MTM Transitions of Care & Care Coordination 2

Question 1

Which communication channel is MOST effective for transmitting a medication reconciliation summary to a primary care physician after a patient is discharged from a skilled nursing facility?

Accepted Answer

A written, structured medication list faxed or sent via secure EHR message

Answer

A written structured summary sent through a secure channel creates a permanent record, reduces transcription errors, and ensures the receiving provider has the information before the follow-up visit.

Question 2

An MTM pharmacist identifies that a patient's discharge instructions list metformin 1000 mg twice daily, but hospital records show the dose was reduced to 500 mg twice daily due to acute kidney injury. This is an example of:

Accepted Answer

A medication reconciliation discrepancy — unintentional dose change

Answer

An unintentional dose discrepancy between actual hospital orders and discharge paperwork is a classic medication reconciliation error that can lead to patient harm if not corrected.

Question 3

Which of the following BEST describes the pharmacist's role in an interdisciplinary care transitions team?

Accepted Answer

Providing medication expertise, identifying drug therapy problems, and communicating with the care team to ensure safe handoffs

Answer

Pharmacists contribute clinical medication expertise to the interdisciplinary team, identifying and resolving drug therapy problems while facilitating communication to ensure medication safety across the continuum of care.

Question 4

A patient with chronic kidney disease is discharged on NSAIDs prescribed by the hospitalist. The MTM pharmacist identifies this as a drug therapy problem. The MOST appropriate next step is to:

Accepted Answer

Contact the prescriber with a recommendation to use an alternative analgesic appropriate for renal function

Answer

NSAIDs can worsen renal function in CKD; the pharmacist should proactively communicate the concern and suggest a safer analgesic alternative, functioning within the collaborative scope of MTM practice.

Question 5

Under Medicare Part D MTM programs, which care transition scenario MOST directly triggers an enhanced eligibility for a Comprehensive Medication Review (CMR)?

Accepted Answer

A patient recently hospitalized and newly diagnosed with a qualifying chronic condition

Answer

CMS encourages MTM outreach after hospitalizations and new chronic disease diagnoses because medication regimens change significantly, increasing the risk of drug therapy problems.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Transitions of Care & Care Coordination 2