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BCGP/CCGP 2017

Discussion in 'Pharmacy' started by Paxil_Rose, Sep 10, 2017.

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  1. Paxil_Rose

    Paxil_Rose

    10
    0
    Feb 18, 2017
    Has anyone taken the geriatric certification recently? Or found a good resource to use for this test? I keep reading the ASCP is not very helpful.
     
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  3. CUninja

    CUninja Riding Thru Your Backyard 7+ Year Member

    228
    11
    Dec 23, 2009
    Somewhere cold
    Air Force
    I have, but the deadline for the current test was 15 Sep. Who knows what will be on the new test in 2018.
    There is a detailed outline on their website of where their questions come from...start there.
     
  4. Paxil_Rose

    Paxil_Rose

    10
    0
    Feb 18, 2017
    Yea I'm taking the test during this last testing window. Would you agree there's a lot of stats questions?


    Sent from my iPhone using SDN mobile
     
  5. cgpnotes

    cgpnotes

    5
    0
    Oct 9, 2017
    Hi all,
    We have cople candidates taking CGP exam Oct/Nov. I am also taking during this window.

    While we have many questions about the the study material, I am using my PharmD notes, ASCP bootcamp exam material and Med 101 material. I took exam in May and failed for 5 points. While I think clinical side is fine but regulation related questions were tough for me as I have hospital experience and missed on some of the regulatory part.
    Do we have any candidate working in geriatric setting? like Nursing home, LTC ?

    If anyone interested we can discuss material/doubts and study together.
    Thanks,
    cgpnotes :)
     
  6. CUninja

    CUninja Riding Thru Your Backyard 7+ Year Member

    228
    11
    Dec 23, 2009
    Somewhere cold
    Air Force
    No
     
  7. hopefullyhelpfulRph

    hopefullyhelpfulRph

    6
    2
    Oct 24, 2017
    MDApps:
    I am taking the exam in NOV. I subscribed to MEDED 101 material too but he talks so slow. I took the Geriatric Intensive at UCLA in Sept and was a LTC pharmacist. I am open to studying with others.
     
    DrZRx likes this.
  8. DrZRx

    DrZRx PharmD 7+ Year Member

    26
    0
    Nov 11, 2007
    Florida

    i work in the geriatric setting. i work outpatient with home based geriatric patients / primary care. and also cover for our long term / nursing home/ hospice , rehab and respite patients.
    maybe we can all study together? i'm taking the test nov. 10th and finding it very hard to study with a toddler and a newborn :(
     
  9. DrZRx

    DrZRx PharmD 7+ Year Member

    26
    0
    Nov 11, 2007
    Florida
    also taking in november, i'd be open to studying together.
    i haven't really subscribed to study material other than what the VA provides through BCPS material lectures.
    i looked into MED ED but wasn't sure if anyone has found that helpful. sounds like ASCP is too comprehensive. ASHP has a practice test for $50 which i'm considering as i'm getting more nervous lol.
     
  10. DrZRx

    DrZRx PharmD 7+ Year Member

    26
    0
    Nov 11, 2007
    Florida
    did you find the outline accurate of the breakdown? is it a computer adapted test? (continue getting harder questions on the same topic if you answer correct)
     
  11. cgpnotes

    cgpnotes

    5
    0
    Oct 9, 2017
    Hi ,

    First of all congratulations on new baby!

    I am also taking the test on 10th Nov. So yes v can study together. Not too much time though. I am in NJ and taking NJ Consulting Pharmacist exam on 3rd Nov. so bit tough. Guess it shouldn't be that hard for you if you are practicing in same area. NH, respite,LTC etc.

    No this exam doesn't ask as many CMS related questions. What I meant was advanced directives, different scenarios in which you can reach healthcare professionals/ government agencies etc

    what should be the plan if we want to study together? I am doing high priority areas from guideline.

    good luck!
     
  12. CUninja

    CUninja Riding Thru Your Backyard 7+ Year Member

    228
    11
    Dec 23, 2009
    Somewhere cold
    Air Force
    No it is not computer adaptive.
     
  13. DrZRx

    DrZRx PharmD 7+ Year Member

    26
    0
    Nov 11, 2007
    Florida
    wanted advice/clarification on 2 questions i've come across that i don't understand the answer:

    1. Screening tools used in assessing emotional disturbances in the elderly include

    a. MMSE

    b. GDS

    c. BDI

    d. Clock Drawing Test

    e. SLUM

    I thought the answer was GDS - geriatric depression scale, because that is what we use. but the BDI - beck depression inventory was the correct answer. can anyone provide clarification?
    -----------------------------------------------------
    Common clinical manifestations of Iron-deficiency anemia (IDA) include all except
    Select one:
    a. Depression
    b. Ankle edema
    c. Bradycardia [​IMG]
    d. Breathlessness
    e. Fatigue, weakness

    i know IDA can cause tachycardia but doesn't it also cause shortness of breath. therefore, breathlessness should be correct?
     
