MTM Comprehensive Medication Review & Optimization 5

Question 1

A CMR patient reports forgetting her afternoon medication dose consistently. Which adherence strategy is most evidence-based for this pattern?

Accepted Answer

Switching to a twice-daily formulation if a once-daily equivalent is available

Answer

Simplifying regimens by switching to once-daily formulations is among the most effective strategies for improving adherence in patients who forget scheduled doses.

Question 2

Which laboratory value is most critical to review before recommending an ACE inhibitor dose increase during a CMR?

Accepted Answer

Serum potassium and serum creatinine/eGFR

Answer

ACE inhibitors can cause hyperkalemia and acute kidney injury; potassium and renal function must be assessed before dose escalation.

Question 3

A patient completing a CMR is on quetiapine for bipolar disorder and newly reports fasting glucose of 130 mg/dL. What is the most appropriate response?

Accepted Answer

Document as a potential atypical antipsychotic-induced metabolic adverse effect and notify the prescriber

Answer

Atypical antipsychotics including quetiapine carry a black-box warning for metabolic effects including hyperglycemia; the prescriber must be notified for collaborative management.

Question 4

When assessing medication safety during a CMR, the Beers Criteria is most appropriately applied to which patient population?

Accepted Answer

Adults aged 65 and older

Answer

The AGS Beers Criteria was developed specifically to identify potentially inappropriate medications for adults aged 65 and older.

Question 5

A CMR patient on warfarin reports starting cranberry juice daily. What is the pharmacist's concern?

Accepted Answer

Cranberry may inhibit CYP2C9, increasing warfarin levels and bleeding risk

Answer

Cranberry products may inhibit CYP2C9, the primary enzyme metabolizing warfarin's S-enantiomer, potentially increasing INR and bleeding risk.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Comprehensive Medication Review & Optimization 5