10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The BCG exam has 150 questions and runs 4 hours.
These 10 free BCG questions are organized by exam domain, so you can see how each part of the Board Certification in Gerontology blueprint is tested. Reveal the answer and explanation under each question.
A nursing home resident who has been consistently alert and oriented becomes withdrawn, drowsy, and difficult to engage over 48 hours. She answers questions slowly and loses track mid-sentence, but she is not agitated or restless. Which statement about this presentation is MOST accurate?
Correct answer: A - It is the delirium subtype most often missed and carries worse outcomes
A client presents with cognition that fluctuates markedly from hour to hour, recurrent well-formed visual hallucinations, mild parkinsonism, and a spouse's report that he physically acts out his dreams. Which additional consideration is MOST critical for the team to recognize?
Correct answer: D - Antipsychotic medications may provoke a severe adverse reaction
An 82-year-old with moderate Alzheimer's disease dresses independently when her clothing is laid out in the order it goes on and one-step verbal cues are given. She does not notice that her cardigan is inside out, and she cannot describe how she would manage if the clothing were not set out for her. This performance is MOST consistent with which Allen Cognitive Level?
Correct answer: B - Level 4, because she uses visible cues but does not detect errors
A 79-year-old community-dwelling client scores 52 out of 56 on the Berg Balance Scale and 45% on the Activities-specific Balance Confidence (ABC) Scale. She has stopped grocery shopping and attending church because she is afraid of falling. Which finding should MOST directly shape her intervention plan?
Correct answer: D - Her balance confidence, rather than her balance ability, is restricting participation
A community-dwelling 76-year-old scores 100 out of 100 on the Barthel Index. Her daughter reports that she has missed medication doses, overdrawn her checking account twice, and stopped cooking. The Barthel result MOST likely reflects:
Correct answer: B - A ceiling effect that makes the measure insensitive to her difficulties
A resident with moderate dementia grimaces and pulls away during morning dressing. She is able to answer simple yes/no questions reliably and consistently. What is the MOST appropriate FIRST step in assessing her pain?
Correct answer: C - Ask her directly whether she has pain, using simple yes/no questions
A client with advanced Parkinson's disease is not expected to improve, but without skilled intervention his transfer technique deteriorates and his caregiver cannot safely assist him. Under Medicare, occupational therapy provided to maintain his current transfer status is:
Correct answer: C - Covered when the skills of a therapist are required to carry out the program
An occupational therapist is teaching a client with moderate Alzheimer's disease to use a new tub transfer bench. The client's explicit memory is significantly impaired, but her procedural memory is relatively preserved. Which teaching approach is MOST appropriate?
Correct answer: A - Errorless learning, so that errors are prevented during acquisition
Which falls-prevention intervention has the strongest evidence when it is delivered by an occupational therapist to older adults at high risk of falling?
Correct answer: B - Home hazard assessment with individualized environmental modification
An occupational therapist provides 30 minutes of one-on-one therapeutic activities, a timed code, to a Medicare Part B outpatient during a single visit. No other timed services are billed that day. How many units may be billed under the 8-minute rule?
Correct answer: B - 2 units
The full bank has 1,020 more BCG questions with explanations.
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