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| Section | Weight | Objectives |
|---|---|---|
| Pharmacotherapy | 62% | |
| Medication Therapy Management Foundations | 13% | - Definition and Practice Translation |
| Patient Care Advocacy | 13% | |
| Fundamentals of Pharmacogenomics | 5% | |
| Documentation and Billing | 7% |
1. A patient presents with stage 1 hypertension. Diabetes, and an atherosclerotic cardiovascular disease 10-year risk score of 7%. Current guidelines indicate that which medication wouldbe the MOST appropriate first-line therapy for the patient?
A) Amiodipine
B) Irbesartan
C) Hydrochlorothiazide
D) Atenolol
2. A pharmacist is completing a comprehensive medication review for a new patient wno has started menopause at the MTM clinic. The patient asks for a recommendation because sne is suffering from vaginal dryness.
Cuming, and irritation, and over-the-counter vaginal moisturizers have not relieved the issues Which recommendation would be MOST appropriate for the patient?
A) Conjugated estrogen 0.625mg PO daily and progesterone 200mg PO QHS for A weeks
B) Progesterone 200mg PO QHS for A weeks
C) Conjugated estrogen 0.625mg PO dally indefinitely
D) Estrogen vaginal cream 0 5g vaginally for 2 weeks, then reassess
3. A patient suffering from jpain decides to self-treat with over-the-counter ibuprofen. leading to fluctuating bloodpressure At the next appointment with the PCP. the patient is treated with HCTZ. which causes increasedurinary frequency, leading to a urologist visit Misdiagnosis leads the patient to receive oxybutynin, which causes urinary retention treated with terazosin The terazosin causes orthostatic hypotension, leading to a fail that results in a fracture.
The above example reflects which aspect of prescribing iatrogenesis?
A) Polypharmacy
B) Prescribing cascade
C) Gaps in care coordination
D) Gaps in care
4. A pharmacist who practices as an independent MTM contractor wants to conduct an MTM review witha 74- year-oid patient, me patient is in a nursing none and is hard of hearing with mild dementia.The patient does not have a power of attorney on tile or details or family members on file Which or me following outreach techniques; would be the BEST way to conduct the review and reduce the chances or MTM outcome failures?
A) At their local pharmacy
B) Patients representative
C) Via phone
D) Face-to-face
5. A well-Known patient at the MTM clinic has been recently diagnosed with Parkinson's disease, andthe patient's current medication listnow includes:
* carbidopa/;levodopa 25mg/100mg t.i.d
* ropinirole 0.25mg LLd.
- rerrous suirate 325mg daily
* lisinopril 10mg daily
Based on this medication list, which counseling point would be most appropriate for me patient?
A) Blood pressure should be monitored closely due to risk of hypertension with ropinirole.
B) Ferrous sulfate should he separated from carbidopa/levodopa doses by at least 2 hours
C) A diet highin proteinwin enhance the effectiveness of carbidopa/levodopa
D) Loperamide should be used to treat diarrhea caused by carbidopa/levodopa
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: A |
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