CCP Medication Regimen Review Questions and Answers

Question 1

A consultant pharmacist is performing a monthly Medication Regimen Review (MRR) for an 82-year-old resident of a long-term care facility. The resident was recently treated for a UTI and now complains of new-onset dizziness and confusion. The pharmacist notes a new prescription for oxybutynin for urinary incontinence. Which of the following medication-related problems is the MOST likely cause of the resident's new symptoms?

Accepted Answer

Prescribing cascade

Answer

A prescribing cascade occurs when an adverse drug event is misinterpreted as a new medical condition, leading to the prescription of another medication to treat the side effect. In this case, the oxybutynin, with its anticholinergic effects, was likely prescribed to manage urinary symptoms that may have been a side effect of another medication or misinterpreted, and is now causing dizziness and confusion, which could be misdiagnosed as another new condition.

Question 2

According to CMS regulations for long-term care facilities, which of the following actions is required by the consultant pharmacist after identifying a clinically significant irregularity during a Medication Regimen Review?

Accepted Answer

Report the finding in a separate, written report to the attending physician, medical director, and director of nursing.

Answer

CMS regulations mandate that any irregularities identified during a pharmacist's monthly medication regimen review must be reported in a separate written report to the resident's attending physician, the facility's Medical Director, and the Director of Nursing. This ensures that all key members of the care team are aware of the issue and can act upon the pharmacist's recommendations.

Question 3

Which of the following BEST defines the primary goal of deprescribing within the Medication Regimen Review process?

Accepted Answer

Systematically withdrawing medications when the potential for harm outweighs the potential for benefit.

Answer

Deprescribing is a patient-centered process of withdrawing inappropriate medications, supervised by a healthcare professional, with the goal of managing polypharmacy and improving outcomes. The core principle is to systematically re-evaluate and discontinue drugs for which the potential harms outweigh the current or anticipated benefits for the individual patient.

Question 4

A consultant pharmacist reviews the regimen of a 75-year-old patient with type 2 diabetes, hypertension, and osteoarthritis. The patient takes 12 different medications. Which category of medication-related problems, as defined by Hepler and Strand, would apply if the pharmacist discovers the patient is taking a medication for which there is no valid medical reason?

Accepted Answer

Drug use without indication

Answer

Hepler and Strand's categories of medication-related problems (MRPs) provide a framework for MRR. 'Drug use without indication' is the specific category for when a patient is taking a medication for no medically valid condition or reason. This is a common finding in patients with polypharmacy.

Question 5

During an admission MRR for a patient transferring from a hospital to a skilled nursing facility, the consultant pharmacist's MOST critical first step is to:

Accepted Answer

Perform a thorough medication reconciliation.

Answer

Medication reconciliation is the foundational first step in an admission MRR. It involves creating the most accurate list possible of all medications a patient is taking and comparing that list against the admission orders to avoid errors such as omissions, duplications, or dosing discrepancies that are common during transitions of care.

(CCP) Certified Consultant Pharmacist Practice Test

(CCP) Certified Consultant Pharmacist Practice Test

CCP Medication Regimen Review Questions and Answers