Chronic Disease Management Flashcards
7 cards from real MTM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Chronic Disease Management flashcards as text
A patient with rheumatoid arthritis on methotrexate reports new onset of cough and shortness of breath. The pharmacist's FIRST concern should be:
Answer: Methotrexate-induced pneumonitis requiring immediate evaluation
Methotrexate-induced pneumonitis is a serious, potentially life-threatening adverse effect that must be ruled out whenever a patient on MTX develops new respiratory symptoms.
Which self-monitoring goal for fasting blood glucose is recommended by the ADA for most non-pregnant adults with diabetes?
Answer: 80–130 mg/dL
ADA Standards of Care recommend a fasting/preprandial glucose target of 80–130 mg/dL for most non-pregnant adults with diabetes.
A 68-year-old patient with COPD and atrial fibrillation requires anticoagulation. Which factor should be assessed before prescribing a DOAC?
Answer: Creatinine clearance to determine appropriate dosing
DOACs require dose adjustment or are contraindicated in severe renal impairment, so creatinine clearance must be calculated before initiation and monitored periodically.
In patients with chronic heart failure, daily weight monitoring is recommended to detect:
Answer: Fluid retention indicating potential decompensation
A weight gain of 2–3 pounds overnight or 5 pounds in a week signals fluid accumulation and possible decompensation, prompting early intervention.
Which oral diabetes medication should be held 24–48 hours before and after administration of iodinated contrast media?
Answer: Metformin
Metformin is held around iodinated contrast procedures because contrast-induced nephropathy can reduce metformin clearance, increasing the risk of lactic acidosis.
The GOLD classification of COPD severity is primarily determined by:
Answer: Post-bronchodilator FEV1 percent predicted
GOLD grades 1–4 are defined by post-bronchodilator FEV1 % predicted, with Grade 1 ≥80%, Grade 2 50–79%, Grade 3 30–49%, and Grade 4 <30%.
A patient with osteoporosis is prescribed alendronate. Which counseling point is MOST critical for drug efficacy and safety?
Answer: Take with a full glass of water and remain upright for 30 minutes after ingestion
Oral bisphosphonates must be taken with plain water on an empty stomach, and the patient must stay upright for at least 30 minutes to prevent esophageal irritation and ensure absorption.