BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
What is the GAD7? - (ANSWER)Patient self rated screener for anxiety (doesn't measure tx response)
What are GAD7 cutoffs? - (ANSWER)5= mild
10= moderate
15= severe
What is the HAM A? - (ANSWER)Clinician rated anxiety scale
Measures tx response
What are HAM A cutoffs? - (ANSWER)Mild: 0-17
Mod: 18-24
Severe: 25-30
Remission: 70% imp
Improved: 50% imp
Partial: 25-49%
Starting dose of sertraline in elderly and children? - (ANSWER)12.5-25 mg
Starting dose of venlafaxine in children and elderly? - (ANSWER)37.5 mg
How should BZDs be discontinued? - (ANSWER)25% reduction per week until 50% of dose is reached,
then reduce by 1/8 every 4-7 days
Therapy > 8 weeks: 2-3 weeks
Therapy > 6 months: 4-8 weeks
Therapy > 1 year: slow taper over 2-4 months
What is the DI between omeprazole and diazepam? - (ANSWER)Omeprazole increases half life and
concentration of diazepam
,BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
Which SGAs can be used as augmenting agents in GAD? - (ANSWER)Olanzapine, quetiapine, risperidone.
Quetiapine XR can be used as early as 2nd line
What are first line treatments for panic disorder - (ANSWER)CBT: evidence does NOT show superiority of
pharm over non-pharm
SSRI
Venlafaxine
BZD
Clomipramine, imipramine
2nd line: mirtazepine
Can consider sga augmentation or MAOI after failure of ssri, Snri, and tca
What are first line treatments for ptsd - (ANSWER)Trauma focused psychotherapy: exposure based,
emdr, anxiety management or cbt. Emphasized in recent guidelines.
SSRI: paroxetine, sertraline and fluoxetine have strong evidence
Venlafaxine
Consider alternative agents or augmentation after 3 failed trials: Tcas, mirtazepine, phenelzine, AEDs
NO BZDs or SGAs
What is the YBOCS? - (ANSWER)Yale-Brown Obsessive-Compulsive scale
Clinician rated
Used for diagnosis and to assess response
How is the YBOCS interpreted? - (ANSWER)0-7 sub clinical
8-15 mild
16-23 moderate
24-31 severe
,BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
32-40 very severe
Response: 25%
Remission: score <8
What are first line treatments for OCD? - (ANSWER)CBT or SSRI. CBT + pharmacotherapy not better than
CBT alone, but is better than pharmacotherapy alone.
2nd line: venlafaxine XR, clomipramine, mirtazepine. Clomipramine may be more effective, but less
tolerated.
Adjunctive: aripiprazole, risperidone *esp in pts with tics!
How should SSRIs be dosed in OCD? - (ANSWER)Dose higher than usual
At least 12 weeks needed for response
How long to continue pharmacotherapy in OCD? - (ANSWER)1-2 years. Life long after 2-4 relapses.
How are SGAs used in OCD? - (ANSWER)Augmentation, hapiperidol or aripiprazole or risperidone, after
failing 2 antidepressants.
Clomipramine monitoring parameters and AES? - (ANSWER)Cardiotoxic in overdose
Epilepsy- inc risk of seizures
Caution in hepatic and rental impairment
Which natural product may benefit OCD? - (ANSWER)D- cycloserine
What is the difference between interval and ratio data? - (ANSWER)Ratio has absolute 0 (values make a
true ratio when divided)
What are the 2 types of continuous data? - (ANSWER)Interval and ratio
, BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
How is SD calculated? - (ANSWER)Square root of variance
SD percents? - (ANSWER)68% lie within 1 SD
95% lie within 2 SD
99.7% lie within 3 SD
How is SEM calculated? - (ANSWER)SD/SQRTn
What is the difference between cohort and case-control studies? - (ANSWER)Cohort sorts based on
exposure and looks forward in time for outcomes.
Case-control classifies based on outcome and looks back in time for exposure.
Blocked random allocation - (ANSWER)Used to ensure that at any given point in time, the groups will be
similar or equal in size. I.e. ABBA, BAAB, ABAB
cluster randomization - (ANSWER)groups of patients are randomized rather than the individual patients,
I.e. entire hospitals or clinics are randomized to an intervention
Stratified randomization - (ANSWER)individuals are grouped into strata (I.e. gender) and then
randomized to one treatment group
What is the kappa statistic and what score is satisfactory.? - (ANSWER)quantitative measure of inter-
rater reliability (inter-rater concordance). -1 is perfect disagreement, +1 is perfect disagreement.
Kappa >.7 is satisfactory.
