Canadian Entry To Practice Medication Therapy Management Flashcards

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

Answer: Morisky Medication Adherence Scale (MMAS)

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

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

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

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.

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

Answer: Renal drug clearance and dose adjustment requirements

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

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

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

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.

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?

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

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.

Which outcome measure is most appropriate for monitoring the effectiveness of antihypertensive therapy in a patient with hypertension?

Answer: Blood pressure readings at target versus goal

Blood pressure measurements compared to individualized target values are the primary clinical outcome measure for monitoring antihypertensive therapy effectiveness.