  14. cgpnotes

    cgpnotes

    5
    0
    Oct 9, 2017

    Don’t know about BDI.

    God how many tests they come up with. They should mention which kind of set up test is used —Clinical versus research etc.

    2nd ques What is the correct answer? Bradycardia? I guess that’s correct because all other r s&s of ida. The question asks “ all except” .
     
  15. DrZRx

    DrZRx PharmD 7+ Year Member

    26
    0
    Nov 11, 2007
    Florida
    some more questions i'd love clarification on :

    14. The change in total body composition related to aging results in which of the following:

    A. decreased elimination of renally cleared medications - is there more than one correct answer? i wasn't sure why a was incorrect, but i likely read it wrong?

    B. decreased metabolism of hepatically cleared medications

    C. increased volume of distribution of lipid-soluble medications

    D. increased volume of distribution of water-soluble medication

    29. 81 YO female presented 2 weeks ago with a painful vesicular rash along a dermatome, which was subsequently diagnosed as herpes zoster. Her creatinine clearance is 32 mL/min. Despite the rash clearing, severe pain and tenderness persist along the dermatome. The patient states that the pain is seriously affecting her overall quality of life. Which is the best choice for this patient now?

    A. acyclovir 800 mg 5 times daily for 2 weeks, then assess effect

    B. pregabalin 75 mg BID, and titrate up to desired effect and tolerability

    C. pregabalin, 25 mg TID, and titrate up to desired effect and tolerability

    D. oxycodone 5/acetaminophen 325 mg, 2 tabs PO q4h prn (max of 12/day) - i chose this b/c a similar question on the ASHP exam said to use opioid acute due to severe pain and quick duration of action whereas gabapentin/pregabalin would take a few days to weeks to relieve pain.

    49. A diabetic nursing home patient has been treated with Humulin N. During a drug review, the following lab data are obtained:

    FBG on 1/31 = 105 mg/dL (5.8 mmol/L)
    FBG on 2/28 = 115 mg/dL (6.4 mmol/L
    FBG on 3/31 = 95 mg/dL (5.3 mmol/L)
    What can be said about this patient’s control of their diabetes over the past 3 months?

    A. His diabetes is well controlled.

    B. His diabetes is poorly controlled with frequent hyperglycemia.

    C. His diabetes is poorly controlled with frequent hypoglycemia.

    D. Not enough information is given to make a conclusion.- i would probably want an A1c and would want FBG to be higher if they are in a NH (medically complex).



    A 75 YO male presents with complaints of difficulty initiating urination and an unsteady stream. He reports waking up 2 to 3 times per night to urinate. The MD determines he has a smooth, but enlarged prostate. His PMH is significant for HTN treated with verapamil. Which is the most appropriate treatment?


    A. Begin finasteride.

    B. Begin diethylstilbestrol.

    C. Begin leuprolide and flutamide.- wouldn't this be for active prostate CA?

    D. Discontinue verapamil, and initiate Flomax
    70. A local nursing home completes a drug-utilization review of antipsychotics. The results are as follows:

    Jan Mar June

    Number of patients receiving an antipsychotic 75 70 80

    Number of patients experiencing EPS 25 25 30

    Number of patients receiving an antipsychotic 50 50 60

    AND an anticholinergic agent



    Which of the following is a true statement regarding this nursing home?

    A. Antipsychotics are being overprescribed.

    B. Anticholinergics are being overprescribed.

    C. Anticholinergics are being under prescribed.

    D. Anticholinergics and antipsychotics are prescribed appropriately.



    96. An 83 YO woman has previously been diagnosed with pernicious anemia. Today, her Schilling test returns abnormal, with Vitamin B12 <200 pg/mL, elevated methylmalonic acid, and elevated homocysteine. Which is the most appropriate for this patient?

    A. cyanocobalamin 100 mcg IM monthly

    B. cyanocobalamin 1000 mcg IM monthly - we've done weekly then monthly (d/t practical reasons with administration)

    C. cyanocobalamin 1000 mcg IM daily for 1 week, then monthly - i didn't think injections would be practical to be done daily. are there alternative correct answers?

    D. cyanocobalamin 100 mcg IM daily for 1 month, then weekly
     
  16. ilglnos

    ilglnos 2+ Year Member

    1
    0
    Apr 3, 2013

    Hi, I am just wondering about the time frame of the results. Do you by any chance know when we'll get the answer ? Good luck !!!
     
  17. cgpnotes

    cgpnotes

    5
    0
    Oct 9, 2017
    Now that the testing window is closed, It should be in a week or two.

    Good luck...
     

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