MTM Patient Assessment & Care Planning 3

Question 1

A pharmacist reviews a patient's medication list and finds she is taking both warfarin and naproxen. In the care planning process, how should this interaction be classified?

Accepted Answer

Adverse drug reaction

Answer

Concurrent use of warfarin and NSAIDs like naproxen significantly increases bleeding risk, classifying this as an adverse drug reaction (drug interaction).

Question 2

Which of the following best represents an objective finding documented during a patient assessment?

Accepted Answer

Serum creatinine of 1.9 mg/dL obtained from lab report

Answer

Objective findings are measurable, verifiable data such as laboratory values, as opposed to patient-reported symptoms.

Question 3

A patient with CKD stage 3 is prescribed metformin at full dose. Using clinical assessment, why is this a concern?

Accepted Answer

Metformin is renally cleared and accumulates in CKD, increasing lactic acidosis risk

Answer

Metformin is renally excreted; reduced clearance in CKD leads to drug accumulation and elevated risk of potentially fatal lactic acidosis.

Question 4

When assessing medication adherence during an MTM visit, which approach provides the most comprehensive picture?

Accepted Answer

Use a validated adherence tool, pharmacy refill records, and motivational interviewing

Answer

A multi-method approach combining validated tools, refill records, and motivational interviewing yields the most accurate adherence assessment.

Question 5

Which element is essential to include when documenting a drug therapy problem in a patient care plan?

Accepted Answer

The problem, its cause, and the desired therapeutic outcome

Answer

A well-documented drug therapy problem includes identification of the problem, the underlying cause, and the specific therapeutic goal to be achieved.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Patient Assessment & Care Planning 3