CPC Medication Management and Reconciliation

Question 1

A community paramedic conducts a home visit and finds a patient taking 11 different medications. This situation is BEST described as:

Accepted Answer

Polypharmacy

Answer

Multimorbidity

Answer

Pharmacokinetic interaction

Answer

Medication non-adherence

Question 2

During medication reconciliation, a community paramedic notices the patient is taking both warfarin and aspirin without any documented indication for dual therapy. The BEST action is to:

Accepted Answer

Document the finding and report it to the supervising physician for review

Answer

Discontinue one of the medications during the visit

Answer

Advise the patient the combination is safe as long as doses are taken as prescribed

Answer

Instruct the patient to stop aspirin immediately

Question 3

Which of the following BEST describes the purpose of medication reconciliation in the MIH setting?

Accepted Answer

To identify and resolve discrepancies between what a patient is prescribed and what they are actually taking

Answer

To replace the pharmacist's duty counseling during dispensing

Answer

To authorize refills for patients who have run out of medications

Answer

To document only the medications the patient purchased over the counter

Question 4

A community paramedic observes that a patient is crushing an extended-release (ER) tablet to make it easier to swallow. The MOST important reason to correct this practice is that:

Accepted Answer

Crushing destroys the extended-release mechanism, risking dose dumping and toxicity

Answer

Crushing the tablet makes it taste bitter

Answer

The patient should switch to a liquid formulation instead

Answer

Extended-release tablets are more expensive and should not be wasted

Question 5

When performing a home medication review, which of the following is MOST important to assess in an elderly patient taking multiple medications?

Accepted Answer

Fall risk related to medications such as sedatives, antihypertensives, and diuretics

Answer

The color and shape of each tablet for identification purposes

Answer

Whether the patient prefers brand-name or generic drugs

Answer

The country of origin of each medication

Question 6

A patient tells a community paramedic they stopped taking their antihypertensive because 'it makes me dizzy.' The community paramedic should FIRST:

Accepted Answer

Acknowledge the concern, assess for orthostatic hypotension, and notify the supervising physician

Answer

Tell the patient to restart the medication immediately

Answer

Advise the patient to take the medication only every other day

Answer

Document the refusal and close the case