OPRA Exam Topics

Exam format and contents

Therapeutics & Patient Care

Therapeutics & Patient Care (45%)

  • Clinical decision‑making using real case scenarios

  • Medication management & safety

  • Drug interactions, adverse effects, contraindications

  • Patient‑focused care principles

A close-up of a pharmacist reviewing colorful medication charts on a tablet.
A close-up of a pharmacist reviewing colorful medication charts on a tablet.
Biomedical Sciences

Biomedical Sciences (20%)

  • Physiological processes & body systems

  • Pathophysiology of diseases

  • Microbiology and immunology basics relevant to pharmacy practice

  • Drug actions on biological systems

  • Mechanisms of action and adverse reactions

  • Therapeutic uses and toxicology principles

Pharmacology & Toxicology (15%)

A student practicing patient counseling with a virtual pharmacy exam module on a laptop.
A student practicing patient counseling with a virtual pharmacy exam module on a laptop.
An open textbook with highlighted notes on pharmaceutical calculations and dosage forms.
An open textbook with highlighted notes on pharmaceutical calculations and dosage forms.

Pharmacokinetics & Pharmacodynamics (10%)

  • Absorption, distribution, metabolism, excretion (ADME)

  • Drug concentration–effect relationships

  • Factors affecting drug action and dosing

Medicinal Chemistry & Biopharmaceutics (10%)
  • Physicochemical drug properties

  • Drug formulations and stability

  • Factors influencing drug delivery and bioavailability

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