MTM Comprehensive Medication Review & Optimization 3

Question 1

A patient's CMR reveals she takes levothyroxine with calcium supplements simultaneously each morning. What optimization is indicated?

Accepted Answer

Separate levothyroxine and calcium by at least 4 hours

Answer

Calcium significantly reduces levothyroxine absorption; separating administration by at least 4 hours prevents this interaction.

Question 2

During medication reconciliation as part of a CMR, a discrepancy is found between the pharmacy refill record and the patient's self-reported medication list. What is the best next step?

Accepted Answer

Clarify the discrepancy by reviewing prescriber records and interviewing the patient

Answer

Reconciliation requires triangulating multiple sources — pharmacy records, prescriber notes, and patient report — to resolve discrepancies accurately.

Question 3

A CMR patient taking amlodipine 10 mg daily reports persistent ankle edema. The most appropriate pharmacist-initiated recommendation is:

Accepted Answer

Reduce amlodipine dose or switch to an alternative antihypertensive if tolerated

Answer

Peripheral edema is a dose-dependent side effect of dihydropyridine CCBs; reducing dose or switching class can resolve it without adding diuretics.

Question 4

Which therapeutic outcome best aligns with the goal of medication optimization in an MTM CMR?

Accepted Answer

Achieving clinical endpoints while minimizing drug therapy problems and adverse effects

Answer

Medication optimization in MTM targets achieving desired clinical outcomes while identifying and resolving drug therapy problems and minimizing harm.

Question 5

A patient on long-term prednisone for rheumatoid arthritis has no documented bone protection therapy. What gap in care should the pharmacist address?

Accepted Answer

Recommend adding a bisphosphonate and calcium/vitamin D supplementation

Answer

Long-term corticosteroid use requires bone protection with a bisphosphonate plus calcium/vitamin D per ACR and USPSTF guidelines.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Comprehensive Medication Review & Optimization 3