10 exam-style questions with answers and explanations, straight from our 1,035-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The BCCCP exam has 150 questions and runs 3 hours 45 minutes.
A 68-year-old man with septic shock has been adequately fluid-resuscitated but remains hypotensive on norepinephrine 0.4 mcg/kg/min, with a mean arterial pressure of 60 mmHg (goal at least 65 mmHg). According to the Surviving Sepsis Campaign, which is the MOST appropriate next step?
Correct answer: B - Add fixed-dose vasopressin 0.03 units/min
A patient with MRSA bacteremia is receiving vancomycin. Bayesian software calculates a 24-hour AUC of 680 mg·h/L (assumed MIC 1 mg/L) with stable renal function. Based on current consensus guidelines, which is the BEST action?
Correct answer: C - Decrease the dose to lower the nephrotoxicity risk
A 54-year-old woman in convulsive status epilepticus has received two adequate, weight-based doses of IV lorazepam but is still seizing at 10 minutes. Which is the MOST appropriate next step?
Correct answer: D - Give IV levetiracetam, fosphenytoin, or valproate
A patient presents in diabetic ketoacidosis with a glucose of 520 mg/dL, a serum potassium of 3.0 mEq/L, and a pH of 7.10. Which is the MOST appropriate immediate step?
Correct answer: C - Replace potassium and hold insulin until K is at least 3.3
A patient taking apixaban presents with a life-threatening intracranial hemorrhage. Which is the MOST appropriate targeted reversal agent?
Correct answer: B - Andexanet alfa
A 27-year-old trauma patient with sepsis has a measured creatinine clearance of 165 mL/min and is not improving on standard intermittent-infusion cefepime for a susceptible Pseudomonas infection. Which strategy BEST addresses the likely pharmacokinetic problem?
Correct answer: A - Give extended-infusion cefepime and/or a higher daily dose
A 60-year-old with an acute myocardial infarction is in cardiogenic shock (cool extremities, MAP 58 mmHg, low cardiac index) despite adequate filling pressures. Which is the PREFERRED initial vasopressor?
Correct answer: C - Norepinephrine
A patient recovering from status epilepticus is on phenytoin. The total phenytoin level is 7.5 mcg/mL, the albumin is 2.0 g/dL, and renal function is normal; the patient is seizure-free. Which is the BEST interpretation?
Correct answer: B - Corrected for the low albumin, the level is therapeutic
A 45-year-old is found altered with a high anion-gap metabolic acidosis, an elevated osmolar gap, and calcium oxalate crystals in the urine, consistent with ethylene glycol ingestion. Which is the first-line antidote?
Correct answer: D - Fomepizole
A mechanically ventilated patient is agitated, and pain has not yet been assessed. Which approach is MOST consistent with the PADIS guidelines?
Correct answer: D - Assess and treat pain first, then target light sedation
The BPS Board-Certified Critical Care Pharmacist (BCCCP) exam is organized into 3 knowledge domains. These free practice questions are drawn from across them so you can see where you're strong and where to study:
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