CCP Long-Term Care Pharmacy Services 3

Question 1

Which CMS survey tag specifically addresses unnecessary drug use and the pharmacist's drug regimen review in nursing facilities?

Accepted Answer

F757

Answer

F757 (formerly F329) is the CMS survey tag addressing unnecessary medications and the requirement for the pharmacist's drug regimen review in LTC facilities.

Question 2

An LTC resident with dysphagia requires medication via feeding tube. The consultant pharmacist should recommend which formulation strategy?

Accepted Answer

Use liquid formulations or verified crushable tablets, and flush the tube before and after

Answer

Liquid formulations or verified-safe crushable tablets with proper tube flushing are the standard approach for enteral medication administration.

Question 3

A nursing home resident is on warfarin. The consultant pharmacist notes a new prescription for fluconazole. The primary concern is:

Accepted Answer

Fluconazole inhibits CYP2C9, significantly increasing warfarin levels and bleeding risk

Answer

Fluconazole is a potent CYP2C9 inhibitor that can dramatically increase warfarin plasma levels, necessitating close INR monitoring and possible dose reduction.

Question 4

What is the consultant pharmacist's role when a nursing facility receives a deficiency citation (F-tag) related to pharmacy services?

Accepted Answer

Assist the facility in developing a Plan of Correction (POC) addressing the cited deficiency

Answer

The consultant pharmacist collaborates with facility administration to develop and implement a Plan of Correction that addresses the root cause of the deficiency.

Question 5

Which of the following best describes the 'brown bag' medication review in the context of LTC transitions of care?

Accepted Answer

A review where all medications a patient is taking are brought in for reconciliation by the pharmacist

Answer

The 'brown bag' review involves having patients bring all their medications for pharmacist reconciliation, reducing the risk of duplicate therapy or omitted drugs during transitions.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Long-Term Care Pharmacy Services 3