KAPS Patient Assessment and Evaluation 2

Question 1

A pharmacist reviews a patient's medication list and finds they are taking warfarin and newly prescribed trimethoprim-sulfamethoxazole. What assessment finding warrants immediate follow-up?

Accepted Answer

Increased bleeding risk due to CYP2C9 inhibition elevating warfarin levels

Answer

Trimethoprim-sulfamethoxazole inhibits CYP2C9, reducing warfarin metabolism and significantly raising INR and bleeding risk.

Question 2

When assessing a patient's medication history, the BEST source for reconciling home medications in an unconscious patient is:

Accepted Answer

The patient's pharmacy dispensing records and pill bottles

Answer

Pharmacy dispensing records and pill bottles provide the most accurate, objective documentation of recently dispensed medications.

Question 3

A 68-year-old patient with CKD stage 3b (eGFR 35 mL/min) is prescribed metformin. The most appropriate pharmacist assessment is:

Accepted Answer

Recommend dose reduction and close monitoring for lactic acidosis risk

Answer

At eGFR 30–45 mL/min, metformin can be continued at a reduced dose with close monitoring, but lactic acidosis risk is elevated.

Question 4

During a SOAP note review, the 'O' (Objective) section should include which of the following?

Accepted Answer

Vital signs, laboratory values, and physical examination findings

Answer

Objective data includes measurable, reproducible findings such as vitals, labs, and physical exam results.

Question 5

A patient presents with new-onset confusion, hyponatremia (Na 118 mEq/L), and has been on hydrochlorothiazide for 6 months. The pharmacist's assessment should prioritize:

Accepted Answer

Thiazide-induced SIADH as the likely cause and recommend holding the diuretic

Answer

Thiazide diuretics are a common cause of SIADH-like hyponatremia; holding the agent and correcting sodium gradually is the first step.

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

KAPS Patient Assessment and Evaluation 2