CCP Polypharmacy & Medication Reconciliation 3

Question 1

A chronic care manager is conducting a comprehensive medication review for a patient with heart failure, diabetes, and COPD on 9 medications. Which framework best guides identification of unnecessary medications?

Accepted Answer

Prescribing Cascade identification

Answer

The prescribing cascade occurs when a new drug is added to treat a side effect of an existing drug, making it the key framework for identifying unnecessary medications.

Question 2

A patient on lisinopril develops a chronic dry cough. Her provider adds dextromethorphan to manage it. This scenario best illustrates which concept?

Accepted Answer

Prescribing cascade

Answer

Adding dextromethorphan to treat an ACE inhibitor-induced cough is a classic prescribing cascade rather than recognizing and switching the causative agent.

Question 3

Which patient factor most significantly increases the risk of adverse drug reactions in the context of polypharmacy?

Accepted Answer

Renal impairment

Answer

Renal impairment reduces drug clearance, leading to drug accumulation and increased adverse effects, especially in polypharmacy.

Question 4

During a home visit, a care manager discovers a patient taking both brand-name Tylenol and a generic cold medicine containing acetaminophen. Which risk does this represent?

Accepted Answer

Therapeutic duplication

Answer

Taking two products that both contain acetaminophen creates therapeutic duplication and risks hepatotoxicity from cumulative overdose.

Question 5

A care coordinator is performing medication reconciliation for a patient just transferred from the ICU. Which source is considered the MOST accurate for the patient's home medication list?

Accepted Answer

Patient's own medication bottles

Answer

The patient's own medication bottles provide the most accurate real-world picture of what the patient was actually taking at home.

(CCP) Chronic Care Professional Certification Practice Test

(CCP) Chronic Care Professional Certification Practice Test

CCP Polypharmacy & Medication Reconciliation 3