MPharm Master of Pharmacy Clinical Pharmacy and Patient Care 1 — Questions and Answers
Question 1: Which parameter is used to assess medication adherence in a clinical pharmacy setting?
- Medication Possession Ratio (MPR) (Correct answer)
- Area Under the Curve (AUC)
- Volume of Distribution (Vd)
- Minimum Inhibitory Concentration (MIC)
Correct answer: Medication Possession Ratio (MPR)
The Medication Possession Ratio (MPR) estimates adherence by dividing the days' supply dispensed by the total days in a period.
Question 2: In a drug therapy problem (DTP) framework used by clinical pharmacists, which category describes a patient needing additional medication?
- Drug interaction
- Needs additional drug therapy (Correct answer)
- Adverse drug reaction
- Non-compliance
Correct answer: Needs additional drug therapy
The 'Needs additional drug therapy' DTP category applies when a patient has a medical condition requiring initiation of a new drug.
Question 3: Which scale is most commonly used by clinical pharmacists to assess fall risk in elderly hospitalized patients?
- Braden Scale
- Morse Fall Scale (Correct answer)
- Ramsay Scale
- Glasgow Coma Scale
Correct answer: Morse Fall Scale
The Morse Fall Scale evaluates six variables including fall history, secondary diagnosis, and gait to stratify patient fall risk.
Question 4: A patient is prescribed warfarin and starts clarithromycin. What is the expected outcome?
- Decreased anticoagulation effect
- Increased INR and bleeding risk (Correct answer)
- No change in INR
- Reduced clarithromycin efficacy
Correct answer: Increased INR and bleeding risk
Clarithromycin inhibits CYP3A4 and CYP2C9, decreasing warfarin metabolism and increasing INR and bleeding risk.
Question 5: What is the primary goal of a Medication Therapy Management (MTM) comprehensive medication review (CMR)?
- Reduce hospital readmissions by switching to generics
- Identify and resolve drug therapy problems across all medications (Correct answer)
- Counsel patients exclusively on OTC products
- Document adverse drug reactions for FDA reporting
Correct answer: Identify and resolve drug therapy problems across all medications
A CMR involves a thorough review of all medications to identify, prevent, and resolve drug therapy problems affecting patient outcomes.
Question 6: In the SOAP note format used in clinical pharmacy, what does the 'A' stand for?
- Administration
- Assessment (Correct answer)
- Adherence
- Adverse effect
Correct answer: Assessment
The 'Assessment' section synthesizes subjective and objective data into a clinical judgment about the patient's status.
MPharm Master of Pharmacy Clinical Pharmacy and Patient Care 1
Which parameter is used to assess medication adherence in a clinical pharmacy setting?