Canadian Entry To Practice Canadian Entry To Practice Medication Therapy Management

Question 1

What is the primary goal of Medication Therapy Management (MTM) services in community pharmacy practice?

Accepted Answer

To optimize therapeutic outcomes and minimize medication-related problems

Answer

To increase the number of prescriptions dispensed

Answer

To reduce the cost of medications for insurers only

Answer

To promote brand-name drug use

Question 2

Which document provides a comprehensive list of all medications a patient is taking, including prescriptions, OTCs, and natural health products?

Accepted Answer

Personal Medication Record (PMR)

Answer

Drug Utilization Review report

Answer

Medication Administration Record

Answer

Adverse Drug Reaction report

Question 3

A patient is taking warfarin and begins taking St. John's Wort for depression. What is the primary pharmacotherapy concern?

Accepted Answer

St. John's Wort is a CYP450 inducer that decreases warfarin levels, raising clot risk

Answer

St. John's Wort increases warfarin levels, raising bleeding risk

Answer

There is no significant interaction between these agents

Answer

St. John's Wort causes warfarin to be excreted faster via the kidneys

Question 4

During a comprehensive medication review, a pharmacist identifies that a patient is taking two medications from the same drug class. This is categorized as which type of medication-related problem?

Accepted Answer

Therapeutic duplication

Answer

Adverse drug reaction

Answer

Non-adherence

Answer

Inappropriate indication

Question 5

What is the STOPP criteria used for in Medication Therapy Management?

Accepted Answer

Identifying potentially inappropriate prescribing in older adults

Answer

Screening for appropriate antibiotic use in pediatrics

Answer

Evaluating adherence to chronic disease guidelines

Answer

Assessing renal dose adjustment requirements

Question 6

A patient with type 2 diabetes has an HbA1c of 9.2% despite being on metformin 1000 mg twice daily. What is the most appropriate MTM action?

Accepted Answer

Recommend intensification of therapy by adding another antidiabetic agent

Answer

Discontinue metformin and switch to diet only

Answer

Advise the patient to reduce carbohydrate intake without medication change

Answer

Refer directly to the emergency department