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| Section | Weight | Objectives |
|---|---|---|
| Professional Practice and Communication | 25% | - Communicate effectively with healthcare team members - Adhere to legal, regulatory, and ethical standards - Maintain continuing education and competency - Utilize technology and documentation systems - Apply reimbursement principles for MTM services |
| Patient Assessment and Documentation | 25% | - Review and interpret patient data for MTM eligibility - Document patient encounters appropriately - Gather patient-specific information (medical history, current medications, lab results) - Identify drug therapy problems |
| Medication Therapy Management (MTM) Care Plan Development | 30% | - Develop individualized medication therapy care plans - Establish therapeutic goals with measurable outcomes - Address polypharmacy and medication optimization - Recommend evidence-based pharmacotherapy |
| Patient Education and Follow-up | 20% | - Promote adherence and self-management strategies - Schedule and conduct follow-up assessments - Provide patient-centered counseling on medications - Modify care plans based on patient response |
1. A 67-year-oiapatient with a history of type 2 diabetes and hypertension presents to the pharmacy and asks to receive the recombinant zoster (shingles) vaccine (RZV) the patient reports receiving the zoster vaccine live (ZVL) at a doctors office 10 weeks ago because the recombinant vaccine was out of stock Which response to the patient's immunization request would be MOST appropriate?
A) "You can receive a dose or RZV today, followed by a second dose in 2 to 6 weeks."
B) "You cannot get the RZV since you already received the ZVL. andthere is no need to get it since you are already immunized."
C) "You can receive a dose of the RZV today followed by the second dose in 2 to 6 months "
D) "You have to wait 12 weeks from your ZVL to get an initial dose of RZV. so you should come back in
2 weeks."
2. When a patient presents with signs and symptoms of diabetic peripheral neuropathy, which lab should be checked prior to starting a patient on pregabalin?
A) A1C
B) Serum creatinine
C) Alanine transaminase
D) Triiodothyronine
3. in treating venous thromboembolism, which direct oral anticoagulant would be BEST for maintenance treatment in a 78-yeaf-oia adult who has a creatinine clearance of 23mL/min and weighs less than 60Kg?
A) Apixaban 5mg PO b.i.d.
B) Rivaroxaban 20mg FO daily
C) Dabigatran I50mg PO b.i.d.
D) EdoxaDan 30mg PO daily
4. A patient is participating in an MTM session snares that they are taking hydrocodone/acetaminopen iomg
/325mg four times daily for the last year due to chronic back pain The patient complains of constipation even after taking senna/docusate supplements for the last month and describes bloating, cramps, and an Inability to have a bowel movement for the pant five days Which reaction by the pharmacist to the patients concern would be BEST?
A) Advise the patient 10 try the senna/docusate supplement for a few more weeks.
B) Refer the patient to a physician to rule out a bowel obstruction
C) Advise the patient to eat more fiber and stay hydrated
D) Recommend the patient try a psyllium laxative.
5. Apatient removed an etonogestre1/etradio1 (Nuvaring) before intercourse, left it out for 4.5 hours, and then re- inserted the ring as directed. The patient did not intend to leave the ring out for thatlong and fears becoming pregnant. Whichcounseling point would be BEST to provide to the patient?
A) Use a backup birth control method until the ring has been in place for 3 days
B) Use a backup birth control method until the ring has been in place for 7 days.
C) Directions were property followed and continue using the ring as directed.
D) Continue using the ring as directed and use a backup birth control during future intercourse
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: A |
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