Patient Assessment and Evaluation Flashcards
7 cards from real APC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Evaluation flashcards as text
A pharmacist is performing a medicines review for an elderly patient on 8 medications. Which tool is specifically designed to screen for potentially inappropriate prescribing in older adults?
Answer: Beers Criteria
The Beers Criteria is an evidence-based tool specifically developed to identify medications that are potentially inappropriate in adults aged 65 and older.
A patient presents complaining of heartburn. Which symptom would prompt the pharmacist to refer rather than recommend OTC treatment?
Answer: Dysphagia and unintentional weight loss over two months
Dysphagia combined with unintentional weight loss are alarm symptoms ('red flags') that may indicate esophageal malignancy requiring urgent medical investigation.
When assessing medication adherence, which validated tool is most commonly used in pharmacy practice?
Answer: Morisky Medication Adherence Scale (MMAS-8)
The Morisky Medication Adherence Scale (MMAS-8) is a validated, widely used self-report tool for assessing patient adherence to prescribed medications.
A mother brings in her 4-year-old who has had a fever of 39°C for 36 hours. Which additional finding would most warrant immediate referral to an emergency department?
Answer: Neck stiffness and photophobia
Neck stiffness and photophobia in a febrile child are classic signs of meningitis, a life-threatening emergency requiring immediate referral.
During a cardiovascular risk assessment, a pharmacist measures a patient's blood pressure as 158/96 mmHg on two occasions. According to Australian guidelines, this reading is classified as:
Answer: Grade 1 (mild) hypertension
A blood pressure of 158/96 mmHg meets the threshold for Grade 1 (mild) hypertension as defined by Australian cardiovascular guidelines (≥140/90 mmHg).
A patient on methotrexate for rheumatoid arthritis presents with mouth ulcers, fatigue, and easy bruising. Which assessment is most urgently required?
Answer: Request a full blood count to assess for bone marrow suppression
The symptoms suggest methotrexate toxicity causing bone marrow suppression; an urgent FBC is required to assess for pancytopenia.
Which component of the Pharmaceutical Care Process comes immediately AFTER patient assessment?
Answer: Identifying the patient's drug therapy problems
In the Pharmaceutical Care Process, identifying drug therapy problems (DTPs) follows patient assessment and precedes the development of a care plan.