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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Practice and Communication | 25% | - Apply reimbursement principles for MTM services - Communicate effectively with healthcare team members - Maintain continuing education and competency - Adhere to legal, regulatory, and ethical standards - Utilize technology and documentation systems |
| Topic 2: Patient Education and Follow-up | 20% | - Provide patient-centered counseling on medications - Schedule and conduct follow-up assessments - Promote adherence and self-management strategies - Modify care plans based on patient response |
| Topic 3: Medication Therapy Management (MTM) Care Plan Development | 30% | - Address polypharmacy and medication optimization - Recommend evidence-based pharmacotherapy - Develop individualized medication therapy care plans - Establish therapeutic goals with measurable outcomes |
| Topic 4: Patient Assessment and Documentation | 25% | - Identify drug therapy problems - Gather patient-specific information (medical history, current medications, lab results) - Review and interpret patient data for MTM eligibility - Document patient encounters appropriately |
1. An 85-year-oia patient who has several disease conditions and is enrolled in Medicare Part D presents to a pharmacy to refill prescriptions After reviewing the patient's medication vials to provide refills, the pharmacist realizes that, even though the refills are due. many of the vials are still half full with medication Which Initial reaction by the pharmacist lo this observation would be BEST?
A) "Is your physician aware that you're not taking your medications'?"
B) "Since medication therapy management services are an included benefit of Medicare Pan D. can you explain to me why you have not been taking your medication'?"
C) "Many or my patients have difficulty remembering to take medications. What kind of problems nave you experienced?"
D) "There are quite a few tablets remaining in these, which is not good Are you forgetting to take your medication*?"
2. Which medication is a first-line biologic for the treatment of psoriasis?
A) Trastuzumab
B) Cetuximab
C) Adalimumab
D) Bavituximab
3. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
A) Override the rejection claim and counsel patient to take daily.
B) Ask the patient how they are supposed to take the medication
C) Have the pharmacy technician verify the DUR with the patient.
D) Call the prescriber and verify the directions of the prescription and diagnosis code.
4. A60-year-old female patent who is postmenopausal and underwent a hysterectomy 10 years ago is unable to tolerate vasomotor symptoms and vaginitis due to menopause, and the patient would like to go on hormone replacement therapy Which medication therapy would be most appropriate FIRST step for this patient?
A) Conjugated estrogens/medroxyprogesterone oral tablet
B) Estradiol/levonorgestrel transdermal patch
C) Estradiol transdermal paten
D) Estradiol/progesterone oral capsule
5. A patient has a past medical history of multiple myeloma, hypertension. hypertipidemia. depression, anxiety, nausea and vomiting, asthma, and eczema which chronic conditions would qualify the patient tor MTM services through Medicare Part D?
A) Asthma, anxiety, hypertension, and eczema
B) Asthma. multiple myeloma, hyperlipemia, and hypertension
C) Asthma, depression, hypertension, and hyperlipidemia
D) Asthma, eczema, nauses and vomiting, and anxiety
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: C |
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