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

MTM aims to optimize patient therapeutic outcomes by identifying, preventing, and resolving medication-related problems through collaborative care.

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

A Personal Medication Record (PMR) documents all medications a patient takes and is a foundational tool in Medication Therapy Management.

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 induces CYP2C9 and P-glycoprotein, significantly reducing warfarin plasma levels and increasing the risk of thromboembolic events.

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

Therapeutic duplication occurs when a patient is prescribed two or more medications from the same pharmacological class without clinical justification.

Question 5

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

Accepted Answer

Identifying potentially inappropriate prescribing in older adults

Answer

STOPP (Screening Tool of Older Person's Prescriptions) identifies potentially inappropriate medications commonly prescribed to older adults that may cause harm.