These sample examination items are made available by BPS for the purposes of familiarizing certification candidates and other stakeholders with the structure and format of BPS certification examinations. This is not meant for use as a self-assessment. Performance on any of these items does not correlate with performance on the actual examination.
The content of these examples is meant to be illustrative of actual examination items, but these items do not appear on the certification examination and are not meant to identify the scope of the examination. For a more comprehensive indication of the scope of each certification examination, please refer to the Exam Content Outline for each specialty area.
Examination items are in multiple-choice format. The great majority of examination items are multiple-choice with a single response from among four options. Some examinations may include a small percentage of items that require selection of multiple (three or four) responses from among a larger set of available (up to eight) options. Examinations items may also be supplemented by an image.
Which accurately describes the requirements for all hospitals and for organ and tissue donation in the United States set forth in the Centers for Medicare & Medicaid Services Final Rule?
Hospital bedside team members are responsible for initiating organ donation discussions with potential donor families and then contacting the organ procurement organization if consent is obtained.
Hospitals must employ staff of an organ procurement organization to ensure all potential donors are identified when death is imminent.
Hospitals must have an agreement with at least one organ procurement organization and demonstrate collaboration in improving organ donation rates.
Organ procurement organizations must provide one year of patient and graft survival rates to hospitals in which they procured organs.
Correct!
Incorrect!
A kidney transplant program changes its induction strategy from basiliximab to antithymocyte globulin. Three years later, the program wants to evaluate whether the change in practice affected early BPAR. Which statistical test should be used for analysis?
ANOVA
Chi-square test
Paired t-test
Student t-test
Correct!
Incorrect!
A candidate for a kidney transplant has negative serologies for hepatitis B and measles and would like to receive the vaccines prior to transplant to protect against future infections. Which statement reflects the optimal wait time between vaccination and initiation of immunosuppression?
The hepatitis B series and measles, mumps, and rubella (MMR) vaccine can be given when called in for transplant.
The hepatitis B series and MMR must both be completed 2 weeks prior to transplant.
The hepatitis B series and MMR vaccine must be delayed until after transplantation.
The hepatitis B series can be started any time prior to transplant, but the MMR vaccine should be given at least 4 weeks prior to immunosuppression.
Correct!
Incorrect!
Which outcome is most likely in a kidney transplant recipient when switching from tacrolimus IR capsules to tacrolimus ER capsules, without changing the target trough?
Decreased nephrotoxicity
Decreased tremors
Increased compliance
Increased survival
Correct!
Incorrect!
A 4-year-old patient is being seen for 6-month post liver transplant clinic visit. Prior to transplant, the patient was up to date on immunizations. According to the Centers for Disease Control and Prevention (CDC), which vaccine would be indicated for this patient at this visit?
Measles, Mumps, Rubella
Pneumococcal conjugate vaccine 13
Pneumococcal polysaccharide vaccine 23
Varicella
Correct!
Incorrect!
A 52-year-old patient who is 5 months post-liver transplantation has no renal recovery and is requiring hemodialysis three times per week. Within how many years must the patient be listed on the kidney waiting list in order to receive a safety net kidney for prioritization of liver recipients?
1
2
3
5
Correct!
Incorrect!
An adult with a history of a double lung transplant 15 months ago for COPD presents to the emergency department with 5 days of nausea, vomiting, and diarrhea as well as an acute increase in serum creatinine from a baseline level of 1.1 mg/dL.
Home medications include:
Pertinent laboratory results:
Home medications include:
| Tacrolimus | 3 mg twice daily |
| Mycophenolate mofetil | 1,000 mg twice daily |
| Prednisone | 5 mg daily |
| Acyclovir | 200 mg twice daily |
| Trimethoprim / sulfamethoxazole | DS three times weekly |
| Azithromycin | 250 mg three times weekly |
Pertinent laboratory results:
| Serum Creatinine (SCr) | 4.1 mg/dL |
| Potassium (K) | 5.5 mEq/L |
| Tacrolimus (C0) | 22.3 ng/mL |
Which is likely the greatest contributor to the elevated tacrolimus C0 level?
Acute rise in serum creatinine
Dehydration from decreased fluid intake
Severe diarrhea
Use of azithromycin
Correct!
Incorrect!
Which is an accurate statement describing the use of ursodiol after liver transplantation?
It is approved by the Food and Drug Administration (FDA) for the prevention of recurrent primary sclerosing cholangitis after liver transplant.
It is associated with decreasing the risk of ischemic cholangiopathy in liver transplant recipients from a donation after cardiac death donor.
Long-term use has been associated with a decreased risk of primary biliary cholangitis recurrence and prolonged graft survival.
Use after liver transplant for non-cholestatic disease has been associated with increased risk of graft failure.
Correct!
Incorrect!
A patient received a heart transplant and has the following hemodynamics postoperative day 1:
Central venous pressure within normal limits
Pulmonary artery pressure significantly elevated
Systemic vascular resistance low Cardiac index within normal limits
Which should be initiated?
Central venous pressure within normal limits
Pulmonary artery pressure significantly elevated
Systemic vascular resistance low Cardiac index within normal limits
Which should be initiated?
20 ppm inhaled nitric oxide
Dobutamine intravenously 5 mcg/kg/min
Sildenafil 20 mg enterally three times daily
Sodium nitroprusside intravenously 10 mcg/kg/min
Correct!
Incorrect!
Which non-pharmaceutical supplement could increase cyclosporine levels?
Cinnamon
Echinacea
Star fruit
Valerian root
Correct!
Incorrect!
Valganciclovir is found to be cost-prohibitive at hospital discharge for a new kidney transplant recipient with CMV status of donor-negative, recipient-positive. Which CMV-prevention strategy should be recommended after discontinuation of valganciclovir?
Initiate bi-weekly CMV PCR monitoring
Initiate letermovir
Initiate maribavir
Initiate weekly CMV PCR monitoring
Correct!
Incorrect!
A 69-year-old who is 9 years post-kidney transplant has a new finding of hepatitis B surface antigenemia, with a negative hepatitis B DNA.
Donor serologies at the time of transplant were:
Past medical history is unremarkable other than osteoporosis, for which zoledronic acid is infused yearly. What treatment should be initiated?
Donor serologies at the time of transplant were:
| Hepatitis B Core Antibody | Positive |
| Hepatitis B Surface Antigen | Negative |
| Hepatitis B Surface Antibody | Negative |
Past medical history is unremarkable other than osteoporosis, for which zoledronic acid is infused yearly. What treatment should be initiated?
Entecavir 0.5 mg by mouth daily
Hepatitis B immune globulin 5,000 units subcutaneously weekly
Lamivudine 100 mg by mouth daily
Tenofovir disoproxil fumarate 300 mg by mouth daily
Correct!
Incorrect!
Share the quiz to show your results !
Subscribe to see your results
Solid Organ Transplantation Pharmacy Sample Questions
I got %%score%% of %%total%% right
%%description%%
%%description%%
Loading...