MTM Polypharmacy Assessment & Reduction 5

Question 1

A 65-year-old patient taking a statin, ACE inhibitor, beta-blocker, aspirin, diuretic, and two diabetes agents following an MI presents with new myalgia. Which medication is MOST likely responsible?

Accepted Answer

Statin therapy causing drug-induced myopathy

Answer

Statin-induced myopathy is a well-recognized adverse effect presenting as myalgia or elevated creatine kinase levels, particularly when combined with interacting medications.

Question 2

Which interprofessional approach is MOST effective for reducing polypharmacy in the ambulatory care setting?

Accepted Answer

Pharmacist-led medication review communicated to prescribers with collaborative prescribing authority

Answer

Pharmacist-led CMRs with collaborative practice agreements and direct communication to prescribers have the strongest evidence for achieving medication reduction in ambulatory settings.

Question 3

A frail 85-year-old patient with moderate dementia is taking a cholinesterase inhibitor, memantine, and antipsychotic. Which consideration is MOST relevant for the MTM pharmacist?

Accepted Answer

Antipsychotics carry an FDA black box warning for increased mortality in elderly patients with dementia-related psychosis

Answer

The FDA requires a black box warning on antipsychotics regarding increased risk of death in elderly patients with dementia-related psychosis, making their use a high-priority deprescribing candidate.

Question 4

What is the PRIMARY goal of a Comprehensive Medication Review (CMR) in the context of polypharmacy?

Accepted Answer

Identify, resolve, and prevent medication-related problems to optimize therapeutic outcomes

Answer

The CMR systematically identifies medication-related problems including inappropriateness, interactions, and duplications to optimize therapy and improve patient outcomes.

Question 5

A patient with osteoporosis takes calcium carbonate 500 mg twice daily and is also prescribed levothyroxine, ciprofloxacin, and ferrous sulfate. Which interaction requires timing separation?

Accepted Answer

Calcium carbonate reduces absorption of levothyroxine, ciprofloxacin, and ferrous sulfate when taken simultaneously

Answer

Calcium forms insoluble complexes with levothyroxine, fluoroquinolones, and iron, significantly reducing their absorption when taken at the same time.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Polypharmacy Assessment & Reduction 5