CCP Chronic Disease Management & Care Coordination 3

Question 1

A patient with COPD reports using their rescue inhaler more than twice per week. According to GINA/GOLD guidelines, this finding indicates:

Accepted Answer

Poorly controlled disease requiring step-up therapy review

Answer

Rescue inhaler use more than twice per week is a recognized marker of poorly controlled COPD/asthma that triggers a therapy reassessment per GOLD guidelines.

Question 2

Which population health tool BEST helps care coordinators identify high-risk patients who may need proactive outreach?

Accepted Answer

Risk stratification algorithms using claims and clinical data

Answer

Risk stratification algorithms analyze claims, clinical, and social determinants data to identify high-risk patients before crisis events occur.

Question 3

When a care coordinator facilitates a transition from hospital to skilled nursing facility (SNF), which document is MOST critical to send at the time of transfer?

Accepted Answer

Comprehensive medication reconciliation list

Answer

A comprehensive, reconciled medication list at transfer prevents medication errors, which are the leading cause of adverse events during care transitions.

Question 4

The PDSA cycle used in chronic care quality improvement stands for:

Accepted Answer

Plan, Do, Study, Act

Answer

The Plan-Do-Study-Act (PDSA) cycle is the standard rapid-cycle improvement methodology used in healthcare quality improvement initiatives.

Question 5

A patient with type 2 diabetes also has stage 3 chronic kidney disease (CKD). Which medication commonly used in diabetes management requires dose adjustment or avoidance in this patient?

Accepted Answer

Metformin

Answer

Metformin is contraindicated or requires dose reduction in CKD stage 3b and beyond due to risk of lactic acidosis from impaired renal clearance.

(CCP) Chronic Care Professional Certification Practice Test

(CCP) Chronic Care Professional Certification Practice Test

CCP Chronic Disease Management & Care Coordination 3