Canadian Entry To Practice Canadian Entry To Practice Medication Therapy Management 2

Question 1

Which validated tool is most commonly used to assess medication adherence in Canadian pharmacy practice?

Accepted Answer

Morisky Medication Adherence Scale (MMAS)

Answer

The Morisky Medication Adherence Scale (MMAS) is a validated self-report tool used in pharmacy practice to assess patient adherence to prescribed medications.

Question 2

A patient on lisinopril develops a persistent dry cough. What is the most appropriate pharmacist recommendation?

Accepted Answer

Suggest switching to an angiotensin receptor blocker (ARB) as an alternative

Answer

ACE inhibitor-induced cough is a class effect caused by bradykinin accumulation; switching to an ARB, which does not affect bradykinin, typically resolves the cough.

Question 3

When conducting a medication review for a patient with chronic kidney disease (CKD), what is the most critical pharmacokinetic parameter to evaluate?

Accepted Answer

Renal drug clearance and dose adjustment requirements

Answer

Renal clearance is critical in CKD because many drugs and their active metabolites accumulate when GFR is reduced, requiring dose adjustments to prevent toxicity.

Question 4

What does polypharmacy typically refer to in the context of geriatric Medication Therapy Management?

Accepted Answer

The concurrent use of five or more medications, often associated with increased adverse event risk

Answer

Polypharmacy is conventionally defined as the use of five or more medications simultaneously and is associated with increased risk of drug interactions, falls, and adverse events in older adults.

Question 5

A pharmacist notices a patient is picking up their blood pressure medication only every 45 days despite a 30-day supply. What is the correct interpretation?

Accepted Answer

The patient has a refill adherence rate of approximately 67%, indicating poor adherence

Answer

Refill adherence is calculated as (days supply dispensed / days elapsed) × 100; picking up a 30-day supply every 45 days yields approximately 67% adherence, which is below the recommended 80% threshold.