MTM Polypharmacy Assessment & Reduction 2

Question 1

A 78-year-old patient taking 11 medications is referred for an MTM visit. Which validated screening tool is MOST appropriate for identifying potentially inappropriate medications in this patient?

Accepted Answer

Beers Criteria

Answer

The AGS Beers Criteria is a validated tool specifically designed to identify potentially inappropriate medications in older adults.

Question 2

During a comprehensive medication review, a pharmacist identifies that a patient is taking a PPI, an H2 blocker, and antacids simultaneously. This situation BEST represents which polypharmacy concern?

Accepted Answer

Therapeutic duplication

Answer

Using multiple agents from the same therapeutic class (PPI, H2 blocker, antacids) for the same indication constitutes therapeutic duplication.

Question 3

Which of the following is a key principle of the 'prescribing cascade' concept in polypharmacy management?

Accepted Answer

A new medication is prescribed to treat an adverse effect of an existing medication

Answer

A prescribing cascade occurs when an adverse drug reaction is misidentified as a new medical condition, leading to prescription of an additional medication.

Question 4

A pharmacist uses the STOPP/START criteria during an MTM encounter. What does the START component specifically identify?

Accepted Answer

Medications that should be initiated but are being withheld inappropriately

Answer

The START (Screening Tool to Alert to Right Treatment) component identifies evidence-based medications that are indicated but not being prescribed.

Question 5

When calculating a patient's medication burden, which factor is MOST important to include beyond prescription medications?

Accepted Answer

Over-the-counter medications, vitamins, and herbal supplements

Answer

A complete medication list must include OTC products, vitamins, and herbal supplements as these can contribute to drug interactions and adverse effects.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Polypharmacy Assessment & Reduction 2