Allocation bias - (ANSWER)Occurs when subjects or investigators can choose which treatment group
they would like. Results in groups with different characteristics
What is the GAD7? - (ANSWER)Patient self rated screener for anxiety (doesn't measure tx response)
What are GAD7 cutoffs? - (ANSWER)5= mild
10= moderate
15= severe
What is the HAM A? - (ANSWER)Clinician rated anxiety scale
Measures tx response
What are HAM A cutoffs? - (ANSWER)Mild: 0-17
Mod: 18-24
Severe: 25-30
Remission: 70% imp
Improved: 50% imp
Partial: 25-49%
Starting dose of sertraline in elderly and children? - (ANSWER)12.5-25 mg
Starting dose of venlafaxine in children and elderly? - (ANSWER)37.5 mg
How should BZDs be discontinued? - (ANSWER)25% reduction per week until 50% of dose is reached,
then reduce by 1/8 every 4-7 days
Therapy > 8 weeks: 2-3 weeks
Therapy > 6 months: 4-8 weeks
Therapy > 1 year: slow taper over 2-4 months
What is the DI between omeprazole and diazepam? - (ANSWER)Omeprazole increases half life and
concentration of diazepam
,BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
Which SGAs can be used as augmenting agents in GAD? - (ANSWER)Olanzapine, quetiapine, risperidone.
Quetiapine XR can be used as early as 2nd line
What are first line treatments for panic disorder - (ANSWER)CBT: evidence does NOT show superiority of
pharm over non-pharm
SSRI
Venlafaxine
BZD
Clomipramine, imipramine
2nd line: mirtazepine
Can consider sga augmentation or MAOI after failure of ssri, Snri, and tca
What are first line treatments for ptsd - (ANSWER)Trauma focused psychotherapy: exposure based,
emdr, anxiety management or cbt. Emphasized in recent guidelines.
SSRI: paroxetine, sertraline and fluoxetine have strong evidence
Venlafaxine
Consider alternative agents or augmentation after 3 failed trials: Tcas, mirtazepine, phenelzine, AEDs
NO BZDs or SGAs
What is the YBOCS? - (ANSWER)Yale-Brown Obsessive-Compulsive scale
Clinician rated
Used for diagnosis and to assess response
How is the YBOCS interpreted? - (ANSWER)0-7 sub clinical
8-15 mild
16-23 moderate
24-31 severe
,BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
32-40 very severe
Response: 25%
Remission: score <8
What are first line treatments for OCD? - (ANSWER)CBT or SSRI. CBT + pharmacotherapy not better than
CBT alone, but is better than pharmacotherapy alone.
2nd line: venlafaxine XR, clomipramine, mirtazepine. Clomipramine may be more effective, but less
tolerated.
Adjunctive: aripiprazole, risperidone *esp in pts with tics!
How should SSRIs be dosed in OCD? - (ANSWER)Dose higher than usual
At least 12 weeks needed for response
How long to continue pharmacotherapy in OCD? - (ANSWER)1-2 years. Life long after 2-4 relapses.
How are SGAs used in OCD? - (ANSWER)Augmentation, hapiperidol or aripiprazole or risperidone, after
failing 2 antidepressants.
Clomipramine monitoring parameters and AES? - (ANSWER)Cardiotoxic in overdose
Epilepsy- inc risk of seizures
Caution in hepatic and rental impairment
Which natural product may benefit OCD? - (ANSWER)D- cycloserine
What is the difference between interval and ratio data? - (ANSWER)Ratio has absolute 0 (values make a
true ratio when divided)
What are the 2 types of continuous data? - (ANSWER)Interval and ratio
, BCPP EXAM 2025/2026 WITH 100% ACCURATE ANSWERS
How is SD calculated? - (ANSWER)Square root of variance
SD percents? - (ANSWER)68% lie within 1 SD
95% lie within 2 SD
99.7% lie within 3 SD
How is SEM calculated? - (ANSWER)SD/SQRTn
What is the difference between cohort and case-control studies? - (ANSWER)Cohort sorts based on
exposure and looks forward in time for outcomes.
Case-control classifies based on outcome and looks back in time for exposure.
Blocked random allocation - (ANSWER)Used to ensure that at any given point in time, the groups will be
similar or equal in size. I.e. ABBA, BAAB, ABAB
cluster randomization - (ANSWER)groups of patients are randomized rather than the individual patients,
I.e. entire hospitals or clinics are randomized to an intervention
Stratified randomization - (ANSWER)individuals are grouped into strata (I.e. gender) and then
randomized to one treatment group
What is the kappa statistic and what score is satisfactory.? - (ANSWER)quantitative measure of inter-
rater reliability (inter-rater concordance). -1 is perfect disagreement, +1 is perfect disagreement.
Kappa >.7 is satisfactory.
Allocation bias - (ANSWER)Occurs when subjects or investigators can choose which treatment group
they would like. Results in groups with different characteristics
