Clinical Pharmacy and Patient Care Flashcards
6 cards from real Pharm.D. Doctor of Pharmacy practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Clinical Pharmacy and Patient Care flashcards as text
Which vaccine is contraindicated in patients who are severely immunocompromised?
Answer: Live attenuated influenza vaccine (LAIV)
Live attenuated vaccines like LAIV are contraindicated in severely immunocompromised patients because the weakened virus may cause disease in these individuals.
A patient taking an MAO inhibitor is prescribed meperidine. What is the most serious concern?
Answer: Serotonin syndrome and hyperpyrexic crisis
Combining meperidine with MAO inhibitors can precipitate a life-threatening serotonin syndrome or hyperpyrexic crisis due to serotonin accumulation.
Which pharmacist-provided service is classified as a Comprehensive Medication Review (CMR) under Medicare Part D MTM?
Answer: A systematic review of all medications with individualized medication action plan
A CMR under Medicare Part D MTM is an interactive, person-to-person systematic review of all medications resulting in a personalized medication action plan for the patient.
When counseling a patient on proper use of a metered-dose inhaler (MDI), which technique error is most commonly identified?
Answer: Not shaking the inhaler before use and inhaling too rapidly
The most common MDI errors include failure to shake the device before actuation and inhaling too rapidly, both of which reduce drug deposition in the lower airways.
A patient on chronic corticosteroids is being discharged. Which supplemental therapy should the pharmacist recommend to prevent osteoporosis?
Answer: Calcium and vitamin D supplementation plus a bisphosphonate if long-term
Patients on chronic corticosteroids should receive calcium, vitamin D, and a bisphosphonate (if long-term use ≥3 months) to prevent glucocorticoid-induced osteoporosis per ACR guidelines.
Which adverse effect is most associated with fluoroquinolone antibiotics and warrants patient counseling?
Answer: Tendinopathy and tendon rupture
Fluoroquinolones carry an FDA Black Box Warning for tendinopathy and tendon rupture, particularly of the Achilles tendon, especially in elderly patients and those on corticosteroids.