MTM Collaborative Practice Agreements 4

Question 1

Which of the following best describes a 'statewide' or 'statewide protocol' CPA model?

Accepted Answer

A state-issued protocol allows all licensed pharmacists to provide specific services without an individual physician agreement

Answer

Statewide protocol models authorize all qualifying pharmacists to provide defined services without requiring individual physician agreements.

Question 2

In the context of CPAs, what does 'non-delegable duty' mean?

Accepted Answer

A clinical responsibility that cannot be legally transferred from the physician to the pharmacist

Answer

Non-delegable duties are legal obligations a physician cannot delegate, such as diagnosing a new disease, even under a CPA.

Question 3

A pharmacist-run anticoagulation clinic operates under a CPA. A patient's INR is supratherapeutic at 5.2 with no bleeding. Per protocol, the pharmacist should:

Accepted Answer

Hold warfarin doses per the protocol algorithm and schedule follow-up

Answer

Supratherapeutic INR without bleeding is managed per protocol by withholding doses and scheduling close follow-up.

Question 4

What differentiates a CPA from a 'prescriptive authority' grant given directly to pharmacists in some states?

Accepted Answer

A CPA requires a physician as a collaborator, while direct prescriptive authority does not

Answer

Direct prescriptive authority allows pharmacists to prescribe independently, whereas a CPA always requires a collaborating physician partner.

Question 5

Which scenario illustrates an ethical conflict a pharmacist may face under a CPA?

Accepted Answer

Being asked by the collaborating physician to document interventions they did not actually perform

Answer

Documenting interventions that did not occur constitutes fraud and is an ethical violation regardless of physician request.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Collaborative Practice Agreements 4