MTM Medication Safety & Error Prevention 2

Question 1

A patient on warfarin is started on fluconazole by their PCP without consulting the pharmacist. Which medication safety process was most likely bypassed?

Accepted Answer

Drug-drug interaction screening

Answer

Fluconazole significantly inhibits CYP2C9, increasing warfarin levels and bleeding risk — a critical drug-drug interaction that should be screened at dispensing.

Question 2

Which of the following is the BEST description of a 'near miss' in medication safety terminology?

Accepted Answer

An error that was caught before reaching the patient

Answer

A near miss (also called a close call) is an error that was intercepted before it reached the patient, representing a key learning opportunity.

Question 3

An MTM pharmacist identifies that a patient is taking two ACE inhibitors prescribed by different providers. This is an example of which medication-related problem?

Accepted Answer

Therapeutic duplication

Answer

Therapeutic duplication occurs when two drugs from the same class are prescribed concurrently without clinical justification, increasing toxicity risk.

Question 4

The ISMP High-Alert Medications list is MOST useful for which safety practice?

Accepted Answer

Prioritizing independent double-checks and special safeguards

Answer

High-alert medications require additional safeguards such as independent double-checks, special labeling, and restricted access because errors with them are more likely to cause serious harm.

Question 5

A patient reports they split their extended-release metoprolol succinate tablets because they are too large to swallow. What is the primary safety concern?

Accepted Answer

Increased risk of bradycardia from dose dumping

Answer

Splitting extended-release tablets destroys the controlled-release mechanism, potentially causing rapid drug release (dose dumping) and excessive beta-blockade including severe bradycardia.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Medication Safety & Error Prevention 2