CCP Polypharmacy & Medication Reconciliation 2

Question 1

A 78-year-old patient is admitted with confusion. Her medication list includes an anticholinergic, a benzodiazepine, and an opioid. Which tool is most appropriate to assess her anticholinergic burden?

Accepted Answer

Anticholinergic Cognitive Burden (ACB) scale

Answer

The Anticholinergic Cognitive Burden (ACB) scale specifically quantifies cumulative anticholinergic drug effects linked to cognitive impairment.

Question 2

During medication reconciliation at hospital discharge, a discrepancy is found between the patient's home medication list and the discharge prescription. What is the FIRST action the care coordinator should take?

Accepted Answer

Contact the prescribing physician to clarify the discrepancy

Answer

Unexplained discrepancies must be resolved with the prescribing provider before the patient leaves to prevent medication errors.

Question 3

Which of the following medication combinations most commonly causes a clinically significant drug-drug interaction leading to bleeding risk?

Accepted Answer

Warfarin and NSAIDs

Answer

NSAIDs combined with warfarin increase bleeding risk through both antiplatelet effects and GI mucosal damage.

Question 4

A care manager reviews a patient on 12 medications. Which outcome is MOST directly associated with polypharmacy in older adults?

Accepted Answer

Increased fall risk

Answer

Polypharmacy in older adults significantly increases fall risk due to sedative, hypotensive, and anticholinergic drug effects.

Question 5

A patient taking metformin is prescribed contrast dye for a CT scan. What medication management step is required?

Accepted Answer

Hold metformin before and 48 hours after contrast administration

Answer

Metformin must be held around contrast use to prevent lactic acidosis if contrast-induced nephropathy occurs.

(CCP) Chronic Care Professional Certification Practice Test

(CCP) Chronic Care Professional Certification Practice Test

CCP Polypharmacy & Medication Reconciliation 2