CCP Consultant Pharmacist Professional Roles 2

Question 1

A consultant pharmacist conducting a medication regimen review in a nursing facility identifies a patient on 11 chronic medications. What term best describes this patient's situation?

Accepted Answer

Polypharmacy

Answer

Polypharmacy is defined as the concurrent use of multiple medications (commonly 5 or more), which is a primary target for consultant pharmacist intervention.

Question 2

Which federal regulation specifically requires that long-term care facilities provide residents with pharmaceutical services including drug regimen review?

Accepted Answer

OBRA 87 (Omnibus Budget Reconciliation Act of 1987)

Answer

OBRA 87 mandated monthly drug regimen reviews by a licensed pharmacist in Medicare/Medicaid-certified nursing facilities, establishing the consultant pharmacist role.

Question 3

A consultant pharmacist recommending discontinuation of a long-term benzodiazepine in an elderly patient should suggest what primary tapering strategy?

Accepted Answer

Gradual dose reduction over weeks to months

Answer

Gradual tapering over weeks to months minimizes withdrawal risk and rebound anxiety when discontinuing long-term benzodiazepines in elderly patients.

Question 4

In the consultant pharmacist's scope of practice, what does the acronym 'MRR' stand for?

Accepted Answer

Medication Regimen Review

Answer

MRR (Medication Regimen Review) is the comprehensive evaluation of a patient's entire medication regimen performed by consultant pharmacists, especially in long-term care.

Question 5

A consultant pharmacist identifies that a nursing home resident is receiving haloperidol without a documented diagnosis justifying its use. Under OBRA 87 regulations, this medication would be classified as a:

Accepted Answer

Unnecessary drug

Answer

OBRA 87 defines 'unnecessary drugs' as those used without adequate indication, in excessive doses, for excessive duration, without monitoring, or causing adverse consequences.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Consultant Pharmacist Professional Roles 2