KAPS Patient Assessment and Evaluation 3

Question 1

A pharmacist uses the Cockcroft-Gault equation to estimate creatinine clearance. Which patient characteristic most significantly affects this calculation?

Accepted Answer

Age, sex, weight, and serum creatinine

Answer

The Cockcroft-Gault equation uses age, sex, weight, and serum creatinine to estimate creatinine clearance for drug dosing.

Question 2

When assessing adherence in a patient with uncontrolled hypertension on amlodipine 10 mg and lisinopril 40 mg, the MOST direct assessment approach is:

Accepted Answer

Reviewing pharmacy refill history and using a validated adherence questionnaire

Answer

Pharmacy refill records combined with a validated tool like the Morisky scale provide objective and subjective adherence data before escalating therapy.

Question 3

A patient with asthma reports using their albuterol rescue inhaler more than 2 times per week. Based on NAEPP guidelines, this indicates:

Accepted Answer

Asthma is not well-controlled and step-up therapy should be evaluated

Answer

NAEPP classifies asthma as not well-controlled when rescue inhaler use exceeds 2 days per week, indicating a need for step-up therapy.

Question 4

During patient assessment, a pharmacist notes a patient's total cholesterol is 240 mg/dL, HDL is 35 mg/dL, and LDL is 165 mg/dL. The patient has Type 2 diabetes. Using ACC/AHA guidelines, what is the most appropriate assessment?

Accepted Answer

High-intensity statin therapy is indicated due to diabetes as a major ASCVD risk enhancer

Answer

ACC/AHA guidelines recommend high-intensity statin therapy for diabetic patients aged 40–75 regardless of LDL level due to elevated ASCVD risk.

Question 5

Which finding on patient assessment is MOST consistent with digoxin toxicity?

Accepted Answer

Bradycardia, nausea, vomiting, and yellow-green visual disturbances

Answer

Classic digoxin toxicity presents with bradycardia, GI symptoms, and xanthopsia (yellow-green vision), especially when serum levels exceed 2 ng/mL.

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

(KAPS) Knowledge Assessment of Pharmaceutical Sciences Practice Test

KAPS Patient Assessment and Evaluation 3