CCP Medication Therapy Management 2

Question 1

Under CMS guidelines, which Medicare beneficiaries are REQUIRED to be targeted for MTM program enrollment?

Accepted Answer

Patients with 3+ chronic conditions, 8+ medications, and likely to incur $5,503+ annual drug costs

Answer

CMS requires MTM programs to target beneficiaries with 3+ chronic conditions, 8+ Part D drugs, and an annual drug cost threshold of at least $5,503.

Question 2

A pharmacist conducting a Comprehensive Medication Review (CMR) identifies a drug therapy problem where a patient is taking an NSAID chronically without a gastroprotective agent despite a history of peptic ulcer disease. This is best classified as:

Accepted Answer

Needs additional drug therapy

Answer

The absence of a required gastroprotective agent in a high-risk NSAID user represents a need for additional drug therapy to prevent a known complication.

Question 3

When documenting a CMR using the SOAP note format, the medication action plan (MAP) is best incorporated into which section?

Accepted Answer

Plan

Answer

The MAP, which outlines recommended patient actions, is a patient-friendly document that corresponds to the Plan section of the SOAP note.

Question 4

A 78-year-old patient on warfarin reports adding cranberry juice to his daily routine. Which monitoring parameter should the pharmacist prioritize reassessing most urgently?

Accepted Answer

INR

Answer

Cranberry juice inhibits CYP2C9, increasing warfarin exposure and elevating bleeding risk, making INR the most urgent parameter to reassess.

Question 5

During a Targeted Medication Review (TMR), a pharmacist identifies that a patient's beta-blocker dose was reduced by the PCP but the pharmacy refill record shows the patient is still dispensing the old higher dose. The most appropriate initial action is:

Accepted Answer

Contact the prescriber to clarify the intended dose

Answer

A discrepancy between the prescriber's intended dose and actual dispensing requires immediate prescriber clarification to prevent overmedication.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Medication Therapy Management 2