Ambulatory Care Test Medication Management and Reconciliation 3

Question 1

Which is the recommended method for patients to safely dispose of unused or expired medications at home?

Accepted Answer

Use an authorized drug take-back program or DEA-registered collection site

Answer

Flush all medications down the toilet

Answer

Place medications in the recycling bin in their original containers

Answer

Dissolve all medications in water and pour down the drain

Question 2

A patient on warfarin reports eating large amounts of leafy green vegetables daily. What effect does this have on warfarin therapy?

Accepted Answer

Decreases the INR by increasing vitamin K, reducing warfarin effectiveness

Answer

Increases the INR and raises bleeding risk

Answer

Has no clinically significant effect on warfarin

Answer

Increases warfarin absorption from the GI tract

Question 3

Which strategy has the STRONGEST evidence for improving medication adherence in ambulatory care patients with chronic disease?

Accepted Answer

Simplified dosing regimens combined with patient education and follow-up

Answer

Providing written medication lists at every visit

Answer

Requiring patients to sign medication adherence contracts

Answer

Prescribing only once-monthly medications regardless of condition

Question 4

Which class of medications is specifically monitored using the Beers Criteria in elderly ambulatory care patients?

Accepted Answer

Medications considered potentially inappropriate for older adults due to increased risk of harm

Answer

Medications that require refrigeration

Answer

Medications approved only for pediatric use

Answer

Medications that interact with grapefruit juice

Question 5

A patient is prescribed methotrexate for rheumatoid arthritis in the ambulatory setting. Which monitoring parameter is MOST critical for this medication?

Accepted Answer

Liver function tests and complete blood count

Answer

Blood glucose levels

Answer

Thyroid function tests

Answer

Serum calcium levels

Question 6

What is the significance of a narrow therapeutic index (NTI) medication in ambulatory care management?

Accepted Answer

Small differences in dose or blood level can lead to therapeutic failure or serious toxicity

Answer

NTI medications are available only by mail-order pharmacy

Answer

NTI medications are always generic and less expensive

Answer

NTI medications do not require patient education

Question 7

Which of the following is the MOST common barrier to medication adherence identified among ambulatory care patients in the US?

Accepted Answer

Medication cost and lack of insurance coverage

Answer

Inability to obtain prescriptions from a pharmacy

Answer

Dislike of swallowing tablets

Answer

Prescriptions being written illegibly