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.
An elderly woman is a resident at a nursing facility. She has a recent history of stroke and right-sided hemiparesis and is refusing all foods and liquids by mouth. She is aware of her situation and the implications of her actions. The resident has a living will that requests no hospitalizations or invasive procedures. The social worker says that when she was notifying the resident's children, one of them insisted that they find some way to feed and hydrate their mother. What is the most appropriate next step?
Correct!
Incorrect!
When the son goes to work, the patient is left alone without wanting to be. What type of mistreatment is being experienced by the patient?
Correct!
Incorrect!
Correct!
Incorrect!
Current medications include:
Citalopram 20 mg orally daily
Diclofenac 1% gel applied to the right knee twice daily
Doxepin 10 mg orally daily
Omeprazole 20 mg orally daily
Pertinent laboratory values include:
| Ca | 10 mg/dL (2.5 mmol/L) |
| Mg | 1.4 mg/dL (0.57 mmol/L) |
| K | 5.5 mEq/L (5.5 mmol/L) |
| Na | 126 mEq/L (126 mmol/L) |
Which medication is most likely to contribute to this patient's orthostatic hypotension, memory concerns, and dry mouth?
Correct!
Incorrect!
In an elderly patient, chronic facial reddening and inflammation with skin eruptions similar to acne are signs of which condition?
Correct!
Incorrect!
Current medications are:
Atorvastatin 40 mg daily
Atenolol 50 mg daily
Enalapril 20 mg daily
Temazepam 15 mg every night
Calcium 600 mg twice daily
Cholecalciferol 20 mcg daily
Senna, psyllium, and glycerin suppositories as needed
He was recently diagnosed with dry macular degeneration and increased bilateral intraocular pressure. Severe constipation is documented and an abdominal x-ray reveals fecal impaction. Which initial recommendation is most appropriate?
Correct!
Incorrect!
Correct!
Incorrect!
A 76-year-old resident with nonvalvular atrial fibrillation is receiving preventive therapy with warfarin, currently dosed as 4 mg, alternating with 3 mg daily. The INR result for the previous month was reported as 1.8. This month's INR is reported as 1.6. Which action is most appropriate?
Correct!
Incorrect!
An 80-year-old woman presents to a new primary care provider for her first visit. She has a past medical history of hypothyroidism, atrial fibrillation, and insomnia. She has a past surgical history of cataract removal (5 years prior) and total hysterectomy (20 years prior). The patient lives independently and is still cognitively intact and able to complete her activities of daily living and instrumental activities of daily living. Which preventive screening is no longer indicated based on the patient's anticipated risk versus benefit?
Correct!
Incorrect!
The data revealed the following:
| Average Blood Pressure | # of Strokes |
| less than or equal to 120/70 mm Hg | 1 |
| 130/80 mm Hg | 3 |
| 140/90 mm Hg | 3 |
| 150/100 mm Hg | 6 |
| greater than or equal to 160/110 mm Hg | 10 |
What can be concluded from the data?
Correct!
Incorrect!
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