BCOP Practice Exam

Board Certified Oncology Pharmacist Mock Test

đź“ť Quiz Guide:

  • Questions: 30 Clinical Case Questions.
  • Time Limit: 45 Minutes (1.5 mins per question).
  • Passing Score: 70% (21 correct answers).
  • Content: Therapeutics, Supportive Care, USP 800, Biostats.
  • PDF: Download the full Q&A PDF after completing the quiz.
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BCOP Exam Guide & Details

Board Certified Oncology Pharmacist (BPS)

What is the BCOP? The Board Certified Oncology Pharmacist (BCOP) credential validates advanced knowledge in oncology therapeutics, hematology, chemotherapy, supportive care, and the pharmaceutical management of cancer patients.

1. BCOP Exam Format

Total Questions175 (150 scored + 25 unscored pretest)
Duration4 Hours
ModeComputer-based at Pearson VUE
Exam WindowsTwice per year (Spring & Fall)
ScoringScaled 200–800 (Passing Score ~500)

2. Eligibility Requirements

To sit for the exam, you must have a current, unrestricted pharmacist license and meet ONE of the following pathways:

Pathway A (Residency)

  • PharmD Degree
  • PGY-1 Residency AND
  • PGY-2 Oncology Residency (ASHP-accredited)

Pathway B (Experience)

  • PharmD or BPharm degree
  • 4 Years of post-licensure practice experience with at least 50% of time spent in oncology pharmacy activities.

3. BCOP Content Outline (Syllabus)

Domain 1: Cancer Treatment & Therapeutics (45–55%)

This is the largest domain. You must master pathophysiology, guidelines, and pharmacotherapy for:

Major Solid Tumors
  • Breast, Lung (NSCLC/SCLC)
  • Colorectal, Prostate
  • Ovarian, Endometrial
  • Melanoma, Renal Cell
Hematologic Malignancies
  • Leukemias (AML, ALL, CML, CLL)
  • Lymphomas (Hodgkin, NHL)
  • Multiple Myeloma
  • MDS & MPNs
Investigational Therapies
  • CAR T-cell therapies
  • Monoclonal antibodies
  • Targeted therapies (TKIs)
  • Checkpoint inhibitors
Special Populations
  • Pediatrics & Geriatrics
  • Pregnancy
  • Renal/Hepatic dosing
  • Pharmacogenomics

Domain 2: Complications & Supportive Care (25–35%)

Chemo Toxicities
  • Myelosuppression
  • GI Toxicity (CINV, Mucositis)
  • Cardio/Nephro/Neurotoxicity
  • Infusion reactions
Supportive Care
  • Growth Factors (G-CSF)
  • Anti-emetics
  • Pain & Palliative Care
  • Infection Prevention
  • Oncologic Emergencies (TLS)

Domain 3: Practice Management (10–20%)

  • Hazardous Drugs: USP <800>, Spill management, PPE, CSTDs.
  • Compounding: Sterile standards (USP <797>), Stability, Compatibility.
  • Safety Systems: Verification, Order sets, Tech-check-tech.
  • Regulations: OSHA, NIOSH, REMS, Accreditation.

Domain 4: Research & Public Health (10–15%)

  • Clinical Trials: Phases I-IV, Study design, Endpoints.
  • Biostatistics: Hazard ratios, Kaplan-Meier, Survival analysis.
  • Public Health: Screening, Survivorship, Smoking cessation.

4. High-Yield Knowledge Areas

  • Mechanisms: TKIs, mTOR, Checkpoint inhibitors
  • Calculations: Calvert Formula (Carboplatin), BSA dosing
  • Genetics: EGFR, HER2, BRCA, BRAF, ALK
  • Safety: USP <800> Hazardous Drug Handling
  • Emergencies: Tumor Lysis Syndrome, Hypercalcemia
  • Stats: Hazard Ratios & Confidence Intervals

5. Exam Fees

Application Fee$100
Exam Fee$600
Renewal$400 (every 7 years) + CE