Clinical Pharmacy and Patient Care Flashcards
6 cards from real MPharm Master of Pharmacy practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Clinical Pharmacy and Patient Care flashcards as text
Which pharmacist-specific intervention has been shown to most reduce 30-day hospital readmission rates?
Answer: Conducting discharge medication counseling and reconciliation
Discharge counseling and medication reconciliation by pharmacists significantly reduces readmissions by improving adherence and understanding.
A clinical pharmacist reviews a patient's regimen and notes QTc prolongation risk. Which combination is most concerning?
Answer: Azithromycin + haloperidol
Both azithromycin and haloperidol prolong the QT interval, and their combination substantially increases the risk of torsades de pointes.
In pharmacist-led anticoagulation clinics, the primary outcome measure for warfarin therapy quality is:
Answer: Time in Therapeutic Range (TTR)
TTR measures the percentage of INR readings within the target range and is the gold standard for assessing warfarin management quality.
Which pain assessment scale is preferred for non-verbal or cognitively impaired patients in clinical pharmacy practice?
Answer: PAINAD Scale
The Pain Assessment in Advanced Dementia (PAINAD) Scale uses behavioral indicators like breathing and vocalization in non-verbal patients.
Which pharmacokinetic parameter is monitored to guide vancomycin dosing in clinical practice using AUC-guided dosing?
Answer: AUC/MIC ratio ≥ 400–600 mg·h/L
Current ASHP/IDSA/SIDP guidelines recommend AUC/MIC-guided vancomycin dosing with a target AUC of 400–600 mg·h/L.
A patient on methotrexate for rheumatoid arthritis should routinely take which supplement to reduce side effects?
Answer: Folic acid
Folic acid supplementation reduces methotrexate toxicity including mucositis and hepatotoxicity without significantly reducing efficacy.