Transplant Pharmacist (Solid Organ Transplantation Pharmacy) exam on the first try — instant access, no signup required.
Thymoglobulin (rabbit ATG) works primarily by:
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Key Facts: BCTXP Exam
150
Total Items
125 scored + 25 unscored
30%
Largest Domain Weight
Induction & Maintenance Immunosuppression
2018
BPS Specialty Established
Solid Organ Transplantation Pharmacy
$600
Initial Exam Fee
BPS
500
Passing Scaled Score
Range 200-800
BPS
Specialty Body
Solid Organ Transplantation Pharmacy
The BCTXP (Board Certified Transplant Pharmacist) exam is administered by BPS for the Solid Organ Transplantation Pharmacy specialty. The exam consists of 150 items (125 scored + 25 unscored) with a passing scaled score of 500 (range 200-800). The fee is $600 initial / $300 retake. Induction and Maintenance Immunosuppression is the largest domain at 30%, followed by Rejection/Complications and Post-Transplant Infection (each 20%). Mastery of CYP3A4 drug interactions, TDM target troughs, and Banff rejection criteria is essential.
Sample BCTXP Practice Questions
Try these sample questions to test your BCTXP 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 BCTXP Exam
BPS specialty certification for pharmacists practicing in solid organ transplantation. Established in 2018, the BCTXP validates expertise across recipient evaluation and donor selection (HLA, ABO, crossmatch), induction and maintenance immunosuppression (calcineurin inhibitors, antimetabolites, mTOR inhibitors, corticosteroids) with therapeutic drug monitoring, recognition and treatment of acute cellular and antibody-mediated rejection, post-transplant infection prophylaxis (CMV, PJP, antifungal), and long-term comorbidity management (NODAT, CV risk, malignancy surveillance). NOTE: This credential is for Solid Organ Transplant — NOT Toxicology (which is not a current BPS specialty).
Questions
150 scored questions
Time Limit
Per BPS scheduling
Passing Score
Scaled 500 (200-800)
Exam Fee
$600 initial / $300 retake (BPS)
BCTXP Exam Content Outline
Pre-Transplant Evaluation and Optimization
Recipient evaluation, HLA/ABO/crossmatch, waitlist, candidate optimization
Induction and Maintenance Immunosuppression
Induction agents, maintenance regimens, TDM, CYP3A4 interactions
Rejection and Complications
ACR and AMR diagnosis/treatment, chronic allograft dysfunction, CNI nephrotoxicity
Post-Transplant Infection and Prophylaxis
CMV, PJP, antifungal prophylaxis, BK virus, vaccinations
Long-Term Care and Comorbidities
NODAT, CV risk, malignancy surveillance, bone health, adherence
How to Pass the BCTXP Exam
What You Need to Know
- Passing score: Scaled 500 (200-800)
- Exam length: 150 questions
- Time limit: Per BPS scheduling
- Exam fee: $600 initial / $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
BCTXP Study Tips from Top Performers
Frequently Asked Questions
What does BCTXP actually stand for?
BCTXP = Board Certified Transplant Pharmacist (Solid Organ Transplantation Pharmacy). It was established as a BPS specialty in 2018. BCTXP is sometimes confused with Toxicology — but Toxicology is NOT a current BPS specialty. The credential is exclusively for solid organ transplant pharmacy practice (kidney, liver, heart, lung, pancreas, intestine).
What is the most heavily weighted BCTXP domain?
Induction and Maintenance Immunosuppression carries the largest weight at 30%. This domain covers induction agents (basiliximab, ATG/thymoglobulin, alemtuzumab), maintenance regimens with calcineurin inhibitors (tacrolimus, cyclosporine), antimetabolites (mycophenolate, azathioprine), mTOR inhibitors (sirolimus, everolimus), and corticosteroids — including TDM target troughs and the extensive CYP3A4 drug-drug interactions that affect tacrolimus and cyclosporine.
What CYP3A4 interactions should I know cold?
Tacrolimus and cyclosporine are CYP3A4 substrates. Major inhibitors that increase levels (often dramatically): azoles (especially voriconazole and posaconazole), macrolides (clarithromycin, erythromycin), diltiazem and verapamil, grapefruit juice, ritonavir/cobicistat. Major inducers that decrease levels: rifampin, rifabutin, phenytoin, carbamazepine, phenobarbital, St. John's wort. Always adjust CNI doses and monitor troughs when starting or stopping these.
What's the difference between ACR and AMR?
Acute Cellular Rejection (ACR) is T-cell mediated, diagnosed on biopsy via Banff criteria, treated with high-dose steroid pulse and/or thymoglobulin (rATG) for steroid-resistant cases. Antibody-Mediated Rejection (AMR) is humoral (donor-specific antibodies), diagnosed by C4d staining + DSAs, treated with plasmapheresis + IVIG ± rituximab ± bortezomib ± eculizumab. Mixed rejection requires combined therapy.
How should I study for the BCTXP exam?
Plan 80-120 hours over 10-14 weeks. Focus 30-40% of time on Induction and Maintenance Immunosuppression. Master TDM target troughs (tacrolimus 5-15 ng/mL depending on time post-transplant; cyclosporine C0 100-300 ng/mL or C2 monitoring), CYP3A4 interactions, Banff rejection criteria, CMV/PJP/antifungal prophylaxis durations, and the unique pharmacology of each maintenance class.